Which gland is responsible for the production of adrenaline?
- A. Adrenal
- B. Parathyroid
- C. Gonadal
- D. Pancreas
Correct Answer: A
Rationale: The correct answer is A: Adrenal. The adrenal gland is responsible for producing adrenaline, also known as epinephrine, which is a hormone released in response to stress or danger. Adrenaline helps the body prepare for fight or flight responses by increasing heart rate, dilating airways, and boosting energy. The other choices, Parathyroid, Gonadal, and Pancreas, are not responsible for producing adrenaline. Parathyroid glands regulate calcium levels, gonadal glands produce sex hormones, and the pancreas produces insulin and digestive enzymes. Therefore, the adrenal gland is the correct answer for the production of adrenaline.
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Concerning catecholamines, all the following are true EXCEPT:
- A. They contain a catechol nucleus
- B. They act directly on the receptor
- C. Have a short duration of action
- D. Include ephedrine and amphetamine
Correct Answer: D
Rationale: The correct answer is D because ephedrine and amphetamine are not catecholamines. A is correct as catecholamines contain a catechol nucleus. B is true as they act directly on receptors. C is also true since catecholamines have a short duration of action. Therefore, D is the incorrect statement as ephedrine and amphetamine do not fall under the category of catecholamines due to their chemical structure and mode of action.
Organophosphate insecticides and nerve gases exert their lethal effects by:
- A. Blocking alpha and β-adrenergic receptors
- B. Blocking all muscarinic receptors on target cells
- C. Blocking nicotinic receptors in the brain
- D. Inhibiting acetylcholine metabolism
Correct Answer: D
Rationale: The correct answer is D because organophosphate insecticides and nerve gases inhibit acetylcholine metabolism by irreversibly binding to acetylcholinesterase enzyme, leading to accumulation of acetylcholine at synapses. This results in overstimulation of cholinergic receptors, causing symptoms of cholinergic toxicity.
Choice A is incorrect because alpha and beta-adrenergic receptors are not the targets of organophosphates. Choice B is incorrect because organophosphates do not block all muscarinic receptors. Choice C is incorrect because organophosphates do not specifically target nicotinic receptors in the brain.
This is Not an Endocrine Gland
- A. Adrenal
- B. Pituitary
- C. Lacrimal
- D. Thyroid
Correct Answer: C
Rationale: The correct answer is C: Lacrimal gland. The lacrimal gland is not an endocrine gland because it does not secrete hormones into the bloodstream. It produces tears to lubricate and cleanse the eyes. Adrenal, Pituitary, and Thyroid glands are endocrine glands that secrete hormones directly into the bloodstream to regulate various functions in the body. Adrenal glands produce cortisol and adrenaline, Pituitary gland regulates other endocrine glands, and Thyroid gland produces thyroid hormones. Therefore, Lacrimal gland is the correct answer as it does not secrete hormones into the bloodstream like the other choices.
The islets of Langerhans:
- A. are cells found in the adenohypophysis.
- B. secrete insulin and glucagon.
- C. secrete steroids.
- D. secrete releasing hormones.
Correct Answer: B
Rationale: Step 1: Islets of Langerhans are clusters of cells in the pancreas.
Step 2: These cells secrete insulin to lower blood sugar levels and glucagon to raise blood sugar levels.
Step 3: Therefore, choice B is correct as it accurately describes the function of the islets of Langerhans.
Summary: Choices A, C, and D are incorrect as islets of Langerhans are not found in the adenohypophysis, do not secrete steroids, and do not secrete releasing hormones.
Alexa, a 32-year-old woman, has been diagnosed with metabolic syndrome. Nursing interventions would include teaching her about the typical accompanying signs and symptoms, such as:
- A. Weight loss, malar rash, and pharyngitis.
- B. Hypothyroidism, podagra, and elevated fasting glucose.
- C. Violaceous rash, pitting peripheral edema, and palpitation.
- D. Hypertension, low HDL, and elevated triglycerides.
Correct Answer: D
Rationale: Metabolic syndrome is characterized by a combination of hypertension, low HDL cholesterol, elevated triglycerides, abdominal obesity, and elevated fasting glucose.