Sinh l bnh i cng v ri lon ni tit.

CU HI TRC NGHIM BLOCK 9

BI SINH L BNH I CNG V RI LON NI TIT

1. Nguyn l ca Test ACTH l :

A -Km hm s tit ACTH ca tuyn yn
B - Kch thch trc tip tuyn thng thn (v thng thn)
C - o lng ACTH ca tuyn yn
D - Kch thch s tit ACTH ca Tuyn yn
E - Km hm trc tip v thng thn
2. Nguyn l ca Test Dexamethason l:
A - o lng ACTH ca tuyn yn ti u thng thn thc s
B - Kch thch trc tip v thng thn
C - Km hm s tit ACTH ca tuyn yn
D - Kch thch s tit ACTH ca tuyn yn
E - Km hm trc tip v thng thn
3. Trong bu lan ta cng gip Basedow :
A - TSH tng ,T4 v T3 gim
B - TSH v T4 tng , T3 gim
C - TSH ,T4 v T3 gim
D - TSH gim ,T4 v T3 tng
E - TSH , T4 v T3 tng
4. Trong nhc nng gip th pht do u tuyn yn :
A - TSH tng , T4 v T3 gim
B - TSH v T4 tng, T3 gim
C - TSH,T4 v T3 gim
D - TSH gim, T4 v T3 tng
E - TSH, T4 v T3 tng
5. Hi chng hoc bnh l no sau y khng thuc bnh l ca v thng thn:
A - HC Cushing
B - HC thng thn di truyn
C - U ty thng thn
D - Bnh l tng Aldosteron
E - Bnh Addson
6. Trong hi chng thng thn sinh dc bm sinh do thiu men 3 Hydroxylase :
A - ACTH gim
B - Testosteron gim
C - Cortisol gim
D - Ostrogen gim
E - CRH (corticostropin realeasing hormon) gim
7. Trong HC thng thn di truyn do thiu men 21 -hydroxylase :
A . ACTH tng, glucocorticoid gim.
B - Androgen gim, glucocorticoid tng.
C - Glucocorticoid gim, androgen gim.
D - Glucocorticoid tng, androgen tng.
E - Glucocorticoid gim, androgen tng.

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 Sinh l bnh i cng v ri lon ni tit.

8. phn bit u nng ni tit do nguyn nhn ti tuyn vi u nng ni tit do

nguyn nhn ngoi tuyn, ngi ta da vo :
A- Nghim php tnh nh gi tuyn ni tit
B- Nghim php km hm nh gi tuyn ni tit
C- Nghim php kch thch nh gi tuyn ni tit
C- Siu m tuyn ni tit
E- Cc cu tr li trn u sai
9. phn bit thiu nng ni tit do nguyn nhn ti tuyn hoc ngoi tuyn ngi
ta cn phi lm:
A- Nghim php tnh
B- Nghim php km hm
C- Nghim php kch thch
D- Siu m tuyn gip
E- Cc cu tr li trn u sai
10. Bnh i tho nht l bnh do thiu :
A- Insulin
B- Thiu Aldosterol
C- Thiu ADH
D- Tha yu t thi Na+ ca tiu nh
E- Cc cu trn u sai
11. Cc nguyn nhn sau y c th gy ra hi chng Cushing, tr:
A- Tng Aldosteron
B- Ri lon c ch diu ha ca di i - tuyn yn i vi thng thn
C- U sn xut ACTH
D- Adenom v thng thn
E- Dng qu nhiu glucocorticoid ngoi sinh
12. Cht no sau y c nh hng c ch ln s tit ACTH:
A- Aldosteron
B- Oestrogen
C- Cortisol
D- Thyroxin
E- Oxytoxin
13. Hormon no sau y tc dng thng qua h gien:
A- Adrenalin
B- Parathormon
C- Aldosteron
D- ACTH
E- TSH
14. Hormon no sau y khng tc dng thng qua hiu lc thay i mng t bo:
A- ACTH
B- Noradrenalin
C- Glucagon
D- Aldosteron
E- TSH

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 Sinh l bnh i cng v ri lon ni tit.

15. Trong tng hp hormon tc dng thng qua hiu lc thay i mng t bo, enzym
no sau y s phn ct PIP2 (phosphatidylinositol) thnh DAG (diacylglycerin) v
IP3 (inositoltriphosphat):
A- Proteinkinase C
B- Myosinkinasse
C- Phospholipasse A2
D- Histaminase
E- Phospholipase C
16. Hormon no sau y tc dng khng lin quan n AMP vng:
A- TSH
B- Parathormon
C- Vasopressin
D- Aldosteron
E- ACTH
17. Trong bnh l Basedow, thng th y:
A- TSH t ng , T3 v T4 gim
B- TSH , T3 v T4 u gim
C- TSH, T3 v T4 u tng
D- T3, T4 tng v TSI m tnh
E- T3, T4 tng v TSI d ng tnh
18. Trong bnh bu gip a phng, thng c biu hin:
A- Bu gip v tng T3, T4
B- Bu gip v gim nh T3, T4 hoc T3, T4 bnh thngX
C- Tng TSI, TSH v gim T3, T4
D- Gi m TSH v tng T3, T4
E- TSI, TSH, T3, T4 u gim
19. Nguyn nhn no sau y c th gy ra bnh i tho nht:
A- Thiu 3 hydroxylase
B- Thiu 21 hydroxylase
C- Gim tit ADH do ri lon trc di i-tuyn yn
D- Th th t bo ng thn km nhy cm vi ADH
E- Cu C v D ngX
20. Bnh no sau y c th gy hi chng Cushing:
A- U tu thng thn
B- Adenom thng thn
C- Carcinom kh qun
D- Cu A v B ng
E- Cu B v C ngX
21. Gim tit ADH s dn n nhng triu chng no sau dy:
A- Tng Na+ niu
B- Tng K+ niu
C- a niuX
D- A v C ng
E- B v C ng
22. Bnh nI tit no sau y khng phI l bnh t min:
A- Basedow

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 Sinh l bnh i cng v ri lon ni tit.

B- Bnh nhc c
C- Bnh Hashimoto
D- U tu thng thnX
E- i ng typ I
23. Khng th khng c quan tip th acetylcholin gp trong:
A- Basedow
B- Bnh Hashimoto
C- Bnh nhc cX
D- Bnh Parkinson
E- Vim thn kinh to
24. Trong HC tng aldosteron ngI ta th y:
A- Na+ niu tng
B- Tng o thI nc
C- Huyt p gim
D- K+ mu gim X
E- K+ niu gim
25. T bo M ast c cha:
A- Adrenalin
B- Noradrenalin
C- HstaminX
D- Glucagon
E- Vi khun b thc bo
26. Cht no sau y l cht I khng vI aldosteron:
A- Glucagon
B- Cortison
C- ADH
D- SpironolactonX
E- ACTH

CHON CU NG SAI
27. Xt nghim 17-Cetosteroid niu trong 24 gi l xt nghim c hiu trong
chn on suy thng thn.
A- ng
B- SaiX
28.U v thng thn c th gy nhng cn tng huyt p kch pht.
A- ng
B- SaiX
29.Trong bnh Hashimoto, TSI thng dng tnh.
A- ng
B- SaiX
30.Tuyn yn tng tit ACTH ko di s gy hI chng Cushing.
A- ng x
C- Sai

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 Sinh l bnh i cng v ri lon ni tit.

P N
CU HI TRC NGHIM BLOCK 9
BI SINH L BNH I CNG V RI LON NI TIT

Cu 1: B Cu 6: C Cu 11: A Cu 16: D
Cu 2: C Cu 7: D Cu 12: C Cu 17: E
Cu 3: D Cu 8: B Cu 13: C Cu 18: B
Cu 4: C Cu 9: C Cu 14: D Cu 19: E
Cu 5: C Cu 10: C Cu 15: E Cu 20: E
Cu 21 C C u 22 D Cu 23 C C u 24 D
Cu 25 C C u 26 D Cu 27 B C u 28 B
Cu 29 B C u 30 A

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