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WorksheetsEndocrine System Quiz
Total questions: 79
Worksheet time: 42mins
The mechanism of the anti-inflammatory action of glucocorticoids:
inhibit the activity of COX 1
inhibit the activity of COX 2
inhibit the activity of phospholipase A2
stimulate opiate receptors
stimulate benzodiazepine receptors
Functional activity of the adrenal glands during long-term therapy with glucocorticoids:
increases
does not change
decreases
initially decreases, then increases sharply
at the beginning it increases, then decreases
Mineralocorticoid drugs include:
insulin
triamcinolone
nandrolone
deoxycortone
prednisolone
List anti-inflammatory drugs with steroid structure:
suprastin, diprazine
hydrocortisone, tavegil
prednisone, hydrocortisone
diphenhydramine, prednisone
intal, hydrocortisone
Anti-inflammatory, antiallergic and immunosuppressive effects are caused by:
glucocorticoids
anabolic steroids
estrogens
gestagens
progestrogens
Specify a synthetic glucocorticoid preparation:
cortisol
actrapid
humulin
prednisone
hydrocortisone
Which of the following side effects are most typical for prednisolone:
osteoporosis, hyperglycemia, immunosuppression, increased blood pressure, edema
dyspepsia, anemia, agranulocytosis, ulcerogenic deistane, hepatitis
ulcerogenic effect, dyspepsia, inhibition of platelet aggregation
drug dependence, depression of the thermoregulation center, addiction
anti-inflammatory, antipyretic, analgesic effect
What type of therapy includes long-term use of steroidal anti-inflammatory drugs (glucocorticoids)
inhibitory
replacement
symptomatic
preventive
pulse therapy
Steroid diabetes, steroid gastric ulcer, Itsenko-Cushing syndrome, immunodeficiency - characteristic complications of the drug:
calcium-D3
auronofik
penicillamine
methylprednisolone
aflutol
Prednisolone, dexamethasone, triamcinolone are drugs with the following characteristics:
inhibit inflammatory reactions, which involve delayed-type hypersensitivity reactions
inhibit COX, reduce the formation of prostaglandins, used for inflammatory diseases of the joints
steroid hormones, have anti-inflammatory and immunosuppressive effects
drugs necessary for the regeneration of bone and joint tissue, restoration of degenerative processes
slow down the destruction of bone tissue and reduce calcium loss, accelerate the process of bone tissue restoration
Deoxycortone (deoxycorticosterone) mainly affects
carbohydrate metabolism
protein metabolism
water-salt metabolism
lipid metabolism
aldosterone
Pharmacodynamics of Cabergoline:
non-selective agonist of dopamine receptors, inhibits ACTH synthesis
inhibitor of 17a-hydroxylase and 11B-hydroxylase
selective agonist of dopamine receptors (subtypes 1 and 5), inhibits ACTH synthesis
dopamine receptor antagonist, inhibits ACTH
selective inhibitor of B-hydroxylase
Osteoporosis, increased blood glucose concentration, increased blood pressure
insulin, glucagon
prednisolone, hydrocortisone
retabolin, nerobol
clomiphene, amoxiclav
turinal, progesterone
Side effects characteristic of deoxycorticosterone acetate:
tachycardia, sweating, weakness, allergic reactions
hypoglycemia, resistance, lipodystrophy
hyperglycemia, osteoporosis, teratogenic effect, increased blood pressure
leukopenia, lymphadenopathy, goiter effect
pasty tissues, edema, ascites, increased blood pressure
Indications for the use of dexomethasone
(a)
Inhibits the progression of glomerulonephritis because it has anti-inflammatory, desensitizing and immunosuppressive effects, stabilizes lysosomal enzymes, reduces the permeability of the basement membrane of glomerular capillaries
(a)
One of the statements is true that glucocorticoids
inhibit microsomal oxidation of enzymes in the liver
inhibit all phases of inflammation
inhibit the conduction of impulses in the central nervous system
stimulates the formation of prostaglandins
cause an immunostimulating effect
Side effects of mineralocorticoid drugs:
pasty tissues, edema, ascites, increased blood pressure
tachycardia, sweating, weakness, allergic reactions
hypoglycemia, resistance, lipodystrophy
hyperglycemia, osteoporosis, teratogenic effect, increased blood pressure
leukopenia, lymphadenopathy, goiter effect
Pharmacodynamics of Pasireotide:
non-selective dopamine receptor agonist, inhibits ACTH synthesis
inhibitor of 17a-hydroxylase and 11B-hydroxylase
selective agonist of dopamine receptors (subtypes 1 and 5), inhibits ACTH
dopamine receptor antagonist, inhibits ACTH synthesis
selective inhibitor of B-hydroxylase
Pharmacodynamics of Ketoconazole:
non-selective dopamine receptor agonist, inhibits ACTH synthesis
inhibitor of 17a-hydroxylase and 11B-hydroxylase
selective agonist of dopamine receptors (subtypes 1 and 5), inhibits ACTH synthesis
dopamine receptor antagonist, inhibits ACTH
selective inhibitor of B-hydroxylase
Note possible complications with long-term use of steroidal anti-inflammatory drugs
(a)
Indications for use of Pasireotide
For short-term therapy of BIC in mild forms of the disease
Before and after NIR radiation therapy
For long-term therapy of severe forms of BIC
Ineffective for all forms of BIC
For the treatment of NIC and systemic lupus erythematosus
Side effects of glucocorticoids associated with their mineralocorticoid activity:
ulcerogenic effect, immunodeficiency
catabolic, immunosuppressive
hyperglycemia, redistribution of fats
edema, increased blood pressure, osteoporosis
lymphocytopenia, eosinophilia
Deoxycorticosterone acetate (DOXA), deoxycorticosterone trimethyl acetate, fluorohydrocortisone acetate belong to the group:
mineralocorticoids
preparations of pituitary hormones
preparations of hypothalamic hormones
glucocorticoids
antithyroid drugs
The main indication for the use of this group of drugs is adrenal insufficiency:
deoxycorticosterone, fluorohydrocortisone
hydrocortisone, tavegil
prednisolone, hydrocortisone
diphenhydramine, prednisolone
intal, hydrocortisone
Drugs used for hypercortisolism:
chlorpropamide, bucarban, tolinase
peritol, parlodel, abergin
insulin lente, insulinrap, monotard
homophane, isophane NM, humulin
metformin, glucobay, guarem
Medicines for the treatment of Itsenko-Cushing's disease are represented by all means except:
acting directly on the pituitary gland (cabergoline)
adrenal 11B-hydroxylase blockers (metyrapone)
blockers of 11B-hydroxylase and 17a-hydroxylase of the adrenal glands (ketoconazole)
replacement therapy (prednisolone)
blocking glucocorticoid receptors (mifepristone)
Indications for the use of Ketoconazole
For short-term therapy of BIC or mild forms of the disease
Before and after NIR radiation therapy
For long-term therapy of severe BIC
Ineffective for all forms of NIC
For the treatment of NIC and systemic lupus erythematosus
A drug that causes osteoporosis by inhibiting protein synthesis
parathyroid hormone
vitamin D
fluorine salts
prednisone
pamidronate
Effective in myxedema:
thyroidin, levothyroxine
prednisolone, dexamethasone
retabolia, nerobol
actrapid, insulinran
mercazodil, potassium iodide
Replenishes iodine deficiency in goiter:
Thyroidin
Levothyroxine
Potassium iodide
Mercazolil
Actrapid
The following drug is used in diabetic coma:
thyroidin, levothyroxine
prednisolone, dexamethami
retabolin, nerobol
actrapid, insulrap
thiamazole, potassium iodide
Insulin preparations do not include:
insulrap
humulin
glybutide
semilente
actrapid
Biguanide derivatives include:
chlorpropamide, bucardan
glibenclamide, gliquidone
insulin tape, insulinrap
homophane, isophane NM
metformin, buformin
What pharmacological properties are characteristic of Levothyroxine:
hypoglycemic, hypotensive, anti-inflammatory
hypoglycemic, normalization of fat and protein metabolism
hypoglycemic, increases lipolysis, reduces appetite and body weight
eliminates hypoglycemic and cardiac stimulating effects
anabolic effect, stimulation of tissue growth and differentiation
Which of these side effects are most common for insulin preparations (Actrapid):
tachycardia, sweating, weakness, allergic reactions
hypoglycemia, allergic reactions, resistance, lipodystrophy
hyperglycemia, osteoporosis, increased blood pressure, fat redistribution
leukopenia, lymphadenopathy, goiter effect, rash
pasty tissue, edema, ascites, increased blood pressure
Characteristics of the drug Thiamazole
causes a decrease in the synthesis of thyroxine in the gland by suppressing the enzyme oxidase
tablets of 100 and 200 mcg of elemental supply, replenishes iodine deficiency in the body
a synthetic combination drug containing both thyroid hormones (T3 and T4), as well as potassium iodide
obtained from dried, defatted thyroid glands of slaughter cattle
snitetic analogue of thyroxine, slowly absorbed, slowly excreted
Characteristics of glybutide:
sulfonylurea derivative of the 2nd generation, increases the secretion of endogenous insulin, reduces cholesterol levels, thins the blood, is effective for type 2 diabetes mellitus
biguanide derivative, regulates metabolism and absorption of glucose, effective in type 2 diabetes mellitus
glucocorticoid drug, used together with mineralocorticoids for hypocorticism
mineralocorticoid drug, used together with glucocorticoids for hypocorticism
insulin preparation, promotes the absorption of glucose by tissues, the conversion of glucose into glycogen, effective for type 1 diabetes mellitus
In acute hypogycemia, the following methods are used:
sulfonylurea derivatives, glucose
prednisone, insulin, glucose
glucagon, glucose, epinephrine
actrapid, humulin, homofan
Lugol's solution, Ringer-Lock's solution
What pharmacological properties are characteristic of insulin:
hypoglycemic, hypotensive, anti-inflammatory
hypoglycemic, normalization of fat and protein metabolism
hypoglycemic, increases lipolysis, reduces appetite and body weight
eliminates hypoglycemia, cardiac stimulating effect
anabolic effect, stimulation of tissue growth and differentiation
For hyperlycemia, the following are used:
sulfonylurea derivatives, glucose
prednisone, insulin, glucose
glucagon, glucose, epineprine
actrapid, humulin, homofan
Lugol's solution, Ringer-Lock's solution
Please indicate specific side effects of triiodothyronine hydrochloride
tachycardia, sweating, weakness, allergic reactions
hypoglycemia, resistance, lipodystrophy
hyperglycemia, osteoporosis, increased blood pressure
leukopenia, lymphadenopathy, goiter effect
hirsutism, hepatitis, libido disorders
Side effects typical for thiamazole:
tachycardia, sweating, weakness, allergic reactions
hypoglycemia, resistance, lipodystrophy
hyperglycemia, osteoporosis, teratogenic effect, increased blood pressure
leukopenia, lymphadenopathy, goiter effect
pasty tissue, edema, ascites, increased blood pressure
The following drugs can cause insulin resistance, hypoglycemia, allergies, and lipodystrophy:
butamide, glibenclamide, chlorpropamide
prednisolone, hydrocortisone, dexamethasone
retabolin, nerobol, methandrostenolone
peritol, parloled, abergin
homophane, humulin, actrapid
The mechanism of action of insulin is characterized by the following:
increase in the concentration of glucokinase and glycogen synthetase
membrane stabilizing, stimulation of lipomodulin synthesis
reduction of thyroxine synthesis in the gland by suppressing oxidase
lymphocytopenia, inhibition of phagocytosis and phagocyte activity
decreased production of releasing hormones in the hypothalamus
Synthetic insulins include the following drugs
chlorpropamide, bucarban, tolinase
glibenclamide, gliquidone, diabenesis
insulin lente, insulrap monotard
homophane, isophane HM, humulin
metformin, glucobai, guarem
Indications for use of thyreocomb:
hypothyroidism, myxedema, cretinism
insulin-dependent diabetes
hypogonadism, amenorrhea, dysmenorrhea, masculinization syndrome
bronchial asthma, rheumatoid arthritis, glomerulonephritis
DM-2 mild to moderate severity
Increases oxygen consumption and heat production by all tissues, tissue growth and differentiation, increases the force of myocardial contraction, increased cardiac output, anabolic effect
(a)
The effect of this drug is associated with the presence of two hormones in it - thyroxine and triiodothyronine:
Thyroidin
Levothyroxine
Potassium iodide
Mercazolil
Actrapid
Synthetic analogue of thyroxine:
Thyroidin
Levothyroxine
Potassium iodide
Mercazolil
Actrapid
Inhibitor of thyroid hormone synthesis
Thyroidin
Levothyroxine
Potassium iodide
Mercazolil
Actrapid
Not used in the treatment of thyroid diseases
Thyroidin
Levothyroxine
Potassium iodide
Mercazolil
Actrapid
Biguanides include:
chlorpropamide, bucarban
glibenclamide, gliquidone
insulin lente, insudrap
homophane, isophane NM
metformin
Natural insulin preparations://
chlorpropamide, bucarban, tolinase//
glibenclamide, gliquidone, diabenez//
insulin lente, insulinrap, monotard//
homophane, isophane NM, humulin//
metformin, glucobay, guarem
Indications for the use of butamide
hypothyroidism, myxedema, cretinism
insulin-dependent diabetes mellitus
hypogonadism, amenorrhea, dysmenorrhea
bronchial asthma, rheumatoid arthritis
Which drug is used in hyperglycemia
sulfonylurea derivatives, glucose
prednisone, insulin, glucose
glucagon, glucose, epinephrine
Lugol's solution, Ringer-Lock's solution
Indications for the use of Actrapid:
hypothyroidism, myxedema, cretinism
insulin-dependent diabetes
hypogonadism, amenorrhea, dysmenorrhea, masculinization syndrome
bronchial asthma, rheumatoid arthritis, glomerulonephritis
DM-2 of mild and moderate severity
Characteristics of the preparation Potassium iodide:
tablets of 100 and 200 micrograms of elemental iodine which makes up of iodine in the body
synthetic combination drug containing both thyroid hormones (T3 and T4) and potassium iodide
it is obtained from dried, fat-free thyroid glands of slaughtered cattle
synthetic thyroxine analog slowly absorbed, slowly excreted
causes a decrease in the synthesis of thyroxine in the gland by suppressing the enzyme oxidase
Characteristics of thyroidin:
it is obtained from dried, fat-free thyroid glands of slaughtered cattle
synthetic thyroxine analog slowly absorbed, slowly excreted
tablets of 100 and 200 micrograms of elemental iodine, which makes up for the lack of iodine in the body
synthetic combination drug containing both thyroid hormones (T3 and T4) and potassium iodide
causes a decrease in the synthesis of thyroxine in the gland by suppressing the enzyme oxidase
When are iodine preparations used in large doses (Lugol's solution)?
when preparing patients for thyroid surgery in order to reduce vascularization
for prevention and treatment of iodine-deficient goiter
to inhibit the synthesis of hormones in the thyroid gland
for long-term treatment of myxedema
for long-term treatment of thyrotoxicosis
They increase oxygen consumption and heat production by tissues, stimulate tissue growth and differentiation, speed and strength of myocardial contractions, and have anabolic effects on the following drugs:
thyroidin, levothyroxine
prednisone, dexamethasone
retabolin, nerobol
actrapid, insulrap
mercazolil, potassium iodine
For thyrotoxicosis, the following can be used
thiamazole, Lugol's solution
thyreocomb, potassium iodide
microdoses of potassium iodide, mercazolil
Lugol's solution, levothyroxine
radioactive iodine
Indications for the use of thyreocomb
hypothyroidism, myxedema, cretinism
insulin-dependent diabetes mellitus
hypogonadism, amenorrhea, dysmenorrhea
bronchial asthma, rheumatoid arthritis
mild diabetes
What group of drugs does Ultratard belong to
hypoglemic agent, a derivative of sulfonylurea
hypoglemic agent derived from biguanides
long-acting insulin preparations
short-acting insulin preparations
hormone preparation used for hypoglycemia
Please indicate the pharmacological effects specific to Actrapid
anabolic effect, stimulation of tissue growth and differentiation, cholesterol catabolism
reduction of basal metabolism, lowering of temperature, elimination of tachycardia
anti-inflammatory, anti-allergic, and immunosuppressive effects
reduction of blood sugar, normalization of fat and protein metabolism
stimulation of protein synthesis, increased muscle tissue mass and parenchymal organs
Indications for the use of humulin
hypothyroidism, myxedema, cretinism
insulin-dependent diabetes mellitus
hypogonadism, amenorrhea, dysmenorrhea
bronchial asthma, rheumatoid arthritis
mild diabetes
The mechanism of antithyroid action of thiamazole is characterized by the following:
increase in the concentration of glucokinase and glycogen synthetase
membrane stabilizing, stimulation of lipomodulin synthesis
reduction of thyroxine synthesis in the gland by inhibiting oxidase
lymphocytopenia, inhibition of phagocytosis and phagocyte activity
decreased production of releasing hormones in the hypothalamus
Mechanism of action of high-dose iodine preparations:
increases the concentration of glucokinase
membrane-stabilizing
inhibition of the oxidase enzyme
substitution therapy
reduced production of releasing hormones
Iodine preparations in microdoses of (100, 200 mcg) are used for?
when preparing patients for surgery on the thyroid gland, in order to reduce vascularization
for prevention and treatment of iodine-deficient goiter
to inhibit the synthesis of hormones in the thyroid gland
for long-term treatment of myxedema
for long-term treatment of thyrotoxicosis
What group of drug does glibenclamide belong to:
hypoglycemic agent, sulfonylurea derivative
hypoglemic agent derived from biguanides
long-acting insulin preparation
short-acting insulin preparation
hormone preparation used for hypoglycemia
What group of drugs does Glybutide belong to:
hypoglycemic agent, sulfonylurea derivative
hypoglycemic agent derived from biguanides
long-acting insulin preparation
short-acting insulin preparation
hormone preparation used for hypoglycemia
Characteristics of the drug Levothyroxine:
synthetic thyroxine analog slowly absorbed, slowly excreted
it is obtained from dried, fat-free thyroid glands of slaughtered cattle
tablets of 100 and 200 micrograms of elemental iodine, which makes up for the lack of iodine in the body
causes a decrease in the synthesis of thyroxine in the gland by suppressing the enzyme oxidase
synthetic combination drug containing both thyroid hormones (T3 and T4) and potassium iodide
Characteristics of the drug Thyreotom:
synthetic combination drug containing both thyroid hormones (T3 and T4) and potassium iodide
it is obtained from dried, fat-free thyroid glands of slaughtered cattle
synthetic thyroxine analog slowly absorbed, slowly excreted
causes a decrease in the synthesis of thyroxine in the gland by suppressing the enzyme oxidase
tablets of 100 and 200 micrograms of elemental iodine, which makes up for the lack of iodine in the body
Indications for the use of Thyreotom:
hypothyroidism, myxedema, cretinism
insulin-dependent diabetes
hypogonadism, amenorrhea, dysmenorrhea
bronchial asthma, rheumatoid arthritis
mild diabetes
Causes a decrease in thyroxine synthesis in the thyroid gland:
thyroidin
prednisone
retaboline
actrapid
mercazolil
Insulin preparations:
chlorpropamide, bucarban, tolinase
glibenclamide, gliquidone, diabeton
peritol, parlodel, abergin
homophane, isophane HM, humulin
metformin, glucobai, guarem
Most non-steroidal anti-inflammatory drugs (NSAIDs) show combined effects of:
Anti-inflammatory, analgesic, antipyretic
Antihistamine, analgesic, anti-inflammatory
Immunosuppressive, antipyretic, antimicrobial
Analgesic, immunosuppressive, antipyretic
Antiallergic, hypotensive, duiretic
Indicate the basic remedies for the treatment of rheumatoid arthritis:
Calcium preparations
cytostatics, gold preparations, immunomodulators
glucocorticoids
NSAID
Antihistamines
Show NSAIDs, a derivative of phenylacetic acid:
Piroxicam
Diclofenac sodium
Ibuprofen
Diazepam
Dexamethasone
