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Systems Final Exam
Endocrine System
44
Medical
Graduate
04/24/2009

Additional Medical Flashcards

 


 

Cards

Term
Where is the pituitary gland located?
Definition
In a cavity of the sphenoid bone
Term
From what embryologic structure does the pituitary gland develop from?
Definition
Oral ectoderm (Rathke's pouch) and floor of diencephalon
Term
What are the derivatives of oral ectoderm?
Definition

Adenohypophysis = Anterior pituitary

- Pars distalis (anterior pituitary)

- Pars tuberalis (surrounds neural stalk)

- Pars intermedia (vestigial)

Term
What are the derivatives of diencephalon?
Definition

Neuropophysis = Posterior pituitary

- Neural stalk including stem and median eminence

- Pars nervosa (posterior pituitary)

 

Term
The superior and inferior hypophysial arteries are branches off of what?
Definition
Internal carotid arteries
Term
What is the function of the primary capillary plexus?  Where is it located?  What is it derived from?
Definition

The function is to absorb and deliver inhibiting/releasing hormones to the pars distalis

 

It is located in the median eminence

 

It is derived from the superior hypophysial arteries

Term
Where do the long portal veins leave from and where do they go?
Definition
The long portal veins leave the primary capillary plexus and descend down the pituitary stalk to the pars distalis of the anterior pituitary
Term
What do the long portal veins give rise to?
Definition
A secondary capillary plexus within the anterior pituitary
Term
Hormones synthesized in the pars distalis enter the general circulation via what structure?
Definition
The secondary capillary plexus
Term
The capillary plexus within the pars nervosa (posterior pituitary) carries products from which structures into the general circulation?
Definition
The supraoptic and paraventricular nuclei
Term
Where are peptides synthesized by the secretory neurons in the supraoptic and paraventricular nuclei transported to?
Definition
The neurohypophysis (posterior pituitary)
Term
Where are peptides synthesized by neurons in the hypothalamus (dorsal-medial, ventral-medial, and infundibular nuclei) released and transported to?
Definition
They are released in the median eminence and transported to the anterior pituitary via a capillary portal system
Term
What are the defining features of the pars distalis?
Definition
Cords of glandular cells surrounded by capillaries; Chromophobes and chromophils (acidophils and basophils); hormones include somatotrophin (GH), prolactin, FSH, LH, MSH, TSH, and ACTH
Term
What are the features of the pars intermedia?
Definition
Rudimentary region in humans; weakly basophilic cells
Term
What are the features of the pars tuberalis?
Definition
Cells arranged in cords along blood vessels (surrounds the neural stalk); most of these cells secrete FSH or LH
Term
What are Herring bodies?
Definition

Storage granules within the pars nervosa which store hormones synthesized by neurons of the supraoptic and paraventricular nuclei

 

Stored hormones are usually bound to the carrier protein neurophysin

Term
What are the characteristics of the neurohypophysis?
Definition
Axons of hypothalamic neurons (from supraoptic and paraventricular nuclei); 25% of volume of neurohypophysis is pituicytes (highly branched glial cells); Herring bodies are present in dilated axon terminals
Term
What are the neurons of the neurohypophysis (posterior pituitary)?
Definition

Oxytocin and vasopressin (arginine vasopressin / antidiuretic hormone); neurophysin is the binding protein for each

 

Released from storage via neuronal impulses from the hypothalamus

Term
What causes diabetes insipidus?
Definition
Antidiuretic hormone deficiency, which causes polyuria
Term
What 2 sources are the adrenal glands derived from during development?
Definition
Coelomic epithelium and neural crest
Term
What regulates the metabolic activity of the adrenal cortex?
Definition
ACTH
Term
What regulates the metabolic and secretory activity of the adrenal medulla?
Definition
Preganglionic sympathetic nerve fibers
Term
How does blood drain from the adrenal glands?
Definition
Suprarenal vein
Term
What are the three groups of adrenal gland arteries and what are their functions?
Definition

Capsular arteries - provide an extensive subcapsular network

 

Cortical arteries - irrigate the cortex

 

Medullary arteries - pass through the cortex directly to the medulla

 

Cortical and medullary arterioles originate as branches of capsular arteries

Term
What are the two sources of blood for the medullary capillary bed?
Definition
Cortical veins and medullary arterioles
Term
What is the typical structure of the cells of the adrenal cortex?
Definition
Foam cells with lipid droplets
Term
What are the three concentric zones of the adrenal cortex and what are their functions?
Definition

Zona glomerulosa - aldosterone (salt)

 

Zona fasiculata - cortisol (sugar)

 

Zona reticularis - sex hormones (sex, duh)

Term
What are the neural crest derived cells of the adrenal medulla called?
Definition
Chromaffin cells
Term
What is the structure of the adrenal medulla?
Definition
Polyhedral cells in cords with a surrounding network of capillaries
Term
Where are lipofuchsin granules present?
Definition
Zona reticularis
Term
What are the islet of langerhans cell types and what do they secrete?
Definition

A cells - glucagon

B cells - insulin

D cells - somatostatin

F cells - pancreatic polypeptide

Term
Where is the thyroid gland located?
Definition
Anterior to the larynx
Term
What is the thyroid gland derived from during development?
Definition
Endoderm of the primitive gut
Term
What are the characteristics of the thyroid gland?
Definition

Loose CT capsule with septae

Highly vascular organ

Fenestrated capillaries

Follicles (simple epithelium with variable morphology)

Colloid

 

Term
What are the effects of TSH on the Thyroid?
Definition
Stimulates thyroid hormone synthesis; increase height of follicular epithelium; decreases quantity of colloid as well as follicle diameter
Term
In a hypoactive thyroid, the most common epithelium is what?
Definition
Squamous
Term
Would a thyroid with high metabolic activity have a larger or smaller diameter?
Definition
Smaller
Term
What are the characteristics of C cells (Parafollicular cells )?
Definition

May form part of the follicular epithelium or may exist as isolated clusters between follicles; Larger and less intensely stained compared to follicular cells; Arise from neural crest cells

 

Synthesize and secrete calcitonin; secretion of calcitonin stimulated by increased levels of blood calcium

Term
How many parathyroid glands are there usually and where are they located?
Definition
There are typically 4 parathyroid glands and they are located behind the thyroid gland at each upper and lower pole
Term
Where are the parathyroid glands derived from embryologically?
Definition
3rd and 4th pharyngeal pouches
Term
What are the two types of parathyroid parenchymal cells?
Definition

Chief cells and oxyphil cells

 

Chief cells secrete parathyroid hormone in response to hypocalcemia

Term
Describe oxyphil cells
Definition

Larger polygonal cells

Smaller population than chief cells

Unknown function

Term
How does increasing age affect the parathyroid gland?
Definition
Adipose tissue replaces secretory cells
Term
What are the functions of parathyroid hormone?
Definition
Increases blood calcium levels (acts on osteoclasts), reduces blood phosphate levels (acts on kidneys), and promotes increased calcium absorption from the gut
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