Endocrine regulation · USMLE Step 1

The secretion of hormones in many endocrine axes is pulsatile or circadian rather than constant. What is a key advantage of such rhythmic secretion?

  1. It ensures constant maximal receptor activation
  2. It prevents receptor down-regulation over time
  3. It eliminates negative feedback suppression
  4. It causes permanent elevation of hormone levels
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Correct answer: It prevents receptor down-regulation over time

Pulsatile or circadian secretion avoids continuous receptor stimulation, thereby reducing receptor down-regulation and helping maintain sensitivity of target tissues.

Difficulty: Medium Question 11 of 23

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