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BIOM 3110 Exam 4 Questions With Complete Solutions
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BIOM 3110 Exam 4 Questions With Complete Solutions
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BIOM 3110 Exam 4 Questions With Complete Solutions-myometrium Correct Answer -smooth muscle of uterus, under
control of oxytocin
-perimetrium Correct Answer outer layer of uterus
A 16 year old male is sent by his pediatrician to an
endocrinologist for delayed onset of puberty. A battery of tests
are performed and the results are given below:
LH: 3.5 (norm 4-13)
FSH: 4 (norm 5-23)
Testosterone: 50 (norm 100-1200)
TSH: 2.1 (norm 0.5-4.5)
Which of the following findings should be present? Correct
Answer low sperm count
A 21 year old is struck in the back of his head during a robbery.
Which of the following neurological symptoms is consistent
with direct injury to this site? Correct Answer Loss of vision
A 22 year old male professional athlete seeking to remain
competitive in football begins injecting himself with growth
hormone daily. He does this in the off season while he trains and
to avoid detection. Which of the following conditions does he
risk developing with this practice? Correct Answer acromegaly
A 26 year old patient is in active labor and is given Pitocin (i.e.,
oxytocin given intravenously) to assist with progression of
,labor. As she receives Pitocin, her uterine contractions increase
in strength and frequency. What is the expected response as a
result? Correct Answer Oxytocin release should increase from
the increased uterine stretch
A 30 year old genetic female (i.e., XX) experiences increased
hair growth and the formation of a diamond escutcheon and you
measure an increased level of DHEA in her blood. Where do
you expect the tumor that is secreting this to be located? Correct
Answer adrenal cortex
A 4 year old boy is sent by his pediatrician to a pediatric
endocrinologist because he is exceptionally short for his age
(below the 5th percentile in growth-i.e, 95% of children his age
are taller). Both of his parents are normal in height. The results
of the endocrinologist's testing reveals:
TSH: 10.2 (norm 0.5-4.7)
Free T4: 0.4 (norm 0.8-1.8)
IGF-1: 45 (norm 28-241)
Testosterone: 4 (norm<33)
ACTH: 12 (norm 6-55)
cortisol: 8 (norm 4-22)
Which of the following is mostly likely the cause of the child's
short stature? Correct Answer Primary hypothyroidism
A 51 year old construction worker is complaining of neck pain
after an on the job injury. Imaging of his spinal canal
demonstrates a herniated disk at C7 which impinges on the
nerve exiting on the right. Which of the following symptoms
, would be consistent with this injury? Correct Answer Right
wrist/hand weakness
A 51 year old patient who has uncontrolled hypertension has an
ischemic stroke. His symptoms include left arm numbness but
do not include slurred speech, any facial dysfunction or
decreased sensation. In which portion of the nervous system did
the stroke likely occur? Correct Answer Right parietal lobe
A 54 year old female is seen for recurrent kidney stones and has
the following lab results:
Ionized calcium: 1.7mM (normal 1.1-1.4mM)
phosphate: 2.0mg/dL (normal 2.5-4.5mg/dL)
PTH (parathyroid hormone) level 88pg/mL (normal range 11-
54pg/mL).
Which of the following interpretations is most likely? Correct
Answer The inappropriately high PTH has caused an increase in
calcium concentration while also causing a decrease in
phosphate concentration.
A 54 year old male notices his face has become rounder, he is
developing striae on his abdomen and has gained 40 lbs in the
past 6 months. Subsequent testing reveals:
CRH: 12pg/mL (norm<34)
ACTH: 48pmol/L (norm 4-20)
Cortisol: 36ug/dL (norm 5-20)
What is consistent with these results? Correct Answer
Secondary hypercortisolism
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