Coordination and control – the endocrine system

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Question 12
Hard

The graph below shows the results of an oral glucose tolerance test (OGTT) for a healthy individual (Curve P) and an individual with an endocrine disorder (Curve Q).

Glucose Tolerance Test Graph

Which of the following options correctly identifies the rate of blood glucose clearance for Curve P between its peak concentration and t=120 minutest = 120\text{ minutes}t=120 minutes, and the most likely molecular cause of the pathology shown in Curve Q?

Rate: 2.0 mmol dm−3 hour−12.0\ \text{mmol}\ \text{dm}^{-3}\ \text{hour}^{-1}2.0 mmol dm−3 hour−1 ; Cause: Autoimmune destruction of pancreatic β\betaβ-cells leading to insufficient insulin secretion.

Rate: 1.25 mmol dm−3 hour−11.25\ \text{mmol}\ \text{dm}^{-3}\ \text{hour}^{-1}1.25 mmol dm−3 hour−1 ; Cause: Autoimmune destruction of pancreatic α\alphaα-cells leading to excess glucagon secretion.

Rate: 2.0 mmol dm−3 hour−12.0\ \text{mmol}\ \text{dm}^{-3}\ \text{hour}^{-1}2.0 mmol dm−3 hour−1 ; Cause: Overexpression of GLUT4 glucose transporter proteins on the sarcolemma of skeletal muscle fibers.

Rate: 3.3 mmol dm−3 hour−13.3\ \text{mmol}\ \text{dm}^{-3}\ \text{hour}^{-1}3.3 mmol dm−3 hour−1 ; Cause: Downregulation or mutation of glycoprotein insulin receptors on the membrane of hepatocytes.

Coordination and control – the endocrine system Questions

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