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Physiology · Endocrine physiology: cortisol
Sample itemCortisol increases blood glucose during stress primarily by which hepatic effect?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Increasing gluconeogenesis
Cortisol induces enzymes of gluconeogenesis and promotes proteolysis and lipolysis to provide substrates. It also antagonises insulin's peripheral effects.
Option by option
A. Increasing insulin secretion
Cortisol tends to impair insulin sensitivity rather than stimulate insulin as its primary action.
B. Increasing peripheral glucose uptake
It reduces peripheral glucose uptake through insulin antagonism.
C. Blocking glycogen breakdown
It supports, rather than blocks, fuel mobilisation.
D. Increasing gluconeogenesis (correct)
Correct. Increased hepatic gluconeogenesis raises glucose availability.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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