What substance is typically found in higher than normal amounts in the urine of individuals with pheochromocytoma?
Απάντηση
(C)
Vinylmandelic acid
2
In the process of creating epinephrine, which enzyme does the drug disulfiram (used to treat alcohol abuse) block?
Απάντηση
(B)
Dopamine β-hydroxylase
3
Which enzyme is essential for the creation of both Catecholamine and serotonin?
Απάντηση
(B)
N-methyl transferase
4
In what tissues does epinephrine trigger the breakdown of glycogen?
Απάντηση
(C)
Liver and muscle
5
What is a likely physiological response to consuming a strong cup of coffee?
Απάντηση
(C)
Enhance the effect of epinephrine
6
Through which process is epinephrine created from norepinephrine?
Απάντηση
(D)
N-methylation
7
A negative result on a 5 HIAA test could be expected if the patient is taking which medication?
Απάντηση
(C)
Phenothiazone
8
The presence of a significant quantity of 5-HIAA in urine often points to what medical condition?
Απάντηση
(C)
Metastasis of carcinoma of liver
9
What is considered a normal concentration range for triiodothyronine (T3) in serum?
Απάντηση
(B)
0.7-2.0 ng/ml
10
What is a typical range for the concentration of thyroxine (T₄) in serum?
Απάντηση
(B)
5.5-13.5 µg/100 ml
11
Overproduction of thyroid hormones leads to which condition?
Απάντηση
(A)
Hyperthyroidism
12
A deficiency of free T₃ and T₄ leads to
Απάντηση
(B)
Mysoedema
13
In the context of primary hypothyroidism, what is the most valuable measurement to assess?
Απάντηση
(D)
Autoantibodies
14
If iodine levels are adequate, what is the approximate T₃ to T₄ ratio in thyroglobulin?
Απάντηση
(C)
1:7
15
Which substance interferes with the thyroid gland's ability to absorb iodide?
Απάντηση
(A)
Thiocynate
16
Which component is found within the Thyroperoxidase enzyme?
Απάντηση
(A)
Heme
17
The Thyroperoxidase enzyme uses hydrogen peroxide for oxidation. How is the H₂O₂ generated?
Απάντηση
(D)
NADPH dependent enzyme
18
TSH is composed of two subunits. The α-subunits of TSH, LH, and FSH share similarities. Therefore, the specificity must come from the β subunit, containing how many amino acids?
Απάντηση
(B)
112
19
TSH stimulates the production of
Απάντηση
(A)
Thyroxine
20
Thyroid hormones are created by adding iodine to which amino acid?
Απάντηση
(D)
Tyrosine
21
Approximately how many tyrosine residues are found in each thyroglobulin molecule?
Απάντηση
(C)
115
22
What is the approximate percentage of inactive precursors (monoidotyrosine and diiodotyrosine) within thyroglobulin?
Απάντηση
(D)
70
23
How many amino acids are typically present in parathormone?
Απάντηση
(B)
84
24
Which amino acid sequence is crucial for the biological activity of parathormone?
Απάντηση
(B)
1-34
25
What is one effect of PTH?
Απάντηση
(A)
Reduces the renal clearance or excretion of calcium
26
How many amino acids are in the peptide hormone calcitonin?
Απάντηση
(C)
32
27
What effect does calcitonin generally produce?
Απάντηση
(A)
Calcinuria and phosphaturia
28
A key feature of hyperparathyroidism is often
Απάντηση
(D)
High serum calcium and low serum phosphate
29
Under what condition is parathyroid hormone typically released?
Απάντηση
(C)
Is secreted when Ca++ is too low
30
What hormone is produced by the 8-Cells of the islets of Langerhans in the pancreas?
Απάντηση
(C)
Somatostatin
31
What do the B-cells in the pancreatic islets of Langerhans produce?
Απάντηση
(A)
Insulin
32
Which tissue does insulin primarily act upon?
Απάντηση
(D)
Liver
33
Insulin is composed of two chains. What are the approximate lengths of the A and B chains in terms of amino acids?
Απάντηση
(B)
21 and 30
34
In the A chain of the insulin molecule, which amino acid is found at the beginning of the chain?
Απάντηση
(A)
Glycine
35
At the end of the A chain in the insulin molecule, which amino acid is located?
Απάντηση
(A)
Asparagine
36
What is the first amino acid in the B chain of the insulin molecule?
Απάντηση
(C)
Phenylalanine
37
At the end of the B chain in the insulin molecule, which amino acid is present?
Απάντηση
(A)
Threonine
38
How many connections, formed by sulfur atoms, exist between the insulin chains?
Απάντηση
(B)
2
39
Within a single chain of the insulin molecule, how many connections are formed by sulfur atoms?
Απάντηση
(A)
1
40
What element is necessary for insulin to aggregate into larger structures?
Απάντηση
(D)
Zinc
41
Approximately how many amino acids are present in pre-pro insulin?
Απάντηση
(C)
109
42
How many amino acids are typically found in proinsulin?
Απάντηση
(B)
86 amino acids
43
In a healthy adult male, what is the approximate daily insulin secretion?
Απάντηση
(D)
50 units
44
What is the approximate insulin content of the pancreas?
Απάντηση
(D)
200-250 units
45
What is the approximate half-life of insulin?
Απάντηση
(A)
< 3-5 minutes
46
Which metabolic process is stimulated by insulin?
Απάντηση
(B)
Hepatic glycogenesis
47
What effect does insulin have on lipid metabolism?
Απάντηση
(B)
It decreases lipolysis and increases triglyceride synthesis
48
Insulin enhances the function of which enzyme?
Απάντηση
(A)
Pyruvate kinase
49
Which enzyme's activity is reduced by insulin?
Απάντηση
(A)
CAMP dependent protein kinase
50
On which chromosome's short arm is the human insulin gene located?
