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Welcome to my Pre-Nursing Exam Prep blog. I hope it will help you prepare very well for the Pre-NLN entrance exam, popularly known as the PAX exam. This is one of the entrance exams required by some schools for those who want to pursue careers in the nursing field in the USA. I will attempt to break down the review materials into manageable parts so that you can systematically and efficiently prepare for the test with less stress. I will guide you to prepare for the entire content of the test. Hopefully, you will be able to pass after going through these series.


BEST OF LUCK!


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A 12-DAY APPROACH TO ACE THE EXAM

SCIENCE REVIEWThe topics that are generally covered in the test have been grouped into twelve instructional modules below. You will be tested only on the basic concepts of physics, chemistry and biology. Click on science topics and select any of the topics listed in the module to review.

Lesson 1:

Basic structure of atom

Types of tissues

Lesson 2:

Movement of substances across the cell membrane

Acids and bases, pH scale

Carbohydrates, proteins, lipids and nucleic acids

Lesson 3:

Basic structure of the eye

Basic structure of the ear

Nervous system

Lesson 4:

Circulatory system

Introduction to mechanics (motion/forces)

Electrical circuits

Lesson 5:

Balancing chemical equations and writing formulas

Essentials of photosynthesis and respiration

Classifying organic compounds

Magnetism

Electromagnetism

Lesson 6:

Interpretation of graphs and pictograms

Analyzing and making conclusions from experiments

Data analysis

Lesson 7:

Endocrine system

Digestive system

Genitourinary system

Lesson 8:

Reproduction in mammals

Basic parts of a flower

Reproduction in plants (the process of pollination

Genetics

Lesson 9:

Modes of heat transfer

Calculating heat energies and phase diagrams

Temperature conversions (Kelvin, Celsius, Fahrenheit)

Lesson 10:

Gas laws (Boyle, Charles, Gay-Lussac)

Types of energy (Potential, kinetic, etc…..)

Chemical bonds, equilibrium and equilibrium constants

Mixtures, types of solutions, solubility

Lesson 11:

Concepts of the food pyramid, food web and food chain

Light (diffraction, refraction, reflection, dispersion)

Basic concepts on waves

Sound waves

Catalyst and enzymes

Lesson 12:

Symbiosis

Ecology

The Electroscope

Radioactivity and half-life Tropism

Tropism

Tuesday, April 22, 2014

ENDOCRINE SYSTEM

An endocrine gland is a gland without ducts. The secretions are released directly into the blood. The endocrine glands secrete hormones that regulate various metabolic activities in the body.
Here is a good diagram of the endocrine system. Click here. You can be given a diagram like this and you could be asked to identify the various glands.

Hypothalamus: The hypothalamus produces eight (8) hormones. Some of the hormones stimulate the pituitary gland to produce other hormones.

1. Thyrotropin-releasing hormone - This acts on the pituitary to release thyroid stimulating hormone (TSH)
2. Growth hormone-releasing hormone-This acts on the pituitary to release growth hormone (GH)
3. Gonadotropin-releasing hormone -This acts on the pituitary to release gonadotropins, namely, Follicle stimulating hormone (FSH) and Luteinizing hormone (LH).
4. Corticotropin-releasing hormone -This acts on the pituitary to release adrenocorticotropic hormone.
5. Oxytocin -This causes uterine contractions and also helps with secretion of the breast milk during lactation.
6. Dopamine - It is a neuroendocrine transmitter. Acts as a neuro-transmitter and also stimulates the release of othe hormones.
7. Vasopressin (Antidiuretic hormone -ADH) - Acts on the kidneys to prevent the lost of water via the urine.
8. Somatostatin - It inhibits the release of growth hormone.

Pituitary gland: Has an anterior (hormone-producing glandular) portion and a posterior (neural) portion which is an extension of the hypothalamus.  Two hormones ( Oxytocin and ADH) produced by the hypothalamus are stored in the posterior pituitary later release.
Four of the six pituitary hormones are tropic hormones. They regulate the function of other endocrine glands.Here are the hormones produced by the anterior portion:
1.  Growth hormone (GH): It stimulates growth of all body tissues but especially skeletal muscle and bone. GH mobilizes fats, stimulates protein synthesis, and inhibits glucose uptake and metabolism. Over production can lead to gigantism while underproduction can lead to dwarfism.
2. Thyroid-stimulating hormone (TSH): This promotes normal development and activity of the thyroid gland. 
3. Adrenocorticotropic hormone (ACTH): This stimulates the adrenal cortex to release  corticosteroids. 
4. The gonadotropins (follicle-stimulating hormone (FSH) and luteinizing hormone (LH)): These regulate the functions of the gonads in both sexes. 
     (a) FSH stimulates sex cell production.  
     (b) LH stimulates gonadal hormone production. 
5. Prolactin (PRL): This promotes milk production in humans females. 
The posterior portion stores and releases two hypothalamic hormones:
1. Oxytocin: This stimulates powerful uterine contractions during labor and delivery of babies. It also causes milk ejection in nursing women. 
2. Antidiuretic hormone (ADH): This stimulates the kidney tubules to reabsorb and conserve water. This results in the production of small volumes of highly concentrated urine and decreased plasma osmolality. Underproduction leads to a condition called diabetes insipidus, where the affected person passes a lot of diluted urine.

Thyroid gland

It produces the thyroid hormone (TH), which includes thyroxine (T4) and triiodothyronine (T3). It increases the rate of cellular metabolism. 

Calcitonin, is produced by the parafollicular cells of the thyroid gland. It decreases the blood calcium levels.

Parathyroid glands

It secretes parathyroid hormone (PTH), which causes an increase in blood calcium levels.

Pancreas

The pancreas is both an exocrine and an endocrine gland. Exocrine means that it has ducts. The endocrine portion (islets of langerhans) releases insulin and glucagon. It also releases smaller amounts of other hormones to the blood.
Glucagon, released by alpha (α) cells - It increases the glucose level in the blood.
Insulin is released by beta (β) cells - It reduces the glucose level in the blood. It increases the rate of glucose uptake and metabolism by most body cells. 

Gonads

The ovaries of the female release two main hormones - estrogens and progesterone. Estrogens stimulate maturation of the female reproductive system and development of the secondary sexual characteristics. Progesterone works with estrogens in establishing the menstrual cycle.
The testes of the male produce testosterone. It promotes maturation of the male reproductive organs, development of secondary sex characteristics, and production of sperm by the testes.

Pineal gland

The pineal gland produces the hormone  melatonin, which influences daily rhythms such as sleep and wake patterns.

Thymus 
It is an important organ of the immune system during the developmental stages of life. It vanished by the time of birth. The T-cells mature here.

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