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Systems Final Exam
Hypothalamus and Pituitary
9
Medical
Graduate
04/26/2009

Additional Medical Flashcards

 


 

Cards

Term
What hormones are secreted in the posterior pituitary?  Where are the cell bodies located that secrete these hormones?
Definition

ADH (vasopressin) and oxytocin

 

The cell bodies are located in the supraoptic and paraventricular nuclei of the hypothalamus

Term
What is the purpose of short portal veins?
Definition
They connect the posterior pituitary lobe to the anterior pituitary lobe, perhaps moving components from the posterior pituitary to regulate the anterior pituitary
Term
Where is GH produced?
Definition

GH is synthesized by the somatotrope cells of the anterior pituitary

 

GH gene transcription is increased by growth hormone releasing hormone from the hypothalamus

Term
What blocks GH secretion?
Definition
Somatostatin
Term
Is GH secretion pulsatile or steady?  Why is this important?
Definition

Pulsatile

 

The periodic absence of GH is important for maintaining the synthetic functions of GH while minimizing its insulin-antagonistic actions

Term
What stimulates GH secretion?  What inhibits GH secretion?
Definition

Stimulators:  hypoglycemia, slow wave sleep, amino acids, puberty, stress, exercise

 

Ibhibitors:  glucose, REM sleep

Term
What are the characteristics of the GH receptor?
Definition

It is synthesized by a single chain glycoprotein; the receptors dimerize by two receptors binding GH at different sites; excess GH prevents dimerization

 

Receptor synthesis is stimulated when the circulating GH is low; insulin and estrogen also promote GH receptor synthesis; GH receptor synthesis is inhibited by high circulating concentrations of GH and by fasting

Term
When are GH growth promoting effects observed?  What are they due to?
Definition

The effects are observed 12-18 hours after GH levels increase

 

This is due to the induction of IGF synthesis in the liver

Term
What are the clinical symptoms of giantism/acromegaly?
Definition

Accelerated growth

Insulin resistance

Mild carbohydrate intolerance

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