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  • Question 1 - Which of the following derivatives of proopiomelanocortin is an opioid peptide? ...

    Correct

    • Which of the following derivatives of proopiomelanocortin is an opioid peptide?

      Your Answer: ß-endorphin

      Explanation:

      ß-endorphin is an endogenous opioid neuropeptide which is mainly synthesized and stored in the anterior pituitary gland, derived from the precursor proopiomelanocortin (POMC). Some studies have shown that immune system cells are also capable of synthesizing ß-endorphin. β-endorphin is thought to exert a tonic inhibitory influence upon GNRH secretion and to be an important regulator of reproductive function.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      6.5
      Seconds
  • Question 2 - Which of the following hormones would stimulate secretion of TSH? ...

    Correct

    • Which of the following hormones would stimulate secretion of TSH?

      Your Answer: TRH

      Explanation:

      Thyrotropin-releasing hormone, also known as TRH, thyrotropin-releasing factor, TRF is a hormone produced by the hypothalamus. It functions as a releasing hormone, promoting the production of thyroid-stimulating hormone or thyrotropin and prolactin.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      10.9
      Seconds
  • Question 3 - Compact/cortical bone makes up ...

    Correct

    • Compact/cortical bone makes up

      Your Answer: The outer layer of most bones and accounts for 80% of bone in the body

      Explanation:

      Cortical, lamellar, or compact bone, is more dense than spongy bone and it forms the rigid, outer layer of bones, also called cortex. It consists of packed osteons, with a central osteonic canal surrounded by concentric rings. Spaces called lacunae are filled with osteocytes, and channels called canaliculi go from the lacunae to the osteonic canal. The strength of cortical bone allows it to support the body and protect organs. It also stores different elements, such as calcium.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      19.3
      Seconds
  • Question 4 - Choose the most correct missing words to complete the statement: A portion of...

    Incorrect

    • Choose the most correct missing words to complete the statement: A portion of circulating growth hormone is bound to the ____ receptor and activates the ____ pathway that mediates its effect.

      Your Answer: Growth hormone receptor (intracellular domain), jak 2stat

      Correct Answer: Growth hormone receptor (extracellular domain), jak 2stat

      Explanation:

      The growth hormone receptor is a transmembrane protein involved in the STATs, MAPK and PI3-kinase/Akt pathways. The JAK-STAT signalling pathway is activated by different ligands, such as growth hormone, interferon and interleukin. This pathway is involved in the expression of genes associated with oncogenesis, immunity, proliferation, differentiation and apoptosis. Errors in these pathways can produce leukaemia’s and other myeloproliferative disorders.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      13.9
      Seconds
  • Question 5 - During bone growth-the epiphysis are separated from the diaphysis by actively proliferating cartilage...

    Correct

    • During bone growth-the epiphysis are separated from the diaphysis by actively proliferating cartilage known as:

      Your Answer: Epiphysial plate

      Explanation:

      The epiphysial plate, physis, or growth plate, is a hyaline cartilage plate located near the ends of long bones; it consists of growing tissue. It is found in children and teenagers; in adults, it is replaced by an epiphysial line or epiphysial closure. The epiphysial plate is divided into zones: zone of reserve, proliferation, maturation and hypertrophy, calcification, and ossification.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      5.5
      Seconds
  • Question 6 - In the menstrual cycle, ovulation is triggered by: ...

    Correct

    • In the menstrual cycle, ovulation is triggered by:

      Your Answer: A pituitary LH surge due to the positive feedback effect of circulating oestrogens

      Explanation:

      FSH and LH are secreted to start the development of a follicle at the start of each menstrual cycle. A surge in oestrogen causes a positive feedback in the LH cells of the pituitary; this causes ovulation.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      22.6
      Seconds
  • Question 7 - The growth promoting protein anabolic effects of insulin are mediated by: ...

    Correct

    • The growth promoting protein anabolic effects of insulin are mediated by:

      Your Answer: Phosphatidylinositol 3-kinase

      Explanation:

      Phosphatidylinositol 3-kinase or PI-3Ks are a group of enzymes which are involved in a number of different cellular functions. PI-3Ks interact with insulin and the insulin receptor substrate, regulating glucose uptake. They are an important element in the insulin signalling pathway.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      43.5
      Seconds
  • Question 8 - Which hormone secreting cell of the human anterior pituitary gland secretes growth hormone?...

    Correct

    • Which hormone secreting cell of the human anterior pituitary gland secretes growth hormone?

      Your Answer: Somatotroph

      Explanation:

      Somatotroph cells are responsible for the production of growth hormone. Somatotrophs occupy nearly 40% of the total surface area of the anterior pituitary, and they are acidophilic in nature.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      7.4
      Seconds
  • Question 9 - What is the most important source of heat production in the body? ...

    Correct

    • What is the most important source of heat production in the body?

      Your Answer: Skeletal muscle contraction

      Explanation:

      Thermogenesis is the process by which organisms produce heat. Through skeletal muscle contraction, or shivering, ATP is converted into kinetic energy, some of which converts into heat. These muscle contractions produce about 70% of total body heat.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      6.7
      Seconds
  • Question 10 - Which one of the following will increase an individual’s appetite? ...

    Correct

    • Which one of the following will increase an individual’s appetite?

      Your Answer: Ghrelin

      Explanation:

      Ghrelin is a hormone which exerts a strong influence on hunger and energy balance. It helps regulate appetite by being secreted when the stomach is empty, to stimulate hunger. When the stomach is filled, its secretion stops.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      3.3
      Seconds
  • Question 11 - On which chromosome is the gene for insulin located? ...

    Correct

    • On which chromosome is the gene for insulin located?

      Your Answer: Chromosome 11

      Explanation:

      Humans have 23 pairs of chromosomes, and usually, two pairs of copies of chromosome 11. It is one of the most complex, gene-rich chromosomes in the human genome, and it is associated with a number of diseases. Studies have shown they the human insulin gene is located on the short arm of chromosome 11.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      4
      Seconds
  • Question 12 - In which of the following are the enzymatic mechanisms for producing aldosterone found?...

    Correct

    • In which of the following are the enzymatic mechanisms for producing aldosterone found?

      Your Answer: Zona glomerulosa

      Explanation:

      The zona glomerulosa is the outermost layer of the adrenal gland. In it, aldosterone is secreted as a response to an increase in potassium levels, decreased blood flow, or renin. This secretion is regulated by the renin-angiotensin system.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      17.1
      Seconds
  • Question 13 - What is the most common cause of primary hyperaldosteronism? ...

    Correct

    • What is the most common cause of primary hyperaldosteronism?

      Your Answer: Bilateral idiopathic adrenal hyperplasia

      Explanation:

      Primary aldosteronism, also known as primary hyperaldosteronism or Conn’s syndrome, is excess production of the hormone aldosterone by the adrenal glands resulting in low renin levels. Primary hyperaldosteronism has a number of causes. About 66% of cases are due to enlargement of both adrenal glands and 33% of cases are due to an adrenal adenoma that produces aldosterone. Other uncommon causes include adrenal cancer and an inherited disorder called familial hyperaldosteronism

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      7.6
      Seconds
  • Question 14 - Where is the melanocortin system located? ...

    Correct

    • Where is the melanocortin system located?

      Your Answer: Hypothalamus

      Explanation:

      The melanocortin system is a group of hormones which include hormones from the pro-opiomelanocortin (POMC)-expressing neurons, the neuropeptide Y (NPY) and agouti-related peptide (AgRP)-co-expressing neurons. This system is located in the hypothalamic arcuate nucleus; it also includes the hypothalamic arcuate nucleus and the melanocortin 4 receptor (MC4R)-expressing neurons located in the hypothalamic paraventricular nucleus. The system regulates energy expenditure and food intake.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      5.4
      Seconds
  • Question 15 - A 14-year-old girl presents with short stature, webbed neck and primary amenorrhoea.Given the...

    Correct

    • A 14-year-old girl presents with short stature, webbed neck and primary amenorrhoea.Given the likely clinical diagnosis, which hormone replacement is most crucial over the longer term?

      Your Answer: Oestrogen

      Explanation:

      This girl most likely has Turner syndrome (TS) also known as 45,X, a condition in which a female is partly or completely missing an X chromosome. Signs and symptoms vary among those affected. Often, a short and webbed neck, low-set ears, low hairline at the back of the neck, short stature, and swollen hands and feet are seen at birth. Typically, they are without menstrual periods, do not develop breasts, and are unable to have children. Heart defects, diabetes, and low thyroid hormone occur more frequently. Most people with TS have normal intelligence. Many, however, have troubles with spatial visualization such as that needed for mathematics. Vision and hearing problems occur more often. Turner syndrome is not usually inherited from a person’s parents. No environmental risks are known and the mother’s age does not play a role. As a chromosomal condition, there is no cure for Turner syndrome. However, much can be done to minimize the symptoms including prescribing growth hormone, either alone or with a low dose of androgen, and oestrogen replacement therapy which is crucial long term for maintaining good bone integrity, cardiovascular health and tissue health

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      9.5
      Seconds
  • Question 16 - Which of the following hormones cause negative feedback on the CRH/ACTH axis? ...

    Correct

    • Which of the following hormones cause negative feedback on the CRH/ACTH axis?

      Your Answer: Cortisol

      Explanation:

      The hypothalamic–pituitary–adrenal axis, also known as HPA axis is a set of interactions that regulate the secretion of several hormones through negative feedback. Cortisol, for example, is produced by the adrenal cortex, binds to its receptors in the hypothalamus and adenohypophysis and inhibits secretion of corticotropin releasing hormone (CRH) and adrenocorticotropic hormone (ACTH). The drop in CRH secretion leads to a decrease in ACTH secretion, which in turn causes less cortisol to be secreted.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      10.1
      Seconds
  • Question 17 - What is pendrin? ...

    Incorrect

    • What is pendrin?

      Your Answer: Na+/Cl- antiporter

      Correct Answer: Cl-/i- antiporter

      Explanation:

      Pendrin is an anion exchange transporter; it is a sodium-independent chloride-iodine exchanger which also accepts formate and bicarbonate. It is present in many different types of cells in the body, particularly the inner ear, thyroid, and kidney. Mutations in pendrin are associated with Pendred syndrome, which causes syndromic deafness and thyroid disease.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      24
      Seconds
  • Question 18 - Which of the following structures lie in close proximity to the thyroid? ...

    Correct

    • Which of the following structures lie in close proximity to the thyroid?

      Your Answer: All of the options

      Explanation:

      The thyroid gland receives its blood supply from the inferior and superior thyroid arteries. The recurrent laryngeal nerves emerges from the superior thoracic outlet bounded in part by the thyroid lobe. Two pairs of parathyroid glands lie near the thyroid. The common carotid artery splits into its external and internal branches at the upper border of the thyroid cartilage; these branches are separated by the gland.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      6.3
      Seconds
  • Question 19 - Which cells secrete insulin? ...

    Correct

    • Which cells secrete insulin?

      Your Answer: B cells of the pancreatic islets

      Explanation:

      Insulin is synthesised and stored by the B cells of the pancreatic islets (70% of islet cells), glucagon is synthesised and stored in the A cells (20%) and somatostatin is synthesised and stored in the D cells (10%).

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      1.8
      Seconds
  • Question 20 - Where does the pituitary gland lie? ...

    Correct

    • Where does the pituitary gland lie?

      Your Answer: In a pocket of the sphenoid bone at the base of the brain

      Explanation:

      The pituitary lies in a small depression in the sphenoid bone, known as the sella turcica or Turkish saddle.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      2.4
      Seconds
  • Question 21 - Which cell secretes parathyroid hormone? ...

    Correct

    • Which cell secretes parathyroid hormone?

      Your Answer: Chief cells

      Explanation:

      Parathyroid chief cells, also known as parathyroid principal cells or parathyroid cells, are the most prevalent type of cell in the parathyroid gland and the only ones present at birth. They secrete parathyroid hormone (PTH).

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      6.9
      Seconds
  • Question 22 - Which of the flowing plasma proteins has the greatest affinity for T4? ...

    Correct

    • Which of the flowing plasma proteins has the greatest affinity for T4?

      Your Answer: Thyroxin-binding globulin

      Explanation:

      There are three principal plasma thyroid hormone-binding proteins, thyroxine-binding globulin (TBG), transthyretin (TTR), and albumin. TBG is synthesized in the liver and due to its relatively high affinity for iodothyronines, binds and carries approximately 70–75% of circulating T4 and T3.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      12.2
      Seconds
  • Question 23 - Which of the following biochemical profiles is seen in a normal 65 year...

    Correct

    • Which of the following biochemical profiles is seen in a normal 65 year old female? (in comparison to a normal 24 yr. old female)

      Your Answer: Increased FSH, LH; decreased oestrogen, progesterone

      Explanation:

      During menopause, a woman’s number of ovarian follicles becomes depleted; as a result, oestrogen and progesterone levels drop, and LH and FSH levels increase. One of the criteria to diagnose menopause is the absence of menstrual period for a year, along with a serum FSH level increased to 30 mIU/ml or higher. LH also rises with the onset of menopause.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      22.7
      Seconds
  • Question 24 - Periodic fevers occur in humans with mutations in the gene for pyrin. Pyrin...

    Incorrect

    • Periodic fevers occur in humans with mutations in the gene for pyrin. Pyrin is a protein found in which one of the following cells?

      Your Answer: Monocytes

      Correct Answer: Neutrophils

      Explanation:

      Pyrin, also known as marenostrin or TRIM20, is a protein encoded by the Mediterranean fever (MEFV) gene, causing the autoinflammatory disease familial Mediterranean fever (FMF). Pyrin produces an increased sensitivity to intracellular signals. It is produced mainly in neutrophils, which display an increased ratio of cells entering apoptosis when exposed to pyrin.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      7.7
      Seconds
  • Question 25 - The reflex responses activated by cold are controlled by which area? ...

    Incorrect

    • The reflex responses activated by cold are controlled by which area?

      Your Answer: Anterior hypothalamus

      Correct Answer: Posterior hypothalamus

      Explanation:

      The posterior nucleus of the hypothalamus is responsible for thermoregulation and thermogenesis. Studies have shown that the neurons in the posterior hypothalamus which mediate the reflex of shivering are sensitive to temperature; damage to this nucleus produces hypothermia.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      3.9
      Seconds
  • Question 26 - What is the fat called that serves as a considerable source of heat...

    Correct

    • What is the fat called that serves as a considerable source of heat in children?

      Your Answer: Brown adipose tissue

      Explanation:

      Brown adipose tissue, also known as BAT or brown fat, coforms the adipose tissue along with white adipose tissue (WAT) or white fat. While WAT is responsible for energy-storage, BAT is involved in thermogenesis and energy expenditure. It is more prevalent in children than in adults, and its activation during adolescence is associated to less weight gain and adiposity. BAT produces heat by non-shivering thermogenesis.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      3.4
      Seconds
  • Question 27 - What microscopic changes are visible in an active thyroid gland? ...

    Correct

    • What microscopic changes are visible in an active thyroid gland?

      Your Answer: Follicle lining cells are cuboid or columnar.

      Explanation:

      Active follicles are lined by cuboidal or columnar cells; this is because active follicles are smaller and have less colloid. Their cells are tall because they are actively secreting hormones, whereas older follicles have a flat epithelium and are filled with more colloid.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      18.7
      Seconds
  • Question 28 - What is the most important way in which heat is lost from the...

    Correct

    • What is the most important way in which heat is lost from the body?

      Your Answer: Radiation and conduction

      Explanation:

      The body maintains a constant core temperature by balancing heat loss and heat gain. The mechanisms of heat loss are: radiation, evaporation, convection and conduction. Out of these mechanisms, the most important under normal conditions are radiation, through which body heat is given off to the surrounding atmosphere; and conduction, in which the body releases heat into the objects it comes into contact with.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      3.2
      Seconds
  • Question 29 - Select a factor which stimulates glucagon secretion. ...

    Correct

    • Select a factor which stimulates glucagon secretion.

      Your Answer: Protein meal

      Explanation:

      Several studies have shown that glucagon levels are increased in individuals with a high protein diet. It is still debated, however, whether this type of diet affects insulin levels as well.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      191.9
      Seconds
  • Question 30 - Which of the following factors is most likely to lead to an increase...

    Correct

    • Which of the following factors is most likely to lead to an increase in serum cortisol levels?

      Your Answer: Severe emotional stress

      Explanation:

      Cortisol is widely known as the stress hormone. Alterations in cortisol levels have been found in relation to mood disorders, illness, trauma, pain, fear, exertion, and anxiety, amongst other stimuli.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      11.6
      Seconds
  • Question 31 - The TSH receptor produces its effects in the thyrocyte via: ...

    Correct

    • The TSH receptor produces its effects in the thyrocyte via:

      Your Answer: G-protein coupled activation of adenylyl cyclise and phospholipase c

      Explanation:

      The thyrotropin receptor, also known as TSH receptor, responds to the thyroid stimulating hormone or thyrotropin to stimulate production of T3 and T4. It is a G protein-coupled receptor which leads to stimulation of phospholipase C and adenylyl cyclase, mediated by Gq/11 and Gs.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      14.1
      Seconds
  • Question 32 - Where does one find the thyroid receptors? ...

    Correct

    • Where does one find the thyroid receptors?

      Your Answer: Cell nucleus

      Explanation:

      Unlike many of the steroid receptors, inactive receptors for T3 are located in the nucleus. T4 is first converted into T3 within the cytoplasm of the cell, T3 then enters the nucleus and binds to its receptor. The hormone-receptor complex can now bind to DNA and activate specific genes.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      6.5
      Seconds
  • Question 33 - In the absence of insulin: ...

    Correct

    • In the absence of insulin:

      Your Answer: Glucose uptake by most of the brain is normal

      Explanation:

      Although it is known that insulin levels affect glucose uptake, oxidation and storage in peripheral tissues, its role in the brain isn’t as clear. However, studies have shown that bulk brain glucose uptake isn’t affected by insulin. Glucose transport into the neurons is GLUT3 dependent, and its transport into glia and brain endothelial cells rely on GLUT1. Insulin isn’t necessary for GLUT1 or GLUT3, which explains why brain glucose uptake isn’t affected by insulin levels.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      88.6
      Seconds
  • Question 34 - In the microanatomy of the pituitary gland, the pituicytes present are in fact...

    Correct

    • In the microanatomy of the pituitary gland, the pituicytes present are in fact modified forms of which cells?

      Your Answer: Astrocytes

      Explanation:

      Pituicytes are glial cells present in the pars nervosa, the posterior pituitary gland. Their irregular shape resembles that of astrocytes, and their cytoplasm also has intermediate filaments. They differ from astrocytes in that they have large cytoplasmic lipid droplets.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      9.8
      Seconds
  • Question 35 - Which is primarily responsible for the conversion of T4 to T3 in the...

    Correct

    • Which is primarily responsible for the conversion of T4 to T3 in the periphery?

      Your Answer: Deiodinase 1

      Explanation:

      Type 1 iodothyronine deiodinase, also known simply as deiodinase 1, is an enzyme which can produce both triiodothyronine (active form) or inactivate metabolites from T4. It is responsible for almost 80% of the conversion of peripheral T4 to T3. Iodothyronine deiodinases are not to be confused with iodotyrosine deiodinases, which are also part of the deiodinase enzymes.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      18.4
      Seconds
  • Question 36 - The actions of dihydrotestosterone in male reproductive physiology include: ...

    Correct

    • The actions of dihydrotestosterone in male reproductive physiology include:

      Your Answer: Development of external genitalia in utero and at puberty

      Explanation:

      Dihydrotestosterone mediates the differentiation of the urogenital sinus and genital tubercles, leading to the fusion of the urethral and labial folds; thus, it leads to the development of external genitalia in the male.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      9.2
      Seconds
  • Question 37 - Choose the correct statement regarding trabecular bone: ...

    Correct

    • Choose the correct statement regarding trabecular bone:

      Your Answer: All of the options are correct

      Explanation:

      Trabecular, spongy or cancellous bone. It is located inside the cortical bone and makes up around 20% of all bone in the body. It is made of spicules or plates with a high surface to volume ratio, where many cells sit on the surface of the end plates. It receives its nutrients from the extracellular fluid (ECF), exchanging about 10 mmol of calcium every 24 hours.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      23.6
      Seconds
  • Question 38 - With regards to the deiodinases, where would you find D1? ...

    Correct

    • With regards to the deiodinases, where would you find D1?

      Your Answer: Liver

      Explanation:

      The liver produces an important amount of T3 by outer ring deiodination thanks to its elevated concentration of type I deiodinase. It can also be found in the kidney.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      13.8
      Seconds
  • Question 39 - Which of the following values of bone mineral density measured by DEXA would...

    Incorrect

    • Which of the following values of bone mineral density measured by DEXA would signify osteopenia?

      Your Answer: Z score of -1.5

      Correct Answer: T score of -2.2

      Explanation:

      DEXA T Scores:Normal T-score ≥ −1.0Osteopenia −2.5 < T-score < −1.0Osteoporosis T-score ≤ −2.5Severe osteoporosis T-score ≤ −2.5 with fragility fracture

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      8.6
      Seconds
  • Question 40 - What is the primary cause of ketoacidosis in Type 1 diabetes? ...

    Correct

    • What is the primary cause of ketoacidosis in Type 1 diabetes?

      Your Answer: Lipolysis

      Explanation:

      in type 1 diabetics the lack of insulin in the bloodstream prevents glucose absorption, thereby inhibiting the production of oxaloacetate (a crucial precursor to the β-oxidation of fatty acids) through reduced levels of pyruvate (a by-product of glycolysis), and can cause unchecked ketone body production (through fatty acid metabolism or lipolysis) potentially leading to dangerous glucose and ketone levels in the blood.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      20.6
      Seconds
  • Question 41 - Which of the following describes a principal action of insulin? ...

    Correct

    • Which of the following describes a principal action of insulin?

      Your Answer: Inhibition of phosphorylase and gluconeogenic enzymes

      Explanation:

      Insulin stimulates glycolysis and lipogenesis, but inhibits gluconeogenesis. Insulin promotes the dephosphorylating of glycogen phosphorylase, therefore suppressing glycogenolysis. Insulin also inhibits FOX3, FOX4, and FOX6 and their ability to promote hepatic gluconeogenesis.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      37.8
      Seconds
  • Question 42 - The net effect of active Vitamin D on calcium and phosphate homeostasis is?...

    Correct

    • The net effect of active Vitamin D on calcium and phosphate homeostasis is?

      Your Answer: Increase in Ca, increase in phosphate

      Explanation:

      Bone and its metabolism are regulated by several hormones, amongst which is vitamin D. It is heavily involved in the metabolism and homeostasis of calcium and phosphate through several processes. Vitamin D works in the intestine, kidney, bone and parathyroid glands to maintain levels of calcium and phosphate, promoting its absorption, bone resorption, and proper functioning of the parathyroid to maintain adequate serum calcium levels.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      12.5
      Seconds
  • Question 43 - What causes increased insulin sensitivity? ...

    Incorrect

    • What causes increased insulin sensitivity?

      Your Answer: Growth hormone treatment

      Correct Answer: Exercise

      Explanation:

      Physical activity, through its effect on insulin sensitivity, is one of the main modifiable risk factors for type 2 diabetes. It is estimated that by each weekly 500 kcal increment in exercise related energy consumption, the lifetime risk of suffering from type 2 diabetes is reduced by 9%. Up to two hours after exercise, glucose uptake is elevated due to insulin independent mechanisms; however, insulin sensitivity remains increased for at least 16 hours after exercising.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      23
      Seconds
  • Question 44 - Which of the following skin coloration abnormalities occurs due to adrenal insufficiency due...

    Correct

    • Which of the following skin coloration abnormalities occurs due to adrenal insufficiency due to primary adrenal disease?

      Your Answer: Hyperpigmentation

      Explanation:

      Addison’s disease, also known as primary adrenal insufficiency, or hypocortisolism is an endocrine disorder. Hyperpigmentation is one of its most common signs; it occurs as a result of an increase in pro-opiomelanocortin to produce more ACTH in response to the decreased levels of cortisol. Pro-opiomelanocortin is a precursor of melanocyte stimulating hormone (MSH), which stimulates melanocytes, causing darkening of the skin.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      17.5
      Seconds
  • Question 45 - Within the hypothalamus, the dopamine-secreting neurones of the intrahypothalamic system have their cell...

    Correct

    • Within the hypothalamus, the dopamine-secreting neurones of the intrahypothalamic system have their cell bodies in which nuclei?

      Your Answer: Arcuate

      Explanation:

      Arcuate nucleus dopaminergic neurons consist of a single group of neurons that project to the median eminence where they release dopamine into the hypophyseal portal circulation to inhibit pituitary prolactin secretion.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      10.9
      Seconds
  • Question 46 - In a newly diagnosed acromegaly patient, which of the following would you not...

    Correct

    • In a newly diagnosed acromegaly patient, which of the following would you not expect to find?

      Your Answer: Hypohidrosis

      Explanation:

      Features of acromegaly may include:

      • Soft tissue swelling visibly resulting in enlargement of the hands, feet, nose, lips and ears, and a general thickening of the skin
      • Soft tissue swelling of internal organs, notably the heart with associated weakening of its muscularity, and the kidneys, vocal cords (resulting in a characteristic thick, deep voice and slowing of speech)
      • Generalized expansion of the skull at the fontanelle, frontal bossing, prognathism with associated macroglossia (enlargement of the tongue) and teeth spacing.
      • Hypertrichosis, hyperpigmentation and hyperhidrosis (not hypohidrosis) may occur in these patients as well as carpal tunnel syndrome and impotence.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      13.2
      Seconds
  • Question 47 - What is the effect of oxytocin on the breast? ...

    Correct

    • What is the effect of oxytocin on the breast?

      Your Answer: Milk ejection

      Explanation:

      Oxytocin is a peptide hormone and neuropeptide, produced by the hypothalamus and released by the posterior pituitary. It causes the milk ejection or let-down reflex, causing the milk to be transported to the subareolar sinuses, allowing it to be released through the nipple. This response is initiated by the act of suckling by the baby, but it can be conditioned to be triggered by different stimuli.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      4.8
      Seconds
  • Question 48 - Which hormone is associated with the temperature surge in hot flushes? ...

    Correct

    • Which hormone is associated with the temperature surge in hot flushes?

      Your Answer: LH

      Explanation:

      Luteinizing hormone or LH is a hormone produced by the anterior pituitary gland. Studies have shown surges in LH levels during menopausal hot flushes, suggesting that a pulsatile release of LH is responsible for increased hypothalamic norepinephrine activity, causing the hot flushes.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      6.9
      Seconds
  • Question 49 - Where is thyroglobulin produced? ...

    Correct

    • Where is thyroglobulin produced?

      Your Answer: Thyrocytes

      Explanation:

      Thyroglobulin, or Tg, is a protein that functions as the precursor to thyroid hormones. It is synthesized by thyrocytes and then secreted into the colloid. It also functions as a negative-feedback regulator of thyroid hormone biosynthesis.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      4
      Seconds
  • Question 50 - The febrile response to PGE2 will be impaired with the knockout of which...

    Correct

    • The febrile response to PGE2 will be impaired with the knockout of which one of the following prostaglandin receptors?

      Your Answer: Ep3

      Explanation:

      Prostaglandin EP3 receptor is a receptor for prostaglandin E2. Fever occurs as a result of the action of prostaglandin E2 and requires EP3 receptors in the preoptic area. Therefore, if there is an absence of EP3 receptors, fever caused by prostaglandin E2 will not occur.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      3.8
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Endocrinology (44/50) 88%
Medicine (44/50) 88%
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