MNE First Week Practice Quiz

Descripción

Practice questions for the first week of MNE
Jim Shimoda
Test por Jim Shimoda, actualizado hace más de 1 año
Jim Shimoda
Creado por Jim Shimoda hace más de 7 años
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Resumen del Recurso

Pregunta 1

Pregunta
Congenital adrenal hyperplasia can be caused by...
Respuesta
  • A lack of 21-Beta-Hydroxylase
  • A lack of 11-alpha-hydroxylase
  • A lack of both
  • A lack of either
  • None of the above

Pregunta 2

Pregunta
A lack of oxytocin can be caused by
Respuesta
  • A problem with the anterior pituitary gland
  • A problem with the supraoptic nucleus of the hypothalamus
  • An excess of vasopressin
  • Grave's disease

Pregunta 3

Pregunta
Oxytocin and vasopressin are protected from degradation by
Respuesta
  • Antigens
  • Their large size
  • Amidation
  • Disulfide bridges
  • Both amidation and disulfide bridges
  • Amidation and antigens

Pregunta 4

Pregunta
A patient presents with moon facies, abdominal striations, a hump behind the neck, and abdominal adipose tissue build up, tests demonstrate high cortisol and high ACTH levels. This patient most likely has:
Respuesta
  • Addison's disease
  • Cushing's Syndrome caused by adrenal malfunction
  • Cushing's Syndrome caused by Cushing's disease
  • Wollf-Chaikov disease

Pregunta 5

Pregunta
Which of these is the strongest inhibitor of ACTH production?
Respuesta
  • High cortisol levels
  • Sleep-wake transition
  • High Growth Hormone levels
  • Hyperthyroidism

Pregunta 6

Pregunta
A lack of Tyrosine in the thyroid would cause
Respuesta
  • The overproduction of T4
  • The underproduction of T3
  • The overproduction of TBG
  • The underproduction of both T3 and T4
  • The underproduction of both TBG and TSH

Pregunta 7

Pregunta
Competitive inhibition of the follicular iodide pump due to excess _____________ can halt the production of ___________
Respuesta
  • perchlorate ; thyroid hormones
  • thyroid hormones ; TSH
  • TSH ; thyroid hormones
  • Oxytocin ; Vasopressin

Pregunta 8

Pregunta
(Choose the most accurate answer) - Synthesis of Thyroid hormones (T3 and T4) occurs....
Respuesta
  • In the pituitary gland
  • In the thyroid
  • In the follicular space
  • In the follicular cells

Pregunta 9

Pregunta
A patient in the first trimester of pregnancy presents with hyperthyroidism, high Thyroid hormone levels, and low TSH levels. The recommended course of treatment is
Respuesta
  • PTU
  • Methimazole
  • Exogenous TSH
  • Radioactive Iodine

Pregunta 10

Pregunta
Prenatal iodine deficiency causes
Respuesta
  • Cretinism
  • Overproduction of Growth Hormone
  • Grave's disease
  • Hashimoto's Thyroiditis

Pregunta 11

Pregunta
________ has a longer half-life in plasma
Respuesta
  • T4
  • T3

Pregunta 12

Pregunta
Conversion of T4 to T3 occurs in the:
Respuesta
  • Thyroid
  • Pituitary gland
  • Peripheral tissues
  • TBG

Pregunta 13

Pregunta
Choose the correct relationship between somatostatin and the hormone(s) below:
Respuesta
  • Somatostatin inhibits TSH, Promotes GH
  • Somatostatin inhibits both TSH and GH
  • Somatostatin inhibits GH, has no effect on TSH
  • Somatostatin promotes TSH and inhibits GH
  • Somatostatin has no effect on TSH or GH

Pregunta 14

Pregunta
Thyroid hormone receptors are:
Respuesta
  • Bound to DNA and activated when T3 binds to the receptor
  • In the nucleus, are activated and bind to DNA when T3 binds the receptor
  • On the membrane of cells, act via second messengers
  • Deactivated by HSP90 binding, which is only removed when T3 binds the receptor
  • Only activated by T4, not T3

Pregunta 15

Pregunta
Hashimoto's thyroiditis is causes
Respuesta
  • Hyperthyroidism
  • Hypothyroidism

Pregunta 16

Pregunta
Cerebral osmoreceptors in the __________ respond to changes in the blood osmolality
Respuesta
  • Supraoptic nucleus
  • OVLT and SFO
  • Posterior pituitary
  • Anterior pituitary

Pregunta 17

Pregunta
Plasma concentration of AVP is a function of....
Respuesta
  • ADH concentration
  • Osmotic threshold
  • Oxytocin concentration
  • Urine osmolality and Osmotic Threshold
  • Plasma osmolality and Osmotic Threshold
  • Plasma Osmolality, osmotic threshold, and BP

Pregunta 18

Pregunta
Maximum antidiuresis occurs at what concentration of AVP?
Respuesta
  • 5 pg/ml
  • 20 pg/ml
  • 5 mg/ml

Pregunta 19

Pregunta
At constant plasma osmolality, a decrease in blood pressure leads to
Respuesta
  • An increase of AVP concentration
  • An increase of oxytocin concentration
  • A decrease of AVP concentration
  • Both A and B

Pregunta 20

Pregunta
AVP functions by
Respuesta
  • Increasing the number of Aquaporins in the kidney tubule lumen
  • increasing Protein Kinase A activity in kidney tubule cells
  • Exocytosis of AQP2 containing vesicles in kidney tubule cells
  • All of the above

Pregunta 21

Pregunta
Nephrogenic diabetes insipidus is caused by:
Respuesta
  • Lack of AVP production in the posterior pituitary
  • Problems with V1a receptors in the CNS
  • Problems with V2 receptors in the kidneys
  • Problems with oxytocin receptors
  • Placental secretion of vasopressinase

Pregunta 22

Pregunta
If excess Potassium is detected, ____________ secretion will occur
Respuesta
  • Aldosterone
  • Cortisol
  • Growth Hormone
  • Vasopressin

Pregunta 23

Pregunta
Steroid receptors work by
Respuesta
  • Binding HSP90 and beginning transcription
  • Binding G-proteins that have been released by membrane receptors
  • Releasing HSP90 upon binding a steroid

Pregunta 24

Pregunta
What is the major dimerization partner for receptors?
Respuesta
  • RAR
  • RXR
  • PPAR
  • GR

Pregunta 25

Pregunta
In a Stachard plot, a hormone that binds two different receptors with different affinities makes a _________ line.
Respuesta
  • Straight
  • Curved
  • It actually makes two lines
  • Vetical
  • Horizontal

Pregunta 26

Pregunta
On a hormone binding curve, a left-shift equals a(n) ___________
Respuesta
  • Increase in affinity
  • Decrease in affinity
  • increase in plasma hormone concentration
  • Decrease in plasma hormone concentration

Pregunta 27

Pregunta
In the islet of Langerhans
Respuesta
  • Beta cells produce glucagon
  • Gamma cells produce insulin
  • Blood flows from the periphery to the center
  • Beta cells are the most numerous

Pregunta 28

Pregunta
In the pancreas, endocrine glands secret ___________ and exocrine glands secrete ___________
Respuesta
  • directly into an artery ; directly into a vein
  • into a vein ; into the digestive system
  • into the pancreatic duct ; into the venous system
  • into the digestive system ; into the liver

Pregunta 29

Pregunta
The cell type(s) of the islet of langerhans that serete Ghrelin are:
Respuesta
  • Epsilon and alpha
  • Beta and alpha
  • F cells
  • Beta only
  • epsilon only

Pregunta 30

Pregunta
Pancreatic F cells release:
Respuesta
  • Insulin
  • Glucagon
  • Somatostatin
  • Pancreatic polypeptide

Pregunta 31

Pregunta
Put these steps into the proper order for Insulin excretion 1) Rise in ATP 2) Opening of inflowing calcium channels 3) Entry of Glucose through the GLUT2 channel 4)Opening of Voltage gated K channel 5) Insulin secretion
Respuesta
  • 1, 5, 3, 4, 2
  • 3, 1, 5, 2, 4
  • 4, 3, 1, 2, 5
  • 3, 1, 4, 2, 5

Pregunta 32

Pregunta
Insulin exocytosis from Beta cells is most similar to which process:
Respuesta
  • TBG exocytosis from the thyroid follicle cells
  • Exocrine gland function of pancreas cells
  • Acetylcholine exocytosis in the Neuromuscular junction
  • Posterior pituitary hormone release

Pregunta 33

Pregunta
In the presence of high norepinephrine levels, the exocytosis of insulin from Beta cells is
Respuesta
  • Increased
  • Inhibited
  • Unaffected
  • Only affected if epinephrine is also present

Pregunta 34

Pregunta
How does amylin assist in glycemic regulation
Respuesta
  • It doesn't
  • Slows gastric emptying
  • Boosts insulin levels
  • Forms plaques that speed glucose uptake

Pregunta 35

Pregunta
How does caffeine effect Beta cell exhaustion
Respuesta
  • Dude, caffeine is bad for you. Everyone knows that.
  • Breaks up amyloid plaques, keeping Beta cells functional longer
  • Slows insulin release, regulating Beta cell function
  • Stimulates insulin release, helping relieve type 2 diabetes
  • Stimulates insulin release, helping relieve type 1 diabetes

Pregunta 36

Pregunta
Over-release of growth hormone in childhood causes:
Respuesta
  • Gigantism
  • Acromegaly
  • TSH release
  • Glucocorticoid release
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