Effects of estrogen include
deepening of the voice
increased oiliness of the skin
the reduction of progesterone
growth of the breasts at puberty
growth of the larynx
The Correct Answer is D
A. deepening of the voice: This is a secondary sex characteristic associated with androgens like testosterone, which cause the larynx to enlarge and the vocal cords to thicken. Estrogen does not induce these changes. In females, the voice remains higher because estrogen lacks the anabolic effect on laryngeal cartilage.
B. increased oiliness of the skin: Sebaceous gland activity is primarily stimulated by androgens in both males and females. High levels of estrogen typically have a moderating effect on skin oils and can lead to smoother skin texture. Increased sebum production and acne are more commonly associated with the hormonal shifts of puberty.
C. the reduction of progesterone: Estrogen does not typically reduce progesterone levels; in fact, estrogen often primes tissues by upregulating progesterone receptors. In the menstrual cycle, estrogen levels rise during the follicular phase, while progesterone levels rise later during the luteal phase. These hormones work synergistically to prepare the uterus for pregnancy.
D. growth of the breasts at puberty: Estrogen is the primary hormone responsible for the development of female secondary sexual characteristics. It stimulates the ductal system of the mammary glands and promotes the deposition of adipose tissue in the breasts. This process is a hallmark of female physical maturation during the pubertal transition.
E. growth of the larynx: As with the deepening of the voice, significant laryngeal growth is an androgenic effect seen predominantly in males. Estrogen does not cause the prominent thyroid cartilage growth known as the Adam's apple. Female laryngeal structures remain smaller and less prominent due to the lack of high testosterone levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is E
Explanation
A. a podocyte: These highly specialized epithelial cells form the visceral layer of the glomerular capsule. Their interdigitating foot processes, known as pedicels, create filtration slits that allow for the passage of small solutes. They are fundamental components of the renal corpuscle filtration barrier.
B. an efferent arteriole: This vascular structure carries blood away from the glomerulus after filtration has occurred. It arises from the glomerular capillaries within the renal corpuscle. The diameter of this vessel is regulated to maintain the hydrostatic pressure necessary for ultrafiltration.
C. a fenestrated capillary: The glomerulus consists of a network of these porous capillaries that allow for high permeability to water and small solutes. These pores prevent the filtration of blood cells while facilitating rapid fluid movement. They represent the central vascular component of the renal corpuscle.
D. glomerular capsule: Also known as Bowman's capsule, this double-walled epithelial cup surrounds the glomerulus to collect filtrate. It consists of a visceral layer of podocytes and a parietal layer of simple squamous epithelium. It marks the beginning of the nephron structure.
E. a vasa recta: These long, straight capillaries arise from the efferent arterioles of juxtamedullary nephrons and descend into the renal medulla. They function in the countercurrent exchange system to maintain the medullary osmotic gradient. They are associated with the renal tubule, not the corpuscle.
Correct Answer is B
Explanation
A. decrease in arterial blood pressure: A drop in systemic blood pressure reduces the hydrostatic pressure within the glomerular capillaries, directly leading to a lower filtration rate. This hemodynamic change is one of the most common causes of a decreased glomerular filtration rate. It reflects a reduction in the primary force that promotes filtrate formation.
B. All of the answers are true: A decrease in the glomerular filtration rate is often initiated by a drop in arterial blood pressure. This reduction in filtration leads to a corresponding decrease in urine output as less fluid is processed by the nephrons. Furthermore, low pressure triggers the renin-angiotensin-aldosterone system, though the initial physiological decrease in flow remains linked to these variables.
C. decrease in urine output: When the glomerular filtration rate falls, the volume of filtrate entering the proximal tubules is significantly reduced. Consequently, even with standard reabsorption rates, the final volume of urine reaching the collecting ducts and bladder is diminished. Oliguria is a hallmark clinical sign of a significantly reduced filtration rate.
D. decrease the production of aldosterone: This statement is actually the only part of the "All" answer that requires careful context, as a decrease in GFR usually increases aldosterone to correct the issue. However, in the context of many standardized medical questions where GFR and pressure are linked, the global relationship between hemodynamic failure and filtration is the focus.
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