Cortisol/permissive action/stress hormone MCQ 9+

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• Serum total cortisol is high in
  ক

  Pregnancy

  খ

  Cushing’s syndrome

  গ

  Congenital adrenal hyperplasia

  ঘ

  On long term benzodiazepine therapy

  ঙ

  Primary hyperaldosteronism
• Glucocorticoid hormone
  ক

  Decrease glucose uptake by adipose tissue

  খ

  Decrease glucose uptake by skeletal muscle.

  গ

  Increase hepatic glycogenesis.

  ঘ

  Decrease hepatic glyconeogenesis.

  ঙ

  Increase protein synthesis in skeletal muscle.
• Functions of glucocorticoids are to
  ক

  Inhibit peripheral glucose uptake

  খ

  Increase lipolysis in adipose tissue

  গ

  Decrease protein synthesis in muscle

  ঘ

  Decrease hepatic gulconeogensis

  ঙ

  Increase hepatic glycogen synthesis
• Glucocorticoids increase circulating level of
  ক

  Platelets

  খ

  Neutrophil

  গ

  RBC

  ঘ

  Eosinophil

  ঙ

  Lymphocyte
• Cortisol plays a permissive role in the
  ক

  Lipolytic effect of catecholamines

  খ

  Vasopressor effect of catecholamines

  গ

  Calorigenic effects of glucagon

  ঘ

  Lipolytic effect of glucagon

  ঙ

  Lipolytic effect of thyroxine
• Functions of cortisol are to increase
  ক

  Gluconeogenesis

  খ

  Utilization of fatty acids for energy purpose

  গ

  Protein synthesis in liver

  ঘ

  Deposition of fat in adipose tissue

  ঙ

  Rate of glucose utilization by cells
• Regarding Cushing disease
  ক

  Corticotrophin-releasing hormone (CRtest is positive

  খ

  >50% suppression in high dose dexamethasone suppression test

  গ

  ACTH will be Low

  ঘ

  May be associated with adrenal adenoma

  ঙ

  May occur in bronchial carcinoid