CJE clinical judgement advanced MED SURG 2
(COMPLEX) Exam ACTUAL EXAM COMPLETE
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CJE MED SURG 2 (COMPLEX) – MCQ Questions With Rationales
Batch 1 (Questions 1–50)
1.
Which statement best describes a primary hormonal problem in the endocrine system
affecting body hormone production?
A. A disorder that begins in another organ and spreads to endocrine glands
B. A problem that originates within the hormone-producing gland itself
C. A disorder caused by medications interfering with hormone receptors
D. A condition where hormones are produced but cannot reach target organs
Answer: B
Rationale: A primary hormonal disorder occurs when the gland itself is malfunctioning,
preventing proper hormone production or secretion.
2.
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Which situation best describes a secondary hormonal disorder affecting endocrine system
regulation?
A. A disease originating directly inside the endocrine gland
B. Hormone imbalance due to injury within the gland
C. Disease of one organ causing dysfunction in another endocrine gland
D. Hormone deficiency caused only by genetic mutations
Answer: C
Rationale: Secondary endocrine disorders occur when another organ, such as the pituitary
gland, causes dysfunction in a different gland.
3.
What is the primary physiological function of antidiuretic hormone (ADH) in maintaining fluid
balance in the body?
A. Stimulating red blood cell production in bone marrow
B. Increasing water loss through urine production
C. Preventing fluid loss by promoting water reabsorption in kidneys
D. Increasing sodium excretion to regulate blood pressure
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Answer: C
Rationale: ADH helps the body retain water by increasing water reabsorption in the kidneys,
reducing urine output.
4.
Which group correctly lists the major hormones associated with thyroid gland function and
metabolism regulation?
A. Cortisol, aldosterone, and androgens
B. T3, T4, calcitonin, and thyroid stimulating hormone (TSH)
C. Insulin, glucagon, and somatostatin
D. Estrogen, progesterone, and testosterone
Answer: B
Rationale: The thyroid gland is regulated by TSH and produces T3, T4, and calcitonin, which
influence metabolism.
5.
Which physiological processes are most directly influenced by thyroid hormones T3 and T4
within the body?
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A. Blood clotting and immune responses
B. Metabolism, heart rate, digestion, growth, and brain development
C. Bone marrow production and oxygen transport
D. Kidney filtration and urine formation
Answer: B
Rationale: Thyroid hormones regulate metabolism and influence multiple systems, including
cardiovascular, neurological, and digestive functions.
6.
Which action describes the primary function of parathyroid hormone (PTH) in calcium
regulation within the body?
A. Moves calcium from blood into bones
B. Pulls calcium from bones into the bloodstream
C. Increases potassium reabsorption in kidneys
D. Stimulates insulin release from pancreas
Answer: B
Rationale: PTH raises blood calcium levels by removing calcium from bone stores and
increasing absorption.