Practice questions Flashcards
Which of the following is/are true?
(a) Acromegaly can lead to development of insulin dependent diabetes mellitus.
(b) Adrenalectomy is the treatment of choice for primary adrenocortical tumors.
(c) Cretinism is hypothyroidism occurring during adulthood
(d) a and b
(e) all of the above
D) a and b
Which of these animals is the most likely to spontaneously recover?
(a) Dog with diabetes mellitus
(b) Cat with a pheochromocytoma
(c) Hyperthyroid cat
(d) Cat with diabetes mellitus
(e) Dog with panhypopituitarism
D) cat with diabetes mellitus
Steroid hormones:
(a) are secreted on demand; not stored
(b) travel as free molecules (not bound to any protein or other carrier) through the blood.
(c) are produced by cells with abundant RER.
(d) bind to intracellular receptors in target cells and then the hormone-receptor complex binds directly to the DNA.
(e) a and d
E) a and d
Which statement is true?
(a) DHEA can be converted to a potent glucocorticoid in the circulation.
(b) Radioactive iodine would be an appropriate treatment for hypothyroidism.
(c) Some types of diabetes mellitus do not (at least initially) involve a lack of insulin
(d) Right before a big exam, vet students will have low levels of epinephrine in the blood due to stress.
(e) Diabetes mellitus is often seen in young dogs
C) Some types of diabetes mellitus do not (at least initially) involve a lack of insulin
Which of the following is/are true regarding the StAR protein?
(a) Facilitates transport of cholesterol across the mitochondrial membrane
(b) Found in Leydig cells
(c) Stimulated by LH
(d) all of the above are true
(e) none of the above are true
D) all of the above are true
Which of the following is true about insulin?
(a) Porcine insulin is not effective in dogs.
(b) Insulin causes glycogen catabolism in the liver.
(c) Insulin is secreted in response to low amino acid levels in the blood.
(d) Production of insulin can be inhibited by somatostatin.
(e) none of the above
D) production of insulin can be inhibited by somatostatin
What is a goiter?
(a) enlargement of the thyroid gland
(b) enlargement of the adrenal due to Addison’s disease
(c) enlargement of the pituitary as a secondary result of hyperthyroidism
(d) a compound use to treat hyperthyroidism
A) enlargement of the thyroid gland
Mrs. Miller from down the street has called in saying that she thinks her female Dachshund Fluffy has developed diabetes mellitus. Which of the following symptoms might you see?
(a) glycosuria
(b) polyuria / polydypsia
(c) hyperphagia
(d) a and b
(e) all of the above
E) all of the above
In which of the following conditions might you see alopecia as a symptom?
(a) Growth hormone imbalance
(b) Thyroid hormone imbalance
(c) Glucocorticoid imbalance
(d) a and c
(e) all of the above
E) all of the above
Which of the following are not pulsatile?
(a) LH
(b) oxytocin
(c) testosterone
(d) GnRH
(e) none of the above are pulsatile
B) oxytocin
Fluffy is a 5 year old unspayed female golden retriever showing signs of body weight gain, lethargy, decreased estrous cycling, and alopecia. Blood T4 levels are low but increase sharply following injection with TSH. However, T4 remains low following injection of TRH. Which of the following disorders would you consider to be most likely?
(a) primary hypothyroidism
(b) secondary hypothyroidism
(c) tertiary hypothyroidism
(d) cretinism
(e) terminal liver failure
B) secondary hypothyroidism
Which of the following is stimulated by luteinizing hormone (LH)?
(a) testosterone production by the Leydig cells of the male
(b) GH release
(c) CRH production by the hypothalamus
(d) all of the above are stimulated by LH
A) testosterone produced by the Leydig cells of the male
Growth hormone causes ________ to decrease.
(a) glucose uptake by muscle and fat
(b) blood glucose
(c) insulin resistance
(d) lipolysis
(e) all of the above
A) glucose uptake by muscle and fat
Long-term exogenous glucocorticoid administration would be an appropriate treatment for…
(a) primary hyper adrenocorticism
(b) secondary hypoadrenocorticism
(c) iatrogenic hypoadrenocorticism
(d) all of the above
(e) none of the above –glucocorticoids are potentially dangerous drugs and should never be used as a long-term treatment.
B) secondary hypoadrenocortism
In conditions of stress, you would expect to see high levels of which hormone(s)?
(a) cortisol
(b) GnRH
(c) epinephrine
(d) a and c
(e) all of the above
D) a and c
Which of the following hormones show marked diurnal variations?
(a) follicle stimulating hormone
(b) growth hormone
(c) cortisol
(d) b and c
(e) all of the above
D) b and c
Fluffy the 8-year-old cat is not looking good. Her weight is normal, but the cartilage and bone in her ears, nose and jaw seem to be enlarged and, and she is mildly hyperglycemic. Fluffy has:
(a) developmental hypersecretion of growth hormone
(b) acromegaly
(c) panhypopituitarism (dwarfism)
(d) adult-onset growth hormone deficiency
B) acromegaly
Which of the following is true about catecholamines?
(a) Epinephrine is the major regulator because there is more of it.
(b) Epinephrine is the major regulator because it is the only active catecholamine.
(c) Norepinephrine is the major regulator because there is more of it.
(d) Norepinephrine is the major regulator because it is the more active form.
(e) Epinephrine and norepinephrine are not catecholamines.
A) epinephrine is the major regulator because there is more of it
Catecholamines:
(a) are produced from the amino acid tryptophan.
(b) are stored in membrane-bound granules.
(c) cause vasodilation in all blood vessels of the body.
(d) Take 2-3 minutes to be released from the time of stimulation.
(e) none of the above
B) are stored in membrane-bound granules
BPH is a significant clinical problem in:
(a) cats
(b) dogs
(c) humans
(d) b and c
(e) all of the above
D) b and c
Fluffy the dog has been diagnosed with a chromaffin cell tumor (pheochromocytoma), leading to excessive production of epinephrine. Which of the following symptoms would you not expect?
(a) dilated pupils
(b) decreased intestinal motility
(c) catabolism of muscle tissue
(d) increased fat deposition
(e) all of the above.
D) increased fat deposition
Which of the following is/are necessary for normal growth?
(a) growth hormone
(b) epinephrine
(c) thyroxine
(d) a and c
(e) all of the above are necessary for growth
D) a and c
Prolactin:
(a) is essential for bone growth
(b) is inhibited by dopamine.
(c) is not present in males.
(d) stimulates milk letdown from the mammary glands.
(e) all of the above
B) is inhibited by dopamine
Injections of epinephrine would cause increases in blood glucose (TRUE/FALSE)
(a) True
(b) False
A) True
Which statement regarding parathyroid hormone (PTH) is correct?
(a) “Parathyroid hormone” is the same as “parathormone.”
(b) Hyperparathyroidism can result from tumors or adenomas of the parathyroid.
(c) High blood Ca2+ decreases PTH production.
(d) Calcitriol inhibits PTH production of PTH
(e) All of the above are correct
E) all of the above are correct
Fluffy the cat’s blood work is not looking so great. Her calcium levels are normal or just a
bit depressed, she seems to have mild osteoporosis, and her PTH is high. Fluffy has:
(a) primary hyperparathyroidism
(b) secondary hyperparathyroidism
(c) hypervitaminosis D
(d) hypercalcemia resulting from a malignancy
(e) not enough information to say
B) secondary hyperparathyroidism
Which of the following are true?
(a) T3 is the more active form. T3 is present in higher levels in the blood.
(b) T3 is the more active form. T4 is present in higher levels in the blood.
(c) T4 is the more active form. T3 is present in higher levels in the blood.
(d) T4 is the more active form. T4
is present in higher levels in the blood.
(e) The only important thyroid hormone is T57.
B) T3 is the more active form. T4 is present in higher levels in the blood
Which of the following is true?
(a) Cretinism is developmental hyperthyroidism.
(b) Primary hypothyroidism is less common than the secondary or tertiary forms.
(c) Older cats are more likely to develop hyperthyroidism than younger dogs.
(d) Animals with hypothyroidism are likely to exhibit bulging of the eyes.
(e) none of the above
C) older cats are more likely to develop hyperthyroidism than younger dogs
The following hormone(s) is/are produced by adipose tissue:
(a) leptin
(b) ghrelin
(c) cortisol
(d) a and b are correct
(e) a, b and c are correct
A) leptin
Thyroid hormone deficiency in a puppy would lead to:
(a) fruity-smelling breath (a sign of ketosis)
(b) increased GH
(c) increased fat mobilization
(d) impaired growth
(e) all of the above
D) impaired growth
Which is false?
(a) Hypoadrenocorticism is uncommon in dogs and even rarer in cats.
(b) Hydrocortisone cream is topically effective at relieving inflammation because it contains glucocorticoids.
(c) Inadequate secretion of aldosterone by the neurohypophysis is the major cause of diabetes insipidus.
(d) Adipose tissue is regulated by many hormones.
(e) c and d
C) inadequate secretion of aldosterone by the neurohypophysis is the major cause of diabetes insipidus
Glucophage is a drug used to increase the sensitivity of peripheral insulin receptors. In which species is Glucophage likely to be a more effective treatment?
(a) cats, because dogs will show allergic reactions to these drugs
(b) cats, because diabetic dogs rarely have many pancreatic B cells remaining.
(c) dogs, because cats rarely suffer from NIDDM.
(d) dogs, because diabetic cats
rarely have many pancreatic B cells remaining.
(e) None of the above
B) cats, because diabetic dogs rarely have many pancreatic B cells remaining
- Which is false?
(a) ADH is produced in the hypothalamus.
(b) Oxytocin stimulates uterine contractions.
(c) Hyperprolactinemia could result from deficient production of dopamine by the hypothalamus.
(d) Postparturient paresis (milk fever) is characterized by elevated blood calcium.
(e) b and d
D) postparturient paresis (milk fever) is characterized by elevated blood calcium
- Inhibition of the enzyme 1 α-hydroxylase in the kidney would likely lead to:
(a) increased absorption of calcium by the intestinal tract.
(b) increased calcitriol production.
(c) decreased intestinal calcium absorption.
(d) increased calcification of bone.
(e) none of the above
C) decreased intestinal calcium absorption
- Which of the following would NEVER measure serum cortisol in their patients?
(a) small animal veterinarians
(b) large animal veterinarians
(c) lab animal (rats + mice) veterinarians
(d) human doctors
C) lab animals (rats+mice) veterinarians
- Which is true about glucocorticoid induced glucose “sparing?”
(a) “Glucose sparing” is necessary because above all else, it is important that glucose be available for proper liver function.
(b) “Glucose sparing” is necessary to insure an adequate supply of fuel for muscle
(c) “Glucose sparing” is necessary because the brain is an obligatory user of glucose and low glucose levels will lead to unconsciousness and death
(d) all of the above
C) “Glucose sparing” is necessary because the brain is an obligatory user of glucose and low glucose levels will lead to unconsciousness and death
- Calcitonin:
(a) decreases renal tubular reabsorption of calcium.
(b) increases bone breakdown
(c) is produced by the parathyroid gland
(d) stimulates calcitriol production.
(e) a and c are both correct
A) decreases renal tubular reabsorption of calcium
- Which of the following have effects on adipose tissue?
(a) insulin
(b) glucagon
(c) epinephrine
(d) a and b
(e) all of the above
E) all of the above
- Thyroid hormones:
(a) are derived from cholesterol precursors.
(b) act through only one type of receptor.
(c) act via membrane-bound receptors.
(d) feed back negatively on the hypothalamus and anterior pituitary.
(e) none of the above
D) feedback negatively on the hypothalamus and anterior pituitary
- Fluffy the poodle has never seen a veterinarian before but is showing signs of PU/PD, polyphagia, muscle weakness, lethargy, and distended abdomen. Blood tests show high glucose, high cortisol, low CRH, and high ACTH. Which of the following conditions do you expect that Fluffy has?
(a) hypothyroidism
(b) primary adrenocortical tumor
(c) pituitary-dependent hyperadrenocorticism (PDH)
(d) iatrogenic Cushings
(e) tummy-ache
C) pituitary-dependent hyperadrenocorticism
- Fluffy the female cat suffers from the rare “Mullerian-ducts-are-goners” syndrome, where the animal does not develop Mullerian ducts. What organ(s) would Fluffy be missing in adulthood?
(a) Ovary
(b) Uterus
(c) Mammary glands
(d) Epididymis
(e) both b and c are correct.
B) uterus