ANSWERS FOR THE FINAL PAPER 2026.
◍ When serum glucose levels increase, what are the normal
physiologic responses?
A) Glucagon release is inhibited.
B) Insulin is released
C) Amylin release is inhibited
D) Carbohydrates, fats, and proteins are released
E) Glucagon release is inhibited, and insulin is released.. Ans: E
◍ __________ is the protein that is bound to the thyroid hormone.
A) Thyroglobulin
B) Thyrotropin
C) Thyroxine
D) Triiodothyronine. Ans: A
◍ A nurse is working night shift and is experiencing episodes of
insomnia and excessive sleepiness. These symptoms can be partly
explained by alterations in the hormone cortisol, which is released in
A) a circadian pattern (i.e., diurnal pattern)
B) response to sleep needs
C) a negative feedback manner
D) a continuous steady state throughout the day.. Ans: A
, ◍ A 30-year-old woman is complaining of galactorrhea and oligo-
amenorrhea. Which of the following diagnostic test findings supports
that a pituitary problem is leading to the symptoms described by this
woman?
A) Decreased serum prolactin levels
B) Prolactinoma on a magnetic resonance imaging
C) Low thyroid-stimulating hormone
D) Normal prolactin inhibitor factor. Ans: B
◍ A 50-year-old man is complaining of paresthesias in his hands and
feet. He has noted over the years that his hands have gotten larger. On
physical exam, he is noted to have a very deep voice, and his forehead
and jaw protrude. His hands and feet are large. Acromegaly is
suspected. What other manifestation could occur with acromegaly that
is one of the primary causes of death?
A) Cardiomyopathy
B) Hyperhidrosis
C) Kyphosis
D) Impaired glucose tolerance. Ans: A
◍ A 30-year-old man who sustained a head injury from a motorcycle
accident is in the intensive care unit. His computerized tomography
scan revealed mild cerebral edema. On the second day in the unit, he
began having large urine output. What other manifestations would
support a diagnosis of diabetes insipidus?
A) A low plasma osmolality
, B) A high urine osmolality
C) A high plasma osmolality
D) Hyponatremia. Ans: C
◍ Type 1 diabetes is best described as:
A) a decrease in glucagon secretion from cells of the pancreas.
B) a resistance to insulin by insulin-sensitive tissue.
C) an autoimmune-mediated specific loss of beta cells in the
pancreatic islets. D) compensatory hyperinsulinemia and gradual beta
cell dysfunction.. Ans: C
◍ Hyperinsulinemia occurs in type 2 diabetes mellitus because of:
A) lack of glucose use and increased glucose production.
B) beta cell destruction.
C) glucagon inhibition
D) the ability of residual beta cells to produce insulin.. Ans: A
◍ Diabetes insipidus and diabetes mellitus exhibit which of the
following symptoms?
A) Oliguria
B) Edema
C) Vomiting
D) Thirst. Ans: D