Year3 Bl

ock5
Exam
(
2016-
2017)Bat
ch18
TheEndocr
ineSy
stem

1-TheRat
hke’
spouchi
s:

a.Adownwar
dext
ensi
onoft
hedi
encephal
on.

b.Anect
oder
malout
pocket
ingoft
hest
omodeum.
**

c.Aupwar
dext
ensi
onoft
hedi
encephal
on.

d.

2-whi
choft
hefol
lowi
ngisconsider
edthesmal
l
estofany
gr
anul
esi
nthecel
l
softhehypophysi
s::

a.Somat
otr
ophs.

b.cor
ti
cot
rophs.

c.t
hyr
otr
ophs.
**

d.gonadot
rophs.

3-t
hefoll
owingarechar
act
eri
sti
csofundi
ff
erent
iat
edcel
l
sof
Par
stuber
ali
sexcept:

a.ar
rangedi
ncl
umps.
**

b.col
umnarcel
l
s.

c.t
hei
rcy
topl
asm showsnumer
oussmal
lgr
anul
es

d.hasl
argeamount
sofgl
ycogen.

4-whi
chofpancr
eat
iccel
l
sar
elocat
edatt
heper
ipher
yoft
he
i
slet:

a.al
phacel
ls.
**

b.bet
acel
l
s.

c.Del
tacel
l
s.

d.Pancr
eat
icpol
ypept
idecel
l
s.

5-t
hef
oll
owi
ngar
etr
ueaboutHer
ri
ngbodi
esexcept:

a.ar
eswel
l
ingsofv
ari
abl
esi
zes.

b.f
oundi
ntheaxonsofneur
osecr
etor
yneur
ons

c.t
heseneur
onsi
nner
vat
etheant
eri
orpi
tui
tar
ygl
and.
**

d.consi
stofl
argeaccumul
ati
onsofdensesecr
etor
ygr
anul
es.

6-Hashi
mot
othy
roi
dit
isi
sar
iskf
act
orf
or:

a.Fol
l
icul
arcar
cinoma.

b.Papi
l
lar
ycar
cinoma

c.Bcel
lNonHodgki
nly
mphoma.
**

d.Medul
l
arycar
cinoma.

7-lowTSH,
highT3&T4possi
blecanseei
nal
lthef
oll
owi
ng
except:

a.Gr
avesDi
sease

b.Hashi
mot
othy
roi
dit
is.

c.Subacut
eGr
anul
omat
ousThy
roi
dit
is

d.Endemi
cgoi
ter
.**
8-thefol
lowi
ngarechar
act
eri
sti
cofnodul
ear
emor
eli
kel
ytobe
neopl
asti
cexcept:

a.y
oungerpat
ient
s.

b.Mal
es.

c.Hotnodul
e.*
*

d.ahi
stor
yofr
adi
ati
on.

9-Regar
dingt
hepar
athy
roi
dgl
ands:

a.Dr
ainedbydeepcer
vicall
ymphnodes.
**

b.usual
l
yli
eint
ernal
tot
het
hyr
oidcapsul
e

c.I
tssy
mpat
het
ici
nner
vat
ioni
ssecr
etomot
or.

d.
All
aret
rue.

10-whi
choft
hef
oll
owi
ngi
scor
rectaboutadr
enal
gland:

a.t
her
ightsupr
arenalv
eindr
ainsi
ntot
heI
VC.
**

b.theleftsupr
arenalgl
andi
slocat
edant
eri
ort
othebodyof
pancreas.

c.t
hel
eftsupr
arenal
vei
ndr
ainsi
ntot
heI
VC.

d.eachsupr
arenal
glangi
ssui
ppl
i
edby2ar
ter
ies.

11-whichoft
hef
oll
owi
ngi
str
uer
egar
dingt
hef
unct
ionof
gl
ycogen:

a.St
imul
atesgl
ycogenesi
s.

b.act
ivat
ecAMPwhi
cht
endt
oSt
imul
atesgl
uconeogenesi
s.*
*

c.i
tdeccr
easedi
ncombat
inghy
pogl
ycemi
a.

d.i
nhi
bitket
ogenesi
s.

12-whichofthef
oll
owi
ngi
sther
atel
i
mit
ingst
epi
nst
eroi
d
bi
osynt
hesis:
a.Conv
ersi
onofchol
est
erolt
opr
egnenol
one.
**

b.conv
ersi
onofpr
egnenol
onet
opr
ogest
erone.

c.

d.

13-Mostofchol
est
erol
inadr
enal
gland:

a.most
lyi
nfr
eef
orm.

b.most
lyi
nest
eri
fi
edf
orm.
**

c.est
eri
fi
edf
orm equal
tof
reef
orm.

d.
thef
reef
ormi
smor
ethanest
eri
fi
edf
orm.

14-whi
choft
hef
oll
owi
ngi
sacr
it
eri
aofdi
agnosi
sofD.
M:

a.Random bl
oodgl
ucose(
≥180mg/
dl)

b.Fast
ingbl
oodgl
ucose(
≥115mg/
dl)

c.Or
algl
ucoset
oler
ancet
estwi
th2-
hourpost
load(≥200
mg/dl
).
**

d.sy
mpt
omsar
enotr
ecommended.

15-incaseof48hoursf
ast
ing,
whi
choft
hef
oll
owi
ngi
sthe
sour
ceforglucose:

a.l
i
vergl
ycogen.

b.muscl
egl
ycogen.

c.l
act
ate.

d.al
ani
neami
noaci
d.*
*

16-Regar
dingt
heRegul
ati
onofhor
monesecr
eti
on,
thef
oll
owi
ng
ar
etr
ueex
cept:

a.
Hor
monesar
esecr
etedwhent
her
eisaneedf
ort
hei
ref
fect
s.

b.Eachhor
monehasaspeci
fi
cst
imul
usf
orsecr
eti
on.

c.thesecr
eti
onofmosthor
monesi
sregul
atedbyposi
ti
ve
feedbackmechani
sms.
**

d.

17-Regar
ding ,
thef
oll
owi
ngar
etr
ueexcept:

a.About80%ofthecir
culat
ingT3i
sder
ivedf
rom secr
etedT4t
hat
hasbeenperi
pheral
l
ystri
pped.

b.Mostoft
hesecr
etedT4i
sconv
ert
edi
ntoT3i
nsi
det
he
thy
roi
d.*
*

c.About90%ofthesecr
etor
ypr
oductr
eleasedf
rom t
het
hyr
oid
glandi
sinthef
orm ofT4

d.T3isthemajorbi
ologi
cal
l
yact
ivef
orm oft
hyr
oidhor
moneat
thecel
lul
arl
evel.

18-Regar
dingAct
ionsofi
nsul
i
n,t
hef
oll
owi
ngar
etr
ueexcept:

a.I
nsul
i
nfaci
l
itat
esgl
ucoset
ranspor
tint
omostcel
l
s.
b.st
imul
atesgl
ycogenesi
s.
c.i
tst
imul
ategl
uconeogenesi
s.*
*

d.
inhi
bit
sgl
ycogenol
ysi
s.

19-t
hepr
inci
pal
glucocor
ti
coi
dis:
a.al
dost
erone.

b.Cor
ti
sol
.*
*

c.cor
ti
cost
erone.

d.

20-Themi neral
ocor
ti
coi
dshav
egai
nedt
hisnamebecauset
hey
especi
all
yaffect:
a.
car
bohy
drat
es.

b.el
ect
rol
ytes.
**

c.sexhor
mones

d.al
labov
ear
efal
se.

21-r
egar
dingdi
abet
ict
ype2,
thef
oll
owi
ngar
etr
ueexcept:

a.l
ossofwei
ght
,recur
renti
nfect
ion.

b.i
nsul
int
her
apyi
sthechoi
ceoft
reat
ment
.**

c.Obesi
tyi
scommonr
iskf
act
or.

d.compl
i
cat
ion:
nephr
opat
hy,
ret
inopat
hy,
neur
opat
hy.

22-r
egar
dingsheehan'
ssy
ndr
ome,
thef
oll
owi
ngar
etr
ueexcept
:

a.Sali
entfeat
uresofSheehan'
ssyndr
ome(
lossaxi
l
lar
yandpubi
c
hai
r,at
rophybreast
,amenorrhea)
.

b.causeshy
pot
ensi
on&hy
pogl
ycemi
a.

c.Hy
per
pigmi
ntat
ioni
smostcommon.
**

d.CTscani
scommoni
nvest
igat
ion.

23-whi
choft
hef
oll
owi
ngi
stheMostCommonAdenoma:

a.Pr
olact
inoma.
**

b.acr
omegal
y.

c.Cushi
ngdi
sease.

d.SI
ADH.

24-whi
choft
hef
oll
owi
ngi
sthel
eastr
eli
abl
esi
gnofGr
ave'
s
di
sease:

a.t
achy
car
dia.
**

b.r
estt
achy
car
dia.

c.Thy
roi
dbr
uit
.

d.Heati
ntol
erance.

25-i
nToxi
cthy
roi
dGoi
ter,
thef
oll
owi
ngar
etr
ueexcept:

a.pal
pit
ati
on,
tremor,
lossofwei
ght
.

b.Thy
roi
dscan:l
owi
odi
neupt
ake.
**

c.LowTSH,
↑ T4

d.Br
ainMIconf
ir
m di
agnosi
s.

26-t
heant
it
hyr
oiddr
ug"Li
otr
ix"i
s:

a.Lev
othy
roxi
n

b.Li
othy
roni
ne

c.Lev
othy
roxi
n&Li
othy
roni
ne.
**

d.

27-t
hecommonconcent
rat
ionofi
nsul
i
npr
epar
ati
on:

a.
250I
.U.

b.150I
.U.

c.125I
.U.

d.100I
.U.
**

28-t
hemol ecul
armechani
sm ofact
ionofSul
fony
lur
ea
compounds:
a.I
nhibi
ti
onofef
fl
uxofpot
assi
um andi
ncr
easeent
ranceof
cal
cium.*
*

b.Reduct
ioni
nhepat
icupt
akeofi
nsul
i
n

c.I
nhi
bit
ionofhepat
icgl
ycogenol
ysi
s

d.I
ncr
easeofi
nsul
i
nrecept
ors

29-Pr
ost
agl
andi
nsandLeukot
ri
enesar
e:

a.neur
ogeni
chor
mones.

b.coagul
ati
vehor
mones.

c.l
ocalhor
mones.
**

d.endocr
inehor
mones.

30-whi
chofthefol
l
owi
ngdr
ugsi
smedi
um pot
encyand
i
nter
mediat
eacti
ng:

a.
bet
amet
hasone.

b.pr
edni
sone.
**

c.budesoni
de.

d.cor
ti
sone.

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