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Chapter 16: endocrine system

front 1 The major stimulus for release of parathyroid hormone is: a. hormonal b. humoral c. neural	back 1 b. humoral
front 2 The anterior pituitary secrets all but a. antidiuretic hormone b. growth hormone c. gonadotropins d. TSH	back 2 a. antidiuretic hormone
front 3 A hormone not involved in glucose metabolism is a. glucagon b. cortisone c. aldosterone d. insulin	back 3 c. aldosterone
front 4 Parathyroid hormone a. increases bone formation and lowers blood calcium levels b. increseas calcium excretion from the body c. decreases calcium absorption from the gut d. demineralizes bone and raises blood calcium levels	back 4 d. demineralizes bone and raises blood calcium levels

front 5 steroid hormone	back 5 aldosterone
front 6 secreted by the posterior pituitary (two choices)	back 6 antidiuretic oxytocin
front 7 tropic hormone that stimulates the thyroid gland to secrete thyroid hormone	back 7 TSH
front 8 causes reabsorption of sodium ions by the kidneys	back 8 aldosterone

front 9 major metabolic hormone(s) of the body	back 9 T4 and T3
front 10 incresase uterine contractions during birth	back 10 oxytocin
front 11 tropic hormone that stimulates the gonads to secrete sex hormones	back 11 luteinizing hormone
front 12 stimulates milk production	back 12 prolactin

front 13 cause the kidneys to conserve water and/or salt (two choices)	back 13 aldosterone antidiuretic hormone
front 14 important anabolic hormone; many of its effects mediated by IGFs	back 14 growth hormone
front 15 A hypodermic injectionof epinphrine would a. increase heart rate, increase blood pressure, dilate the bronchi of the lungs, and increase peristalis b. decrease heart rate, decrease blood pressure, constrict the bronchi, and increase peristalsis c. decrease heart rate, increase blood pressure, constrict the bronchi, and decrease peristalis d. increase heart rate, increase blood pressure, dilate the bronchi, and decrease peristalsis	back 15 d. increase heart rate, increase blood pressure, dilate the bronchi, and decrease peristalsis
front 16 Testosterone is to the male as which hormone is to the female? a. luteinizing hormone b. progesterone c. estrogen d. prolactin	back 16 c. estrogen

front 17 If anterior pituitary secretion is deficient in a growing child, the child will a. develop acromegaly b. become a dwarf but have fairly normal body proportions c. mature sexually at an earlier than normal age d. be in constant danger of becoming dehydrated	back 17 b. become a dwarf but have fairly normal body proportions
front 18 If there is adequate carbohydrate intake, secretion of insulin results in a. lower blood glucose levels b. increased cell utilization of glucose c. storage of glycogen d. all of these	back 18 d. all of these
front 19 Hormones a. are produced by exocrine glands b. carried to all parts of the body in blood c. remain at constant concentration in the blood d. affect only non-hormone-producing organs	back 19 b. carried to all parts of the body in blood
front 20 Some hormones act by a. increasing the synthesis of enzymes b. converting an inactive enzyme into an active enzyme c. affecting only specific target organs d. all of these	back 20 d. all of these

front 21 Absence of thyroid hormone would result in a. increased heart rate and increased force of heart contraction b. depression of the CNS and lethargy c. exophthalmos d. high metabolic rate	back 21 b. depression of the CNS and lethargy
front 22 Medullary chromaffin cells are found in the a. parathyroid gland b. anterior pituitary gland c. adrenal gland d. pineal gland	back 22 c. adrenal gland
front 23 Atrial natriuretic peptide secreted by the heart has exactly the opposite function of this hormone secreted by the zona glmerulosa a. antidiurectic hormone b. epinephrine c. calcitonin d. aldosterone e. androgens.	back 23 d. aldosterone
front 24 Define hormone.	back 24 no data

front 25 Which type of hormone receptor-plasma membrane bound or intracellular - would be expected to provide the most long-lived response to hormone binding and why?	back 25 no data
front 26 anterior pituitary a. location b. hormones produced	back 26 no data
front 27 pineal gland a. location b. hormones produced	back 27 no data
front 28 pancreas a. location b. hormones produced	back 28 no data

front 29 ovaries a. location b. hormones produced	back 29 no data
front 30 testes a. location b. hormones produced	back 30 no data
front 31 adrenal glands a. location b. hormones produced	back 31 no data
front 32 Name two endocrine glands (or regions) that are important in the stress response, and explain why they are important.	back 32 no data

front 33 The anterior pituitary is often referred to as the master endocrine organ, but it, too has a "master." What controls the release of anterior pituitary hormones?	back 33 no data
front 34 The posterior pituitary is not really an endocrine gland. Why not?	back 34 no data
front 35 Endemic goiter is not really the result of a malfunctioing thyroid gland. What does cause it?	back 35 no data
front 36 How are the hyperglycemia and lipidemia of insulin deficiency linked?	back 36 no data

front 37 Name a hormone secreted by a muscle cell and two hormones secreted by neurons.	back 37 no data
front 38 List some problems that elderly people might have as a result of decreasing hormone production.	back 38 no data
front 39 We have a new patient to consider today. Mr. Gutterman, a 70-year-old male, was brought into the ER in a comatose state and has yet to come out of it. It is obvious that he suffered severe head trauma-- his scalp was badly lacerated, and he has an impated skul fracture. His initial lab tests (blood and urine) were within normal limits. His fracture was repaired and the folloing orders and others were given: Check qh and record: spontaeous behavior, level of responsiveness, movements, pupil size and reaction to light, speech, and vital signs. Turn patient q4h and maintain meticulous skin care and dryenss.	back 39 He is unconscious, the level of damage to his brain is unclear. Monitoring his responses and vital signs qh will provide information for his care providers about the extent of his injuries. Turning q4h and providing careful skin care will prevent Decubs as well as stimulating his proprioceptive pathways.
front 40 On the second day of his hospitalization, the aide reports that Mr. Gutterman is breathing irregularly, his skin is dry and flaccid, and that she has emptied his urine reservoir several times during the day. Upon receiving this information, the MD ordered: blood and urine tests for presence of glucose and ketones strict I&O Mr. Gutteman is found to be losing huge amounts of water in urine and the volume lost is being routinely replaced via IV line. Mr. Gutteman's blood and urine tests are negative for glucose and ketones. What would you say Mr. Gutteman's hormonal problem is and what do you think caused it? Ist life threatening?	back 40 His condition is termed diabetes insipidus, a condition in which insufficient quantities of antidiuretic hormone (ADH) are produced or released. These types of patients excrete large volumes of urine but do not have glucose or ketones present in the urine. The head trauma could have damaged his hypothalamus, chich produces the hormone, or injured his posterior pituitary gland, which produces the hormone, or injured his posterior pituitary gland. Which releases ADH into the bloodstream. It is not life threatening for most pple with normal thirst mechanism. However, he is unable to tell or preform the skill on his own, and to prevent dehydration on it's own.