00
Correct
00
Incorrect
00 : 00 : 0 00
Session Time
00 : 00
Average Question Time ( Secs)
  • Question 1 - 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: Hyponatraemia

      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
      12.8
      Seconds
  • Question 2 - The onset of puberty is triggered by ...

    Correct

    • The onset of puberty is triggered by

      Your 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
      12.7
      Seconds
  • Question 3 - What is pendrin? ...

    Incorrect

    • What is pendrin?

      Your Answer: Na+/i- symporter

      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
      18.6
      Seconds
  • Question 4 - Which is primarily responsible for the conversion of T4 to T3 in the...

    Incorrect

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

      Your Answer: Reverse deiodinase

      Correct 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
      15.7
      Seconds
  • Question 5 - Physiological effects of T3 on the heart include all the following except: ...

    Incorrect

    • Physiological effects of T3 on the heart include all the following except:

      Your Answer: Increased expression of serca pump gene

      Correct Answer: Increased expression of β-myosin heavy chain gene

      Explanation:

      Tri-iodothyronine, also known as T3, is a hormone which can affect almost every system in the human body. In the heart, it increases the number of β1-adrenergic receptors, enhances the response to circulating catecholamines, increases the proportion of α-myosin heavy chains in the atria, and increases the expression of serca pump gene.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      10.9
      Seconds
  • Question 6 - To which protein is T3 mostly bound in the serum? ...

    Incorrect

    • To which protein is T3 mostly bound in the serum?

      Your Answer: Thyroglobulin

      Correct Answer: Thyroxin-binding globulin

      Explanation:

      In a normal person, approximately 0.03 per cent of the total serum T4, and 0.3 per cent of the total serum T3 are present in free or unbound form. The major serum thyroid hormone-binding proteins are: 1) thyroxine-binding globulin [TBG or thyropexin], 2) transthyretin [TTR or thyroxine-binding prealbumin (TBPA)], and 3) albumin (HAS, human serum albumin). TBG has highest affinity for T4, which is 50-fold higher than that of TTR and 7,000-fold higher that of HSA. As a result TBG binds 75% of serum T4, while TTR and HSA binds only 20% and Albumin 5%, respectively.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      5.9
      Seconds
  • Question 7 - The TSH receptor produces its effects in the thyrocyte via: ...

    Incorrect

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

      Your Answer: A nuclear receptor that dimerizes with the retinoid x receptor

      Correct 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
      14.9
      Seconds
  • Question 8 - What microscopic changes are visible in an active thyroid gland? ...

    Incorrect

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

      Your Answer: Colloid is abundant.

      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
      20
      Seconds
  • Question 9 - Which glucose transporter is responsible for the uptake of glucose in ß cells?...

    Correct

    • Which glucose transporter is responsible for the uptake of glucose in ß cells?

      Your Answer: GLUT 2

      Explanation:

      Glucose transporter 2, also known as GLUT2 is a transmembrane carrier protein which is not insulin dependent. It is found in the liver and the pancreatic islet ß cells, where it functions as the primary glucose transporter that allows the transfer of glucose between these organs and blood.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      4.6
      Seconds
  • Question 10 - Which one of the following leads to decreased prolactin levels? ...

    Correct

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

      Your 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
      5.5
      Seconds
  • Question 11 - Where do the portal hypophysial vessels arise? ...

    Correct

    • Where do the portal hypophysial vessels arise?

      Your Answer: Median eminence

      Explanation:

      The hypothalamic-hypophysial portal system connects the brain to the anterior pituitary. It is made up of two capillary beds, one in the median eminence and the other in the anterior pituitary. Blood from the plexus of the median eminence is carried by portal veins, draining into the cavernous and posterior intercavernous sinuses. This system delivers hypothalamic hormones to their target cells.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      8.9
      Seconds
  • Question 12 - What is the effect of vasopressin on the kidney? ...

    Incorrect

    • What is the effect of vasopressin on the kidney?

      Your Answer: Decrease the glomerulus filtration rate

      Correct Answer: Increase collecting duct permeability to water

      Explanation:

      Vasopressin, also known as antidiuretic hormone or ADH, which increases water reabsorption in the kidney’s collecting ducts. It works by increasing water permeability in the collecting ducts and distal convoluted tubules. It induces the exocytosis of AQP-CD-laden vesicles, transferring water channels from intracellular vesicles to the apical plasma membrane, therefore allowing more water to be reabsorbed from the urine in the collecting ducts to the blood.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      12
      Seconds
  • Question 13 - 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
      13.1
      Seconds
  • Question 14 - Where is leptin synthesized and secreted? ...

    Incorrect

    • Where is leptin synthesized and secreted?

      Your Answer: Yellow adipose tissue

      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
      7
      Seconds
  • Question 15 - 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: Aldosterone

      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
      10.7
      Seconds
  • Question 16 - Endotoxin will typically act on which one of the following cells, to produce...

    Incorrect

    • Endotoxin will typically act on which one of the following cells, to produce endogenous pyrogens?

      Your Answer: T lymphocytes

      Correct Answer: Monocytes

      Explanation:

      Endotoxin, also known as lipopolysaccharides or lipoglycans, are molecules that consist of a lipid and a polysaccharide. They bind to many cell types, but especially to monocytes, promoting the secretion of proinflammatory cytokines, acting as a pyrogen.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      9.3
      Seconds
  • Question 17 - What causes increased insulin sensitivity? ...

    Correct

    • What causes increased insulin sensitivity?

      Your 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
      5.2
      Seconds
  • Question 18 - Which of the following structures lie in close proximity to the thyroid? ...

    Incorrect

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

      Your Answer: 2 pairs of parathyroid glands.

      Correct 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
      9.5
      Seconds
  • Question 19 - Calcium is transported over the brush border in the gut, via which transporter...

    Incorrect

    • Calcium is transported over the brush border in the gut, via which transporter / channel?

      Your Answer: TRPV 5

      Correct Answer: TRPV 6

      Explanation:

      Transient Receptor Potential Vanilloid 6 or TRPV 6 is a calcium channel located in the cell membrane which is present in a variety of organs, including small intestine, oesophagus, stomach, colon, placenta, kidney, and uterus. In the intestine, it is located in the apical brush-border membrane of the enterocyte, regulating the entry of calcium into the cell.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      5.8
      Seconds
  • Question 20 - Where is Müllerian inhibiting substance (MIS) secreted? ...

    Incorrect

    • Where is Müllerian inhibiting substance (MIS) secreted?

      Your Answer: Leydig cells

      Correct Answer: Sertoli cells

      Explanation:

      Müllerian inhibiting substance, also known as Anti-Müllerian hormone (AMH) or Müllerian-inhibiting hormone (MIH) is a glycoprotein hormone which prevents the development of the Müllerian ducts into the uterus. Its production by Sertoli cells continues during childhood in males and decreases after puberty.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      10.7
      Seconds
  • Question 21 - 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
      4
      Seconds
  • Question 22 - With regards to the deiodinases, where would you find D1? ...

    Incorrect

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

      Your Answer: Brown fat

      Correct 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
      17.5
      Seconds
  • Question 23 - Which cell secretes parathyroid hormone? ...

    Incorrect

    • Which cell secretes parathyroid hormone?

      Your Answer: Parafollicular cells

      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
      6.8
      Seconds
  • Question 24 - Which are the main hormones secreted by the posterior pituitary gland. ...

    Correct

    • Which are the main hormones secreted by the posterior pituitary gland.

      Your Answer: Oxytocin and vasopressin

      Explanation:

      The posterior pituitary gland secretes oxytocin and vasopressin (antidiuretic hormone). These hormones are stored in Herring bodies before being secreted into the bloodstream.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      6.4
      Seconds
  • Question 25 - What is the principle site of action of adrenocorticotrophic hormone (ACTH)? ...

    Correct

    • What is the principle site of action of adrenocorticotrophic hormone (ACTH)?

      Your Answer: Adrenal gland

      Explanation:

      Adrenocorticotropic hormone, also known as ACTH or corticotropin, is a polypeptide tropic hormone. It is synthesized by the corticotropic cells of the anterior pituitary. It works by regulating the secretion of glucocorticoid hormones from the cortex cells in the adrenal gland. It binds to the melanocortin (MC) 2 receptors on the surface of the adrenal zona glomerulosa cells, producing cortisol.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      6
      Seconds
  • Question 26 - 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: Jak 2stat, lipolysis

      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
      15.4
      Seconds
  • Question 27 - Which of the following is correctly paired? ...

    Correct

    • Which of the following is correctly paired?

      Your 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
      15.8
      Seconds
  • Question 28 - Which hormone is associated with the temperature surge in hot flushes? ...

    Incorrect

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

      Your Answer: Oestrogen

      Correct 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
      13.6
      Seconds
  • Question 29 - 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
      19.7
      Seconds
  • Question 30 - 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: Adrenal cortex

      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
      8.7
      Seconds
  • Question 31 - The net effect of parathyroid hormone on calcium and phosphate homeostasis is? ...

    Correct

    • The net effect of parathyroid hormone on calcium and phosphate homeostasis is?

      Your Answer: Increase in Ca, decrease in phosphate

      Explanation:

      Parathyroid hormone’s main target organs are the kidneys, bone, and intestine. In the kidney, it decreases reabsorption of phosphate and increases calcium reabsorption. It also promotes absorption of calcium from bone. PTH release results in a small drop in serum phosphate concentrations.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      9.2
      Seconds
  • Question 32 - The apical enzyme responsible for the oxidation and reaction of iodide with thyroglobulin...

    Correct

    • The apical enzyme responsible for the oxidation and reaction of iodide with thyroglobulin is:

      Your Answer: Thyroid peroxidise

      Explanation:

      Thyroid peroxidase is an enzyme that is secreted into the thyroid colloid. It works by oxidizing iodide ions into iodine which are incorporated into thyroglobulin, in order to produce T3 and T4.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      7.7
      Seconds
  • Question 33 - Which one of the following is most likely to be seen in a...

    Incorrect

    • Which one of the following is most likely to be seen in a patient with multiple endocrine neoplasia (MEN) type I?

      Your Answer: Pheochromocytoma

      Correct Answer: Insulinoma

      Explanation:

      Multiple endocrine neoplasia type 1 (MEN-1 syndrome) or Wermer’s syndrome is part of a group of disorders, the multiple endocrine neoplasias, that affect the endocrine system through development of neoplastic lesions in the ‘three P’s’:Parathyroid (>90%): hyperparathyroidism due to parathyroid hyperplasiaPituitary (15-42%)Pancreas (60-70%, e.g. insulinoma, gastrinoma)

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      4.6
      Seconds
  • Question 34 - Select the correct statement about the microanatomy of the thyroid gland. ...

    Incorrect

    • Select the correct statement about the microanatomy of the thyroid gland.

      Your Answer: Each gland contains about 10000 follicles.

      Correct Answer: The capillaries adjacent to thyroid cells have a fenestrated endothelium.

      Explanation:

      Fenestrated capillaries have a very thin endothelium, which is perforated by numerous fenestrations or pores. Hormones are usually released into these capillaries, reaching their target cells through the circulatory system.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      16.4
      Seconds
  • Question 35 - 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
      23.2
      Seconds
  • Question 36 - In terms of relative steroid potency, how much prednisone is equivalent to 100mg...

    Incorrect

    • In terms of relative steroid potency, how much prednisone is equivalent to 100mg hydrocortisone?

      Your Answer: 200mg

      Correct Answer: 25mg

      Explanation:

      Different corticosteroids have varying degrees of potency. 1 mg of prednisone is equivalent to 4 mg of hydrocortisone. Therefore, 25 mg of prednisone are equivalent to 100 mg of hydrocortisone.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      8.4
      Seconds
  • Question 37 - 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: Thalamus

      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
      14.2
      Seconds
  • Question 38 - What is the most abundant hormone release by the thyroid? ...

    Correct

    • What is the most abundant hormone release by the thyroid?

      Your Answer: T4

      Explanation:

      T3 and T4 are the two tyrosine-based hormones produced and secreted by the thyroid gland. Although T3 is the active form of the hormone, and thus, it is much more potent; T4 is the most abundant hormone secreted by the thyroid (93% of the total thyroid secretion) and it also has a longer half life since it binds to proteins much more strongly.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      3.6
      Seconds
  • Question 39 - The net effect of active Vitamin D on calcium and phosphate homeostasis is?...

    Incorrect

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

      Your Answer: Increase in Ca, no net effect on phosphate

      Correct 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
      13.7
      Seconds
  • Question 40 - 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
      7.9
      Seconds
  • Question 41 - The growth promoting protein anabolic effects of insulin are mediated by: ...

    Incorrect

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

      Your Answer: Igf-1

      Correct 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
      8.4
      Seconds
  • Question 42 - 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
      6.8
      Seconds
  • Question 43 - Which of the following derivatives of proopiomelanocortin is an opioid peptide? ...

    Incorrect

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

      Your Answer: Melanotropins

      Correct 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
      6.8
      Seconds
  • Question 44 - 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: It arises embryologically from the 3rd and 4th brachial pouches.

      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
      31.2
      Seconds
  • Question 45 - 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
      11.8
      Seconds
  • Question 46 - 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
      2.9
      Seconds
  • Question 47 - 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
      16.7
      Seconds
  • Question 48 - Embryologically the anterior pituitary is formed from? ...

    Incorrect

    • Embryologically the anterior pituitary is formed from?

      Your Answer: Endoderm

      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
      4
      Seconds
  • Question 49 - Pendrin is a Cl-/I- exchanger whose function is: ...

    Correct

    • Pendrin is a Cl-/I- exchanger whose function is:

      Your Answer: Transfer of iodide across the thyrocyte apical membrane into the colloid

      Explanation:

      Pendrin is an anion transporter present in the inner ear, thyroid and kidney. It regulates the entrance of iodide from the thyroid cell to the colloid space. It has been proposed that its role could be the maintenance of the ionic composition of the endolymph.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      23.2
      Seconds
  • Question 50 - Which one of the following skin disorders is least commonly associated with hypothyroidism?...

    Incorrect

    • Which one of the following skin disorders is least commonly associated with hypothyroidism?

      Your Answer: Eczema

      Correct Answer: Pretibial myxoedema

      Explanation:

      Pretibial myxoedema is an infiltrative dermopathy, resulting as a rare complication of Graves’ disease (hyperthyroidism) and very occasionally occurs in non-thyrotoxic Graves’ disease and Hashimoto’s thyroiditis.

      Hypothyroidism typically presents with symptoms such as dry skin, brittle hair, and thinning of the outer third of the eyebrows. While skin conditions like dryness and hair changes are common in hypothyroidism due to reduced metabolic activity, acne is also not typically associated with it.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      12.2
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Endocrinology (21/50) 42%
Medicine (21/50) 42%
Passmed