Chapter·PhysiologyEndocrine system (thyroid, adrenal, pancreas)

Integration of metabolic regulationDownloads

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1

A 35-year-old woman presents to the clinic for a several-month history of heat intolerance. She lives in a small apartment with her husband and reports that she always feels hot and sweaty, even when their air conditioning is on high. On further questioning, she's also had a 4.5 kg (10 lb) unintentional weight loss. The vital signs include: heart rate 102/min and blood pressure 150/80 mm Hg. The physical exam is notable for warm and slightly moist skin. She also exhibits a fine tremor in her hands when her arms are outstretched. Which of the following laboratory values is most likely low in this patient?

ATriiodothyronine (T3)

BThyroxine (T4)

CCalcitonin

DGlucose

EThyroid-stimulating hormone

2

A 24-year-old man presents for an annual check-up. He is a bodybuilder and tells you he is on a protein-rich diet that only allows for minimal carbohydrate intake. His friend suggests he try exogenous glucagon to help him lose some excess weight before an upcoming competition. Which of the following effects of glucagon is he attempting to exploit?

AIncreased glucose utilization by tissues

BDecreased blood cholesterol level

CIncreased hepatic gluconeogenesis

DIncreased lipolysis in adipose tissues

EIncreased hepatic glycogenolysis

3

A 65-year-old male prisoner goes on a hunger strike to protest the conditions of his detainment. After 5 days without food, he suffers a seizure for which he is taken into a medical facility. On physical examination, he looks pale and diaphoretic. His blood glucose level is 50 mg/dL. In order to keep a constant supply of energy to his brain, which of the following molecules is his liver releasing into the bloodstream?

AGlycogen

BGlucose-6-phosphate

Cß-hydroxybutyric acid

DFatty acids

EGlucose-1-phosphate

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