NATIONAL AND STATE NURSING EXAM- MCQ _MG_00102
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1. Thyroid releasing hormones is secreted by:
a. Thyroid gland
b. Hypothalamus
c. Parathyroid gland
d. Anterior pituitary gland
Answer: b. Hypothalamus
Description:Hypothalamus secretes releasing hormones including thyrotropin releasing hormone, growth-releasing hormones, gonadotropin-releasing hormone, and corticotrophin-releasing hormone.
2. Insulin increase the entry of glucose into:
a. All tissues
b. Renal tubular cells
c. Mucosa of the small intestine
d. Skeletal muscle
Answer: d. Skeletal muscle
Description:The answer is d) Skeletal muscle. Insulin is a hormone that helps the body to use glucose for energy. It does this by increasing the entry of glucose into cells, especially skeletal muscle cells. Insulin also helps to promote the storage of glucose in the liver and muscles. Insulin does not increase the entry of glucose into all tissues. For example, it does not increase the entry of glucose into renal tubular cells or the mucosa of the small intestine. Here are some of the tissues that insulin does increase the entry of glucose into: Skeletal muscle Liver Adipose tissue Brain
3. Insulin acts by stimulation of:
a. Ionotropic receptor
b. Enzymatic receptor
c. Metabotropic receptor
d. Nuclear receptor
Answer: b. Enzymatic receptor
Description:Insulin is a peptide hormone that is produced by beta cells in the pancreas. It plays a crucial role in regulating glucose metabolism in the body. When blood glucose levels rise, insulin is released to help facilitate the uptake, utilization, and storage of glucose. Insulin acts by binding to insulin receptors, which are enzymatic receptors located on the surface of target cells. The binding of insulin to these receptors triggers a cascade of intracellular signaling events, leading to various cellular responses. Once insulin binds to its receptor, it activates the receptor's intrinsic enzymatic activity. This activity involves the autophosphorylation of the receptor and the phosphorylation of downstream signaling molecules, such as insulin receptor substrate (IRS) proteins. The phosphorylated IRS proteins serve as docking sites for other signaling molecules, initiating a series of downstream signaling pathways. These pathways ultimately regulate the uptake of glucose into cells, the storage of glucose as glycogen in the liver and muscles, and the synthesis of proteins and lipids. Therefore, insulin acts by stimulation of enzymatic receptors, as stated in option b. "Enzymatic receptor."
4. All of the following are features of diabetes insipidus includes all the following: EXCEPT:
a. Low specific gravity of urine
b. Increased serum sodium
c. Increased osmolality
d. Hyperkalemia
Answer: d. Hyperkalemia
Description:Hyperkalemia: Hyperkalemia refers to an abnormally high level of potassium in the blood. This is not typically associated with diabetes insipidus. Hyperkalemia can occur due to other factors, such as kidney dysfunction or certain medications, but it is not a characteristic feature of diabetes insipidus.
5. Insulin essential for entry of glucose in:
a. Most neurons in cerebral cortex
b. Renal tubular cells
c. Skeletal muscles
d. Mucosa of small intestine
Answer: c. Skeletal muscles
Description:Insulin is a hormone that helps the body to use glucose for energy. It does this by increasing the entry of glucose into cells, especially skeletal muscle cells. Insulin also helps to promote the storage of glucose in the liver and muscles. Insulin is essential for the entry of glucose into skeletal muscle cells. Without insulin, glucose cannot enter these cells and will remain in the bloodstream. This can lead to high blood sugar levels and other health problems. The other options are incorrect. Insulin is not essential for the entry of glucose into renal tubular cells, the mucosa of the small intestine, or most neurons in the cerebral cortex.
6. Which of the following hormones helps in increasing the blood glucose level?
a. Insulin
b. Estrogen
c. Glucagon
d. Progesterone
Answer: c. Glucagon
Description:Glucagon helps in increasing the blood glucose level by activating gluconeogenesis. Gluconeogenesis refers to synthesis of glucose from non-carbohydrate sources such as protein and fat.
7. Insulin promotes transport of glucose in all of the following; EXCEPT:
a. Adipose tissues
b. RBC
c. Muscles
d. Hepatocytes
Answer: b. RBC
Description:The correct answer is b. Insulin does not promote the transport of glucose into red blood cells (RBCs). Insulin plays a crucial role in regulating glucose metabolism in the body. It facilitates the uptake and utilization of glucose by various tissues. Let's go through the options: a. Adipose tissues: Insulin promotes the transport of glucose into adipose tissues. Once inside adipose cells, glucose can be converted into triglycerides for storage as fat. b. RBCs: Unlike other tissues, RBCs do not require insulin for glucose uptake. RBCs can take up glucose from the bloodstream without the need for insulin. Glucose transport in RBCs occurs through a different mechanism that does not involve insulin. c. Muscles: Insulin promotes the transport of glucose into muscle cells. Once inside muscle cells, glucose can be utilized for energy production or stored as glycogen. d. Hepatocytes: Insulin promotes the transport of glucose into hepatocytes (liver cells). Inside hepatocytes, glucose can be utilized for energy production, stored as glycogen, or converted into fatty acids for storage as triglycerides. Therefore, the correct answer is b. Insulin does not promote the transport of glucose into red blood cells (RBCs).
8. Gland which contain both exocrine and endocrine part is:
a. Pituitary
b. Thyroid
c. Pancreases
d. Uterus
Answer: c. Pancreases
Description:The pancreas is a mixed gland, meaning that it has both exocrine and endocrine functions. The exocrine part of the pancreas produces digestive enzymes that are released into the small intestine. The endocrine part of the pancreas produces hormones, such as insulin and glucagon, that regulate blood sugar levels. The other options are incorrect. The pituitary gland, thyroid gland, and uterus are all endocrine glands. They do not have exocrine functions.
9. Which of the following hormone in secreted by alpha cells of pancreas?
a. Glucagon
b. Insulin
c. Somatostatin
d. Somatotropin
Answer: a. Glucagon
Description:Glucagon is a hormone that is secreted by the alpha cells of the pancreas. It is a peptide hormone that helps to raise blood sugar levels. Glucagon does this by stimulating the liver to break down glycogen into glucose. The other options are incorrect. Insulin is secreted by the beta cells of the pancreas. Somatostatin is secreted by the delta cells of the pancreas. Somatotropin is a hormone that is secreted by the anterior pituitary gland.
10. The glands of the endocrine system:
a. Secrete hormones into blood
b. Secrete hormones into ducts
c. Usually have a poor blood supply
d. Only produce hormones
Answer: a. Secrete hormones into blood
Description:The endocrine system consists of a collection of glands that secrete hormones directly into the bloodstream. These hormones are chemical messengers that travel through the bloodstream to target tissues or organs, where they exert their effects. Unlike exocrine glands, which secrete substances through ducts to a specific location (such as sweat glands or salivary glands), endocrine glands release their hormones directly into the bloodstream. The hormones are then carried throughout the body, reaching target cells or tissues that have specific receptors for those hormones. The endocrine glands have a rich blood supply, as hormones need to be efficiently transported throughout the body. This allows for rapid and widespread distribution of hormones to their target tissues. It's worth noting that while the primary function of endocrine glands is hormone secretion, they may also have other non-endocrine functions as well. Therefore, the correct answer is a. The glands of the endocrine system secrete hormones into the blood.
11. If blood glucose decreases below normal levels:
a. The nervous system will be excited
b. Breakdown of fat will increase
c. Breakdown of protein will increase
d. A large amount of urine will be produced
Answer: b. Breakdown of fat will increase
Description:When blood glucose levels decrease below normal levels, the body releases hormones, such as glucagon, epinephrine, and cortisol, that help to raise blood glucose levels. These hormones act on the liver, muscles, and fat cells to release glucose into the bloodstream. The nervous system is also affected by low blood glucose levels. When blood glucose levels get too low, the nervous system can become excited, which can lead to symptoms such as shakiness, sweating, and anxiety. The other options are incorrect. Breakdown of fat and protein will increase only when blood glucose levels are too low for a prolonged period of time. A large amount of urine will be produced when blood glucose levels are high.
12. Insulin is secreted in response to:
a. Increase blood glucose levels
b. Decrease blood glucose levels
c. Decreased blood level of amino acids
D. Decreased parasympathetic stimulation
Answer: a. Increase blood glucose levels
Description:When blood glucose levels decrease below normal levels (a condition known as hypoglycemia), the nervous system is affected. Glucose is the primary source of energy for the brain, and when blood glucose levels drop, the brain does not receive an adequate supply of glucose. In response to low blood glucose levels, the nervous system is stimulated, leading to symptoms such as shakiness, irritability, confusion, weakness, and increased heart rate. These symptoms are a result of the nervous system's attempt to compensate for the low glucose levels and maintain normal brain function. Option b, breakdown of fat will increase, is not the correct answer. While the breakdown of fat can occur in certain situations, such as prolonged fasting or in individuals with diabetes, it is not the primary response to low blood glucose levels. Option c, breakdown of protein will increase, is also not the correct answer. The breakdown of protein is not the primary response to low blood glucose levels. In fact, the body tries to preserve protein as much as possible and uses it as a last resort for energy production. Option d, a large amount of urine will be produced, is not directly related to low blood glucose levels. Increased urine production is typically associated with conditions such as diabetes mellitus, where high blood glucose levels cause increased urine output. Hypoglycemia, on the other hand, is not directly linked to excessive urine production.
13. The major target tissue for glucagon is the:
a. Heart
b. Brain
c. Liver
d. Stomach
Answer: c. Liver
Description:Glucagon is a hormone that is produced by the alpha cells of the pancreas. It is a peptide hormone that helps to raise blood sugar levels. Glucagon does this by stimulating the liver to break down glycogen into glucose. The liver is the major target tissue for glucagon because it is the main organ that stores glycogen. When glucagon is released, it binds to receptors on the liver cells and activates a signaling pathway that leads to the breakdown of glycogen. The other options are incorrect. The heart, brain, and stomach are not major target tissues for glucagon.
14. The hormone that increases blood glucose levels and lipid breakdown but slows, protein breakdown is:
a. Glucagon
b. Insulin
c. Glucocorticoid
d. Growth hormone
Answer: d. Growth hormone
Description:Growth hormone (GH), also known as somatotropin, is a hormone produced and released by the pituitary gland. It has several effects on metabolism, including increasing blood glucose levels and promoting the breakdown of lipids (fats). However, it inhibits protein breakdown. When growth hormone is released into the bloodstream, it stimulates the liver to produce and release glucose through a process called gluconeogenesis. This leads to an increase in blood glucose levels, which is important for providing energy to the body. Growth hormone also promotes the breakdown of stored fats (lipolysis) to provide additional energy sources. This can help spare glucose and ensure its availability for critical functions. Importantly, growth hormone has an anti-catabolic effect on protein breakdown. It helps to preserve lean muscle mass by inhibiting the breakdown of proteins and promoting protein synthesis. This is particularly significant during periods of fasting or stress when the body needs to conserve its protein stores. In contrast, the other options listed have different roles in metabolism: a. Glucagon: Glucagon is another hormone that increases blood glucose levels, but it primarily acts by stimulating the breakdown of stored glycogen in the liver (glycogenolysis) and promoting gluconeogenesis. b. Insulin: Insulin is responsible for reducing blood glucose levels by promoting the uptake of glucose into cells, especially muscle and adipose tissue, and by facilitating the storage of glucose as glycogen. It also inhibits lipolysis (breakdown of fats) and protein breakdown. c. Glucocorticoid: Glucocorticoids, such as cortisol, have complex effects on metabolism. While they can increase blood glucose levels through gluconeogenesis and by reducing glucose uptake in tissues, they also promote protein breakdown and lipolysis. Therefore, the hormone that increases blood glucose levels and lipid breakdown but slows protein breakdown is growth hormone (d).
15. Hormones are secreted into the blood stream by:
a. Unicellular glands
b. Multicellular glands
c. Endocrine glands
d. Exocrine glands
Answer: c. Endocrine glands
Description:Endocrine glands are ductless glands that secrete hormones directly into the bloodstream. Hormones are chemical messengers that travel through the bloodstream to target tissues, where they bind to receptors and elicit a response. Exocrine glands, on the other hand, secrete their products through ducts. Examples of exocrine glands include the salivary glands, sweat glands, and mammary glands. Unicellular glands are single-celled organisms that secrete hormones. Examples of unicellular glands include the bacteria that produce the hormone insulin. Multicellular glands are made up of multiple cells that secrete hormones. Examples of multicellular glands include the thyroid gland, the pancreas, and the pituitary gland.
16. Hypoglycemia is present in:
a. Addison’s diseases
b. Hepatocellular failure
c. Glucose – 6 phosphatase defect
d. All of these
Answer: d. All of these
Description:Hypoglycemia, which refers to low blood glucose levels, can be present in various conditions. Let's examine each option: a. Addison's disease: Addison's disease is a condition characterized by the insufficient production of adrenal hormones, particularly cortisol and aldosterone. While hypoglycemia is not a typical symptom of Addison's disease, it can occur in some cases due to inadequate cortisol levels. Cortisol plays a role in maintaining blood glucose levels, and its deficiency can lead to low blood sugar. b. Hepatocellular failure: Hepatocellular failure refers to severe impairment or dysfunction of liver cells. The liver plays a crucial role in maintaining blood glucose levels by storing glycogen and producing glucose through glycogenolysis and gluconeogenesis. In hepatocellular failure, these processes can be disrupted, resulting in hypoglycemia. c. Glucose-6-phosphatase defect: Glucose-6-phosphatase (G6Pase) is an enzyme involved in the final step of gluconeogenesis and glycogenolysis. If there is a defect or deficiency in G6Pase, it can impair the liver's ability to release glucose into the bloodstream, leading to hypoglycemia. Therefore, all of the options listed can contribute to the presence of hypoglycemia.
17. Hyperglycemia is the manifestation of:
a. Diabetes mellitus
b. Cushing syndrome
c. Hyperthyroidism
d. All of these
Answer: d. All of these
Description:Hyperglycemia is a condition in which the blood sugar level is too high. It can be caused by a number of factors, including diabetes mellitus, Cushing syndrome, and hyperthyroidism. Diabetes mellitus is a chronic condition that affects the way the body metabolizes glucose. In people with diabetes, the body either does not produce enough insulin or cannot use insulin effectively. Insulin is a hormone that helps the body to use glucose for energy. Cushing syndrome is a condition that occurs when the body produces too much of the hormone cortisol. Cortisol is a hormone that helps the body to respond to stress. However, too much cortisol can lead to a number of health problems, including hyperglycemia. Hyperthyroidism is a condition that occurs when the thyroid gland produces too much thyroid hormone. Thyroid hormone helps the body to use energy and regulate metabolism. However, too much thyroid hormone can lead to a number of health problems, including hyperglycemia. Hyperglycemia can cause a number of symptoms, including increased thirst, frequent urination, fatigue, blurred vision, and weight loss. If left untreated, hyperglycemia can lead to serious health problems, such as diabetic ketoacidosis and coma. It is important to note that not everyone with hyperglycemia has diabetes. There are a number of other conditions that can cause hyperglycemia, such as Cushing syndrome and hyperthyroidism. If you are experiencing symptoms of hyperglycemia, it is important to see a doctor to determine the cause and get treatment.
18. Corticosteroid is naturally produced by:
a. Thalamus
b. Ovary
c. Thyroid gland
d. Adrenal glands
Answer: d. Adrenal glands
Description:Corticosteroids, also known as adrenal corticosteroids or simply steroids, are a class of hormones produced by the adrenal glands. The adrenal glands are small glands located on top of the kidneys. They consist of two parts: the outer region called the adrenal cortex and the inner region called the adrenal medulla. The adrenal cortex is responsible for producing corticosteroids, which are classified into three main types: mineralocorticoids (e.g., aldosterone), glucocorticoids (e.g., cortisol), and small amounts of sex hormones (e.g., testosterone and estrogen). Glucocorticoids, such as cortisol, are involved in regulating various physiological processes, including metabolism, immune responses, and stress response. They play a critical role in helping the body respond to stress, maintain blood sugar levels, and regulate inflammation. Therefore, the correct answer is d. Adrenal glands. The thalamus, ovary, and thyroid gland are not the primary sites for the production of corticosteroids.
19. Which inhibits glucagon secretion?
a. Secretin
b. Beta agonist
c. Exercise
d. Amino acids
Answer: a. Secretin
Description:Secretin is a hormone produced by the cells of the duodenum in the small intestine. It plays a role in regulating the digestive system and has various effects, including the inhibition of glucagon secretion. Glucagon is a hormone produced by the alpha cells of the pancreas. It has the opposite effect of insulin and helps to increase blood glucose levels. Glucagon stimulates the liver to release stored glucose and promotes gluconeogenesis (the production of glucose from non-carbohydrate sources). When secretin is released into the bloodstream, it acts on the alpha cells of the pancreas, inhibiting the secretion of glucagon. This inhibition helps to reduce the release of glucose into the bloodstream and contributes to the regulation of blood glucose levels. Option b, beta agonists, actually stimulate glucagon secretion. Beta agonists are a type of medication that activates beta-adrenergic receptors, leading to various effects, including the stimulation of glucagon release. Option c, exercise, can have variable effects on glucagon secretion depending on the intensity and duration of the exercise. During moderate-intensity exercise, glucagon levels may increase to help mobilize glucose for energy. However, during intense or prolonged exercise, insulin levels can also rise, leading to decreased glucagon secretion. Option d, amino acids, can actually stimulate glucagon secretion. Amino acids, particularly certain types like alanine and arginine, can directly stimulate the release of glucagon from the pancreas.
20. Which hormone is released from zona glomerulosa?
a. Oestrogen
b. Aldosterone
c. Adrenalin
d. Cortisol
Answer: b. Aldosterone
Description:The zona glomerulosa of the adrenal gland is the most superficial layer of the adrenal cortex, lying directly beneath the renal capsule. Aldosterone is mineralocorticoid hormones expressed in the zona glomerulosa.
21. Stress hormone is:
a. Gonadotrophins
b. Insulin
c. Cortisol
d. Growth hormone
Answer: b. Insulin
Description:Cortisol is a stress hormone that is produced by the adrenal glands. It is released in response to stress, and it helps the body to cope with stressful situations. Cortisol has a number of effects on the body, including: Increasing blood sugar levels Increasing blood pressure Reducing inflammation Slowing down the immune system Cortisol can be beneficial in the short-term, but it can be harmful if it is released for too long or in too high amounts. Long-term exposure to high levels of cortisol can lead to a number of health problems, including obesity, heart disease, and diabetes. The other options are incorrect. Gonadotrophins are hormones that regulate the production of sex hormones. Insulin is a hormone that helps the body to use glucose for energy. Growth hormone is a hormone that promotes growth and development.
22. Glycated hemoglobin (HbA1c) tests, mean glucose levels:
a. Over 2 days
b. Over 15 days
c. Over 90 days
d. Over 30 days
Answer: a. Over 2 days
Description:HbA1c also called hemoglobin A1c (HbA1c), glycated hemoglobin or glycosylated hemoglobin. It is a blood test that is used to help diagnose and monitor people with diabetes. The HbA1c test tells average level of blood glucose over the past 3 months (90 days) in the body. The HbA1c test measure how much glucose is bound to RBC.
23. Normal random blood sugar level is:
a. 30-60 mg/ dI
b. 60-90 mg/dI
c. 80-110 mg/dI
d. 180-210 mg/dI
Answer: c. 80-110 mg/dI
Description:The normal random blood sugar level, also known as random plasma glucose (RPG) level, typically falls within the range of 80-110 mg/dL (milligrams per deciliter). This range is considered to be within the normal range for blood glucose levels in a non-fasting state. It's important to note that blood sugar levels can vary depending on various factors such as the time of day, recent food intake, physical activity, and individual health conditions. However, the 80-110 mg/dL range is generally considered a normal reference range for random blood sugar measurements. Options a, b, and d are not accurate representations of the normal random blood sugar level. They fall outside the typical range and could indicate hypoglycemia (low blood sugar) in the case of options a and b or hyperglycemia (high blood sugar) in the case of option d.
24. In normal person, the percentage of glycosylated hemoglobin is:
a. <5.7
b. >5.7
c. Both a and b
d. None
Answer: a. <5.7
Description:Glycated hemoglobin, also known as HbA1c, is a measure of how well blood sugar levels have been controlled over the past 2-3 months. A normal HbA1c level is less than 5.7%. A level of 5.7% to 6.4% is considered prediabetes, and a level of 6.5% or higher is considered diabetes. If your HbA1c level is too high, it means that your blood sugar levels have been too high for too long. This can damage your blood vessels and increase your risk of developing complications of diabetes, such as heart disease, stroke, blindness, and kidney disease. There are a number of things you can do to keep your HbA1c level in the normal range, including: Eating a healthy diet Exercising regularly Taking medication, if necessary Monitoring your blood sugar levels regularly If you have diabetes, it is important to work with your doctor to develop a treatment plan that will help you keep your HbA1c level in the normal range.
25. Impaired glucose tolerance is said when:
a. Fasting blood sugar >100 mg%
b. Fasting blood sugar is normal and PP blood is 100-140 mg%
c. Fasting blood sugar is normal and PP blood is 140-200 mg%
d. Fasting blood sugar is 100-120mg% and PP blood is >200 mg%
Answer: c. Fasting blood sugar is normal and PP blood is 140-200 mg%
Description: Impaired glucose tolerance (IGT) is diagnosed when the fasting blood sugar level is normal, but the postprandial (after a meal) blood sugar level is between 140-200 mg/dL (milligrams per deciliter). Impaired glucose tolerance is a condition that falls between normal blood sugar levels and diabetes. It indicates that the body is not able to efficiently regulate blood sugar levels after consuming a meal. Individuals with IGT have higher blood sugar levels than normal after eating, but not high enough to be classified as diabetes. Option a is not accurate because a fasting blood sugar level above 100 mg/dL does not indicate impaired glucose tolerance but could be indicative of prediabetes or diabetes. Option b is not accurate because it describes a normal fasting blood sugar level and a postprandial blood sugar level within the normal range, rather than indicating impaired glucose tolerance. Option d is also not accurate because it includes a fasting blood sugar level within the normal range and a postprandial blood sugar level indicative of diabetes, rather than impaired glucose tolerance. Therefore, the correct answer is c. Impaired glucose tolerance is diagnosed when the fasting blood sugar level is normal, and the postprandial blood sugar level is between 140-200 mg/dL.
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