Hormone Mechanisms and Effects - MCAT Biology

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Question

What happens to the levels of FSH and LH in a human female, once her ovaries have begun to atrophy during menopause?

Answer

This question requires knowledge of the negative feedback loop between the anterior pituitary hormones (FSH and LH) and the sex hormones (estrogen and progesterone). Prior to menopause, FSH and LH production is inhibited by estrogen production in the ovaries. When ovarian estrogen production decreases, during menopause, FSH and LH levels increase uninhibited.

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Question

What two hormones have opposite effects?

Answer

Calcitonin decreases blood calcium levels, while parathyroid hormone increases blood calcium levels.

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Question

A patient goes to his doctor for a normal check-up, and the doctor sees that he ihas very high levels of Na+ and Cl- in his blood. He runs some tests, and determines that:

Answer

Aldosterone functions to make the collecting duct and distal convoluted tubule in the kidneys to make them more permeable to Na+, Cl–, K+, and H+. When Na+ and Cl– are reabsorbed, water follows them into the blood, thus increasing total blood volume and raising blood pressure.

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Question

All of the following hormones exhibit periods of spiked concentration in the mestrual cycle EXCEPT __________.

Answer

FSH, LH, estrogen, and progesterone all increase around ovulation to make an environment in the uterus that will be healthy if fertilization occurs. Prolactin promotes milk production at the end of pregnancy and while a mother is breast feeding a child.

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Question

All of the following are expected to increase after a meal has been consumed except __________.

Answer

When an a meal is consumed, the digestive system is stimulated. This causes the release of secretin and cholecystokinin, hormones that are involved in digestion. Once glucose is in the bloodstream, it interacts with beta cells and causes the release of insulin. Insulin enters the bloodstream and stimulates widespread expression of the GLUT-4 receptor. Glucagon, on the other hand, counters the effects of insulin in a negative feedback loop and would not be expected to increase after a meal is consumed.

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Question

Antidiuretic hormone (ADH) is released from the posterior pituitary in response to increased plasma osmolarity. It acts on the kidney nephrons to increase water permeability in the distal convoluted tubule and collecting duct. This allows for greater water reabsorption from the filtrate, and results in higher body fluid volume.

Which of the following would NOT be reasonably associated with increased levels of ADH?

Answer

Release of ADH would not be associated with release of atrial naturitic hormone. ADH increases blood pressure, while atrial naturitic hormone decreases blood pressure.

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Question

Gigantism is a rare condition that is the result of hypersecretion of growth hormone from the anterior pituitary during childhood. Symptoms of gigantism include abnormal height (several standard deviations above average) and abnormal growth of the face, hands, and feet.

Functions of growth hormone are best decribed by which of the following?

Answer

Growth hormone (GH) causes increased calcium retention and stimulation of the immune system. It reduces liver uptake of glucose and increases lipolysis. Growth hormone also causes increased protein synthesis, muscle mass, bone mineralization, and _gluco_neogenesis.

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Question

An increase in aldosterone will __________.

Answer

An increase in aldosterone will cause an increase in sodium reabsoption, an increase in blood osmolarity, an increase in antidiuretic hormone (ADH) release, an increase in water reabsoption, and an increase in blood volume.

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Question

A lack of which of the following hormones could cause high plasma calcium levels?

Answer

If the lack of a certain hormone can cause high calcium levels, that means the hormone acts to lower plasma calcium when it is present. Only one of the choices, calcitonin, decreases blood calcium. Parathyroid hormone (PTH) and calcitriol increase plasma calcium levels. Aldosterone and glucagon are unrelated to calcium regulation—aldosterone regulates kidney activity to increase blood pressure and glucagon increases blood sugar levels.

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Question

What is the significance of the LH surge in the menstrual cycle?

Answer

The LH surge, a spike in levels of luteinizing hormone, immediately precedes the luteal phase of the menstrual cycle, which begins with ovulation and ends with degeneration of the corpus luteum.

Estradiol, an estrogen, is secreted by theca cells and promotes growth of the endometrium to prepare for implantation.

Follicle-stimulating hormone is important for follicle maturation.

Degeneration of the corpus luteum into corpus albicans occurs in the absence of implantation. This degeneration process typically occurs 14 days after ovulation.

Human chorionic gonadotropin is only released during pregnancy and is responsible for maintaining the corpus luteum.

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Question

John goes to the doctor and is told that his anterior pituitary is not functioning. Which of the following hormones is likely at lower levels than normal?

Answer

Of all the choices, the only one released by the anterior pituitary is TSH (thyroid-stimulating hormone). Glucagon is released from the pancreas, parathyroid hormone is released from the parathyroid glands, melatonin comes from the pineal gland, and atrial natriuretic hormone is a heart hormone.

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Question

Recall that parathyroid hormone (PTH) is a peptide hormone secreted by the parathyroid glands that serves to increase serum calcium.

Which of the following is not a mechanism by which PTH increases serum calcium?

Answer

Parathyroid hormone (PTH) does not enhance absorption of vitamin D through the skin.

It does, however, act independently on the bones, kidneys, and gut, to increase blood calcium. Interestingly, cancer cells in various types of cancers (breast and lung) can secrete parathyroid hormone-related protein (PTHrP), which acts similarly to PTH and can cause hypercalcemia (high serum calcium) in cancer patients.

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Question

Which anterior pituitary hormone is most responsible for facilitating sperm development in the testes?

Answer

The following answer choices are all examples of anterior pituitary hormones, however, follicle-stimulating hormone (FSH) is the hormone that acts on Sertoli cells in the testes to nourish sperm and facilitate spermatogenesis.

Luteinizing hormone (LH) acts on the testes, but works on Leydig cells in producing testosterone. Adrenocorticotropic hormone (ACTH) and thyroid-stimulating hormone (TSH) do not act on the testes.

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Question

Which hormone is most responsible for decreased levels of blood calcium?

Answer

Calcitonin lowers plasma calcium, while parathyroid hormone (PTH) increases it. Insulin and glucagon are responsible for blood glucose, not calcium.

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Question

After ingesting a meal heavy in polysaccharides, an individual has their blood drawn. Levels of which hormone would you expect to be higher than normal?

Answer

The polysaccharides from the meal will be digested down into glucose by various enzymes in the digestive track. That glucose will be absorbed in the small intestine and travel into the bloodstream. This increase in blood glucose will cause a release of insulin to allow for tissue to take up the glucose and use it for energy. In this individual's blood, we would expect insulin to be higher than normal.

Conversely, when little blood glucose is present, glucagon is released to break down glycogen and fat into glucose that is needed for energy. Gastrin, while also involved in digestion, is closely linked to the release of hydrochloric acid, which activates pepsin to digest proteins. Gastrin is not linked to the digestion of carbohydrates and polysaccharides.

Oxytocin is not involved in digestion.

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Question

The endocrine system regulates many aspects of human physiology through the release of hormones, which are chemical messengers that act on target organs and are generally transported via the bloodstream. The following are statements about one of these hormones, aldosterone. Which statement is incorrect?

Answer

Aldosterone is a mineralcorticoid, meaning that it is released by the adrenal cortex, not the anterior pituitary.

Mineralcorticoids are also steroids, and are able to cross the cell membrane due to their lipophilic nature. Both aldosterone and antidiuretic hormone (ADH) increase blood volume by acting on different regions of the nephrons in the kidney. Finally, angiotensin-converting enzyme (ACE) inhibitors do decrease the secretion of aldosterone, since aldosterone is activated by the renin-angiotensin system and the inhibitors block a vital conversion step in this chain.

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Question

If a person has low blood glucose levels, which of the following is false?

Answer

Cortisol and glucagon are both elevated when a person is experiencing low blood glucose levels. Glucagon is responsible for elevating blood glucose levels by stimulating glycogenolysis in the liver, and cortisol increases blood glucose levels by stimulating gluconeogenesis in the liver.

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Question

A patient has a condition where the adrenal cortex is unable to be stimulated by adrenocorticotropic hormone (ACTH). Based on this condition, which of the following is true?

Answer

Addison's disease is a disorder in which the adrenal cortex is unable to be stimulated by adrenocorticotropic hormone (ACTH). The adrenal cortex is responsible for the secretion of aldosterone and cortisol. Aldosterone is responsible for the increased reabsorption of sodium and increased excretion of potassium, leading to water retention. This process helps raise the blood pressure. Since aldosterone is not being adequately produced in a patient with Addison's disease, the patient's blood pressure will be lower than normal.

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Question

Which of the following hormones would show the highest levels when the parasympathetic nervous system is active?

Answer

The parasympathetic nervous system is responsible for the "rest and digest" functions of the body. When digesting, the body will be storing nutrients, converting them to fat and glycogen in the liver and other tissues of the body. Insulin is responsible for the lowering of blood glucose levels and storing glucose as glycogen in the liver.

All the other hormone options would be seen when the body is active and under stress. Cortisol is triggered during long-term stress, while epinephrine is secreted in response to an immediate threat. Aldosterone is raised when water levels in the body are low, a sign of possible dehydration or drought.

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Question

Which of the following is not a function of estrogen?

Answer

Estrogen is a very versatile hormone that regulates several biological processes, including structural roles (such as increasing fat stores and developing female reproductive organs) and reproductive roles (such as promoting ovulation and preparing the uterine lining to support a fertilized egg). In order for estrogen to have such diverse effects, it enters the cell and binds to the estrogen receptor. The estrogen-receptor complex translocates to the nucleus and binds to hormone response elements (also call estrogen response elements) to activate target gene expression. Finally, although estrogen plays a role in the differentiation and formation of the milk duct system, following birth estrogen levels are dramatically reduced because high levels of estrogen inhibit lactation.

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