00
Correct
00
Incorrect
00 : 00 : 00
Session Time
00 : 00
Average Question Time ( Mins)
Retry this test Dashboard

  • Question 1 - Compact/cortical bone makes up ...

    Incorrect

    • Compact/cortical bone makes up

      Your Answer: The middle layer of most bones and accounts for 100% of bone in the body

      Correct 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
      20.2
      Seconds

  • Question 2 - Which of the following is correctly paired? ...

    Incorrect

    • Which of the following is correctly paired?

      Your Answer: B cells : glucagon

      Correct Answer: F cells : pancreatic polypeptide

      Explanation:

      Pancreatic polypeptide is secreted by F-cells, which represent the smallest proportion of islet cells in the pancreas. These cells establish the embryological origin of the pancreas. Pancreatic polypeptide regulates endocrine and exocrine activities by the pancreas.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      6.1
      Seconds

  • Question 3 - Which of the following features is least commonly seen in Gitelman’s syndrome? ...

    Incorrect

    • Which of the following features is least commonly seen in Gitelman’s syndrome?

      Your Answer:

      Correct Answer: Hypertension

      Explanation:

      Gitelman syndrome is an autosomal recessive kidney disorder characterized by hypokalaemia metabolic alkalosis with hypocalciuria, and hypomagnesemia. In contrast to patients with Gordon’s syndrome, those suffering from Gitelman’s syndrome are generally normotensive or hypotensive.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      0
      Seconds

  • Question 4 - Which of the following is responsible for converting inactive cortisone to active cortisol...

    Incorrect

    • Which of the following is responsible for converting inactive cortisone to active cortisol in the adrenal gland?

      Your Answer:

      Correct Answer: 11βHSD type 1

      Explanation:

      11β-Hydroxysteroid dehydrogenase, also known as HSD-11β or 11β-HSD, is a group of enzymes which catalyse the interconversion of active cortisol and corticosterone with inert cortisone and 11-dehydrocorticosterone.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      0
      Seconds

  • Question 5 - Which of the following describes a principal action of insulin? ...

    Incorrect

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

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 6 - Which cell secretes parathyroid hormone? ...

    Incorrect

    • Which cell secretes parathyroid hormone?

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 7 - The residual cleft of the intermediate lobe of the pituitary is lined by...

    Incorrect

    • The residual cleft of the intermediate lobe of the pituitary is lined by follicles resembling which human gland?

      Your Answer:

      Correct Answer: Thyroid

      Explanation:

      The cells located between the two main pituitary lobes form what is known as the intermediate pituitary. This area secretes melanocyte-stimulating hormone and it is only a few cell layers thick. It is rich in follicles filled with colloid, and lined by basophilic cells. This configuration resembles that of another important gland: the thyroid.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      0
      Seconds

  • Question 8 - What is the most important way in which heat is lost from the...

    Incorrect

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

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 9 - The actions of dihydrotestosterone in male reproductive physiology include: ...

    Incorrect

    • The actions of dihydrotestosterone in male reproductive physiology include:

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 10 - Where does one find the thyroid receptors? ...

    Incorrect

    • Where does one find the thyroid receptors?

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 11 - Select a factor which stimulates glucagon secretion. ...

    Incorrect

    • Select a factor which stimulates glucagon secretion.

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 12 - Select the correct statement regarding the macro anatomy of the thyroid gland. ...

    Incorrect

    • Select the correct statement regarding the macro anatomy of the thyroid gland.

      Your Answer:

      Correct Answer: It surrounds the trachea at the front of the neck.

      Explanation:

      The thyroid is located around the trachea, in the anterior portion of the neck. It is formed by two lobes which are connected by an isthmus. The presence of a pyramidal lobe, or third lobe, is considered to be a normal anatomical variant. It originates from the primitive pharynx and the neural crest and has a rich vascular supply.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      0
      Seconds

  • Question 13 - What is the fat called that serves as a considerable source of heat...

    Incorrect

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

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 14 - Embryologically the anterior pituitary is formed from? ...

    Incorrect

    • Embryologically the anterior pituitary is formed from?

      Your Answer:

      Correct Answer: Rathkes pouch

      Explanation:

      The ectoderm, located in the roof of the pharynx, forms Rathke’s pouch, which comes into contact with the ectoderm of the developing brain. The pouch eventually separates from the pharynx, becoming the anterior pituitary.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      0
      Seconds

  • Question 15 - During bone growth-the epiphysis are separated from the diaphysis by actively proliferating cartilage...

    Incorrect

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

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 16 - Which of the following stimuli increase growth hormone secretion? ...

    Incorrect

    • Which of the following stimuli increase growth hormone secretion?

      Your Answer:

      Correct Answer: Ghrelin

      Explanation:

      Ghrelin is a hormone which serves as an endogenous ligand for the growth hormone secretagogue receptor. It acts on the pituitary and the hypothalamus by affecting the vagus nerve. It acts on the somatotrophs of the anterior pituitary, GHRH-secreting neurons, and on GHIH-secreting neurons in the hypothalamus, causing a time-dependent and pulsatile stimulation over the secretion of growth hormone.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      0
      Seconds

  • Question 17 - In the absence of insulin: ...

    Incorrect

    • In the absence of insulin:

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 18 - Where does the pituitary gland lie? ...

    Incorrect

    • Where does the pituitary gland lie?

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 19 - Which of the following hormones cause negative feedback on the CRH/ACTH axis? ...

    Incorrect

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

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 20 - In the microanatomy of the pituitary gland, the pituicytes present are in fact...

    Incorrect

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

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 21 - Which of the following may be a feature of primary hyperaldosteronism? ...

    Incorrect

    • Which of the following may be a feature of primary hyperaldosteronism?

      Your Answer:

      Correct Answer: Muscular weakness

      Explanation:

      Primary hyperaldosteronism or Conn’s syndrome is characterised by hypertension which may cause poor vision or headaches. Occasionally there may be muscular weakness, muscle spasms, tingling sensations, or excessive urination. Complications include cardiovascular disease such as stroke, myocardial infarction, kidney failure, and abnormal heart rhythms.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      0
      Seconds

  • Question 22 - To which of the following plasma proteins is T4 most bound in plasma?...

    Incorrect

    • To which of the following plasma proteins is T4 most bound in plasma?

      Your Answer:

      Correct Answer: Thyroxine-binding globulin

      Explanation:

      Thyroxine-binding globulin, also known as TBG, is one of the three transport proteins responsible for carrying T4 and T3 through the circulatory system. It carries most of the T4 present in plasma, which it binds to strongly, shielding the hydrophobic hormones from the aqueous surroundings.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      0
      Seconds

  • Question 23 - What microscopic changes are visible in an active thyroid gland? ...

    Incorrect

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

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 24 - What causes increased insulin sensitivity? ...

    Incorrect

    • What causes increased insulin sensitivity?

      Your Answer:

      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
      0
      Seconds

  • Question 25 - Where is leptin synthesized and secreted? ...

    Incorrect

    • Where is leptin synthesized and secreted?

      Your Answer:

      Correct Answer: White adipose tissue

      Explanation:

      Leptin is a hormone that helps regulate food intake and energy expenditure. It is synthetized by white adipose tissue and the gastric mucosa. It works by inhibiting the sensation of hunger, therefore, it opposes the actions of ghrelin, also known as the hunger hormone.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      0
      Seconds

  • Question 26 - Which of the following stimulates glucagon release? ...

    Incorrect

    • Which of the following stimulates glucagon release?

      Your Answer:

      Correct Answer: Exercise

      Explanation:

      Studies have shown a small increase in glucagon levels during stress tests and exercise. This occurs in response to the reduction of blood glucose levels during physical activity; epinephrine levels are also a stimulus for the release of glucagon during exercise, since it suppresses insulin, which accounts for its stimulatory effects on glucagon. The use of stored fats for energy during exercise also stimulates the release of glucagon.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      0
      Seconds

  • Question 27 - Which one of the following leads to decreased prolactin levels? ...

    Incorrect

    • Which one of the following leads to decreased prolactin levels?

      Your Answer:

      Correct Answer: Dopamine

      Explanation:

      Dopamine has an important effect on the regulation of prolactin secretion. Dopamine binds to type-2 dopamine receptors of the lactotroph cells that are functionally linked to membrane channels and G proteins and suppresses the high secretory activity of the pituitary lactotrophs.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      0
      Seconds

  • Question 28 - The onset of puberty is triggered by ...

    Incorrect

    • The onset of puberty is triggered by

      Your Answer:

      Correct Answer: Increase in pulsatile GNRH secretion from hypothalamus

      Explanation:

      The onset of puberty is associated with high GNRH pulsing, which precedes the rise in sex hormones. Brain tumours which increase GNRH output may also lead to premature puberty. The cause of the GNRH rise is unknown.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      0
      Seconds

  • Question 29 - Which of the following biochemical profiles is seen in a normal 65 year...

    Incorrect

    • 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:

      Correct 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
      0
      Seconds

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

    Incorrect

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

      Your Answer:

      Correct 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
      0
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Endocrinology (0/2) 0%
Medicine (0/2) 0%
Passmed
Retry this test Dashboard