Steatorrhoea occurs with all of the following EXCEPT:

Correct Answer: B

Rationale: The correct answer is B because a congenital defect in gastric lipase would not lead to steatorrhoea. Gastrinoma, ileal disease with failure to reabsorb bile salts, and exocrine pancreatic disease can all cause steatorrhoea due to impaired fat digestion or absorption. Gastrinoma can lead to excessive acid production, which can interfere with fat digestion. Ileal disease can affect the reabsorption of bile salts necessary for fat digestion. Exocrine pancreatic disease can result in insufficient pancreatic enzymes needed for fat digestion. Therefore, choice B is the exception as it does not directly impact fat digestion or absorption.

Correct Answer: D

Rationale: The correct answer is D: amylase. Gastric juice primarily consists of hydrochloric acid, pepsin, and mucus. Amylase is an enzyme produced in the pancreas, not in the stomach. It functions in the small intestine to break down carbohydrates. Therefore, amylase is not a normal component of gastric juice. Choices A, B, and C are incorrect because HPO42- (phosphate ions), mucus, and lipase are all typically found in gastric juice.

Correct Answer: A

Rationale: The correct answer is A: cAMP. cAMP, or cyclic adenosine monophosphate, does not release large amounts of energy on breakdown compared to the other choices. Here's the rationale: 1. ATP (Choice B) is known as the energy currency of the cell and releases a significant amount of energy when broken down. 2. Creatine phosphate (Choice C) is a high-energy compound that can rapidly donate its phosphate group to regenerate ATP. 3. ADP (Choice D) releases energy when converted to ATP through phosphorylation. 4. cAMP (Choice A) is a secondary messenger involved in signal transduction and does not store or release energy like ATP or creatine phosphate.

Correct Answer: B

Rationale: The correct answer is B because men lose about 0.6mg of iron per day through various physiological processes like shedding skin cells and hair. This loss must be replenished through dietary intake to maintain iron balance. Choice A is incorrect as iron is more readily absorbed in the ferrous form. Choice C is incorrect as the average daily iron intake is around 18mg. Choice D is incorrect ascorbic acid enhances iron absorption rather than reducing it.

Correct Answer: D

Rationale: The correct answer is D: Thyroid. The thyroid gland produces hormones T3 and T4, which regulate the body's metabolism, including the basal metabolic rate (BMR). These hormones play a crucial role in controlling how the body uses energy. The other choices, A: Parathyroid, B: Pancreas, and C: Testes, do not directly regulate BMR. Parathyroid regulates calcium levels, pancreas regulates blood sugar levels, and testes produce hormones related to male reproductive functions. Thyroid is the only gland among the choices that specifically controls BMR through its hormone production.