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Advanced Pathophysiology

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Advanced Pathophysiology

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PART 1: ENDOCRINE SYSTEM FUNDAMENTALS


QUESTION 1

What is the difference between Endocrine and Exocrine glands?​
A) Exocrine glands secrete into the bloodstream; Endocrine glands secrete into ducts​
B) Exocrine glands secrete into ducts; Endocrine glands secrete directly into the
bloodstream​
C) Both secrete directly into the bloodstream​
D) Both secrete into ducts

ANSWER: B​
RATIONALE: Exocrine glands secrete substances into a ductal system to an epithelial
surface, while endocrine glands secrete products directly into the bloodstream


QUESTION 2

What are water-soluble hormones made from?​
A) Cholesterol​
B) Amino acids​
C) Fatty acids​
D) Carbohydrates

ANSWER: B​
RATIONALE: Water-soluble hormones are made from amino acids. They cannot pass
through the plasma membrane and therefore act on plasma membrane receptors

,QUESTION 3

What are lipid-soluble hormones made from?​
A) Amino acids​
B) Nucleic acids​
C) Cholesterol​
D) Glucose

ANSWER: C​
RATIONALE: Lipid-soluble hormones are made from cholesterol. Examples include
estrogen, cortisol, and progesterone


QUESTION 4

Which hormone is NOT considered a peptide/polypeptide hormone?​
A) Growth hormone​
B) Insulin​
C) Cortisol​
D) Prolactin

ANSWER: C​
RATIONALE: Cortisol is a steroid hormone (lipid-soluble), not a peptide. Growth hormone,
insulin, leptin, and prolactin are peptide hormones


QUESTION 5

Which catecholamines function as both hormones and neurotransmitters?​
A) Dopamine and serotonin​
B) Epinephrine and norepinephrine​
C) Acetylcholine and GABA​
D) Histamine and dopamine

ANSWER: B​
RATIONALE: Epinephrine and norepinephrine are catecholamines that function as both
hormones and neurotransmitters .

,QUESTION 6

Thyroxine (T4) is classified as:​
A) Water-soluble amine​
B) Lipid-soluble amine​
C) Peptide hormone​
D) Steroid hormone

ANSWER: B​
RATIONALE: Thyroxine is a lipid-soluble amine, not water-soluble


QUESTION 7

What is the most common feedback loop in the endocrine system?​
A) Positive feedback loop​
B) Negative feedback loop​
C) Cyclic variation​
D) Feedforward regulation

ANSWER: B​
RATIONALE: Negative feedback is the most common regulatory mechanism in the
endocrine system, maintaining hormone levels within a healthy range


QUESTION 8

The release of oxytocin during childbirth to initiate and amplify uterine contractions is
an example of:​
A) Negative feedback loop​
B) Positive feedback loop​
C) Feedforward regulation​
D) Cyclic variation

ANSWER: B​
RATIONALE: Positive feedback loops are less common but crucial in situations like
childbirth, where oxytocin release escalates until delivery

, PART 2: ANTERIOR PITUITARY & HYPOTHALAMUS


QUESTION 9

Which hormone stimulates the release of growth hormone?​
A) Somatostatin​
B) Growth hormone-releasing hormone (GHRH)​
C) Thyroid-stimulating hormone (TSH)​
D) Prolactin-releasing hormone (PRH)

ANSWER: B​
RATIONALE: Growth hormone-releasing hormone (GHRH) is produced by the
hypothalamus and stimulates the release of growth hormone from the anterior pituitary


QUESTION 10

Which hormone is responsible for ketosis?​
A) Insulin​
B) Cortisol​
C) Growth hormone​
D) Glucagon

ANSWER: C​
RATIONALE: Growth hormone is responsible for ketosis by promoting the breakdown of
fats for energy

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