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Which gland secretes two hormones, one that elevates blood glucose levels and another that decreases blood glucose levels?
- A. Pancreas
- B. Adenohypophysis
- C. Thyroid
- D. Adrenal cortex
Correct Answer: A
Rationale: The correct answer is A: Pancreas. The pancreas secretes insulin to decrease blood glucose levels and glucagon to elevate blood glucose levels. Insulin helps cells absorb glucose for energy, while glucagon triggers the release of stored glucose into the bloodstream. Adenohypophysis (B) secretes various hormones but not related to blood glucose regulation. Thyroid (C) secretes hormones that regulate metabolism, not directly impacting blood glucose levels. Adrenal cortex (D) secretes hormones like cortisol and aldosterone, which are not primarily involved in blood glucose regulation.
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The patient with diabetes insipidus is brought to the emergency department with confusion and dehydration after excretion of a large volume of urine today even though several liters of fluid were drunk. What is a diagnostic test that the nurse should expect to be done to help make a diagnosis?
- A. Blood glucose
- B. Serum sodium level
- C. Urine specific gravity
- D. Computed tomography (CT) of the head
Correct Answer: C
Rationale: Urine specific gravity is typically low in diabetes insipidus due to excessive urine output and inability to concentrate urine.
Which of the following is true about calcium homeostasis?
- A. Increased calcitonin levels will cause increased blood calcium levels.
- B. High calcium levels cause bone resorption.
- C. Parathyroid hormone causes an increase in osteoblast activity.
- D. Parathyroid hormone is the single most important regulator of calcium levels in the blood.
Correct Answer: D
Rationale: The correct answer is D: Parathyroid hormone is the single most important regulator of calcium levels in the blood. Parathyroid hormone plays a crucial role in maintaining calcium homeostasis by stimulating bone resorption, increasing calcium reabsorption in the kidneys, and activating vitamin D to enhance calcium absorption in the intestines. It acts to raise blood calcium levels when they are low.
Explanation for other choices:
A: Increased calcitonin levels actually lower blood calcium levels by promoting calcium deposition in bones.
B: High calcium levels do not cause bone resorption; it is actually the opposite as mentioned in choice D.
C: Parathyroid hormone does not increase osteoblast activity; it primarily affects osteoclasts to release calcium from bones.
Underproduction of growth hormone during the growing years produces ______.
- A. myxedema.
- B. gigantism.
- C. pituitary dwarfism.
- D. acromegaly.
Correct Answer: C
Rationale: The correct answer is C: pituitary dwarfism. Growth hormone deficiency during growing years results in pituitary dwarfism due to stunted growth. Myxedema (choice A) is associated with hypothyroidism, not growth hormone deficiency. Gigantism (choice B) occurs due to excessive growth hormone production in childhood. Acromegaly (choice D) is caused by excess growth hormone in adulthood, not during the growing years. Thus, choice C is the most appropriate based on the impact of growth hormone deficiency on growth during childhood.
This is the Most Abundant Hormone Produced by the Anterior Pituitary
- A. LH
- B. TSH
- C. ACTH
- D. GH
Correct Answer: D
Rationale: The correct answer is D: GH (Growth Hormone). GH is the most abundant hormone produced by the anterior pituitary gland. It plays a crucial role in regulating growth, metabolism, and cell repair. LH, TSH, and ACTH are also hormones produced by the anterior pituitary, but they are not as abundant as GH and do not have the same wide-ranging effects on the body. LH is involved in reproductive functions, TSH regulates thyroid function, and ACTH stimulates the adrenal glands. Therefore, based on the function and abundance of hormones produced by the anterior pituitary, GH is the correct answer.
Regarding thyroid hormones:
- A. little T3 is produced peripherally by deiodination T4
- B. albumin has more capacity to bind thyroid hormones than TBG
- C. TBG has less affinity for thyroid hormone than albumin
- D. thyroid hormones stimulate lipogenesis
Correct Answer: B
Rationale: Step 1: Albumin binds more thyroid hormones than TBG due to its higher concentration in the blood.
Step 2: TBG has higher affinity for thyroid hormones than albumin, leading to less free hormone.
Step 3: Hence, choice B is correct as albumin has more capacity to bind thyroid hormones.
Summary: Choice A is incorrect as significant T3 is produced peripherally. Choice C is incorrect as TBG has higher affinity. Choice D is incorrect as thyroid hormones stimulate lipolysis, not lipogenesis.