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Which of these hormones is made by the posterior pituitary?
- A. FSH
- B. LH
- C. ACTH
- D. ADH
Correct Answer: D
Rationale: The correct answer is D: ADH (Antidiuretic Hormone). ADH is produced by the posterior pituitary gland and regulates water balance in the body by acting on the kidneys to reduce urine output. FSH, LH, and ACTH are produced by the anterior pituitary gland and have different functions related to reproductive health and stress response. The key to this question is knowing the specific hormones produced by the posterior pituitary gland, making D the correct choice.
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Which of the following drugs is a direct stimulant of β1 and β2 adrenoceptors:
- A. Noradrenaline
- B. Isoprenaline
- C. Salbutamol
- D. Amphetamine
Correct Answer: B
Rationale: The correct answer is B: Isoprenaline. Isoprenaline directly stimulates both β1 and β2 adrenoceptors. It is a non-selective β-adrenergic agonist, leading to increased heart rate (β1 stimulation) and bronchodilation (β2 stimulation).
Incorrect choices:
A: Noradrenaline mainly acts on α-adrenoceptors.
C: Salbutamol is a selective β2 agonist, not stimulating β1 receptors.
D: Amphetamine primarily acts on catecholamine release and reuptake inhibition, not direct β-adrenoceptor stimulation.
Priority Decision: What is the priority nursing intervention during the management of the patient with pheochromocytoma?
- A. Administering IV fluids
- B. Administering β-adrenergic blockers
- C. Monitoring blood pressure
- D. Monitoring intake and output and daily weights
Correct Answer: B
Rationale: In managing pheochromocytoma, monitoring and controlling blood pressure is the priority intervention due to the risk of hypertensive crises caused by catecholamine secretion from the tumor.
Which of the following is most responsive to treatment with thyroxine?
- A. Diabetes mellitus
- B. Hyperglycemia
- C. Myxedema
- D. Graves’ disease
Correct Answer: C
Rationale: Rationale:
1. Myxedema is caused by hypothyroidism, which can be effectively treated with thyroxine.
2. Thyroxine is a synthetic form of thyroid hormone that helps restore thyroid hormone levels.
3. Myxedema symptoms such as fatigue, weight gain, and cold intolerance improve with thyroxine treatment.
Summary of Incorrect Choices:
A. Diabetes mellitus and hyperglycemia are not directly related to thyroid hormone levels.
B. Hyperglycemia is not primarily treated with thyroxine.
D. Graves' disease is a thyroid disorder characterized by hyperthyroidism, which requires different treatments than hypothyroidism.
Water-soluble hormones exhibit the shortest __________.
- A. half-life
- B. activation time
- C. molecule
- D. chain of amino acids
Correct Answer: A
Rationale: The correct answer is A: half-life. Water-soluble hormones have a shorter half-life compared to lipid-soluble hormones because they are quickly metabolized and excreted from the body. The other choices are incorrect because:
B: Activation time is not directly related to the solubility of hormones.
C: The size of the hormone molecule doesn't determine its solubility in water.
D: The chain of amino acids may vary in different types of hormones, but it doesn't necessarily dictate their solubility.
Which row shows active transport?
- A. particles move from high concentration to low concentration, particles move from low concentration to high concentration, requires energy
- B. particles move from high concentration to low concentration, particles move from low concentration to high concentration, requires energy
- C. particles move from high concentration to low concentration, particles move from low concentration to high concentration, requires energy
- D. particles move from high concentration to low concentration, particles move from low concentration to high concentration, requires energy
Correct Answer: C
Rationale: The correct answer is C because active transport involves the movement of particles from low concentration to high concentration, which goes against the natural flow of diffusion and requires energy input. In active transport, cells use ATP to pump substances across the cell membrane against their concentration gradient. This process allows cells to accumulate essential molecules or ions that are needed in higher concentrations inside the cell. Choices A, B, and D all describe passive transport processes where particles move with the concentration gradient and do not require energy input.