Nokea
Which condition is caused by excessive growth hormone in adults?
- A. Gigantism
- B. Tetany
- C. Kidney failure
- D. Acromegaly
Correct Answer: D
Rationale: The correct answer is D: Acromegaly. Excessive growth hormone in adults leads to acromegaly, characterized by enlargement of bones and tissues. This occurs because the growth plates have already closed in adults, preventing the elongation of bones seen in gigantism (choice A). Tetany (choice B) is caused by low calcium levels, not growth hormone. Kidney failure (choice C) is not directly related to excessive growth hormone.
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The inability to produce ADH causes ______.
- A. diabetes mellitus.
- B. uterine contractions.
- C. diabetes insipidus.
- D. decreased urine volume.
Correct Answer: C
Rationale: The correct answer is C: diabetes insipidus. The inability to produce ADH (antidiuretic hormone) results in diabetes insipidus, characterized by excessive thirst and urination. ADH plays a crucial role in regulating water retention by the kidneys. Without ADH, the kidneys are unable to concentrate urine, leading to increased urine output and dehydration.
A: Diabetes mellitus is not caused by the inability to produce ADH. It is a condition characterized by high blood sugar levels due to insufficient insulin production or ineffective use of insulin.
B: Uterine contractions are not related to the production of ADH. Uterine contractions are primarily controlled by hormones such as oxytocin during labor.
D: Decreased urine volume is the opposite of what occurs in diabetes insipidus. In this condition, there is an increase in urine volume due to the inability to concentrate urine.
Pilocarpine is used in the treatment of:
- A. Increased salivary secretion
- B. Glaucoma
- C. Intestinal colic
- D. Cardiac arrhythmias
Correct Answer: B
Rationale: The correct answer is B: Glaucoma. Pilocarpine is a cholinergic agonist that works by causing constriction of the pupil and increasing the outflow of aqueous humor in the eye, thereby reducing intraocular pressure in glaucoma. Increased salivary secretion (A) is a side effect of pilocarpine use. Pilocarpine is not indicated for treating intestinal colic (C) or cardiac arrhythmias (D).
The action of ganglion blockers on the following items is essentially similar to atropine EXCEPT on:
- A. Eye
- B. Gastrointestinal tract
- C. Urinary bladder
- D. Blood pressure
Correct Answer: D
Rationale: The correct answer is D: Blood pressure. Ganglion blockers, similar to atropine, block the transmission of nerve impulses at ganglia. Ganglion blockers affect the eye, gastrointestinal tract, and urinary bladder by inhibiting parasympathetic activity. However, ganglion blockers do not have a significant direct effect on blood pressure regulation. Blood pressure is primarily regulated by the autonomic nervous system through the actions of the sympathetic and parasympathetic systems, not solely at ganglia. Therefore, the correct answer is D because ganglion blockers do not directly influence blood pressure regulation.
The neurohypophysis or posterior lobe of the pituitary gland is not a true endocrine gland because ________.
- A. it is strictly a part of the neural system and has little or nothing to do with hormonal release
- B. embryonically it was an endocrine tissue, but in the adult human it is no longer functional
- C. it is unable to function as an endocrine tissue because it is actually part of the neural system due to its location
- D. it is only a hormone storage area that receives hormones from the hypothalamus for release
Correct Answer: D
Rationale: The correct answer is D because the neurohypophysis stores hormones produced by the hypothalamus for release into the bloodstream. The neurohypophysis does not produce its own hormones but acts as a storage and release site.
A is incorrect as the neurohypophysis does play a role in hormonal release through the release of hormones produced by the hypothalamus. B is incorrect as the neurohypophysis remains functional in adults. C is incorrect as the neurohypophysis does function as an endocrine tissue by releasing hormones into the bloodstream.
The most important regulator of electrolyte concentrations in extracellular fluids is ________.
- A. insulin
- B. aldosterone
- C. glucagon
- D. cortisol
Correct Answer: B
Rationale: The correct answer is B: aldosterone. Aldosterone is a hormone produced by the adrenal glands that plays a key role in regulating electrolyte concentrations in extracellular fluids. It specifically acts on the kidneys to increase the reabsorption of sodium and water while promoting the excretion of potassium. This helps to maintain the balance of electrolytes in the body. Insulin, glucagon, and cortisol do not directly regulate electrolyte concentrations in extracellular fluids. Insulin regulates blood sugar levels, glucagon regulates glucose release from the liver, and cortisol is involved in stress response and metabolism. Therefore, aldosterone is the most important regulator of electrolyte concentrations in extracellular fluids.