Nokea
Which artery generally gives rise to inferior thyroid artery?
- A. Arch of aorta
- B. Brachiocephalic artery
- C. External carotid artery
- D. Thyrocervical trunk
Correct Answer: D
Rationale: The correct answer is D, the thyrocervical trunk. This artery generally gives rise to the inferior thyroid artery. The thyrocervical trunk is a branch of the subclavian artery, supplying blood to the thyroid gland. The other choices are incorrect because the arch of aorta does not give rise to the inferior thyroid artery, the brachiocephalic artery does not directly supply the thyroid gland, and the external carotid artery does not typically provide blood to the thyroid gland. Therefore, the thyrocervical trunk is the most likely source for the inferior thyroid artery.
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Quinidine is a drug used for arrhythmias. One of its properties is strong postsynaptic alpha-adrenergic receptor blocking activity. What side effect would you expect as a result of this property?
- A. Absence or at least decrease of lacrimal and mucus secretions
- B. Dilated pupils that don’t constrict in bright light
- C. Reduced blood pressure, hypotension
- D. Skeletal muscle tremors
Correct Answer: C
Rationale: The correct answer is C: Reduced blood pressure, hypotension. Quinidine's strong postsynaptic alpha-adrenergic receptor blocking activity would result in decreased activation of these receptors, leading to vasodilation and reduced blood pressure, which can cause hypotension. Choice A is incorrect because lacrimal and mucus secretions are not directly affected by alpha-adrenergic receptor blocking. Choice B is incorrect as dilated pupils are more associated with alpha-1 adrenergic receptor blockade. Choice D is incorrect as skeletal muscle tremors are not a typical side effect of alpha-adrenergic receptor blocking.
Which nerve is NOT involved in the efferent (motor) swallow reflex?
- A. trigeminal
- B. vagus
- C. facial
- D. hypoglossal
Correct Answer: B
Rationale: The correct answer is B: vagus. The efferent (motor) swallow reflex involves motor nerves that control swallowing muscles. The vagus nerve (cranial nerve X) is primarily responsible for the afferent (sensory) component of the swallow reflex, while the efferent component is carried out by other cranial nerves such as the glossopharyngeal (IX), facial (VII), and hypoglossal (XII) nerves. Therefore, the vagus nerve is not directly involved in the efferent motor response during swallowing. Trigeminal (V), facial (VII), and hypoglossal (XII) nerves play essential roles in the motor aspects of swallowing, making them incorrect choices.
What Does Somatostatin Do?
- A. Inhibits release of insulin and glucagon
- B. Stimulates release of insulin and glucagon
- C. Stimulates glucagon release while inhibits insulin release
- D. Inhibits glucagon release while stimulates insulin release
Correct Answer: A
Rationale: The correct answer is A because somatostatin inhibits the release of both insulin and glucagon. This hormone acts as a regulator of the endocrine system by suppressing the secretion of these hormones. By inhibiting the release of insulin, somatostatin helps to prevent hypoglycemia, while inhibiting glucagon release helps to maintain blood glucose levels. Choices B, C, and D are incorrect because they do not accurately reflect the function of somatostatin in regulating the release of insulin and glucagon. B stimulates the release of both hormones, C stimulates glucagon while inhibits insulin, and D inhibits glucagon while stimulates insulin, which are all contradictory to the known actions of somatostatin.
Which of the following is NOT true of growth hormone?
- A. stimulates rate of amino acid entrance into the cell
- B. stimulates protein synthesis in bones, cartilage, and muscles
- C. promotes glucose metabolism
- D. promotes fat metabolism
Correct Answer: C
Rationale: The correct answer is C: growth hormone does not promote glucose metabolism. Growth hormone primarily promotes protein synthesis in bones, cartilage, and muscles (B), stimulates the rate of amino acid entrance into the cell (A), and promotes fat metabolism (D). Glucose metabolism is mainly regulated by insulin, not growth hormone.
A nurse working in an outpatient clinic plans a screening program for diabetes. What recommendations for screening should be included?
- A. OGTT for all minority populations every year
- B. FPG for all individuals at age 45 and then every 3 years
- C. Testing people under the age of 21 for islet cell antibodies
- D. Testing for type 2 diabetes in all overweight or obese individuals
Correct Answer: B
Rationale: Fasting plasma glucose (FPG) should be tested for all individuals at age 45 and every 3 years thereafter.