Deck 10: Endocrine System
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Deck 10: Endocrine System
1
Which of the following diseases may be caused by an adrenal carcinoma?
A) Cushing's syndrome and pheochromocytoma.
B) Neuroblastoma and gigantism.
C) Acromegaly and gigantism.
D) Cushing's syndrome and aldosteronism.
A) Cushing's syndrome and pheochromocytoma.
B) Neuroblastoma and gigantism.
C) Acromegaly and gigantism.
D) Cushing's syndrome and aldosteronism.
Cushing's syndrome and aldosteronism.
2
Which of the following are major glands of the endocrine system?
(1)Adrenal.
(2)Liver.
(3)Thyroid.
A) Adrenal and Liver
B) Adrenal and Thyroid
C) Liver and Thyroid
D) Adrenal, Liver, and Thyroid
(1)Adrenal.
(2)Liver.
(3)Thyroid.
A) Adrenal and Liver
B) Adrenal and Thyroid
C) Liver and Thyroid
D) Adrenal, Liver, and Thyroid
Adrenal and Thyroid
3
Cushing's syndrome is caused by
A) an excess of glucocorticoid hormones
B) an insufficiency of glucocorticoid hormones
C) an excess of androgen hormones
D) an insufficiency of androgen hormones
A) an excess of glucocorticoid hormones
B) an insufficiency of glucocorticoid hormones
C) an excess of androgen hormones
D) an insufficiency of androgen hormones
an excess of glucocorticoid hormones
4
To what organs do neuroblastomas often metastasize?
A) Bone, liver, and lungs.
B) Breast, kidneys, and colon.
C) Brain, lungs, and colon.
D) Neuroblastomas do not commonly metastasize.
A) Bone, liver, and lungs.
B) Breast, kidneys, and colon.
C) Brain, lungs, and colon.
D) Neuroblastomas do not commonly metastasize.
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5
Which of the following are primary malignancies that commonly metastasize to the adrenals?
(1)Lung.
(2)Kidney.
(3)Breast.
A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only
D) 1, 2, and 3
(1)Lung.
(2)Kidney.
(3)Breast.
A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only
D) 1, 2, and 3
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6
Which group of steroid hormones is sex hormones that tend to masculinize the body,to retain amino acids,and to enhance protein synthesis?
A) Norepinephrines.
B) Mineralocorticoids.
C) Glucocorticoids.
D) Androgens.
A) Norepinephrines.
B) Mineralocorticoids.
C) Glucocorticoids.
D) Androgens.
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7
Which steroid hormone depresses the inflammation response to injury?
A) Aldosterone.
B) Renin.
C) Cortisone.
D) Epinephrine.
A) Aldosterone.
B) Renin.
C) Cortisone.
D) Epinephrine.
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8
Which of the following is the second most common malignancy in children?
A) Pheochromocytoma.
B) Wilms' tumor.
C) Neuroblastoma.
D) Pituitary adenoma.
A) Pheochromocytoma.
B) Wilms' tumor.
C) Neuroblastoma.
D) Pituitary adenoma.
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9
Which endocrine gland secretes cortisone?
A) Kidneys.
B) Thyroid.
C) Parathyroid.
D) Pituitary.
A) Kidneys.
B) Thyroid.
C) Parathyroid.
D) Pituitary.
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10
The gonadotropins are secreted by the
A) adrenals
B) thyroid
C) anterior lobe of pituitary
D) posterior lobe of pituitary
A) adrenals
B) thyroid
C) anterior lobe of pituitary
D) posterior lobe of pituitary
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11
Another name for epinephrine is
A) aldosterone
B) cortisone
C) adrenaline
D) glucagon
A) aldosterone
B) cortisone
C) adrenaline
D) glucagon
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12
Which gland secretes steroid hormones?
A) Adrenal.
B) Pituitary.
C) Liver.
D) Parathyroid.
A) Adrenal.
B) Pituitary.
C) Liver.
D) Parathyroid.
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13
Which hormones are known as "fight or flight" hormones?
A) Epinephrine and norepinephrine.
B) Aldosterone and cortisone.
C) Cortisone and epinephrine.
D) Renin and norepinephrine.
A) Epinephrine and norepinephrine.
B) Aldosterone and cortisone.
C) Cortisone and epinephrine.
D) Renin and norepinephrine.
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14
Where does a pheochromocytoma occur?
A) Anterior pituitary.
B) Adrenal medulla.
C) Kidney cortex.
D) Liver parenchyma.
A) Anterior pituitary.
B) Adrenal medulla.
C) Kidney cortex.
D) Liver parenchyma.
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15
Epinephrine is secreted by the
A) thyroid
B) adrenals
C) parathyroid
D) pituitary
A) thyroid
B) adrenals
C) parathyroid
D) pituitary
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16
Which of the following are responses to epinephrine?
(1)Stimulated heart activity.
(2)Increased blood pressure.
(3)Increased levels of blood glucose.
A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only
D) 1, 2, and 3
(1)Stimulated heart activity.
(2)Increased blood pressure.
(3)Increased levels of blood glucose.
A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only
D) 1, 2, and 3
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17
Which group of steroid hormones regulates salt and water balance?
A) Androgens.
B) Glucocorticoids.
C) Mineralocorticoids.
D) Epinephrines.
A) Androgens.
B) Glucocorticoids.
C) Mineralocorticoids.
D) Epinephrines.
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18
Where is the pituitary gland located?
A) The mediastinum.
B) The sella turcica of the sphenoid bone.
C) The cribriform plate of the ethmoid bone.
D) On the upper poles of the kidneys.
A) The mediastinum.
B) The sella turcica of the sphenoid bone.
C) The cribriform plate of the ethmoid bone.
D) On the upper poles of the kidneys.
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19
Which group of steroid hormones regulates carbohydrate metabolism?
A) Androgens.
B) Glucocorticoids.
C) Mineralocorticoids.
D) Sex hormones.
A) Androgens.
B) Glucocorticoids.
C) Mineralocorticoids.
D) Sex hormones.
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20
The production of aldosterone is primarily regulated by the secretion of _____ in the _____.
A) epinephrine; adrenals
B) epinephrine; pituitary
C) renin; thyroid
D) renin; kidneys
A) epinephrine; adrenals
B) epinephrine; pituitary
C) renin; thyroid
D) renin; kidneys
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21
Hypopituitarism in children causes a type of
A) attention deficit disorder
B) dwarfism
C) Graves' disease
D) arthritis
A) attention deficit disorder
B) dwarfism
C) Graves' disease
D) arthritis
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22
Hypothyroidism dating from birth causes
A) dwarfism
B) diabetes mellitus
C) cretinism
D) gigantism
A) dwarfism
B) diabetes mellitus
C) cretinism
D) gigantism
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23
The only natural iodine-containing substance in the body is
A) TSH
B) aldosterone
C) cortisone
D) thyroxine
A) TSH
B) aldosterone
C) cortisone
D) thyroxine
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24
Excess thyroid hormone production from the entire gland results in
A) goiter
B) Graves' disease
C) cretinism
D) diabetes insipidus
A) goiter
B) Graves' disease
C) cretinism
D) diabetes insipidus
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25
If hyperpituitarism occurs in a person whose bone growth has ceased,then _____ results.
A) aldosteronism
B) acromegaly
C) gigantism
D) diabetes mellitus
A) aldosteronism
B) acromegaly
C) gigantism
D) diabetes mellitus
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26
Gradual marked enlargement and thickening of the bones of the face and jaw is termed
A) gigantism
B) acromegaly
C) feminization
D) goiter
A) gigantism
B) acromegaly
C) feminization
D) goiter
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27
Which disease is evidenced in the radiograph below? 
A) Goiter.
B) Gigantism.
C) Acromegaly.
D) Hypopituitarism.

A) Goiter.
B) Gigantism.
C) Acromegaly.
D) Hypopituitarism.
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28
Which of the following results from excessive growth hormone?
A) Diabetes insipidus.
B) Diabetes mellitus.
C) Hyperpituitarism.
D) Hypopituitarism.
A) Diabetes insipidus.
B) Diabetes mellitus.
C) Hyperpituitarism.
D) Hypopituitarism.
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29
Exophthalmos is a major physical finding in
A) Graves' disease
B) hypopituitarism
C) acromegaly
D) hypothyroidism
A) Graves' disease
B) hypopituitarism
C) acromegaly
D) hypothyroidism
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30
Where is the thyroid gland located?
A) On the superior poles of the kidneys.
B) In the sella turcica of the sphenoid bone.
C) In the neck at the level of the larynx.
D) In the mediastinum at the level of the sternal angle.
A) On the superior poles of the kidneys.
B) In the sella turcica of the sphenoid bone.
C) In the neck at the level of the larynx.
D) In the mediastinum at the level of the sternal angle.
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31
Enlargement of the thyroid gland not associated with inflammatory or neoplastic processes and not initially associated with hyperthyroidism and myxedema is known as
A) goiter
B) Graves' disease
C) cretinism
D) acromegaly
A) goiter
B) Graves' disease
C) cretinism
D) acromegaly
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32
Which modality is superior for imaging of the thyroid gland?
A) Nuclear medicine.
B) CT.
C) MRI.
D) Radiography.
A) Nuclear medicine.
B) CT.
C) MRI.
D) Radiography.
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33
The posterior lobe of the pituitary produces
A) gonadotropins and follicle-stimulating hormones (FSH)
B) adrenocorticotropic hormone (ACTH) and FSH
C) thyroid-stimulating hormone (TSH) and FSH
D) vasopressin and oxytocin
A) gonadotropins and follicle-stimulating hormones (FSH)
B) adrenocorticotropic hormone (ACTH) and FSH
C) thyroid-stimulating hormone (TSH) and FSH
D) vasopressin and oxytocin
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34
Which of the following radiographic characteristics is highly suggestive of acromegaly?
A) Shortened long bones.
B) Calcification of the cartilage of the ear.
C) Diffuse osteoporosis.
D) Thickening of the heel pad to greater than 23 mm.
A) Shortened long bones.
B) Calcification of the cartilage of the ear.
C) Diffuse osteoporosis.
D) Thickening of the heel pad to greater than 23 mm.
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35
There are _____ parathyroid glands in the body.
A) two
B) three
C) four
D) eight
A) two
B) three
C) four
D) eight
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36
If hyperpituitarism occurs in a person whose bone growth is still active,then _____ results.
A) gigantism
B) acromegaly
C) prognathism
D) goiter
A) gigantism
B) acromegaly
C) prognathism
D) goiter
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37
What is the most common type of thyroid carcinoma?
A) Medullary.
B) Follicular.
C) Papillary.
D) Nonspecific.
A) Medullary.
B) Follicular.
C) Papillary.
D) Nonspecific.
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38
What is the usual appearance of thyroid carcinomas on radioactive iodine nuclear medicine scans?
A) Numerous cold spots (areas of decreased uptake).
B) Solitary cold nodule.
C) Numerous hot spots (areas of increased uptake).
D) Solitary hot spot or nodule.
A) Numerous cold spots (areas of decreased uptake).
B) Solitary cold nodule.
C) Numerous hot spots (areas of increased uptake).
D) Solitary hot spot or nodule.
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39
Which hormone causes contraction of smooth muscle,especially in the uterus?
A) Vasopressin.
B) FSH.
C) TSH.
D) Oxytocin.
A) Vasopressin.
B) FSH.
C) TSH.
D) Oxytocin.
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40
Vasopressin acts to protect a person from
A) excessive water loss
B) excessive water retention
C) virilization and feminization
D) gigantism and acromegaly
A) excessive water loss
B) excessive water retention
C) virilization and feminization
D) gigantism and acromegaly
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41
Diabetes insipidus is related to diabetes mellitus.
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42
Failure of the pancreas to secrete insulin or a failure of target organs to respond to this hormone causes
A) diabetes mellitus
B) diabetes insipidus
C) Graves' disease
D) Cushing's syndrome
A) diabetes mellitus
B) diabetes insipidus
C) Graves' disease
D) Cushing's syndrome
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43
The pituitary gland is often called the master gland of the body because the hormones it secretes control most glandular activity throughout the body.
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44
Steroid hormones are secreted by the adrenal glands.
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45
A diabetic patient is NPO for an upper GI exam.While waiting for the radiologist to arrive,the patient complains of feeling lightheaded,and you notice the patient is trembling.What is indicated,and what should be done?
A) Hypoglycemic shock; patient should be given sugar in form of candy or orange juice.
B) Hyperglycemic shock; patient should be given sugar in form of candy or orange juice.
C) Hypoglycemic shock; patient should be given insulin injection.
D) Hyperglycemic shock; patient should be given insulin injection.
A) Hypoglycemic shock; patient should be given sugar in form of candy or orange juice.
B) Hyperglycemic shock; patient should be given sugar in form of candy or orange juice.
C) Hypoglycemic shock; patient should be given insulin injection.
D) Hyperglycemic shock; patient should be given insulin injection.
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46
What is the most common cause of secondary hyperparathyroidism?
A) Discrete adenoma.
B) Carcinoma.
C) Progressive bone disease.
D) Chronic renal failure.
A) Discrete adenoma.
B) Carcinoma.
C) Progressive bone disease.
D) Chronic renal failure.
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47
Thyroxine is the only natural iodine-containing substance in the body.
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48
Which of the following can cause insulin shock?
(1)Too much insulin.
(2)Too little insulin.
(3)Not enough food.
A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only
D) 1, 2, and 3
(1)Too much insulin.
(2)Too little insulin.
(3)Not enough food.
A) 1 and 2 only
B) 1 and 3 only
C) 2 and 3 only
D) 1, 2, and 3
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49
What is the most common cause of primary hyperparathyroidism?
A) Discrete adenoma.
B) Carcinoma.
C) Acute renal failure.
D) Chronic renal failure.
A) Discrete adenoma.
B) Carcinoma.
C) Acute renal failure.
D) Chronic renal failure.
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50
Which imaging modality provided this image of an endocrine system disorder? 
A) MRI.
B) CT.
C) Radiography.
D) US.

A) MRI.
B) CT.
C) Radiography.
D) US.
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51
The hormones secreted by the parathyroid glands function to
A) regulate water and salt balance in the body
B) maintain proper electrolyte levels in the blood
C) stimulate secondary sex characteristics
D) regulate calcium and phosphate levels in the blood
A) regulate water and salt balance in the body
B) maintain proper electrolyte levels in the blood
C) stimulate secondary sex characteristics
D) regulate calcium and phosphate levels in the blood
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52
Which of the following is a major complication of diabetes mellitus?
A) Obesity.
B) Emaciation.
C) Atherosclerosis.
D) Polydipsia.
A) Obesity.
B) Emaciation.
C) Atherosclerosis.
D) Polydipsia.
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53
Androgens are secreted by the parathyroid glands.
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54
Graves' disease is related to the thyroid gland.
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55
Which endocrine system disorder is demonstrated in the image below? 
A) Adrenal metastasis.
B) Diabetes mellitus.
C) Pheochromocytoma.
D) Diabetes insipidus.

A) Adrenal metastasis.
B) Diabetes mellitus.
C) Pheochromocytoma.
D) Diabetes insipidus.
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56
The release of hormones by the thyroid gland is controlled by a hormone secreted in the anterior lobe of the pituitary gland.
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57
Cushing's syndrome is caused by a malfunction of the pituitary gland.
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58
Pheochromocytoma is the second most common malignancy in children.
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59
The risk of thyroid cancer is increased in persons who have childhood therapeutic neck irradiation.
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60
What is the most common type of hyperparathyroidism?
A) Primary.
B) Secondary.
C) Tertiary.
D) Idiopathic.
A) Primary.
B) Secondary.
C) Tertiary.
D) Idiopathic.
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61
Match the disease to the dysfunctional gland.
Graves' disease
A)Thyroid gland
B)Pituitary gland
C)Adrenal glands
D)Parathyroid glands
Graves' disease
A)Thyroid gland
B)Pituitary gland
C)Adrenal glands
D)Parathyroid glands
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62
Match the hormone to the gland that produces it.
Epinephrine
A)Pituitary gland
B)Parathyroid glands
C)Thyroid gland
D)Adrenal glands
Epinephrine
A)Pituitary gland
B)Parathyroid glands
C)Thyroid gland
D)Adrenal glands
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63
Match the disease to the dysfunctional gland.
Cushing's syndrome
A)Thyroid gland
B)Pituitary gland
C)Adrenal glands
D)Parathyroid glands
Cushing's syndrome
A)Thyroid gland
B)Pituitary gland
C)Adrenal glands
D)Parathyroid glands
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64
Match the hormone to the gland that produces it.
Cortisone
A)Pituitary gland
B)Parathyroid glands
C)Thyroid gland
D)Adrenal glands
Cortisone
A)Pituitary gland
B)Parathyroid glands
C)Thyroid gland
D)Adrenal glands
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65
Match the disease to the dysfunctional gland.
Gigantism
A)Thyroid gland
B)Pituitary gland
C)Adrenal glands
D)Parathyroid glands
Gigantism
A)Thyroid gland
B)Pituitary gland
C)Adrenal glands
D)Parathyroid glands
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66
Match the disease to the dysfunctional gland.
Diabetes insipidus
A)Thyroid gland
B)Pituitary gland
C)Adrenal glands
D)Parathyroid glands
Diabetes insipidus
A)Thyroid gland
B)Pituitary gland
C)Adrenal glands
D)Parathyroid glands
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67
Match the hormone to the gland that produces it.
Thyroxine
A)Pituitary gland
B)Parathyroid glands
C)Thyroid gland
D)Adrenal glands
Thyroxine
A)Pituitary gland
B)Parathyroid glands
C)Thyroid gland
D)Adrenal glands
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68
Match the hormone to the gland that produces it.
Growth hormone
A)Pituitary gland
B)Parathyroid glands
C)Thyroid gland
D)Adrenal glands
Growth hormone
A)Pituitary gland
B)Parathyroid glands
C)Thyroid gland
D)Adrenal glands
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69
Match the hormone to the gland that produces it.
PTH
A)Pituitary gland
B)Parathyroid glands
C)Thyroid gland
D)Adrenal glands
PTH
A)Pituitary gland
B)Parathyroid glands
C)Thyroid gland
D)Adrenal glands
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70
Match the hormone to the gland that produces it.
Androgens
A)Pituitary gland
B)Parathyroid glands
C)Thyroid gland
D)Adrenal glands
Androgens
A)Pituitary gland
B)Parathyroid glands
C)Thyroid gland
D)Adrenal glands
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71
Match the hormone to the gland that produces it.
Vasopressin
A)Pituitary gland
B)Parathyroid glands
C)Thyroid gland
D)Adrenal glands
Vasopressin
A)Pituitary gland
B)Parathyroid glands
C)Thyroid gland
D)Adrenal glands
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72
Match the hormone to the gland that produces it.
Follicle-stimulating hormone
A)Pituitary gland
B)Parathyroid glands
C)Thyroid gland
D)Adrenal glands
Follicle-stimulating hormone
A)Pituitary gland
B)Parathyroid glands
C)Thyroid gland
D)Adrenal glands
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