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  • Question 1 - The net effect of parathyroid hormone on calcium and phosphate homeostasis is? ...

    Incorrect

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

      Your Answer: Increase in Ca , increase in phosphate

      Correct 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
      61.8
      Seconds
  • Question 2 - 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
      17.6
      Seconds
  • Question 3 - Which glucose transporter is responsible for the uptake of glucose in ß cells?...

    Incorrect

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

      Your Answer: GLUT 4

      Correct 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
      10.2
      Seconds
  • Question 4 - 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
      11.1
      Seconds
  • Question 5 - Which of the following is responsible for converting inactive cortisone to active cortisol...

    Correct

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

      Your 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
      15.5
      Seconds
  • Question 6 - 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
      8.3
      Seconds
  • Question 7 - 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
      13.5
      Seconds
  • Question 8 - The febrile response to PGE2 will be impaired with the knockout of which...

    Incorrect

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

      Your Answer: Ep1

      Correct 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
      93.1
      Seconds
  • Question 9 - 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: B lymphocytes

      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
      17.5
      Seconds
  • Question 10 - What is the effect of vasopressin on the kidney? ...

    Incorrect

    • What is the effect of vasopressin on the kidney?

      Your Answer: Decrease collecting duct permeability to water

      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
      91.2
      Seconds
  • Question 11 - Within the hypothalamus, the dopamine-secreting neurones of the intrahypothalamic system have their cell...

    Incorrect

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

      Your Answer: Paraventricular

      Correct 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
      28
      Seconds
  • Question 12 - The main efferent input of the posterior pituitary gland comes from: ...

    Incorrect

    • The main efferent input of the posterior pituitary gland comes from:

      Your Answer: Paracrine hormones secreted from the hypothalamus via pituitary portal veins

      Correct Answer: Paracrine hormones secreted from the hypothalamus via axons.

      Explanation:

      The posterior pituitary or neurohypophysis consists of a collection of axonal projections emerging from the hypothalamus. It releases hormones directly from these axonal endings into circulation; these hormones are oxytocin and vasopressin.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      24.5
      Seconds
  • Question 13 - Which of the following predominate in the adrenal medulla? ...

    Correct

    • Which of the following predominate in the adrenal medulla?

      Your Answer: Epinephrine secreting cells

      Explanation:

      Chromaffin cells, also known as pheochromocytes, are cells located in the adrenal medulla which specialize in the synthesis, storage, and secretion of catecholamines: 80% epinephrine and 20% norepinephrine is released into the bloodstream. For this reason, they are considered to be neuroendocrine cells.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      30.9
      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
      9.9
      Seconds
  • Question 15 - Choose the correct statement regarding trabecular bone: ...

    Incorrect

    • Choose the correct statement regarding trabecular bone:

      Your Answer: Is made up of spicules/plates with a high surface to volume ratio, with many cells sitting on the surface of the end plates

      Correct 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
      31
      Seconds
  • Question 16 - Where is thyroglobulin produced? ...

    Incorrect

    • Where is thyroglobulin produced?

      Your Answer: Colloid

      Correct 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
      29.6
      Seconds
  • Question 17 - 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: Posterior pituitary

      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
      74.9
      Seconds
  • Question 18 - 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
      12.8
      Seconds
  • Question 19 - To which protein is T3 mostly bound in the serum? ...

    Incorrect

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

      Your Answer: Albumin

      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
      14.8
      Seconds
  • Question 20 - Select a factor which stimulates glucagon secretion. ...

    Incorrect

    • Select a factor which stimulates glucagon secretion.

      Your Answer: Somatostatin

      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
      91.2
      Seconds
  • Question 21 - 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
      18.3
      Seconds
  • Question 22 - 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
      6.9
      Seconds
  • Question 23 - 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
      298.9
      Seconds
  • Question 24 - 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
      37.5
      Seconds
  • Question 25 - 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
      35.8
      Seconds
  • Question 26 - Select the correct statement about the microanatomy of the thyroid gland. ...

    Correct

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

      Your 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
      85.6
      Seconds
  • Question 27 - 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
      17.1
      Seconds
  • Question 28 - What is the most common cause of primary hyperaldosteronism? ...

    Incorrect

    • What is the most common cause of primary hyperaldosteronism?

      Your Answer: Pituitary tumour

      Correct 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
      58.9
      Seconds
  • Question 29 - What is the effect of oxytocin on the breast? ...

    Incorrect

    • What is the effect of oxytocin on the breast?

      Your Answer: Milk formation

      Correct 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
      22.4
      Seconds
  • Question 30 - Which one of the following makes up most of the adrenal cortex? ...

    Correct

    • Which one of the following makes up most of the adrenal cortex?

      Your Answer: Zona fasciculata

      Explanation:

      The zona fasciculata represents the widest area of the adrenal cortex, situated in the middle of the cortex. It produces glucocorticoids including; 11-deoxycorticosterone, corticosterone, and cortisol.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      50
      Seconds
  • Question 31 - 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
      7.1
      Seconds
  • Question 32 - Where do the portal hypophysial vessels arise? ...

    Incorrect

    • Where do the portal hypophysial vessels arise?

      Your Answer: Pituitary fossa

      Correct 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
      8.6
      Seconds
  • Question 33 - 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: Neutrophils

      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
      19
      Seconds
  • Question 34 - 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
      4.2
      Seconds
  • Question 35 - As assessed by immunocytochemistry and electron microscopy, the anterior pituitary gland contains how...

    Correct

    • As assessed by immunocytochemistry and electron microscopy, the anterior pituitary gland contains how many different types of cells?

      Your Answer: 5

      Explanation:

      The pituitary is divided into three sections

      -the anterior lobe which constitute the majority of the pituitary mass and is composed primarily of five hormone-producing cell types (thyrotropes, lactotropes, corticotropes, somatotropes and gonadotropes) each secreting thyrotropin, prolactin, ACTH, growth hormone and gonadotropins (FSH and LH) respectively.

      There is also a sixth cell type in the anterior lobe -the non-endocrine, agranular, folliculostellate cells.

      The intermediate lobe produces melanocyte-stimulating hormone and endorphins, whereas the posterior lobe secretes anti-diuretic hormone (vasopressin) and oxytocin.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      9.9
      Seconds
  • Question 36 - Embryologically the anterior pituitary is formed from? ...

    Correct

    • Embryologically the anterior pituitary is formed from?

      Your 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
      6.9
      Seconds
  • Question 37 - Where is the melanocortin system located? ...

    Incorrect

    • Where is the melanocortin system located?

      Your Answer: Pituitary

      Correct 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
      10
      Seconds
  • Question 38 - 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
      17.8
      Seconds
  • Question 39 - The action of progesterone on different organs/systems includes: ...

    Incorrect

    • The action of progesterone on different organs/systems includes:

      Your Answer: Brain: stimulation of LH secretion thus triggering ovulation

      Correct Answer: Breasts: stimulation of lobular and alveolar development

      Explanation:

      Progesterone is a sex hormone which affects mainly the reproductive system. In the breasts, it mediates the lobuloalveolar maturation to allow for milk production; this is done in conjunction with prolactin. It acts to maintain female reproductive and sex characteristics.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      89.1
      Seconds
  • Question 40 - 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
      21.8
      Seconds
  • Question 41 - 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
      29.3
      Seconds
  • Question 42 - 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
      33.2
      Seconds
  • Question 43 - 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
      14.6
      Seconds
  • Question 44 - In which of the following are the enzymatic mechanisms for producing aldosterone found?...

    Incorrect

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

      Your Answer: Zona fasciculate

      Correct 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
      27.2
      Seconds
  • Question 45 - 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
      17.7
      Seconds
  • Question 46 - Where does the anterior pituitary receive most of its blood supply? ...

    Correct

    • Where does the anterior pituitary receive most of its blood supply?

      Your Answer: Portal hypophysial vessels

      Explanation:

      The anterior pituitary receives its arterial supply from the superior hypophyseal artery, which is a branch of the internal carotid that forms a capillary around the hypothalamus; thus forming the hypothalamo-hypophysial portal system.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      8.4
      Seconds
  • Question 47 - 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
      17.2
      Seconds
  • Question 48 - 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
      17.1
      Seconds
  • Question 49 - 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
      10.4
      Seconds
  • Question 50 - An important hormone controlling the differentiation of monocytes to osteoclasts, by inhibiting the...

    Correct

    • An important hormone controlling the differentiation of monocytes to osteoclasts, by inhibiting the RANKL/ RANK interaction is called?

      Your Answer: Osteoprotegerin

      Explanation:

      Osteoprotegerin, also known as osteoclastogenesis inhibitory factor (OCIF) is a glycoprotein that acts as a cytokine receptor. It works as a decoy receptor for the receptor activator of nuclear factor-kappaB ligand (RANKL)/osteoclast differentiation factor, thus inhibiting the differentiation of osteoclasts, which are capable of resorbing bone. Osteoprotegerin has been proposed as a therapeutic agent for osteoporosis.

    • This question is part of the following fields:

      • Endocrinology
      • Medicine
      14.4
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Endocrinology (26/50) 52%
Medicine (26/50) 52%
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