Shared Flashcard Set

Details

Endocrinology - Chapter 18
Wright State Univeristy
145
Anatomy
Undergraduate 2
02/25/2009

Additional Anatomy Flashcards

 


 

Cards

Term
What are the 2 parts of the pituitary gland?
Definition
1. the posterior pituitary (neurohypophysis) and the 2. anterior pituitary (adenohypophysis)
Term
What is the infundibulum?
Definition
It is located inferior to the hypothalamus and is the connection to the pituitary (like a stalk of tissue).
Term
Hyposecretion of Growth Hormone causes what type of dwarfism?
Definition
pituitary dwarfism (achondroplastic dwarfism is caused by a genetic defect in growth plate development which causes a normal size trunk and disproportionate limbs, hands and feet)
Term
Pituitary dwarfism causes what percentage of dwarfism?
Definition
30 percent
Term
What type of dwarfism causes short limbs as well as small hands and feet?
Definition
achondoplastic dwarfism
Term
___________ dwarfism can be treated with Growth Hormones if caught early.
Definition
Pituitary dwarfism
Term
Achondroplastic dwarfism is a genetic defect that affects what?
Definition
bone growth
Term
This hormone stimulates the thyroid hormones thyroxine (T4) and triiodothyronine (T3).
Definition
Tyroid Stimulating Hormone(TSH)/Thyrotropin
Term
What stimulates the release of thyroid stimulating hormone(TSH)?
Definition
TRH (thyroid releasing hormone from the hypothalamus)
Term
What affect would low levels of TRH have on thyroid stimulating hormone(TSH)?
Definition
Inhibit its release
Term
Increased levels of thyroxine and triiodothyronine is a consequence of what?
Definition
hypersecretion of TSH
Term
Decreased levels of thyroxine and triiodothyronine can be attributed to what?
Definition
hyposecretion of TSH
Term
What is the function of TSH (Thyroid stimulating hormone)?
Definition
To stimulate the thyroid hormones thyroxine and triiodothyronine
Term
What does TSH do?
Definition
causes the release of T4 (thyroxine, the most abundant form) and T3 (triiodothyronine, the less prominent, but more physiologically active form)
Term
What are the effects of hyposecretion of the Follicle Stimulating Hormone (FSH)
Definition
Decrease in sperm production (males), Amenorrhea (females) and Low estrogen levels (females).
Term
What is Grave's disease, and what is it caused by?
Definition
Autoantibodies which are produced and mimic TSH.  This mimicing TSH autoantibody binds to the thyroid receptors and causes hypersecretion of thyroid hormone.
Term
What does growth hormone inhibit
Definition
breakdown of proteins
Term
GH increases lipolysis… what is lipolysis?
Definition
breakdown of fats for energy
Term
GH increases production of somatomedins…what does this do?
Definition
stimulates growth in cartilage and bone and increases protein synthesis in skeletal muscles
Term
Where is the Parathyroid gland located and how many are there?
Definition
there are 4 small glands on the posterior aspect of the thyroid gland
Term
What hormone does the parathyroid gland release?
Definition
parathyroid hormone
Term
What is the function of parathyroid hormone?
Definition
1. Raises blood calcium levels and 2. Decreases blood phosphate levels
Term
How does parathyroid hormone increase blood caclcium?
Definition
It stimulates release of calcium from bones (which indirectly increases the number and activity of osteoclasts). It also stimulates reabsorption of calcium from the kidneys and stimulates the final conversion of Vit. D in the Kidneys (calcidiol into calcitriol which aids in calcium absorption)
Term
How does parathyroid hormone decrease blood phosphate?
Definition
It stimulates secretion of phosphate by the kidneys, however, it also stimulates release of phosphate from the bones and stimulates absorption of phosphate in the gut
Term
What stimulates the release of Parathyroid hormone (PTH)?
Definition
1. low blood calcium levels and 2. High blood phosphate levels
Term
What inhibits the release of Parathyroid hormone (PTH)?
Definition
1. high blood calcium levels 2. Low blood phosphate levels
Term
What are the 2 causes of hypersecretion of Parathyroid hormone (PTH)?
Definition
1. primary hyperparathyroidism (adenomas are responsible for approximately 90%; idiopathic (unknown cause) responsible for the other 10%) 2. Secondary hyperparathyroidism (caused by conditions that reduce blood calcium; inadequate dietary intake of calcium and inadequate levels of vitamin D)
Term
What are the 5 main symptoms of hypersecretion of Parathyroid hormone (PTH)?
Definition
1. osteoporosis (loss of calcium from bone) 2. hypercalcemia 3. muscle weakness 4. lethargy 5. increased heart contractility
Term
What are the 2 causes of hyposecretion of Parathyroid hormone (PTH)?
Definition
1. Accidental removal during thyroidectomy (thyroid gland removal) 2. Autoimmune, idiopathic, congenital or tumor
Term
What are the 3 symptoms of hyposecretion of Parathyroid hormone (PTH)
Definition
1. hypocalcemia 2. nerve discharge and siezures 3. muscle spasms
Term
Where are the adrenal glands found?
Definition
Otherwise known as the suprarenal (upon the kidneys) they sit atop the kidneys and are embedded in fat that encloses the kidneys
Term
What are the two parts of the adrenal glands?
Definition
1. adrenal medulla 2. Adrenal cortex
Term
What is the function of the adrenal medulla and where is it located?
Definition
The adrenal medulla is the central part of the adrenal gland that is considered to be part of the sympathetic nervous system and is a reinforced sympathetic response. It releases two hormones, epinephrine (aka adrenaline that is 80% of its secretion product) and norepinephrine (aka noradrenaline which is 20% of its secretion product)
Term
What are the 8 main functions of epinephrine and norepinephrine?
Definition
1. increase metabolic rate (especially skeletal and cardiac muscle) 2. increased heart rate 3. increased blood pressure 4. Glycogenolysis in the liver (releases glucose into the bloodstream) 5. Glycogenolysis in the muscle cells (glucose is metabolized and used for energy) 6. Lipolysis in Adipocytes (fatty acids released into the bloodstream) 7. Bronchodilation 8. Shunts blood from the internal organs and skin to the essential organs (brain, muscle and heart)
Term
What stimulates the release of epinephrine and norepinephrine?
Definition
sympathetic nervous system (which is why it is considered a part of the sympathetic nervous system) via hypothalamic stimulation from 1. stress 2. physical activity 3. low blood glucose 4. low blood pressure
Term
What inhibits the release of epinephrine and norepinephrine?
Definition
There is no inhibitory input; low basal levels and it is released on demand
Term
What are the 5 hypersecretion effects of epinephrine and norepinephrine?
Definition
1. Hypertension 2. tachycardia 3. hyperglycemia 4. nervousness 5. Excessive sweating
Term
What are the hyposecretion effects of epinephrine and norepinephrine?
Definition
None (low normal basal levels)
Term
What are the 3 layers of the adrenal (suprarenal) gland?
Definition
From outer to inner 1. zona glomerulosa 2. zona fasciculata and 3. zona reticularis
Term
What hormones are released by the zona glomerulosa?
Definition
Minaralocorticoids like aldosterone (the main one)
Term
What are the 3 main functions of aldosterone?
Definition
1. Stimulates the kidneys to reabsorb sodium (water follows osmotically which increases blood volume and consequently pressure) 2. stimulates kidneys to secrete potassium and 3. stimulates secretion of hydrogen
Term
What is the function of Follicle Stimulating Hormone?
Definition
1.Stimulates sperm production (males) 2.Stimulates estrogen production(females) 3.Helps regulate the menstrual(females)
Term
What are the symptoms of hypersecretion of thyroid hormone?
Definition
high body temperature, heat intolerance, weight loss, increased heart rate, hypertension, hyperexcitable due to central nervous system stimulation, diarrhea due to stimulation of the digestive tract, exophthalmos, and goiter
Term
What are the Hypersecretion effects of prolactin in females?
Definition
1. lack of menstrual cycle 2. spontaneous milk production 3. decreased libido due to low testosterone
Term
What are the Hypersecretion effects of prolactin in males?
Definition
increased prolactin (hypersecretion of) can cause erectile disfunction, decreased sperm production, breast development in males (called gynecomastia) and decreased libido due to low testosterone
Term
What stimulates the release of aldosterone?
Definition
Angiotensin II directly stimulates release of aldosterone. This is all part of the renin /angiotensin /aldosterone pathway. Renin will convert angiotensinogen to angiotensin I. Angiotensin I is convereted to angiotensin II which then stimulates release of aldosterone.
Term
What causes renin release (and ultimately aldosterone release)?
Definition
1. Hyponatremia (low blood sodium) 2. Decreased blood volume / blood pressure 3. Sympathetic stimulation 4. hyperkalemia (high blood potassium)
Term
What inhibits aldosterone release?
Definition
1. hypernatremia 2. Increased blood volume / pressure
Term
What are the two types of disease from hypersecretion of aldosterone and what causes each?
Definition
1. primary aldosteronism - caused by adrenal cortex tumor 2. secondary aldosteronism - caused by increased renin production
Term
What are the 4 main symptoms of hypersecretion of aldosterone?
Definition
1.hypernatremia 2. hypokalemia 3. alkalosis 4. high blood pressure
Term
What disease is caused by hyposecretion of aldosterone?
Definition
Addison's disease
Term
What are the 4 main symptoms of hyposecretion of aldosterone (aka addison's disease)
Definition
1.hyponatremia 2.hyperkalemia 3.acidosis 4. hypotension
Term
What is the main hormone released by the zona fasciculata?
Definition
Glucocorticoids (the main one is cortisol)
Term
What are the 6 main functions of cortisol?
Definition
1. STimulates protein catabolism/inhibits protein anabolism, 2. stimulates lipolysis, 3. anti-inflammatory, 4. maintenance of vascular tone, 5. suppresses the immune system and 6. helps the body deal with stress
Term
What stimulates the release of cortisol?
Definition
ACTH from the anterior pituitary in response to CRH (corticotropin releasing hormone) in response to stress or hypoglycemia
Term
What inhibits release of cortisol?
Definition
Low levels of ACTH
Term
What disease results from hypersecretion of cortisol?
Definition
Cushing's syndrome
Term
What are the symptoms of hypersecretion of cortisol (aka cushing's syndrome or disease)?
Definition
1. "moon face" and "camel hump" 2. fat gets deposited above the waist 3. edema from loss of protein 4. Increased blood glucose (causing adrenal diabetes) 5. Frequent infection (immune system depressed) 6. Low levels of ACTH (negative feedback from elevated cortisol)
Term
What is the difference between cushings syndrome and cushings disease?
Definition
Cushing's syndrome is caused by either an adrenal tumor (where cortisol is made in the zona fasciculata) or by prolonged corticosteroid drug use. Cushing's disease is caused by a pituitary tumor which causes excess ACTH to be released and consequently stimulating the adrenal gland and increasing cortisol release.
Term
What are the two main effects of hyposecretion of cortisol?
Definition
1. primary adrenal insufficiency - this is an autoimmune disorder of the adrenal cortex caused by low blood cortisol resulting in high blood ACTH(due to Addison's Disease) 2. Secondary adrenal insuficciency - inadequate secretion of ACTH; this results in only low levels of cortisol and an inability to deal with stress.
Term
Which hormones are released from the zona reticularis?
Definition
Very small amounts of androgens and estrogens
Term
What are two androgens released in the zona reticularis?
Definition

1. DHEA (Dehydroepiandrosterone); main androgen secreted, can be converted to testosterone by testes

2. Androstenedione; can be converted to testosterone, effects only significant in females

Term
What are the causes of hypersecretion of androgens (causing adrenogenital syndrome / congenital adrenal hyperplasia)?
Definition
Caused by a severe lack of cortisol which causes the pituitary to respond with a release of ACTH. This causes tremendous stimulation of the entire cortex and results in a massive release of androgens.
Term
What are the 3 symptoms of hypersecretion of androgens?
Definition
1. Early secondary sex characteristics in males 2. masculizing effects in females 3. short stature (stimulates ossification of growth plate and occurs prematurely)
Term
What is the effect of hypersecretion of androgens before birth?
Definition
Prior to birth in females, infants's reproductive structures are ambiguous
Term
What is the results of hyposecretion of androgens and estrogens in the zona reticularis?
Definition
No effects because these are not the primary secretors or androgens and estrogens
Term
What part of the pancreas is responsible for producing endocrine products?
Definition
The islets of langerhans
Term
What are the 3 main hormones secreted by the pancreas and what cells do they come from?
Definition
1. insulin from beta cells 2. Glucagon from alpha cells and 3. somatostatin from delta cells
Term
What is the function of insulin?
Definition
1. increases cellular uptake of glucose (in muscle, liver and adipose) 2. increases glycogenesis in muscles and liver 3. increases lipogenesis (production of lipid) in adipose tissue 4. increases protein synthesis and is protein sparing
Term
What 4 things stimulate the release of insulin?
Definition
elevated blood sugar, elevated amino acid levels in the blood, high blood fatty acids and GIP (glucose-dependent insulinotropic peptide)
Term
What 4 things inhibits insulin release?
Definition
1. Somatostatin, 2. low blood glucose, 3. low blood amino acids and 4. low blood fatty acids
Term
What are the 3 functions of glucagon?
Definition
1. stimulate gluconeogenesis (conversion of non carbohydrates into glucose) 2. stimulates glycogenolysis 3. stimulates lipolysis
Term
What are the 3 things that stimulate glucagon release?
Definition
1. low blood glucose 2. increased blood amino acids (protects from hypoglycemia if all protein meal is eaten 3. sympathetics
Term
What is the function of somatostatin and what cells release it?
Definition
Released by delta islets of Langerhan cells and inhibits insulin and glucagon (aids in feedback regulation)
Term
What is type 1 diabetes mellitus and what causes this?
Definition
occurs in 5% of the cases and is the insulin-dependent diabetes. Beta cells do not exist or are not working properly; this is an autoimmune disiese
Term
What is type 2 diabetes mellitus and what causes this?
Definition
Formerly known as adult onset; not atypical for teenagers to contract disease now. Poor lifestyle is usually, but not always to blame. Insuline resistance is the cause (in other words, insulin production is fine, but cells receptors not working. Eventually insulin production will stop as well)
Term
What are the functions of oxytocin in females?
Definition
Stimulate milk ejection from lactating breast and also Stimulate uterine contraction during childbirth.
Term
Where is oxytocin released from?
Definition
Posterior pituitary
Term
What is a function of oxytocin in males?
Definition
facilitate sperm transport
Term
Oxytocin may have an effect on male sexual behavior (T/F)?
Definition
True
Term
What substances from outside the body (exogenously) can inhibit ADH/Vasopressin?
Definition
ethanol and caffeine
Term
What 2 physiological conditions inhibit ADH/Vasopressin?
Definition
A decrease in plasma osmolarity/osmolality and/or an increase in blood pressure
Term
What hormone is released due to the dilation of the cervix?
Definition
Oxytocin
Term
What bodily reactions during childbirth cause the release of oxytocin?
Definition
Dilation of cervix,distension of uterus
Term
What bodily reactions besides those during childbirth cause the release of oxytocin?
Definition
suckling of breasts and sexual intercourse
Term
What gland releases oxtocin?
Definition
posterior pituitary
Term
What inhibits the release of oxytocin?
Definition
none are known but alcohol does inhibit
Term
what are the hypersecretion effects of oxytocin release?
Definition
none are known
Term
what are the hyposection effects of oxytocin release?
Definition
none are known
Term
The lack of milk production in females during the lactation period is a hyposecretion effect of what hormone?
Definition
Prolactin
Term
What is the effect of hyposecretion of Prolactin in men? In women?
Definition
No known effect in men, lack of milk production during lacation for women
Term
What is the effect of a pituitary tumor (with respect to TSH levels)?
Definition
A pituitary tumor would cause an increase in TSH
Term
What is the funtion of luteinizing hormone?
Definition
stimulates testosterone production, and helps regulate the menstrual cycle
Term
What stimulates the release of luteinizing hormone?
Definition
GnRH and low blood testosterone levels
Term
What inhibites the release of luteinizing hormone?
Definition
Low GnRH and high blood testosterone
Term
What are the hypersecretion effects of luteinizing hormone?
Definition
High blood testosterone, Amenorrhea
Term
What are the hyposecretion effects of luteinizing hormone?
Definition
Low testosterone levels and amenorrhea
Term
What are two ways the endocrine system allows for communication between cells?
Definition
Affect the activity of their target cells, released directly into surrounding intersitial fluid
Term
What are the two major classes of hormones?
Definition
Protein hormones and Lipid hormones.
Term
How are protein hormones transported in the body?
Definition
Most are carried freely within the blood.
Term
How are lipid hormones transported in the body?
Definition
These need to be transported in the blood via plasma proteins.
Term
What are prostaglandins derived from?
Definition
Derived from lipids (synthesized by tissues in the body)
Term
What enzymes are needed for the synthesis of prostaglandins?
Definition
COX-1 and COX-2
Term
What are the two signaling methods prostaglandins use?
Definition
Autocrine (acts on the same cell secreting it) and Paracrine (acts on a cell close by) Must use these due to their short half life.
Term
What are three clinical uses of prostaglandins?
Definition
decrease blood pressure, dilate airways, inhibit acid secretion.
Term
Define hyposecretion.
Definition
Too little secretion.
Term
Define hypersecretion.
Definition
Too much secretion.
Term
What is negative feedback?
Definition
Maintains homeostasis. Response of a regulator to counteract and inappropriate change.
Term
What is postive feedback?
Definition
Does not maintain homeostatsis. Response of a regulator contributes to the change that occurs.
Term
What is non-hormonal regulation?
Definition
Change in the concentration of a substance, causes a gland or specialized tissue to respond, gland responds via the relesae of hormones. (ie. an increase in blood glucose causes the pancreas to respond and release insulin)
Term
Describe neural regulation.
Definition
Stimulate or inhibit release of hormone. (ie. neural control of the adrenal gland causes release of NE and Epi)
Term
Describe hormonal regulation.
Definition
A gland or endocrine structure influences another gland or endocrine structure. (ie the hypothalamus influences the release of hormones from the anterior pituitary gland)
Term
Describe chronic secretion.
Definition
Days or weeks, maintenence of a relatively constant concentration of circulating hormone.
Term
Describe acute secretion.
Definition
Minutes to hours, rapid, short-lived increase in circulating hormone in response to a stimulus.
Term
Describe cyclic secretion.
Definition
Days, increase and decrease in circulating hormones at a relatively constant time
Term
Lipid hormones diffuse through ______ of capillaries.
Definition
the walls
Term
Protein hormones diffuse through ______ of capillaries.
Definition
fenestrae
Term
What is a receptor?
Definition
Specialized structures on or in the target cells that bind hormones.
Term
What is the receptor/active site?
Definition
Where a specific hormone binds to a specific receptor.
Term
What is desensitization/resistance?
Definition
Occurs with prolonged and constant stimulation of a receptor, causes conformational change or downregulation of the receptor.
Term
What is upregulation?
Definition
Increase in the sensitivity of a cell to a hormone, Increase in the number of receptors.
Term
If a hormone can upregulate the receptor of another hormone it is said to have what effect?
Definition
Permissive
Term
Describe synergy.
Definition
The effect of two hormones together on a target cell is greater than the additive effect of the two hormones seperately on the same cell.
Term
What are two locations of receptors on a cell?
Definition
Membrane bound and intracellular.
Term
What type of receptor requires a second messenger cascade?
Definition
Membrane bound receptors which are bound by protein hormones.
Term
How do intracellular receptors work?
Definition
Bound by lipid hormones (diffuse through plasma membrane), contained within the nucleus or cytoplasm, receptor interacts with enzymes or DNA
Term
What are the three protein hormone modes of action?
Definition
G-proteins, guanylate cyclase, membrane bound receptors with enzymatic activity
Term
G protein receptors activate what three second messenger cascades?
Definition
Calcium channels, adenylate cyclase, phospholipase C.
Term
Describe the calcium channel second messenger cascade.
Definition
Hormone binds receptor, G protein binds the receptor, ion channels or enzymes are activated leading to an increase in intracellular Ca
Term
Describe the adenylate cyclase second messenger cascade.
Definition
Hormone binds receptor, G protein binds the receptor, adenylate cyclase is released resulting in ATP to be converted into cAMP
Term
Describe the phospholipase C second messenger cascade.
Definition
Hormone binds receptor, G protein binds receptor, phospholipase C converts PIP2 into IP3 and DAG.
Term
What is the cause of IP3 release as a second messenger?
Definition
Causes an increase in intracellular calcium.
Term
What is the cause of DAG release as a second messenger?
Definition
Activates other enzymes in the cell and aids in prostaglandin production.
Term
Describe the guanylate cyclase second messenger cascade.
Definition
Hormone binds receptor, causes a conformation change of the receptor, activates guanylate cyclase which converts GTP into cGMP
Term
Describe the membrane bound receptors with enzymatic activity cascade pathway.
Definition
Hormone binds receptor, receptor undergoes conformational change, activates receptor on inner membrane which activates enzymes within the cell
Term
What is the purpose of a second messenger?
Definition
Rapid response, amplifies the signal of the hormone
Term
Describe lipid hormone mode of action.
Definition
hormone dissociates from carrier, diffuses thru PM and nuclear membrane, binds with receptor in nucleus, binds DNA, causes transcription of some gene, new protein produced
Term
What 3 things stimulate Follicle Stimulating Hormones (FSH)?
Definition
1.GnRH 2.Low blood estrogens levels(females) 3.Low blood testosterone levels(males)
Term
What stimulates the release of the thyroid gland?
Definition
1. TSH/Thyrotropin (also causes thyroid to enlarge) 2.Increased levels of iodine 3.Cold & Stress (increase TRH)
Term
What are the two hormones that are released from the Thyroid gland?
Definition
Thyroxine(T4), and Triiodothyronine(T3)
Term
What is thyroid storm?
Definition
A sudden release of T3 and T4
Term
What causes thyroid storm?
Definition
Stress, infections, or idiopathic (fancy term for my doctor has no clue)
Term
What stimulates the release of Growth Hormone (GHIH)?
Definition
Low blood glucose (hypoglycemia), increased blood amino acids (especially arginine), stress, deep sleep, and exercise.
Term
What percent of Dwarfs are achondroplastic?
Definition
70%
Term
What are the 8 symptoms of secondary hypothyroidism?
Definition
1. low body temperature 2. Cold intolerance 3. decreased heart rate 4. Hypotension 5. Lethargy due to inhibition of digestive tract 6. Increased plasma cholesterol 7. myxedema (this is a thickening of the soft tissue that causes a non pitting edema) 8. possible goiter if due to lack of iodine
Supporting users have an ad free experience!