General Surgery Body response to injury

General Surgery Questions: Body Response to Injury

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After the questions, Important one liner statements from this chapter are mentioned for revision

Q1. Counter regulatory hormones in response to metabolic response to injury are all except
A. Glucocorticoids
B. Catecholamines
C. Thyroid hormones
D. Glucagon

Ans 1.  C Thyroid hormones

Stress or Injury produces the following hormones CRF, ACTH, cortisol which further produces adrenaline and glucagon

Thyroid hormones have no relation to stress

Ref BAiley page 3

Q2. Direct effects of GH in metabolic response to injury are all except:-
A. Lipolytic
B. Insulin agonist
C. Insulin antagonist
D. Proinflammatory

Ans 2.b

 Insulin agonist GH has direct lipolytic, insulin-antagonising and proinflammatory properties

 Stress also causes the following ;

Alterations in insulin release and sensitivity (Hyperglycemic state)

Hypersecretion of prolactin and growth hormone (GH)

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