ATI RN
Exam Questions on Endocrine System Questions
Question 1 of 5
Which hormone stimulates gluconeogenesis in the liver?
Correct Answer: C
Rationale: The correct answer is C: Glucagon. Glucagon stimulates gluconeogenesis in the liver by promoting the breakdown of glycogen stores into glucose. Insulin, choice A, actually inhibits gluconeogenesis by promoting glucose uptake and storage. Growth hormone, choice B, primarily affects protein synthesis and growth rather than directly stimulating gluconeogenesis. Estrogen, choice D, is not directly involved in regulating gluconeogenesis in the liver. Therefore, based on its specific function in promoting glucose production in the liver, glucagon is the correct answer.
Question 2 of 5
A patient presents with a bump on his neck. Upon taking a tissue sample, there appears to be parafollicular cells. The tumor is also associated with MEN II, although most of the time it is sporadic. What is the best way to moniter treatment?
Correct Answer: D
Rationale: Rationale: The parafollicular cells in the tissue sample indicate a tumor of the thyroid gland, likely medullary thyroid carcinoma (MTC) associated with Multiple Endocrine Neoplasia Type II (MEN II). MTC primarily secretes calcitonin. Monitoring Calcitonin levels is crucial for assessing disease progression and treatment response in MTC. Measuring Thyroid Hormone Levels (A) would not be specific for MTC. Iodine Levels (B) are not relevant in this context. TSH Levels (C) reflect pituitary feedback and are not specific to MTC. Therefore, the best way to monitor treatment in this case is to measure Calcitonin Levels (D).
Question 3 of 5
A 32-year-old woman presents with a blood pressure of 155/96 mm Hg. In response to questioning, she admits that she loves licorice and eats some at least three times a week. She probably has a low level of
Correct Answer: A
Rationale: The correct answer is A: type 2 11β-hydroxysteroid dehydrogenase activity. Licorice contains glycyrrhizin, which inhibits this enzyme, leading to increased levels of cortisol and mineralocorticoids. This explains the elevated blood pressure in the patient. Choice B, ACTH, is incorrect because licorice consumption does not directly affect ACTH levels. Choice C, 11β-hydroxylase activity, is incorrect as licorice does not impact this enzyme directly. Choice D, glucocorticoid transferase, is also incorrect as licorice does not affect this enzyme's activity.
Question 4 of 5
Androgens are produced by the _______.
Correct Answer: B
Rationale: The correct answer is B: testes. Androgens, such as testosterone, are male sex hormones primarily produced by the testes. The testes contain specialized cells called Leydig cells that secrete androgens. Ovaries (A) produce female sex hormones like estrogen and progesterone. The hypothalamus (C) regulates hormone production through the pituitary gland but does not directly produce androgens. Islets of Langerhans (D) are clusters of cells in the pancreas responsible for producing insulin and glucagon, not androgens.
Question 5 of 5
The rate of metabolism of all body cells is regulated by _______.
Correct Answer: D
Rationale: The correct answer is D: thyroid hormone. Thyroid hormone plays a crucial role in regulating the rate of metabolism in all body cells by influencing the production of enzymes involved in energy production. It increases the body's metabolic rate, affecting processes such as heart rate, temperature regulation, and energy expenditure. Parathyroid hormone (A) regulates calcium levels, aldosterone (B) regulates electrolyte balance, and calcitonin (C) regulates calcium metabolism, but they do not directly influence overall metabolism rate in all body cells. Thyroid hormone is the primary hormone responsible for controlling metabolism throughout the body.