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9. Endocrine System III
N/A
110
Physiology
Undergraduate 2
10/03/2012

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Term
Thyroid hormone is a main regulator of _________.
Definition
metabolism
Term
How are the major thyroid secretory cells organized?
Definition
into colloid filled spheres
Term
What three molecules does the thyroid produce?
Definition
T4 (thyroxine), T3, and calcitonin
Term
What is the name of T4?
Definition
tetraiodothyronine
Term
What is another name for T3?
Definition
tri-iodothyronine
Term
Thyroid hormone synthesis and storage occur on the ______________.
Definition
thyroglobin molecule
Term
The concentration o iodine is (higher/lower) in the folllicular cell than in the bloodstream.
Definition
higher
Term
7
Definition
Term
What must happen in order for thyroid hormone to be secreted?
Definition
follicular cells must phagocytize a thyroglobin-laden colloid
Term
How are T3 and T4 transported?
Definition
bound to plasma proteins
Term
How much T3 remains unbound to plasma proteins?
Definition
1%
Term
How much T4 remains unbound to plasma proteins?
Definition
.01%
Term
What are the three binding proteins for T3 and T4?
Definition
thyroxin binding globulin, albumin, and thyroxin binding prealbumin
Term
What happens to most of the T4 that is secreted outside of the thyroid?
Definition
it is converted into T3
Term
What is thyroid hormone the primary determinant of?
Definition
overall metabolic rate and it exerts other eefects as well
Term
90% of secreted thyroid hormone is (T3, T4).
Definition
T4
Term
____ is 3-4 more times active than ___.
Definition
T3, T4
Term
Where is T4 converted into T3?
Definition
the liver or kidney
Term
What percent of circulating T3 is derived from T4?
Definition
80%
Term
Of T3 and T4, which is more potent?
Definition
T3
Term
The thyroid hormones are _______ based.
Definition
tyrosine
Term
What is an important part of the synthesis of thyroid hormones?
Definition
iodine
Term
Of the thyroid hormones, which one is the major form in the blood?
Definition
T4
Term
What is the ratio of T4 to T3?
Definition
20:1
Term
What coverst thyroxine to active T3?
Definition
deiodinases
Term
13
Definition
Term
Only a small amount of circulating thyroid hormone is __________. 
Definition
biologically active
Term
Measuring concentration of free thyroid hormones is of great _________ value.
Definition
diagnostic
Term
When a thyroid hormone is bound to a plasm protein, it is not _______, therefore measuring the amount of tota thyroxine can be ___________.
Definition
active; misleading
Term
Thyroid hormone is essential for ____________.
Definition
normal body growth
Term
Thyroid hormone increases ________________.
Definition
basal metabolic rate
Term
Thyroid hormones affect _____________.
Definition
protein synthesis
Term
Thyroid hormones increase sensitivity to ___________ and increases __________.
Definition
catecholamines, cardiac output
Term
How is heat produced as a result of the production of thyroid hormone?
Definition
the active K/Na ATPase pump 
Term
18
Definition
Term
18
Definition
Term
19
Definition
Term
How does thyroid hormone affect the cardiovascular system?
Definition
  • it increases responsiveness to circulating catecholamines 
  • it increases heart rate and contraction

 

Term
Thyroid hormone is crucial for the normal development of the _________ system and i eesential for normal activity  of the ____________ in adults.
Definition
nervous, central nervous system
Term
Thyroid hormones are also important in __________ system development.
Definition
reproductive
Term
What regulates thyroid hormone?
Definition
the hypothalamus-pituitary-thyroid axis
Term
What is hypothyroidism?
Definition
it is primary failure of the thyroid gland itself, deficiency of TRH, TSH, or both, or inadequate dairy iodine
Term
What are soem symptoms of hypothyroidism?
Definition
poor muscle tone, fatigue, increased sensitivity to cold, goiter, weight gain, and water retention
Term
What is hyperthyroidism?
Definition
overactive tissue within the thryoid gland resulting in overproduction and thus an excess of circulating free thyroid hormones: T4 and T3
Term
What are some symptoms of hyperthyroidism?
Definition
weight loss, intolerance to heat, and fatigue
Term
What hormones does the adrenal cortex produce?
Definition
glucocorticoids, mineralcorticoids, and sex steroids
Term
What is an example of a glucocorticoid?
Definition
cortisol
Term
What is an example of a mineralcorticoid?
Definition
aldosterone
Term
What is an example of a sex steroid?
Definition
testosterone
Term
What hormones does the adrenal medulla produce?
Definition
norepinephrine and epinephrine
Term
What are glucocorticoids involved in?
Definition
energy metabolsim
Term
What are mineralcorticoids involved in?
Definition
mineral metabolism
Term
27
Definition
Term
The adrenal cotex synthesizes ___________ from ___________.
Definition
corticosteroids, cholesterol
Term
Mineralcorticoids control mineral and ______ balance.
Definition
water
Term
Glucocorticoids are responsible for _______, _______, and ________ metabolism.
Definition
glucose, lipid, protein
Term
What does adrenal mean?
Definition
next to the kidney
Term
How many distinct cell types can be found in the adrenal gland? What are they?
Definition
2; chromaffin and steroidogenic cells
Term
In most vertebrates, how is the adrenal gland organized?
Definition
it consists of a steroid secreting cortex intermingled with chromaffin tissue
Term
The adrenal (medulla/cortex) is on the inside while the adrenal (medulla/cortex) is on the outside.
Definition
medulla, cortex
Term
Mineralcorticoids are involved in ________ balance, particularly _____ and the ________/_________ system.
Definition
electrolyte, Na+, renin, angiotensin
Term
Mineralcorticoids help retain ______ and _______.
Definition
sodium, water
Term
Glucocorticoids' response to ______ is well documented.
Definition
stress
Term
Glucocorticoids stimulate hepatic ____________, which is done with the use of _________________.
Definition
gluconeogenesis, carbohydrate precursors
Term
Glucocorticoids inhibit ________ uptake except in the _________.
Definition
glucose, brain
Term
Glucocorticoids also stimulate _________ degredation.
Definition
protein
Term
Glucocorticoids facilitate ________.
Definition
lipolysis
Term
What is stress?
Definition
generalized, nonspecific response to any factor that overwhelms or threatens the body's compensatory abilities to maintain homeostasis
Term
How is glucocorticoid concentration affected when there is stress?
Definition
it increases in the blood
Term
How do we adapt to stress with regards to glucocorticoids?
Definition
by the metabolic affects of glucocorticoids
Term
How do glucocorticoids affect inflamation and the immune system?
Definition
anti-inflammatory and immunosupressive
Term
What happens to epinephrine concentrations during a stress response? Why?
Definition

it increases because:

  • it reinforces the sympathetic nervous system for "fight" or "flight"
  • it mobilizes carbohydrate and fat energy stores, increasing blood glucose and blood fatty acids
Term
What happens to corticotropin releasing hormone, adrenocorticotropin hormone, and cortisol concentrations during a stress response? Why?
Definition

it increases

  • it mobilizes energy stores and metabolic building blocks for use as needed
  • this increases blood glucose, blood amino acids, and blood fatty acids
Term
What does ACTH specifically facilitate during a stress response?
Definition
learning and behavior
Term
The adrenal cortex secretes both _____ and _____ _____________ in both sexes
Definition
male, female, sex hormones
Term
The central core of the adrenal gland is surrounded by the ______________. 
Definition
adrenal cortex
Term
The adrenal medulla is the main source of ___________________.
Definition
catecholamine hormones
Term
The adrenal medulla is also a source of ________ and ____________ and ________________.
Definition
dopamine, norepinephrine, epinephrine
Term
The catecholamine secreting adrenal medulla is a modified _______________________.
Definition
sympathetic postganglionic neuron
Term
Epinephrine affects ________ and __________.
Definition
organ systems, metabolism
Term
How does sympathetic stimulation affect the adrenal medulla?
Definition
it causes stimulation of epinephrine and norepinephrine secretion
Term
How does parasympatheric stimulation affect the adrenal medulla?
Definition
it has no affect
Term
How does sympathetic stimulation affect the endocrine pancreas?
Definition
inhibition of insulin secretion and stimulation of glucagon secretion
Term
How does parasympathetic stimulation affect the endocrine pancreas?
Definition
stimulation of insulin and glucagon secretion
Term
What is the function of the parathyroid gland?
Definition
it maintains th body's calcium level within a very narrow range
Term
Why must plasma calcium be closely regulated?
Definition
to preven tchanges in neuromuscular excitability
Term
99% of calcium is located in the ______ and _______.
Definition
bones, teeth
Term
____% of calcium is located in the intracellular fluid.
Definition
.9
Term
___% of calcium is located on the extracellular fluid. Half of this calcium is __________ and the other half is ________.
Definition
.1, bound to plasma proteins, free in plasma
Term
What are some other reasons that plasma calcium needs to be closely regulated?
Definition

because it is essential for:

  • neuromuscular excitability
  • excitation coupling contraction in cardiac muslce and smooth muscle
  • stimulus secretion coupling
  • maintanence of tight junctions between cells
  • clotting of blood
Term
Control of calcium metabolism includes regulation of both calcium _________ and calcium ________.
Definition
homeostasis, balance
Term
What is calcium homeostasis?
Definition
minute to minute control of constant free plasma calcium concentration
Term
What is calcium balance?
Definition
control of constant total amount of calcium in the body
Term
In geeneral, how does the parathyroid raise free plasma calcium?
Definition
by its affects on the bone, kidneys, and intestines
Term
_______ continuously undergoes remodeling.
Definition
bone
Term
______'s immediate effect is to promote the transfer of calcium from _______ into _______.
Definition
PTH, bone fluid, plasma
Term
What is PTH's chronic effect?
Definition
to promote localized dissolution of bone to release Ca2+ into the plasma
Term
How does PTH act on the kidneys?
Definition
it conserves Ca2+ and and eliminates PO4 3-
Term
How does PTH act on the intestine?
Definition
it indirectly promotes absorption of Ca2+ and PO4 3-
Term
What is the primary signal for regulating PTH secretion?
Definition
the plasma concentration of Ca2+
Term
What lowers Ca2+ concentration? Is it essential?
Definition
calcitonin, it may not be
Term
What is vitamin D and what is its function?
Definition
it is actually a hormone and it increases absorption of Ca2+ in the intestine
Term
Explain the process of vitamin D becoming functional.
Definition
  • either the precursor cholesterol under the skin is 'activated' by sunlight or dietary cholesterol is available
  • this turns into vitamin D3 but it is not active yet so it goes to the liver and kidney where two hydroxyl groups are ladded
  •  When it has two hydroxyl groups it becomes active which goes into the intestine to help absorb the calcium
Term
Is getting calcium from the stable pool in the bone faster or slower than getting it from the labile pool?
Definition
slower
Term
54
Definition
Term
54
Definition
Term
Why do people get ostioporosis?
Definition
because as we get older we have a hard time depositing calcium back into bone
Term
55
Definition
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