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PL-5 Adrenal Medulla and Stress Response

Total questions: 23

Worksheet time: 15mins

Name
Class
Date
1.

Which cells produced catecholamines in adrenal medulla.

a)

Pinealocytes

b)

Neural crest cells

c)
Chromaffin cells
d)

Pituicytes

2.

Which cells produces epinephrine?

a)

Chromaffin cells with less dense granule

b)

Chromaffin cells with very dense granule

3.

Catecholamines are derived from this amino acids.

(a)  

4.

These two enzymes are involved in deactivation of catecholamines.

a)

Monoamine oxidase (MAO)

b)

Catechol-O-methyltranferase (COMT)

c)

Phenylethanolamine-N-methyltransfersae

d)

DOPA decarboxylase

5.

Excretion forms of catecholamines are

a)

Vanillyl mandelic acid (VMA)

b)

DOMA

c)

Metaneprhine and normetanephrine

d)

Epinephrine and norepinephrine

6.

Main effects of "Fight-or-Flight" response

a)

Decreases mesenteric blood flow

b)

Increases muscular blood flow

c)

Increases rate of cellular metabolism

d)

Decreases heart rate

7.

How does catecholamines affect cellular metabolism?

a)

Increases gluconeogenesis

b)

Increases glycogenesis

c)

Increases glycogenolysis

d)

Increases lipolysis

8.

Epinephrine secretion is increased when

a)

Stress

b)

Hypovolaemia

c)

Hypoglycaemia

d)

Hypertension

9.

Action of catecholamines in adipose tissue.

a)

Increase activity of HSL

b)

Increases the activity of lipoprotein lipase

c)

Promote lipogenesis

d)

Promote mobilisation of fatty acids from liver to adipose tissue.

10.

Actions of catecholamines in liver.

a)

Increases gluconeogeensis and glycogenolysis

b)

Inhibits glycogenesis

c)

Promote uptake of glucose into liver

d)

Promotes mobilisation of fatty acids in liver to adipose tissues

11.

Which receptor does norepinephrine acts on?

a)

Alpha receptors

b)

Beta receptors

c)

Both receptors equally

12.

Which receptor does epinephrine acts?

a)

Alpha receptors

b)

Beta receptors

c)

Both receptors equally

13.

Increased heart rate is by

a)

B1-adrenergic activity of epinephrine

b)

B1-adrenergic activity of norepinephrine

c)

A1-adrenergic activity of epinephrine

d)

A1-adrenergic activity of nonepinephrine

14.

Vasoconstriction is by

a)

α1-adrenergic activity of norepinephrine

b)

α1-adrenergic activity of epinephrine

c)

β1-adrenergic activity of norepinephrine

d)

β1-adrenergic activity of epinephrine

15.

Lipolysis is caused by which receptor activity

a)

β1

b)

β2

c)

α1

d)

α2

e)

β3

16.

How does baroreceptor reflex helps in widening pulse pressure

a)

Decreasing systolic blood pressure

b)

Increasing diastolic blood pressure

c)

Increasing systolic blood pressure

d)

Decreasing diastolic blood pressure

17.

How does norepinephrine leads to drop of total peripheral resistance?

a)

Stimulation of
α1-receptors

b)

Stimulation of β1-receptors on skeletal muscles and liver

c)

Stimulation of
α2-receptors

d)

Stimulation of β2-receptors on skeletal muscles and liver

18.

Sympatho-adrenal system is best describe as

a)

Production of catecholamines by adrenal glands enhances the sympathetic nervous system

b)

Adrenal glands produces catecholamines to initiate stress response

c)

Catecholamines produced under the influence of adrenal glands are used to initiate stress response

19.

Metenkephalin is produced under the influence of which hormone?

a)

Pro-enkephalin

b)

ATP

c)

Chromogranin A

d)

Adrenomedullin

20.

Dopamine induces which events?

a)

Mesenteric vasodilation

b)

Muscular vasoconstriction

c)

Renal vasodilation

d)

Positive inotrophic effect of heart

21.

Which tumour involves in production of catecholamines?

a)

Pheochromocytoma

b)

Adrenocorticol adenoma

c)

Paraganglioma

d)

Adrenocorticol carcinoma

22.

Cortisol affects cellular metabolism by

a)

Reducing glucose utilisation

b)

Increasing protein catabolism

c)

Increasing fats degradation

d)

Decreasing protein catabolism

e)

Decreasing fat degradation

23.

What are the other hormones produced during stress response?

a)

Aldosterone and ADH

b)

Endorphins

c)

GH and glucagon

d)

Insulin and somatostatin