Term
name the glucocorticoids:
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Definition
Cortisol(natural in body)
Hydrocortisone
prednisone
dexamethasone |
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Term
why would you taper a patient off of steroids? |
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Definition
b/c the body senses high levels of cortisol due to steroid medication & then implements the negative feedback mechanism to suppress the production of ACTH. When pt. stops steroid medication, their hypothalamus has not recieved the stimuli to begin sending corticotropic releasing hormone through the hypophyseal portal system to begin production of ACTH, adrenocorticotropic hormone to be sent to the adrenal cortex so that cortisol can be produced. The result of the lowered levels of cortisol can be lethargy, fluid shifts, and in the worst case scenario, shock. |
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Term
what are the three types
of stimuli for hormonal release? |
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Definition
Humoral stimuli: secretion of hormones in direct response to changing blood levels of ions and nutrients.
Neural stimuli: nerve fibers stimulate hormone release(i.e. preganglionic s.n.s. fibers stim. adrenal medulla-secrete epiniphrine).
Hormonal stimuli: hormonal release in response to hormones produced by other endocrine glands(i.e. hypothalamus hormones stim. ant. pit. to stim. targets to secrete still more hormones.) |
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Term
Describe the antagonistic
relationship between PTH and Calcitonin: |
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Definition
PTH(produced-parathyroid gland):stim for release=Low blood Ca2+ levels:increases osteoclast activity(tears down bone matrix & releases more Ca2+ : increase intestinal absorption of Ca2+/increase Kidney tubules reabsob Ca2+.
Calcitonin(produced in thyroid gland):stim for release=high blood calcium levels: causes increased osteoblast activity: decreased kidney reabsorb/increased kidney excretion of calcium.
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Term
How is menopause confirmed?
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Definition
LH and FSH levels will be high |
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Term
what causes TSH to be released? |
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Definition
TRH--Thyroid stimulating hormone |
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Term
name the four "tropic" hormones and say why they are tropic: |
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Definition
TSH, FSH, LH, ACTH: they are "tropic" or tropins because they are hormones that causes that have other endocrine glands as their target,,, most are produced in the anterior pituitary. |
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Term
what are the hormones
produced in the anterior pituitary?
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Definition
LH, TSH, FSH, ACTH, PRL, and GH. |
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Term
where is GH produced?
What is it's stim for release?
What does it affect?
What type of hormone is it?
what does it promote(think metabolic process)? |
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Definition
--produced(&released) in Anterior pituitary
--stimulation for release = GHRH
--Affects skeletal muscle & bone
--is an anabolic hormone(promotes protein synthesis)
--GH directly encourages use of fats(lipolysis)
--produces "somatomedins"(promote sulfur uptake)(in amino acid-cystine & hyaline cartilage) |
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Term
what other hormone does GHIH inhihbit besides GH? |
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Definition
GHIH also inhibits TSH in addition to Growth Hormone. |
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Term
Where is PRL produced?
what is its target?
what is its effect?
what other hormone has a direct&indirect effect on PRL?
What is the inhibitor for PRL? |
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Definition
-produced in anterior pituitary
--targets are mammary glands
--effect=milk production
--Estrogen has both direct & indirect effect on PRL: high estrogen=high PRL; Low estrogen=low PRL)
PIH(prolactin inhibiting hormone) inhibits |
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Term
Oxytocin:
produced where?
stim. for release?
regulated how?
what are its effects?
how does it travel to post. pit? |
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Definition
--produced in paraventricular nucleus of hypothalamus
--stim for release=pressure/birth canal or uterus
--regulated by positive feedback loop
--causes sm. muscle contraction of uterus/mam. glands
--also causes milk let-down (stim. suckling)
--travels from hypothal. to post pit. via hypophyseal tract |
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Term
ADH: antidiuretic hormone
where produced?
Where released?
how does it get there?
Stim for release?
target organ? |
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Definition
--produced in supraoptic nucleus of hypothalamus
--released in posterior pituitary
--travels via hypophyseal tract to post. pit
--stim for release=angiotensin 2,high solute conc. by macula densa cells monitoring for osmolarity. (ADH helps prevent water overload)
--targets:kidney tubules and distal convuluted tubules-to reabsorb more water
(Alcohol directly intereferes with ADH so that body cannot reabsorb/consume water)
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Term
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Definition
Is the largest gland & located on the anterior of neck. Is highly vascularized and close to the carotid arteries.
consists of follicular and parafollicular cells which are composed of simple cuboidal epithelium |
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Term
composition of T3, T4?
relevance?
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Definition
T3= tyrosine plus 3 iodines
T4=tyrosine plus 4 iodines
tyrosine is an amino acid but with binding of iodine, it acts like a steroid hormone.
these are hormones that regulates metabolism
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Term
what are the main differences between amino acid based hormones and steroid hormones? |
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Definition
1)amino acid based hormones will be taken out of blood circulation quickly while steroid hormones stay in the blood much longer.
2)Steroid hormone cell receptors are inside the cell (in cytosol, nucleus, or mitochondria) while the amino acid based hormone receptors are typically on the plasma membrane.
3)Steroid(intracellular)hormones directly activate genes while plb receptors(a.a.'s) are coupled via regulatory molecule(g proteins) to one or more 2nd messengers that cause response |
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Term
what are the 5 big categories of steroid hormones? |
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Definition
Androgens(testosterone)
Progesterones
Estrogens
Glococorticoids(coritsol)
Mineralocorticoids(aldosterone) |
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Term
Thyroid Gland: T3, T4
(both essential for bone, muscle, nerv. system)
target tissue?
Stimulus?
periperal tissue preference?
Inhibition?
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Definition
target tissues=ALL; stimulus for release=TSH
thyroid hormone concerned w/ glucose oxidation,ATP:the higher the metabolic rate, the higher the heat production.
TH plays a role in *regulating tissue growth*developing sk.muscle & CNS*maturation & reproductive capabilities
--peripheral tissues prefer T3, so T4 gets converted to T3.
inhibition=negative feedback or GHIH
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Term
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Definition
Hyperthyroidism: TH sensitizes Beta receptors in heart/take very little sympathetic stimulation to increase contractility/heart enlarges
Hypothyroidism: impedes neurological system;top cause of depression, slowdown of metabolic rate;2nd most common endocrine disorder in humans.
Problem converting T4 to T3 in peripheral tissues |
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Term
describe what happens during thyroid supplementation |
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Definition
it takes a hormone and a receptor for system to work. if a pt has been hypothyroidal for long time, they have developed too many receptors. they need to eliminate some of those receptors.
That is why dose alterations in thyroid medication need to be done in a stepwise function. |
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Term
define up regulation
define down regulation
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Definition
Up-regulation=when target cells develop more receptors in response to a hormone or in the absence of a hormone.
Down-regulation=when target cells lose receptors to a hormone either via a loss of the stimulating hormone or the presence of another hormone causes a decrease in receptors |
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Term
why is it so important to maintain a certain blood calcium level? |
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Definition
Because of the contractile cells in the heart. |
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Term
Calcitonin(produced by parafollicular cells in thyroid)
stim for release=high blood calcium levels
causes decreased osteoclast activity/decrease in osteoclast activity;increase in excretion by kidney tubules;lower reabsorption rate by kidney tubules;
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Definition
PTH(follicular cells/chief cells)
4 glands
stim for release=low blood calcium levels
result=high blood calcium levels because:
PTH stimulates osteoclast activity to digest bone matrix-intestinal cells to absorb calcium-distal convuluted tubules to reabsorb calcium.
is a negative feedback loop |
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Term
what hormone is produced at each layer of the adrenal cortex? |
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Definition
Zonaglomerulosa:outelayerer/locorticoid/aldosterone:secreted from outer layer in response to Na+ deprivation)
zonafasciculata:middlelayer/glucocorticoid/cortisol/stimulated by ACTH.
Zona Reticularis: innerlayer/gonadocorticoids/testosterone
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Term
What are the layers of the Adrenal cortex? |
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Definition
zona glomerulosa:outer layer
zona fasciculata: middle layer
zona reticularis: inner layer |
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Term
What does ACTH stimulate?
where produded?
target organ?
Ihibition of release?
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Definition
ACTH stimulates zona fasciculata to produce cortisol
--in the adrenal cortex, fasciculata layer
--target organ(s): Liver {effects=gluconeogenesis}
Adipose tissue{effects=mobilize fatty acids}
Muscle{mobilize use of amino acids}
Immune system: {anti-inflammatory suppression}
inhibition of release=negative feedback
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Term
why are corticosteroid drugs not
indicated for long term use? |
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Definition
these types of meds suppress the immune system;
collagen formation is impeded by cortisol; it inhibits any connective tissue longterm; it causes longterm damage to endothelial tissue in the cardiovascular system |
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Term
Cortisol has a __________________
effect and causes ___________________. |
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Definition
anti-inlammatory; vasoconstriction |
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Term
Aldosterone(a mineralocorticoid)
stimulation for release=1) angiotensin2; 2)low Na+ levels 3)high blood levels of K+; 4) ACTH |
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Definition
ANP wants to decrease Na+ (blood volume)
works opposite to Aldosterone(antagonistic to) |
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Term
An ____________ of blood glucose causes
insulin to be released |
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Definition
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Term
what are two reasons for the Indirect system? |
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Definition
1) to augment response
2) to allow for variable response |
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Term
All protein hormones work by
__________ _____________ |
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Definition
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Term
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Definition
it triggers all activation of enzymes, i.e. add ion channels, remove ion channels, etc. |
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Term
The 2nd messenger system, a.k.a the ___________
or the __________________ system, allows for
multiple responses in multiple cells. But can also have different responses in the same cells. |
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Definition
G-protein; Indirect system |
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Term
in the cAMP 2nd messenger system, the 1st messenger causes the _______ to _____ __________;
the 2nd messnger _______________ will be augmented
and will then _____________________________. |
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Definition
hormone; change shape;
cAMP; cause other responses |
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Term
how can the same chemical messenger do different functions? |
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Definition
depends on the cell and type of receptors |
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Term
describe the overall process of the 2nd messenger system |
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Definition
--thru a series of proteins changing shape
-then produces a 2nd messenger
--that 2nd messenger then initiates responses
--there will be more of the responses and they will last longer |
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Term
what is the PIP mechanism? |
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Definition
another indirect response system that uses calcium calmodulin as it's second messenger. |
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Term
The second messenger system is process of
_________________________. a small number of hormone molecules bind to membrane receptors, which leads to 1000's of 2nd messengers in cell. this magnifies the effect of hormone on target cell. |
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Definition
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Term
Hormones binding to intracellular receptor prompts ______
_____________ to produce __________. The _____ is
translated into proteins, which bring about a cellular effect & directly affect metabolic activity and structure of target cell: includes steroid and __________ hormones. |
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Definition
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Term
Target cell activation depends on 3 factors:
___________________________
______________________________
______________________________ |
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Definition
--blood levels of the hormone
--relative number of receptors on the target cell
--the affinity of those receptors for the hormone |
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Term
concentrations of circulating hormone reflect:
________________________
____________________________________________.
Hormones are removed from the blood by:
______________________, ____________________
and _______________________. |
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Definition
rate of release; speed of intactivation and removal from the body; degrading enzymes; the kidneys; liver enzyme systems. |
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Term
Free hormones:
--remain functional for __________________.
they can leave the bloodstream in the following 3 ways:
1) _____________________________
2) _____________________________
3) _____________________________
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Definition
diffuse out of bloodstream (binds to receptors on target cells);
gets broken down & absorbed by liver or kidney;
gets broken down by enzyme in plasma or I.F. |
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Term
bound hormones: are primarily
_______________ and ______________. they remain in circulation much longer. when they enter the boodstream, more than 99% become attached to special transport proteins. the bloodstream contains substantial reserve of bound hormones. |
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Definition
steroid hormones; thyroid hormones. |
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Term
blood levels of hormone are usually controlled by __________ ___________. stimulus triggers production of hormone whose effects reduce intensity of a stimulus. the effects reduce the intensity of a stimulus. so they vary only within a narrow range of desirable limits. |
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Definition
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