Nokea
Which row gives the relative charges of electrons and neutrons?
- A. 0, 0
- B. 0, -1
- C. -1, 0
- D. -1, +1
Correct Answer: C
Rationale: The correct answer is C: -1, 0. Electrons have a charge of -1, while neutrons have no charge (0). This is because electrons are negatively charged particles, while neutrons are neutral. The other choices are incorrect because A: 0, 0 doesn't differentiate between the charges of electrons and neutrons, B: 0, -1 incorrectly assigns a charge to neutrons, and D: -1, +1 incorrectly assigns a charge to neutrons and doesn't represent the relative charges accurately.
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A patient suspected of having acromegaly has an elevated plasma growth hormone (GH) level. In acromegaly, what would the nurse also expect the patient's diagnostic results to indicate?
- A. Hyperinsulinemia
- B. Plasma glucose of <70 mg/dL (3.9 mmol/L)
- C. Decreased GH levels with an oral glucose challenge test
- D. Elevated levels of plasma insulin-like growth factor-1 (IGF-1)
Correct Answer: D
Rationale: In acromegaly, elevated plasma IGF-1 levels are expected, as it is a key mediator of GH effects.
Which of the following is the most important effect of somatotropic hormone?
- A. Promotion of the urinary excretion of calcium
- B. Growth of the musculoskeletal system
- C. Regulation of sodium and water balance
- D. Initiates and sustains labor to terminate pregnancy
Correct Answer: B
Rationale: The correct answer is B: Growth of the musculoskeletal system. Somatotropic hormone, also known as growth hormone, plays a crucial role in stimulating growth and development of bones, muscles, and tissues. It promotes the growth of the musculoskeletal system by stimulating the production of proteins that are essential for muscle and bone growth. This effect is the most important function of somatotropic hormone as it directly impacts overall body growth and physical development.
Explanation for other choices:
A: Promotion of the urinary excretion of calcium - This is not a primary function of somatotropic hormone. Calcium regulation is mainly controlled by other hormones like parathyroid hormone and calcitonin.
C: Regulation of sodium and water balance - This function is primarily controlled by hormones like aldosterone and antidiuretic hormone, not somatotropic hormone.
D: Initiates and sustains labor to terminate pregnancy - Labor initiation is regulated by hormones like oxytocin and prostaglandins, not somat
Which of the following is not a category of endocrine gland stimulus?
- A. enzyme
- B. humoral
- C. neural
- D. hormonal
Correct Answer: A
Rationale: The correct answer is A: enzyme. Endocrine glands are stimulated by three main categories: humoral (based on blood levels of certain substances), neural (stimulation by nerves), and hormonal (stimulation by other hormones). Enzymes do not directly stimulate endocrine glands. They are biological catalysts that facilitate biochemical reactions, not a category of stimulus for endocrine glands. Therefore, A is the correct answer. Choices B, C, and D are incorrect as they are valid categories of endocrine gland stimulus based on blood levels, nerves, and hormones respectively.
A practical test to differentiate between myasthenia crisis and cholinergic crisis is by injecting the patient:
- A. Neostigmine
- B. Hyoscine
- C. Edrophonium
- D. Succinylcholine
Correct Answer: C
Rationale: Rationale: Edrophonium is used to differentiate myasthenia crisis and cholinergic crisis by temporarily improving muscle weakness in myasthenia crisis but worsening symptoms in cholinergic crisis. Neostigmine (A) and Succinylcholine (D) can exacerbate cholinergic crisis. Hyoscine (B) is not used for this purpose.
A deficiency of ADH most likely:
- A. elevates blood glucose levels.
- B. causes diabetes mellitus.
- C. induces polyuria.
- D. expands blood volume.
Correct Answer: C
Rationale: Step-by-step rationale:
1. ADH (antidiuretic hormone) regulates water balance by increasing water reabsorption in the kidneys.
2. A deficiency of ADH leads to decreased water reabsorption, resulting in increased urine output (polyuria).
3. Polyuria causes dehydration, electrolyte imbalances, and concentrated urine.
4. Elevated blood glucose levels (choice A) and diabetes mellitus (choice B) are not directly related to ADH deficiency.
5. Expanding blood volume (choice D) would not occur due to decreased water reabsorption.
Summary:
A deficiency of ADH most likely induces polyuria by decreasing water reabsorption in the kidneys. Elevated blood glucose levels, diabetes mellitus, and expanding blood volume are not direct consequences of ADH deficiency.