The ______ secrete(s) ______ which promotes Nat and water retention.
adrenal medulla, epinephrine
pancreas; cortisol
kidneys; corticosterone
adrenal cortex aldosterone
thyroid; calcitonin
The Correct Answer is D
A. adrenal medulla, epinephrine: The adrenal medulla secretes catecholamines like epinephrine in response to acute sympathetic stimulation. These hormones primarily influence cardiovascular and metabolic activity, such as increasing heart rate and glycogenolysis. They do not have a direct mineralocorticoid effect on renal sodium or water retention.
B. pancreas; cortisol: Cortisol is a glucocorticoid produced by the adrenal cortex, not the pancreas, in response to systemic stress. While it has minor mineralocorticoid activity at very high levels, its primary role involves metabolic regulation and immune suppression. The pancreas focuses on glucose homeostasis through insulin and glucagon.
C. kidneys; corticosterone: The kidneys secrete renin and erythropoietin but do not synthesize corticosterone. Corticosterone is a corticosteroid produced in the adrenal glands of many species. While the kidney is the target for mineralocorticoids, it does not produce them as a local or systemic secretion.
D. adrenal cortex aldosterone: The zona glomerulosa of the adrenal cortex secretes aldosterone, a potent mineralocorticoid. This hormone acts on the distal tubules of the kidney to stimulate the reabsorption of sodium ions, which leads to osmotic water retention. It is a critical component of the renin-angiotensin-aldosterone system.
E. thyroid; calcitonin: Calcitonin is secreted by the parafollicular cells of the thyroid gland to lower blood calcium levels. It inhibits osteoclast activity and promotes calcium excretion by the kidneys. It has no significant effect on the renal handling of sodium or the retention of total body water.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Duodenum, jejunum, ileum: Food exits the stomach and enters the duodenum for neutralization and initial intestinal digestion. It then proceeds to the jejunum, where the majority of nutrient absorption occurs via specialized villi. The ileum serves as the final segment before entering the large intestine.
B. Jejunum, duodenum, Ileum: This sequence incorrectly places the jejunum before the duodenum. Anatomically, the duodenum is the first portion of the small intestine, directly attached to the pylorus. The jejunum only begins after the duodenojejunal flexure, which is located further down the digestive tract.
C. Duodenum, ileum, jejunum: This order incorrectly places the ileum before the jejunum. The ileum is the most distal part of the small intestine and connects to the cecum at the ileocecal valve. Nutrients would have already passed through the jejunum before reaching the terminal ileum.
D. Oleum, jejunum, duodenum: The term "oleum" is a Latin word for oil and is not an anatomical segment of the human gastrointestinal tract. This choice likely confuses the word ileum with a non-anatomical term. Furthermore, the listed sequence reverses the actual physiological direction of chyme flow.
E. Jejunum, ileum, cecum: While these segments are in the correct relative order, the list is incomplete and omits the duodenum. Furthermore, the cecum is anatomically classified as the beginning of the large intestine, not a segment of the small intestine. It represents the post-ileal transition.
Correct Answer is D
Explanation
A. adrenal medulla, epinephrine: The adrenal medulla secretes catecholamines like epinephrine in response to acute sympathetic stimulation. These hormones primarily influence cardiovascular and metabolic activity, such as increasing heart rate and glycogenolysis. They do not have a direct mineralocorticoid effect on renal sodium or water retention.
B. pancreas; cortisol: Cortisol is a glucocorticoid produced by the adrenal cortex, not the pancreas, in response to systemic stress. While it has minor mineralocorticoid activity at very high levels, its primary role involves metabolic regulation and immune suppression. The pancreas focuses on glucose homeostasis through insulin and glucagon.
C. kidneys; corticosterone: The kidneys secrete renin and erythropoietin but do not synthesize corticosterone. Corticosterone is a corticosteroid produced in the adrenal glands of many species. While the kidney is the target for mineralocorticoids, it does not produce them as a local or systemic secretion.
D. adrenal cortex aldosterone: The zona glomerulosa of the adrenal cortex secretes aldosterone, a potent mineralocorticoid. This hormone acts on the distal tubules of the kidney to stimulate the reabsorption of sodium ions, which leads to osmotic water retention. It is a critical component of the renin-angiotensin-aldosterone system.
E. thyroid; calcitonin: Calcitonin is secreted by the parafollicular cells of the thyroid gland to lower blood calcium levels. It inhibits osteoclast activity and promotes calcium excretion by the kidneys. It has no significant effect on the renal handling of sodium or the retention of total body water.
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