A patient with Cushing's disease exhibits elevated cortisol levels. Which feedback mechanism is disrupted in this condition?
Negative feedback on the thyroid gland
Positive feedback on the pituitary gland
Negative feedback on the hypothalamus and pituitary
Positive feedback on the adrenal cortex
The Correct Answer is C
A. Negative feedback on the thyroid gland: Cushing's disease involves cortisol dysregulation and does not primarily disrupt negative feedback of the thyroid axis.
B. Positive feedback on the pituitary gland: Pituitary-driven Cushing's involves excess ACTH but the disrupted mechanism is not a physiological positive feedback loop on the pituitary.
C. Negative feedback on the hypothalamus and pituitary: Elevated cortisol should suppress CRH and ACTH via negative feedback; in Cushing's disease this feedback loop is impaired because a pituitary adenoma continues to produce ACTH despite high cortisol.
D. Positive feedback on the adrenal cortex: The adrenal cortex responds to ACTH but physiological regulation of cortisol does not operate via positive feedback on the cortex.
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Related Questions
Correct Answer is C
Explanation
A. To stimulate the breakdown of fats and proteins:Insulin generally promotes anabolic processes (glucose uptake and storage) rather than catabolism of fats and proteins.
B. To increase blood glucose levels during fasting:Insulin lowers blood glucose; hormones such as glucagon raise blood glucose during fasting.
C. To lower blood glucose levels by facilitating cellular uptake of glucose:Insulin promotes glucose uptake by muscle and adipose tissue and stimulates glycogen synthesis, thereby lowering blood glucose.
D. To regulate calcium absorption in the intestines:Calcium absorption is regulated primarily by vitamin D and parathyroid hormone, not insulin.
Correct Answer is C
Explanation
A. By altering the pH of the blood.:The nervous system does not regulate endocrine responses by changing blood pH as a primary mechanism.
B. By increasing blood flow to endocrine organs.:While blood flow can influence hormone delivery, direct neural control of endocrine responses is primarily mediated via hypothalamic signaling rather than blood-flow changes.
C. By releasing hormones that regulate the pituitary gland.:The hypothalamus (a neural structure) secretes releasing and inhibiting hormones that regulate anterior pituitary secretion and sends neural signals to the posterior pituitary.
D. By directly stimulating adrenal cortex hormone release.:Direct neural stimulation primarily affects the adrenal medulla (catecholamine release); adrenal cortex activation is mostly hormonal via ACTH from the pituitary.
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