Hormones

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NCLEX-PN › Hormones

Questions 1 - 10
1

What nutrients are specifically needed for proper thyroid hormone production?

Tyrosine, iodine, and selenium

Methionine and magnesium

Iron, manganese, and biotin

Iodine and manganese

Explanation

The nutrients specifically required for thyroid hormone production are tyrosine, iodine, and selenium, in addition to zinc and several B vitamins. While magnesium, manganese, and methionine are all essential for metabolism and overall hormone production, they are not direct substrates or cofactors in the production of thyroid hormone.

2

Which of the following hormones is produced by the adrenal medulla?

Epinephrine

Antidiuretic hormone

Calcitonin

Thyroid-stimulating hormone

Follicle-stimulating hormone

Explanation

Epinephrine is the only hormone of those listed that is produced by the adrenal medulla. The adrenal medulla is the center of the adrenal gland. Antidiuretic hormone is produced by the posterior pituitary. Calcitonin is produced by the thyroid. Thyroid-stimulating hormone is secreted from the anterior pituitary, as is follicle-stimulating hormone.

3

What role do tyrosine and iodine play in thyroid hormone (thyroxine (T4), and triiodothyronine (T3)) production?

Synthesis of T4

Conversion of T4 to T3

Conversion of phenylalanine into tyrosine

None of these

Explanation

Tyrosine and iodine are both precursors for synthesis of T4. Selenium is essential for conversion of T4 to T3, and iron is the cofactor for conversion of phenylalanine into tyrosine.

4

Which of the following are not considered endocrine glands?

The salivary glands

The pancreas

The hypothalamus

The thyroid

The testes

Explanation

Endocrine glands secrete hormones into the blood. The endocrine glands include the ovaries, testes, hypothalamus, thyroid, pituitary, adrenal glands, pancreas, the pineal gland, and others. Salivary glands are considered exocrine glands. Exocrine glands secrete substances through ducts to the body surface or into body cavities, such as the mouth in the case of salivary glands.

5

Which of the following hormones promotes uterine contractility during and after childbirth?

Oxytocin

Estrogen

Progesterone

Prolactin

Amylin

Explanation

Oxytocin is produced by the hypothalamus, and is released by the posterior pituitary. Women experience an increased level of oxytocin during labor, after birth, and while breastfeeding. It helps to increase uterine contractility, aiding in the delivery process and preventing hemorrhage after birth. Progesterone and estrogen are hormones released from the ovary. Estrogen is has many effects on the body, one of which is the development of sex characteristics in females. Progesterone is important in regulation of the uterine lining. Prolactin is made by the anterior pituitary gland and functions in the production on breast milk.

6

When blood calcium is low, the parathyroid glands release parathyroid hormone. In response __________.

All of these

calcium is released from the bone

the kidneys absorb additional calcium that is filtered from the blood

the kidneys excrete less calcium into the urine

the intestines absorb more calcium from food

Explanation

All of these are correct effects of parathyroid hormone. The kidneys resorb calcium and as a result, less is released into the urine. The intestines absorb additional calcium from food and calcium is released from the bone through the work of osteoclasts.

7

Catecholamines are hormones that are released into the blood in response to stress. Where in the body are catecholamines produced?

The adrenal medulla

The adrenal cortex

The thyroid gland

The parathyroid gland

The anterior pituitary gland

Explanation

Catecholamines are hormones produced by the adrenal medulla. Adrenal glands are located above each kidney. Catecholamines may also function as neurotransmitters, important chemical messengers. They regulate the sympathetic nervous system's response to stress.

8

Which of the following hormones causes a feeling of satiety?

Leptin

Growth hormone

Cortisol

Insulin

Explanation

Leptin is secreted by adipose cells, and acts on the arcuate nucleus of the lateral hypothalamus to promote the synthesis of alpha-MSH (alpha-melanocyte-stimulating hormone), which is a hunger suppressant. It also binds to receptors for neuropeptide Y (NPY), a powerful hunger promoter, in the arcuate nucleus.

None of the other hormones listed, while all involved in nutrient and blood sugar metabolism, directly trigger feeling of satiety.

9

The thyroid is regulated by thyroid-stimulating hormone. Thyroid-stimulating hormone is produced by which of the following?

The anterior pituitary

The posterior pituitary

The hypothalamus

The adrenal cortex

The adrenal medulla

Explanation

Thyroid-stimulating hormone (TSH) is produced by the anterior pituitary. TSH causes the thyroid to release thyroid hormones (T3 and T4). A TSH blood test is often ordered to diagnose hypoactive thyroid.

10

Which of the following will cause a decrease in leptin levels?

All of these are correct

High testosterone

Exercise

Sleep deprivation

Explanation

Leptin, the hormone responsible for feelings of satiety, goes down during times of fasting, with high testosterone, during sleep deprivation, and during periods of prolonged exercise or physical training.

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