AIIMS Patna NO - 2020
Applied Physiology
Easy

Which of the following hormones is NOT secreted from the anterior pituitary?

Appeared in: AIIMS Patna NO - 2020

Explanation

  • Oxytocin is not secreted by the anterior pituitary gland.
  • It is a hormone that is synthesized in the paraventricular nucleus of the hypothalamus.
  • After synthesis, it is transported down axons to the posterior pituitary, where it is stored and released into the bloodstream.
  • Its primary functions are to stimulate uterine contractions during labor and facilitate milk ejection (let-down reflex) during breastfeeding.

Why Other Options Were Wrong

  • Option A: Adrenocorticotropic hormone (ACTH) is incorrect because it is synthesized and secreted by the corticotrope cells of the anterior pituitary gland.
  • Option B: Prolactin (PRL) is incorrect as it is produced and secreted by the lactotroph cells in the anterior pituitary gland.
  • Option C: Human growth hormone (GH) is incorrect because it is a peptide hormone synthesized and secreted by the somatotroph cells of the anterior pituitary.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Hormones of the Pituitary Gland as background academic context rather than a clinical decision trigger.
  • Understanding the origin of hormones is crucial for diagnosing endocrine disorders. For example, a tumor in the anterior pituitary could cause an overproduction of ACTH (leading to Cushing's disease) or GH (leading to acromegaly), but it would not directly affect oxytocin levels.
  • What if? If a patient presented with symptoms of excessive thirst and urination (polyuria), a dysfunction of the posterior pituitary (specifically, deficient Antidiuretic Hormone/ADH) leading to Diabetes Insipidus would be suspected, rather than an anterior pituitary issue.
How to Approach the Question
  • First, identify the negative keyword 'NOT'. This signals that you must find the option that is an exception.
  • Second, recall the hormones secreted by the anterior pituitary. A common mnemonic is 'FLAT PEG': Follicle-stimulating hormone (FSH), Luteinizing hormone (LH), Adrenocorticotropic hormone (ACTH), Thyroid-stimulating hormone (TSH), Prolactin (PRL), and Growth hormone (GH).
  • Third, systematically evaluate each option against your recalled list.
  • Adrenocorticotropin (ACTH), Prolactin, and Human growth hormone are all present in the 'FLAT PEG' mnemonic, confirming they are from the anterior pituitary.
  • Oxytocin is not part of the mnemonic. Recall that Oxytocin and ADH are released from the posterior pituitary.
  • Therefore, Oxytocin is the correct answer as it is the one NOT secreted from the anterior pituitary.
Concept Tested & Keywords
  • Concept Tested: Hormones of the Pituitary Gland
  • Stem keywords: hormones, secreted, anterior pituitary
  • Lead-in keywords: NOT
  • Negative lead-in flag: The question uses negative framing ('NOT'), asking to identify the exception among the options.

Question ID

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Reference Book

E6 Nursing Brunner Adult Health 3SA Vol 1 Part 4 p. 9-11

E6 Physiology Ganong 27e Vol 1 Part 2 p. 115-117

E6 Gynecology Williams p. 364-430

Practise the full AIIMS Patna NO - 2020

Attempt every question from this paper in a timed mock, then review the full solution for each one.