Multiple Choice: Direction: Choose the best answer that is provided in each question and write your answers

in a separate answers sheet. STRICTLY NO ERASURES 1. The most common form of congenital adrenal hyperplasia is the deficiency of the enzyme a. 17 Hydroxylase c. 11 B Hydroxylase b. 21 Hydroxylase d. 3 B Hydroxylase 2. The sertoli cells has a negative feedback effect to which of the following hormone? a. FSH c. TSH b. LH d. None 3. In primary hypothyroidism, one would expect the total T4 level to be ________________, the T3 uptake test lobe ____________ and the TSH level to be _______________ a. Increased, Increased, Decreased b. Decreased, Decreased, Increased c. Decreased, Increased, Increased d. Decreased, Decreased, Decreased 4. The hormone that functions to promote sodium ion re absorption by the kidney and thus sodium retention is. a. Aldosterone c. Cortisol b. ADH d. Rennin 5. Truth about adrenal gland a. Adrenal gland divided into two region: the Outer cortex and inner Medulla. b. The adrenal medulla divided into zona glomerulosa, fasciculate and reticularis. c. The adrenal cortex secretes cathecolamines d. Zona glomerulosa secretes glucocorticoids 6. Tryptophan is an important component of which of the following hormone: 1. Epinephrine 3. Thyroxine 2. Norepinephrine 4. Triiodothyronine a. 1, 2, 3 and 4 c. 3 and 4 b. 1 and 2 d. None of the above 7. Majority of the T3 is made from: a. Peripheral deiodination of T4 c. Peripheral iodination of T3 b. In the thyroid Gland d. Thyroglobulin in the thyroid 8. The T3 resin uptake test is a measure of: a. Circulating T3 c. Binding capacity of thyroxine binding globulin b. Bound T3 d. Total thyroxine binding globulin 9. Calcium concentration in the serum is regulated by: a. Insulin c. thyroxine b. Parathyroid hormone d. Vitamin C 10. Which of the following steroids is an adrenal cortical hormone? a. Angiotensinogen c. Corticosterone b. Progesterone d. Pregnanetriol 11. Fasting serum phosphate concentration is controlled proimarily by the: a. Pancreas c. Small intestine b. Skeleton d. Parathyroid Gland 12. The major fraction of organic iodine in the circulation is in the form of: a. Thyroglobulin c. Triiodothyronine

b. Thyroxine

d. Diiodothyrosine

13. The parent substance in the boisynthesii of androgen and estrogen is: a. Cortisol c. Progesterone b. Catecholamines d. Cholesterol 14. The chemical name of serotonin is: a. Hydroxyindole acetic acid c. 5 Nucleotide b. 5 Hydroxytryptamine d. Guanidoacetic acid 15. This hormone is secreted by the thyroid gland that affects plasma calcium level by inhibiting bone resorption and vitamin D synthesis: a. Parathyroid c. Calcitonin b. Activated Vitamin B d. Thyroxine 16. This mineralocorticoid promotes urinary excretion of potassium. a. Aldosterone c. Insulin b. Cortisol d. Epinephrine 17. Which of this hormone is secreted by the adenohypophysis? 1. Oxytocin 3. Somatotrophic 5 ACTH 7 Gastrin 2. Thyrotropin 4. FSH 6. Vasopressin a. 1, 3, 4, and 5 b. 2, 3, 5 and 6 c. 4, 5, 6 and 7 d. 2, 3, 4 and 5 18. Which of the following hormone is an electron regulating hormone secreted by the adrenal cortex. a. Cortisol c. Epinephrine b. Aldosterone d. Norepinephrine 19. Which of the following significantly influence the concentration of calcium in blood and what will be the effect? 1. GH 3. Thyroxine 5. Decreased 2. Activated Vitamin D3 4. Increased a. 1 and 4 b. 3 and 5 c. 2 and 4 d. 2 and 5 20. Hormone play vital role in the growth and development of organism. Which of the following hormones are classified as polypeptides? 1. Oxytocin 3. Prolactin 5 Epinephrine 2. Progesterone 4. Thyrocalcitonin a. 1, 3 and 4 b. 2, 4 and 5 c. 1, 3 and 5 d. 2, 3 and 4 21. Most potents estrogen which monitor ovarian function: a. Estradiol c. Estrone b. Estriol d. Estratiol 22. This thyroid hormone is the biologically active and an importat tool in diagnosis of T3 Thyrotoxicosis. a. Thyroxine c Triiodothyronine b. Thyrocalcitonin d. Thyrothropin 23. This hormone is structurally similar to prolactin and its main stimulus is long and deep sleep: a. Oxytocin c. ACTH b. Somatotropin d. Thyrothropin 24. Which of the following hormone maybe included in the female fertility panel test? 1. Estrone 3. Progesterone 5. Estriol 2. FSH 4. LH a. 1,2 and 3 b. 2 and 4 c. 2, 3 and 4 d. 2, 4 and 5 25. Symptoms of diabetes such as polyuria and polyphagia will be observable if the plasma glucose concentration reaches: a. 126mg/dl b. 140mg/dl c. 205mg/dl d. 110mg/dl

26. Hormone responsible for converting glycogen in the liver during hypoglycemia is: a. Insulin c. Cortisol b. Glucagon d. A and B

27. This hormone produced by the a cells of the pancreas promote glycogenolysis. a. Insulin c. Cortisol b. Glucagon d. A and B 28. This thyroid function test is used to assess borderline laboratory results. a. Thyroid assay c. Reverse T3 b. TSH assay d. Free Thryroxine Index 29. The most abundant estrogen in premenopausal women a. Progesterone c. Estradiol b. Estriol d. Estrone 30. Which of these analytes has diurnal variation? 1. Glucose 3. Iron 5. SGPT 2. Cortisol 4. Total Chole 6. ACTH a. 2, 3 and 4 b. 1, 4 and 5 c. 1, 3 and 4 d. 2, 5 and 6 31. This hormone produced by the adenohypophysis help in spermatogenesis: a. Prolactin c. ACTH b. FSH d. Thryrotropin 32. This autoimmune thyroid disorder is the most common cause of hypothyroidism in developed countries: a. Cretinism c. Plummerss disease b. Hashimoto disease d. Graves disease 33. Which of the following hormone derived from tyrosine? 1. Aldosterone 3. Gastrin 5. Somatotropin 2. Thryoxine 4. Epinephrine a. 1 and 2 b. 2 and 4 c. 1, 2 and 3 34. Which of the following hormone is used in order to monitor the fetoplacental unit? a. Estriol b. HCG c. Estrone d. Prolactin 35. Select the hormone that is associated with monitoring amenorrhea and galactorrhea a. Estriol b. Progesterone c. FSH d. Prolactin 36. Which of the following are are examples of amines? 1. Epinephrine 3. Thyroxine 5. Insulin 2. Serotonin 4. Calcitonin 6. Vasopressin a. 1, 2 and 3 b. 2, 4 and 5 c. 3, 4 and 6 d. 4, 5 and 6 37. What would an individual with cushings syndrome tend to exhibit? a. Hyperglycemia c. Normal blood glucose level b. Hypoglycemia d. Decrease 2 hour postprandial glucose 38. 5 hydroxyindoleacetic acid is the primary metabolite of: a. Epinephrine c. Norepinephrine b. Prolactin d. Serotonin 39. The placenta secretes numerous hormoneboth protein and steroids. Which of the following hormones is not secreted by the placenta? a. HCG c. Progesterone b. Estrogen d. LH 40. Which o the following is secreted by the placenta and used for early detection of pregnancy? a. Follicle stimulating hormone c. Luteinizing Hormone b. Human Chorionic Gonadotropin d. Progesterone

41. The following hormone are produced by the posterior pituitary Gland: 1. ADH 2. Oxytocin 3. AVP 4. Prolactin a. 1 and 2 c. 1, 2, 3 and 4 b. 1, 2 and 3 d. None of the above

42. Identify what is the patient diagnosis with the following laboratory result? Serum creatine: 0. 8 mg/dl Serum glucose 180 mg/dl WBC: 15. 0 Hemoglobin: 140 Urinalysis: Specific gravity: 1. 025 Protein: Negative Glucose: 1. 000 mg/dl Nitrite: Negative Ketone: Moderate Blood: Negative a. Diabetes Mellitus c. Acute Glomerulonephritis b. Hyperthyroidism d. Upper respiratory tract infection 43. The main pancreatic duct drains into the: a. Duodenum c. Ileum b. Jejunum d. Colon 44. The following can cause increase prolactin in blood: 1. Sucking 3. Sleep 5. Hypoglycemia 2. Exercise 4. Sexual intercourse a. 1, 2, 3, 4 and 5 c. 1, 2, 4 and 5 b. 1, 2, 3 and 4 d. 1, 2 and 3 45. The following hormone are produced by the kidney: 1. 1, 25 (OH) 3. Oxytocin 5. Vitamin D 2. Gastrin 4. Cortisol 6. Erythropoietin a. 2, 3 and 1 c. 1, 5 and 6 b. 1, 2 and 4 d. 4, 5 and 6 46. Which of the following is considered as shut off: a. Regulating by releasing factor c. Transport Hormone b. Prohormone d. Feedback control 47. Which of the following hormone is produces by Anterior Pituitary gland except: a. FSH c. TSH b. CRF d. ACTH 48. Identify what is the disease of patient base on the symptoms she stated to her physician such as: she become obese, her sugar tend to increase, shes hypertensive and her protein decrease. a. Aldosterenimea c. Parkinsonss disease b. Cushing Disease d. Hashimotos disease 49. Over secreation of vasopressin is known as: a. ADH c. SIADH b. FSH d. CAMP 50. Lila manifest the symptoms of the following: polydipsia, polyuria which lead to diabetes insipidus. What is the probable diagnosis of the physician. a. Increased ADH c. Both b. Decreased ADH d. NOTA 51. All of the following are target cell/tissue of the glucocorticoids except: a. Hepatocytes c. Adipose tissue b. Nephrons d. Stem cells 52. Where thus the catabolization of minerlocorticosteroids happens? a. Liver and bone c. Liver and kidney b. Livr and spleen d. Liver and Gallbladder 53. 21 hydrocylase deficiency is a disease associated with? a. Cushing syndrome c. Conns syndrome

b. Hyperaldosteronism

d. Congenital hyperplasia

54. Diagnose patient with the following laboratory work up: Increased T3 Increased T3U Increased T4 Decreased TSH Increased FT4I a. Hashimotos disease c. Graves disease b. Hyperthyroidism d. Peptides 55. releasing hormone are considered as: a. Amines c. Glycolipids b. Steroids d. Peptides 56. The feedback loop is composed of two endocrine organ and this are: 1. Endocrine gland 3. Target Gland 2. Pituitary Gland 4. Exocrine Gland a. 1 and 2 c. 2 and 4 b. 2 and 3 d. 3 and 4 57. TSH and TRH are example of ______________: a. Negative feedback b. Positive feedback c. Both d. NOTA 58. Glucocorticoids is produced by what distinct tissue of adrenal cortex a. Zona glomerulosa c. Zona reticularis b. Zona fasciculate d. B and C 69. Give the diagnosis of patient with the following laboratory result: Sodium 101 mEq/L FBS 65 mg/dl Potassium 6. 6 mEq/L ACTH Low a. Cushing Syndome b. Parkinsons disease c. Addisons disease d. Hypergalacemia 60. Other term for dwarfism a. Achondroplasia c. Turner syndrome b. Shortness bone d. Pituitary Disease

SET B