Which group is incorrect?
- A. Hormones of the anterior pituitary gland: ACTH, prolactin, TSH, growth hormone
- B. Hormones of the posterior pituitary gland: ADH, oxytocin
- C. Steroids: cortisol, aldosterone, testosterone, epinephrine
- D. Secretions of the gonads: estrogen, progesterone, testosterone
Correct Answer: C
Rationale: The correct answer is C because epinephrine is not a steroid hormone. Steroids are synthesized from cholesterol and have a specific chemical structure, while epinephrine is a catecholamine. Cortisol, aldosterone, and testosterone are examples of steroid hormones, but epinephrine belongs to the class of catecholamines. Therefore, C is incorrect. A, B, and D are correct as they accurately list hormones produced by the anterior pituitary gland, posterior pituitary gland, and gonads respectively.
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If farmers exposed to 'insecticides' ('irreversible' cholinesterase inhibitors) are given medical kits that contain atropine. Which one of the following effects of the cholinesterase inhibitor will NOT be blocked by the atropine?
- A. Bronchoconstriction / bronchospasm
- B. Increased bladder/urinary tract activity
- C. Increased bowel motility (i.e., diarrhea)
- D. Skeletal muscle overstimulation, eventually leading to skeletal muscle paralysis
Correct Answer: D
Rationale: The correct answer is D. Atropine blocks the effects of cholinesterase inhibitors on muscarinic receptors but not on nicotinic receptors, which are responsible for skeletal muscle overstimulation. Atropine can block bronchoconstriction, increased bladder activity, and increased bowel motility as they are mediated by muscarinic receptors. Therefore, the effects on skeletal muscle overstimulation, leading to paralysis, will not be blocked by atropine.
The person with _____ is most likely to receive insulin therapy.
- A. myxedema
- B. Graves’ disease
- C. diabetes insipidus
- D. hyperglycemia
Correct Answer: D
Rationale: The correct answer is D: hyperglycemia. Hyperglycemia refers to high blood sugar levels, a hallmark of diabetes mellitus. Insulin therapy is commonly prescribed to individuals with diabetes to help regulate their blood sugar levels. Myxedema (choice A) is associated with hypothyroidism, Graves' disease (choice B) is an autoimmune disorder affecting the thyroid, and diabetes insipidus (choice C) involves the kidneys and has no direct relation to insulin therapy for diabetes. Therefore, hyperglycemia is the most appropriate condition for receiving insulin therapy.
Atropine is used in the treatment of:
- A. Tachycardia
- B. Glaucoma
- C. Intestinal colic
- D. Enlarged prostate
Correct Answer: C
Rationale: Atropine is used in the treatment of intestinal colic due to its ability to relax smooth muscles, including those in the gastrointestinal tract. It helps relieve spasms and pain associated with intestinal colic. Tachycardia is usually treated with beta-blockers, not atropine. Glaucoma is treated with medications that reduce intraocular pressure, not atropine. Enlarged prostate is typically managed with medications that target prostate enlargement, not atropine. Therefore, the correct choice is C: Intestinal colic.
Which of the following elements is required for the synthesis of thyroid hormone?
- A. copper
- B. iodine
- C. sulfur
- D. zinc
Correct Answer: B
Rationale: The correct answer is B: iodine. Iodine is an essential element required for the synthesis of thyroid hormone. Thyroid hormones such as thyroxine (T4) and triiodothyronine (T3) contain iodine atoms. Without sufficient iodine, the thyroid gland cannot produce these hormones, leading to thyroid disorders like hypothyroidism or goiter. Copper (A), sulfur (C), and zinc (D) are not directly involved in the synthesis of thyroid hormone. Copper is important for enzyme function, sulfur is present in amino acids, and zinc is involved in various cellular processes but not specifically in thyroid hormone synthesis.
Name the gland that is located at the base of the throat, just inferior to the laryngeal prominence (Adam's apple).
- A. Pituitary.
- B. Pineal gland.
- C. Hypothalamus.
- D. Thyroid.
Correct Answer: D
Rationale: The correct answer is D: Thyroid. The thyroid gland is located at the base of the throat, just below the Adam's apple. It is responsible for producing thyroid hormones that regulate metabolism and various bodily functions. The pituitary gland (A) is located in the brain, the pineal gland (B) is located in the brain as well, and the hypothalamus (C) is also in the brain. These glands play crucial roles in hormone regulation, but they are not located at the base of the throat like the thyroid gland.