Nokea
Which of the following stimulates the release of parathyroid hormone?
- A. TSH from the posterior pituitary gland
- B. high levels of calcium in the blood
- C. calcitonin from the anterior pituitary gland
- D. low levels of calcium in the blood
Correct Answer: D
Rationale: The correct answer is D: low levels of calcium in the blood. Parathyroid hormone is released in response to low blood calcium levels to help increase calcium levels by promoting its release from bones and enhancing its absorption in the intestines. This response helps maintain calcium homeostasis. TSH from the posterior pituitary gland (choice A) is not related to parathyroid hormone release. High levels of calcium in the blood (choice B) would not stimulate parathyroid hormone release as it is released in response to low calcium levels. Calcitonin from the anterior pituitary gland (choice C) actually works in opposition to parathyroid hormone by promoting calcium deposition in bones and decreasing blood calcium levels.
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Which of the following group of clients should be assessed for pheochromocytoma?
- A. Clients with hypertension that is difficult to control
- B. Clients with high blood glucose levels
- C. Clients who take more than two medicines to control their blood pressure
- D. Clients with either primary or secondary adrenal insufficiency
Correct Answer: A
Rationale: Clients with hypertension that is difficult to control should be assessed for pheochromocytoma, as this condition involves tumors in the adrenal glands that release excess catecholamines, leading to high blood pressure.
Narcolepsy is treated with:
- A. Amphetamine
- B. Adrenaline
- C. Isoprenaline
- D. Salbutamol
Correct Answer: A
Rationale: The correct answer is A: Amphetamine. Amphetamine is a central nervous system stimulant that helps manage narcolepsy symptoms by promoting wakefulness. It increases levels of neurotransmitters like dopamine and norepinephrine, enhancing alertness. Adrenaline (B), Isoprenaline (C), and Salbutamol (D) are not typically used to treat narcolepsy as they do not directly target the underlying cause of excessive daytime sleepiness. Adrenaline and Isoprenaline are more commonly used for acute situations like anaphylaxis or cardiac arrest. Salbutamol is a bronchodilator used for conditions like asthma.
Which is NOT produced by the citric acid cycle?
- A. NAD+
- B. CO2
- C. GTP
- D. FADH2
Correct Answer: A
Rationale: Step 1: NAD+ is a reactant in the citric acid cycle, not a product.
Step 2: NAD+ is reduced to NADH during the cycle.
Step 3: NAD+ is not directly produced as a final product in the cycle.
Step 4: Therefore, A: NAD+ is NOT produced by the citric acid cycle.
Summary: B: CO2 and D: FADH2 are produced in the cycle, while C: GTP is generated through substrate-level phosphorylation.
Which conditions would give the results shown in diagrams X and Y?
- A. carbon dioxide, 25°C, oxygen, 25°C
- B. carbon dioxide, 2°C, oxygen, 2°C
- C. oxygen, 25°C, carbon dioxide, 25°C
- D. oxygen, 2°C, carbon dioxide, 2°C
Correct Answer: C
Rationale: The correct answer is C because diagram X shows an increase in oxygen concentration over time, which indicates photosynthesis occurring. In photosynthesis, plants take in carbon dioxide and release oxygen. Therefore, the conditions of oxygen at 25°C and carbon dioxide at 25°C would support this process. Choices A, B, and D have incorrect combinations of temperature and gases that would not result in the observed increase in oxygen concentration in diagram X.
Virtually all of the protein or amino acid-based hormones exert their effects through intracellular ________.
- A. ions
- B. deactivators
- C. nucleotides
- D. second messengers
Correct Answer: D
Rationale: The correct answer is D: second messengers. Protein or amino acid-based hormones are unable to pass through the cell membrane due to their large size and hydrophilic nature. Therefore, they bind to specific receptors on the cell surface, triggering a series of events that lead to the production of second messengers inside the cell. These second messengers, such as cyclic AMP or calcium ions, then transmit the hormonal signal to the target cell's interior to initiate a physiological response. Choices A, B, and C are incorrect because protein or amino acid-based hormones do not directly exert their effects through ions, deactivators, or nucleotides intracellularly.