Which of the following is NOT true of glucagon?
- A. produced by the pancreas
- B. increases blood glucose levels
- C. promotes the use of fat and protein instead of glucose
- D. stimulates the liver to store glucose as glycogen
Correct Answer: D
Rationale: The correct answer is D because glucagon actually stimulates the liver to release glucose into the bloodstream, not store glucose as glycogen. Glucagon helps increase blood glucose levels by promoting the breakdown of glycogen into glucose, and it also promotes the use of fat and protein for energy when glucose levels are low. Choices A, B, and C are all true statements about glucagon, making them incorrect options in this context.
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As a precaution for vocal cord paralysis from damage to the recurrent laryngeal nerve during thyroidectomy surgery, what equipment should be in the room in case it is needed for this emergency situation?
- A. Tracheostomy tray
- B. IV calcium gluconate
- C. Oxygen equipment
- D. Paper and pencil for communication
Correct Answer: A
Rationale: A tracheostomy tray should be readily available in case of airway obstruction due to vocal cord paralysis following thyroid surgery.
What is the stimulus for the release of insulin?
- A. Low plasma levels of calcium
- B. High plasma levels of potassium
- C. High plasma levels of glucose
- D. Low blood volume
Correct Answer: C
Rationale: The correct answer is C: High plasma levels of glucose. When blood glucose levels rise after a meal, pancreatic beta cells sense this increase and release insulin to facilitate glucose uptake into cells for energy production or storage. This is known as the glucose-stimulated insulin release mechanism. Low plasma levels of calcium (choice A), high plasma levels of potassium (choice B), and low blood volume (choice D) do not directly stimulate insulin release and are unrelated to the regulation of insulin secretion.
The nurse determines that a patient with a 2-hour OGTT of 152 mg/dL has
- A. diabetes
- B. impaired fasting glucose
- C. elevated A1C
- D. impaired glucose tolerance
Correct Answer: D
Rationale: A 2-hour OGTT result of 152 mg/dL indicates impaired glucose tolerance, which is a prediabetes state.
Insulin:
- A. binds to GLUT 1-5 receptors in the peripheral tissues
- B. deficiency results in increased gluconeogenesis
- C. has a plasma half-life of 2-3 hours
- D. is secreted by the pancreatic A cells
Correct Answer: B
Rationale: The correct answer is B because insulin deficiency leads to increased gluconeogenesis due to the lack of inhibition on glucose production. Choice A is incorrect as insulin binds to GLUT 4 receptors, not GLUT 1-5. Choice C is wrong because insulin's half-life is only a few minutes. Choice D is also inaccurate as insulin is secreted by pancreatic beta cells, not A cells.
Glucocorticoids enable the body to deal appropriately with stress. They accomplish this by ________.
- A. increasing blood glucose, fatty acid, and amino acid levels and enhancing blood pressure
- B. decreasing the heart rate, thus decreasing blood pressure
- C. stimulating the pancreas to release insulin
- D. blocking the neurotransmitters that prepare the body for the stress response
Correct Answer: A
Rationale: The correct answer is A because glucocorticoids, like cortisol, increase blood glucose levels through gluconeogenesis, elevate fatty acid levels for energy production, and promote amino acid breakdown for energy. This helps the body respond to stress by providing necessary energy sources. Additionally, glucocorticoids can enhance blood pressure to ensure adequate blood flow during stress.
Option B is incorrect because glucocorticoids typically increase heart rate and blood pressure to support the stress response. Option C is incorrect as glucocorticoids do not stimulate the release of insulin; instead, they can have an anti-insulin effect. Option D is incorrect as glucocorticoids do not block neurotransmitters but rather modulate the stress response at various levels.