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    Below are given a set of statements for the glucocorticoid hormones: A. They bind to cell surface receptors and influence stress adaptation B. They bi
    Question

    Below are given a set of statements for the glucocorticoid hormones:
    A. They bind to cell surface receptors and influence stress adaptation
    B. They bind to intracellular receptors and influence stress adaptation
    C. They inhibit ACTH secretion from anterior pituitary
    D. Prolonged treatment with glucocorticoids leads to atrophic and unresponsive adrenals
    E. Their secretion does not show circadian variations

    Which one of the following combination of the statements is correct?

    A.

    A, C and E

    B.

    B, C and D

    C.

    C, D and E

    D.

    A, D and E

    Correct option is B

    Explanation-

    Statement analysis-

    ​Statement A: They bind to cell surface receptors and influence stress adaptation  - INCORRECT
    Glucocorticoids (e.g., cortisol) are lipophilic steroid hormones. They do not bind to cell surface receptors. Instead, they diffuse through the membrane and bind to intracellular (cytoplasmic) receptors.
    Statement B: They bind to intracellular receptors and influence stress adaptation  - CORRECT
    Glucocorticoids bind to cytoplasmic/nuclear receptors (glucocorticoid receptors). This complex translocates into the nucleus and modulates gene expression, influencing stress adaptation, metabolism, immune response, etc.
    Statement C: They inhibit ACTH secretion from anterior pituitary  - CORRECT
    Glucocorticoids provide negative feedback to the hypothalamus and pituitary. This suppresses ACTH (Adrenocorticotropic hormone) secretion from the anterior pituitary, helping regulate cortisol levels.
    Statement D: Prolonged treatment with glucocorticoids leads to atrophic and unresponsive adrenals  - CORRECT
    Exogenous glucocorticoids suppress endogenous ACTH due to feedback inhibition. Lack of ACTH leads to adrenal atrophy (especially zona fasciculata and reticularis), making adrenals unresponsive over time.
    Statement E: Their secretion does not show circadian variations - INCORRECT
    Cortisol secretion does show strong circadian rhythm. It is highest in early morning (~6–8 AM) and lowest at midnight. This rhythm is crucial for physiological homeostasis.

    Final Correct Combination: B, C, and D
    Correct answer: Option b 

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