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PATHORYANT1/2OF2
PATHORYANT1/2OF2
127
Pathology
Graduate
01/09/2010

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Term
FETAL CORTICES OF THE ADRENAL GLAND SECRETE ____TO___MG OF STEROID DAILY
Definition
100-200MG DAILY
Term
THE ADRENAL CORTEX ZONES AND THE HORMONES THEY SECRETE (3)
Definition
ZONA GLOMERULOSA- ALDOSTERONE
ZONA FASCICULATA- GLUCOCORTICOIDS (CORTISOL)
ZONA RETICULARIS- ANDROGENS AND ESTROGENS
Term
THE ADRENAL MEDULLA PRODUCES AND SECRETES
Definition
CATECHOLAMINES- EPI AND NOREPI
Term
EXCESS GLUCOCORTICOIDS (CORTISOL) RESULTS IN STIMULATION OF WHICH CONDITION:
Definition
HYPERGLYCEMIA, OSTEOPOROSIS, AND WEIGHT GAIN IN FACE AND TRUNK
Term
EXCESS GLUCOCORTICOIDS (CORTISOL) CAUSE INHIBITION OF WHAT RESPONSES
Definition
IMMUNE RESPONSES- SLOWS HEALING PROCESS
Term
EXCESS GLUCOCORTICOIDS STIMULATE GASTRIC PEPSIN AND HCL INCREASE RESULTING IN
Definition
PEPTIC ULCER DISEASE
Term
CORTISOL(GLUCOCORTICOIDS) SECRETION IS REGULATED BY THE
Definition
HYPOTHALAMIC-PITUITARY-ADRENAL AXIS
Term
HYPOTHALAMIC CRH STIMULATES THE RELEASE OF WHAT FROM THE PITUITARY?
Definition
ACTH
Term
ADMINISTRATION OF GLUCOCORTICOIDS DOSESE THAT EXCEED PHYSIOLOGIC NEEDS FOR LONGER THAN 3 WEEKS CAN SIGNIFICANTLY ___ THE ABILITY OF H-P-A AXIS TO RELEASE CRH AND ACTH
Definition
SUPRESS
Term
PATIENTS SHOULD BE WEANED OFF STERIODS TO AVOID SUPPRESSING THE____ AXIS
Definition
HPA
Term
CLINICAL SYNDROME OF EXCESS CORTISOL
Definition
CUSHINGS SYNDROME
Term
CLINICAL SYNDROME OF EXCESS ALDOSTERONE(ZONA GLOMERULOSA)
Definition
ALDOSTERONISM
Term
CLINICAL SYNDROME OF EXCESS ADRENAL ANDROGENS (ZONA RETICULARIS)
Definition
HIRTUTISM & VIRILIZATION IN FEMALES
Term
MOST COMMON CAUSE OF CUSHINGS SYNDROME
Definition
EXCESS ADMINISTRATION OF CORTICOSTERIODS FOR CHRONIC MEDICAL PROBLEMS:
RHEUMATOID ARTHRITIS
ASTHMA
Term
THE SIGNS OF CUSHINGS ARE A RESULT OF OVERSECRETION OF
Definition
CORTICAL HORMONES: GLUCOCORTICOIDS, ANDROGENS, AND MINERALOCORTICOIDS
Term
TO DIAGNOSE CUSHINGS____TEST
Definition
DEXAMETHASONE SUPPRESSION TEST
Term
THE MAJOR EFFECTS OF MINERALOCORTICOIDS (ALDOSTERONE) ARE ON ____ METABOLISM
Definition
ELECTROLYTE
Term
ALDOSTERONE ACTS ON THE RENAL TUBULAR AND GI EPITHELIUM BY ___SODIUM ABSORPTION AND ____ POTASSIUM OR HYDROGEN IONS
Definition
INCREASES SODIUM ABSORPTION
EXCRETES POTASSIUM

ALDOSTERONE---> WATER RETENSION
Term
ALDOSTERONE (MINERALOCORTICOID) IS SECRETED IN RESPONSE TO ___ IN THE BLOOD
Definition
ANGIOTENSIN
Term
EXCESS PRODUCTION OF ALDOSTERONE AS A RESULT OF A TUMOR OR ADRENAL HYPERPLASIA IS TERMED
Definition
PRIMARY HYPERALDOSTERONISM AKA CONNS DISEASE
Term
WHEN ARTERIOLAR PRESSURE IN THE RENAL GLOMERULUS DECREASES, THE R-A-S SYSTEM RESPONDS &CAUSES HYPERALDOSTERONISM TERMED...
Definition
SECONDARY HYPERALDOSTERONISM
SEEN IN CHF
CIRRHOSIS OF LIVER
NEPHROTIC SYNDROME

EDEMA IS A PROMINENT CLINCAL FEATURE
Term
INCREASED PLASMA RENIN ACTIVITY,HTN AND HYPOKALEMIA IS SEEN IN THIS KIND OF HYPERALDOSTERONISM
Definition
PRIMARY

THERE IS A DECREASE IN PLASMA RENIN ACTIVITY IN SECONDARY HYPERALDOSTERONISM
Term
TX FOR ADRENALCORITICAL ADENOMA
Definition
SURGERY
Term
TX FOR ADRENAL HYPERPLASIA
Definition
SPIRONOLACTONE- K SPARRING DIURETIC
Term
THE MOST POTENT ADRENAL SEX HORMONE IS
Definition
TESTOSTERONE
Term
THE 5 MAJOR CONDITIONS ASSOCIATED ANDROGEN EXCESS ARE:
Definition
1. PCOS
2. ANDROGEN PRODUCING TUMORS OF THE OVARY OR ADRENALS
3. ADRENAL HYPERPLASIA
4. IDIOPATHIC HIRTUISM
5. OTHER
Term
CONTINUED ACTH SECRETION WILL LEAD TO INCREASED ANDROGEN SYNTHESIS AND ____ IN FEMALE NEONATES
Definition
AMBIGUOUS GENITALIA
Term
MOST COMMON CAUSE OF EXCESS ANDROGEN PRODUCTION (ZONA RETICULARIS)
Definition
POLYCYSTIC OVARIAN SYNDROME
"PCOS"
Term
TX FOR PCOS
Definition
METFORMIN
Term

HYPERINSULINEMIA/GLUCOSE INTOLERANCE

ELEVATED LH LEVELS

OBESITY

INFERTILITY

AND HIRSUTISM 

ARE SYMPTOMS OF:

Definition
PCOS
THIS IS CONGENITAL
CUSHINGS IS RESULT OF TUMOR AND ALSO HAS VIRILIZATION WHICH IS NOT SEEN IN MOST PCOS CASES
Term
HALLMARK IS MARKED HTN
Definition
PHEOCHROMOCYTOMA
Term
THE MOST IMPORTANT CONDITION AFFECTING THE ADRENAL MEDULLA
Definition
PHEOCHROMOCYTOMA
Term
EXCESS RELEASE OF CATECHOLAMINES (EPI/NOREPI) IN A PAROXYSMAL MANNER IS RESULTANT OF
Definition
PHEOCHROMOCYTOMA
Term
PRIMARY ADRENAL INSUFFICIENCY= ADDISONS DZ IS CHARACTERIZED BY HIGH LEVELS OF
Definition
ACTH
ADRENAL CORTEX IS MESSED UP AND ISNT RECEIVING ACTH SO BODY INCREASES ITS LEVEL
Term
SECONDARY ADRENAL INSUFFICIENCY IS CHARACTERIZED BY
Definition
LOW LEVELS OF ACTH, DEFICIENT SECRETION OF ACTH FROM PITUITARY
Term
MOST COMMON CAUSE OF ADDISONS DZ IS
Definition
AUTOIMMUNE DESTRUCTION OF ADRENAL GLAD
Term
ACUTE ADRENAL INSUFFICIENCY WILL MANIFEST IN THIS PHYSICAL SIGN
Definition
VOMITTING, DEHYDRATION, HYPOTENSION, AND HYPOGLYCEMIA
ADDISONS CRISIS
Term
HYPERPIGMENTATION IS SEEN IN THIS DISEASE
Definition
ADDISONS
Term
WITHOUT ACTH (ADDISONS) ALDOSTERONE WILL BE DEFICIENT CAUSING LOSS OF SODIUM RESULTING IN:
Definition
HYPONATREMIA
HYPOVOLEMIA
HYPERKALEMIA
AND METABOLIC ACIDOSIS!!!
Term
CORTISOL DEFICIENCY CAUSES HYPO___
Definition
HYPOGLYCEMIA- CAN LEAD TO VASCULAR COLLAPSE
Term
TO TEST FOR ACROMEGALY YOU WOULD ORDER THESE TWO TESTS
Definition
MRI AND CT
Term
CAH (CLASSIC CONGENITAL ADRENAL HYPERPLASIA): A CONDITION CAUSED BY ENZYME DEFICIENCY INVOLVING A DEFICIENCY IN THIS HORMONE ___ 
Definition
CORTISOL
Term
USED BY MOST BODY CELLS AS ENERGY SOURCE:
Definition
GLUCOSE
Term
FAT AND MUSCLE CELLS REQUIRE A CARRIER FACILITATED BY ___ TO TRANSPORT GLUCOSE ACROSS CELL MEMBRANE
Definition
INSULIN
Term
INSULIN IS RELEASE FROM THE ___ CELLS OF PANCREAS
Definition
BETA
Term
WHEN YOU HAVE LOW LEVELS OF GLUCOSE, THE PANCREAS SECRETES GLUCAGON BY THE ___ CELLS
Definition
ALPHA
Term
WHAT ORGAN RELEASES GLUCOSE INTO THE BLOOD TO RESTORE GLUCOSE LEVELS
Definition
THE LIVER
Term
EXCESS GLUCOSE IS STORED IN THE LIVER AS ___
Definition
GLYCOGEN
Term
LOWERS BLOOD GLUCOSE BY INCREASING GLUCOSE TRANSPORT INTO CELLS
Definition
INSULIN
Term
GLYCOGENESIS IS THE FORMATION OF ___ FROM ___
Definition
GLYCOGEN FROM GLUCOSE
MEDIATED BY INSULIN
PRODUCED BY BETA CELLS OF PANCREAS
Term
THIS HORMONE SECRETED BY THE ADRENAL MEDULLA RAISES BLOOD GLUCOSE LEVELS
Definition
EPINEPHRINE
Term

THIS HORMONE FROM THE ALPHA CELLS IN PANCREAS RAISES BLOOD GLUCOSE LEVELS

Definition
GLUCAGON
Term

THIS HORMONE FROM THE ADRENAL CORTEX RAISES BLOOD GLUCOSE LEVELS

Definition
CORTISOL/ GLUCOCORTICOIDS
Term

THIS HORMONE FROM THE ANT. PITUITARY RAISES BLOOD GLUCOSE LEVELS

Definition
GH
Term
NORM FASTING BLOOD GLUCOSE LEVEL
Definition
70-110 MG/DL
Term
GLUCOSE IS FILTERED AND REABSORBED AT THE
Definition
GLOMERULUS
Term
THE RENAL THRESHOLD OF GLUCOSE IS
Definition
160-180 MG/DL
Term
EXCRETION OF GLUCOSE IS ACCOMPANIED BY INC EXCRETION OF ___ AND ___ WHICH MAY LEAD TO DIABETIC KETOACIDOSIS OR COMA
Definition
WATER AND ELECTROLYTES ACCOMPANY GLUCOSE EXCRETION
Term
A CHRONIC DISORDER OF ABSOLUTE OR RELATIVE DEFICIENCY OF INSULIN OR INSULIN RESISTANCE
Definition
DIABETES MELLITUS
Term
AN AUTOIMMUNE DISEASE THAT LEADS TO LACK OF ENDOGENOUS INSULIN IS TERMED
Definition
TYPE 1 DIABETES
Term
AUTOANTIBODIES PRODUCED AGAINST THE BETA CELLS THAT LEADS TO A DECLINE OR ABSENCE OF INSULIN IS TERMED
Definition
TYPE 1 DIABETES
Term
CLINICAL MANIFESTATIONS OF TYPE 1 DIABETES OCCUR ONLY WHEN __% OF BETA CELLS HAVE BEEN DESTROYED
Definition
90%
Term
PERIPHERAL RESISTANCE TO INSULIN, IMPAIRED INSULIN SECRETION, OR EXCESS HEPATIC GLUCOSE PRODUCTION DESCRIBES THIS DIAGNOSIS
Definition
TYPE 2 DIABETES
Term

PTS WITH ACROMEGALY HAVE GLUCOSE INTOLERANCE

T OF F?

Definition
TRUE
Term
AN IMPAIRED GLUCOSE TOLERANCE IS DEFINED AS A FASTING BLOOD SUGAR BETWEEN ___ AND ___ MG/DL
Definition
110-127
NORM: 70-110
Term
A FASTING GLUCOSE OF MORE THAN ___ ON TWO OCCASIONS = DIABETES
Definition
126 MG/DL
Term
2 HR GTT BLOOD GLUCOSE OF OVER ___ = DIABETES
Definition
200
Term
CLASSIC SXS OF DIABETES AND A RANDOM GLUCOSE OF OVER ___ = DIABETES
Definition
200
Term
DIABETES IS THE __ LEADING CAUSE OF DEATH
Definition
THIRD
Term
DIABETES IS THE LEADING CAUSE OF ___ IN THE US
Definition
BLINDNESS
Term
TYPE 1 DIABETES HAS AN ACUTE ONSET WITH THE PRESENTATION OF THE 3 PS: WHICH ARE?
Definition
POLYURIA POLYDIPSIA, POLYPHAGIA
Term
WILL DIABETIC KETOACIDOSIS OCCUR IN TYPE 2 DIABETES?
Definition
NOT GENERALLY
THEY ARE INSULIN RESISTANT
NOT INSULIN DEFICIENT
Term
IF BLOOD GLUCOSE LEVELS ARE HIGH IT WILL ALSO BE ELEVATED IN THE RBC AND CAN BE MEASURED AS ___
Definition
GLYCATED HEMOGLOBIN
Term
NORMAL VALUES FOR GLYCATED HEMOGLOBIN ARE:
Definition
3.5-5.5%
Term
GLYCATED HEMOGLOBIN IS AKA ____ AND IS MEASURED EVERY ___MONTHS
Definition
HEMOGLOBIN A1C
EVERY 3 MONTHS
Term
THIS IS THE BEST SINGLE TEST FOR EVALUATING THE RISK FOR GLYCEMIC DAMAGE TO TISSUES
Definition
HEMOGLOBIN A1C AKA GLYCATED HEMOGLOBIN
Term
S.E. OF METFORMIN
Definition
LACTIC ACIDOSIS
Term
NPH INSULIN IS ___ ACTING
Definition
INTERMEDIATE
Term
ULTRALENTE IS ___ACTING INSULIN
Definition
LONG
Term
___ HYPOGLYCEMIC AGENTS ARE THE CORNERSTONE OF TX IN TYPE 2 DIABETES
Definition
ORAL
Term
GLIPIZIDE OR GLYBURIDE ARE AKA ___ AND STIMULATE RELEASE OF ENDOGENOUS INSULIN FOR TYPE 2 DM TX
Definition
SULFONYLUREAS
Term
METFORMIN IS AKA ___ AND SUPRESSES HEPATIC GLUCOSE RELEASE AND ENHANCES INSULIN SENSITIVITY
Definition
BIGUANIDE
Term
ROSIGLITAZONE AND PIOGLITAZONE ARE AKA ____- THEY LESSEN INSULIN RESISTANCE, LESS RISK OF HYPOGLYCEMIA
Definition
THIAZOLIDINEDIONES
Term
DELAYS THE ABSORPTION OF INGESTED CARBOHYDRATES
Definition
ACARBOSE
Term

CHARACTERIZED BY SUDDEN ONSET

MARKED HYPERGLYCEMIA (300-600)

GLUCOSURIA

SWEET BREATH

INC LIPOLYSIS

Definition
DIABETIC KETOACIDOSIS
Term
CONDITION IN WHICH THE HYPERGLYCEMIA IS AROUND 600-1200, BUT THERE IS NO KETOSIS OR METABOLIC ACIDOSIS
Definition
HYPEROSMOLAR HYPERGLYCEMIC STATE
Term
TX OF AN UNCONSCIOUS PT DUE TO HYPOGLYCEMIA IS
Definition
IM GLUCAGON OR AN AMPULE OF 50% IV GLUCOSE
Term
RETINOPATHY AND NEPHROPATHY ARE ___ COMPLICATIONS OF DM
Definition
MICROVASCULAR
Term
THERE IS AN INC OR DEC GFR RATE IN DM?
Definition
DECREASED GFR RATE
Term

TRI>150

HDL<40

SBP>130 AND DBP>85

FBG>100

BMI>30

PUTS YOU AT RISK OF

Definition
SYNDROME X
A COMBO OF MED DISORDERS THAT INCREASE YOUR RISK OF GETTING CARDIOVASCULAR DISEASE AND DIABETES
Term
WHATS THE FATTEST STATE?
Definition
MISSISSIPPI
Term
IS NECESSARY FOR THE ACTIVATION OF CLOTTING ENZYME IN PLASMA
Definition
CALCIUM
Term
CALCIUM IS STORED IN THE BODY MOSTLY..
Definition
SKELETON/BONE
Term
PLASMA CONC OF TOTAL CALCIUM
Definition
8-10MG/DL
Term
THREE HORMONES THAT REGULATE CALCIUM
Definition
PTH
CALCITONIN
VITAMIN D
Term
THREE TISSUES THAT REGULATE CALCIUM
Definition
BONE
INTESTINE
KIDNEY
Term
PTH IS SECRETED BY ___CELLS OF PARATHYROID
Definition
CHIEF CELLS
Term
PTH ___ CALCIUM IN PLASMA
Definition
INCREASES
Term
CALCITONIN ___ CALCIUM IN SERUM
Definition
DECREASES
Term
IS SECRETED BY THE PARAFOLLICULAR C-CELLS OF THE THYROID GLAND
Definition
CALCITONIN
Term
ONLY VITAMIN BODY PRODUCES NATURALLY
Definition
VITAMIN D
Term
CONTROLS RATE AT WHICH BODY EXCRETES CALCIUM IN URINE
Definition
VITAMIN D
Term
ACTIVE FORM OF VITAMIN D/CALIFEROL
Definition
CALCITRIOL
Term
IS SYNTHESIZED FROM EITHER D2 OR D3
Definition
CALCITRIOL
Term
PTH  STIMULATES OSTEO___ AND OSTEO__ ACTIVITY AND SUPPRESSES OSTEO____ ACTIVITY
Definition
OSTEO-CLASTIC
OSTEO-LYTIC

SUPRESSES OSTEO-BLASTIC
Term
PTH WORKS WITH ___ TO INC SERUM CALCIUM- PULLS FROM BONES
Definition
CALCITRIOL/VITAMIN D
Term
PTH STIMULATES THE PROXIMAL TUBULE TO _____ CALCIUM
Definition
REABSORB
Term
PTH INHIBITS THE REABSORPTION OF ___ IN THE PROXIMAL CONVOLUTED TUBULE
Definition
PHOSPHATE
Term

CAUSES HYPERCALCEMIA

HYPOCALCIUREA

HYPOPHOSPHATEMIA

HYPERPHOSPHATURIA

Definition
PTH
Term
CALCITONIN ___ SERUM CALCIUM LEVELS
Definition
DECREASES serum calcium

THINK calcitonIN= IN to bones
calcitriol= out of bones and into the serum
Term
decreases synthesis of calcitriol
Definition
calcitonin
Term
CALCITONIN AND PTH HAVE THIS AFFECT ON PHOSPHATE LEVELS
Definition
DECREASES THEM- INHIBITS PHOSPHATE REABSORPTION AND IT IS EXCRETED
Term
PTH WORKS SYNERGISTICALLY WITH ___
Definition
CALCITRIOL
Term
PRIMARY HYPERPARATHYROIDISM IS MOSTLY CAUSED BY
Definition
ADENOMA OR CARCINOMA
Term
SECONDARY HYPERPARATHYROIDISM IS MOSTLY DUE TO
Definition
HYPOCALCEMIA OF CHRONIC RENAL DISEASE
Term

URINARY CALCULI

KIDNEY FAILURE

OSTEOPOROSIS

OSTEITIS FIBROSA CYSTICA

ARE ALL SSX OF:

Definition
PRIMARY HYPERPARATHYROIDISM
Term
DX FOR PRIMARY HYPERPARATHYROIDISM IS A SERUM CA LEVEL OF OVER 
Definition
OVER 11 MG/DL
Term
SECONDARY HYPERPARATHYROIDISM HAS AN ___ CALCIUM SERUM LEVEL AND A ___ PHOSPHATE LEVEL
Definition
DECREASED, DECREASED
Term
CALCIMIMETICS ARE A NEW CLASS OF DRUGS THAT TURNS OFF SECRETION OF
Definition
PTH
Term
HYPOPARATHYROIDISM IS MOSTLY CAUSED BY
Definition
ACCIDENTAL SURGICAL EXCISION DURING THYROIDECTOMY
Term
HYPERCALCEMIA LEVELS OF ____ SHOULD BE CONSIDERED AN EMERGENCY
Definition
13-15 MG/DL
NORMAL IS 8-10
Term
THE HALLMARK OF HYPOPARATHYROIDISM IS
Definition
HYPOCALCEMIA DUE TO DEC PTH
Term
WHEN THE SERUM CA DECREASES IN HYPOPARATHYROIDISM, SERUM PHOSPHATE WILL ___
Definition
INCREASE
Term
TETANY IS A SIGN OF
Definition
HYPOPARATHYROIDISM
Term
CHVOSTEKS SIGN AND TROUSSEAUS SIGN ARE TESTS FOR
Definition
HYPOPARATHYROIDISM
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