Shared Flashcard Set

Details

trueger
endo pharm & repro phys
135
Other
Not Applicable
05/19/2006

Additional Other Flashcards

 


 

Cards

Term
DM 1 tx
Definition
low sugar diet
replace insulin
Term
DM 2 tx
Definition
diet mod
exer -> wt loss
oral hypoglycemics
Term
lispro
Definition
short acting insulin
Term
NPH
Definition
IM acting insulin
Term
lente
Definition
long-acting insulin
Term
ultra-lente
Definition
ultra-long acting insulin
Term
glargine
Definition
really long acting insulin
Term
short acting insulin
Definition
lispro
Term
IM acting insulin
Definition
NPH
Term
long-acting insulin
Definition
lente
Term
ultra-long acting insulin
Definition
ultra-lente
Term
really long acting insulin
Definition
glargine
Term
insulins MOA
Definition
insR->TK
Liver: up glycogenolysis
mm:up glycogenolysis & protein synth & K uptake
fat: aids TG storage
Term
insulins clin use
Definition
type 1 DM
life-threatening hyperK & stress->hypergly
Term
insulin toxs
Definition
hypogly, hypersens (rare)
Term
insR->TK
Liver: up glycogenolysis
mm:up glycogenolysis & protein synth & K uptake
fat: aids TG storage
Definition
insulins MOA
Term
type 1 DM
life-threatening hyperK & stress->hypergly
Definition
insulins clin us
Term
hypogly, hypersens (rare)
Definition
insulin toxs
Term
what are the 1st gen sulfonylureas?
Definition
tolbutamide
chlorpropramide
Term
what are the 2nd gen sulfonylureas?
Definition
glyburide
glimepride
glipizide
Term
sulfonylurea MOA
Definition
close K channel in B cell
-> depol ->
release ins via up Ca influx
Term
sulfonylurea clin use
Definition
release eno insulin in type 2 DM
useless in DM1
Term
sulfonylurea SE
Definition
1st gen: disulfarim like rxn
2nd gen:hypogly
Term
metformin MOA
Definition
dn glucogenolysis?, up gly, dn serum glu
Term
metformin clin use
Definition
oral hypogly, even w/o islets
Term
metformin SE
Definition
lactic acidosis
Term
glitazones MOA
Definition
up target cell resp to insulin
Term
glitazones SE
Definition
up wt
heptox (trog, not used anymore)
Term
what are the a-glucosidase inh?
Definition
acarbose
miglitol
Term
a-glucosidase inh MOA
Definition
inh BB enzymes -> deld hydrolysis -> dn postprandial hypergly
Term
a-glucosidase inh SE
Definition
GI disturbances
Term
tolbutamide
chlorpropramide
Definition
what are the 1st gen sulfonylureas?
Term
glyburide
glimepride
glipizide
Definition
what are the 2nd gen sulfonylureas?
Term
close K channel in B cell
-> depol ->
release ins via up Ca influx
Definition
sulfonylurea MOA
Term
release eno insulin in type 2 DM
useless in DM1
Definition
sulfonylurea clin use
Term
1st gen: disulfarim like rxn
2nd gen:hypogly
Definition
sulfonylurea SE
Term
dn glucogenolysis?, up gly, dn serum glu
Definition
metformin MOA
Term
oral hypogly, even w/o islets
Definition
metformin clin use
Term
lactic acidosis
Definition
metformin SE
Term
up target cell resp to insulin
Definition
glitazones MOA
Term
up wt
heptox (trog, not used anymore)
Definition
glitazones SE
Term
acarbose
miglitol
Definition
what are the a-glucosidase inh?
Term
inh BB enzymes -> deld hydrolysis -> dn postprandial hypergly
Definition
a-glucosidase inh MOA
Term
GI disturbances
Definition
a-glucosidase inh SE
Term
orlistat MOA
Definition
inh pancr lipase
Term
orlistat clin use
Definition
obesity mgmt (w. diet mod)
Term
orlistat SE
Definition
steatorrhea, GI discomfort, red'd ADEK, HA
Term
sibutramine MOA
Definition
SNS: 5ht & NE reuptake inh
Term
sibutramine Clin use
Definition
s&l/t obesity mgmt
Term
sibutramine SE
Definition
HTN, tachy
Term
PTU, methimazole MOA
Definition
inh org & coupling of T4
PTU also blocks T4->T3
Term
PTU, methimazole SE
Definition
skin rash, agranulocytosis, aplastic anemia
Term
GH (somatostatin) clin use
Definition
GH def, turners
Term
octreotide clin use
Definition
acromegaly, carcinoid, gastrinoma, glucagonoma
Term
oxytocin clin use
Definition
stim labor, ut contrns, milk let down, controls uterine hem
Term
desmopressin
Definition
ADH analog
central DI
Term
levothyroxine
Definition
T3
tachy, heat intol, tremors
Term
glucocorticoids MOA
Definition
inh PLA2 and COX2 exprn
Term
glucocorticoids use
Definition
addisons, inflammo, immunosuppr, asthma
Term
glucocorticoids SE
Definition
iatr cushings
Term
obesity mgmt (w. diet mod)
Definition
orlistat clin use
Term
steatorrhea, GI discomfort, red'd ADEK, HA
Definition
orlistat SE
Term
SNS: 5ht & NE reuptake inh
Definition
sibutramine MOA
Term
s&l/t obesity mgmt
Definition
sibutramine Clin use
Term
HTN, tachy
Definition
sibutramine SE
Term
inh org & coupling of T4
PTU also blocks T4->T3
Definition
PTU, methimazole MOA
Term
skin rash, agranulocytosis, aplastic anemia
Definition
PTU, methimazole SE
Term
GH def, turners
Definition
GH (somatostatin) clin use
Term
acromegaly, carcinoid, gastrinoma, glucagonoma
Definition
octreotide clin use
Term
stim labor, ut contrns, milk let down, controls uterine hem
Definition
oxytocin clin use
Term
ADH analog
central DI
Definition
desmopressin
Term
T3
tachy, heat intol, tremors
Definition
levothyroxine
Term
inh PLA2 and COX2 exprn
Definition
glucocorticoids MOA
Term
addisons, inflammo, immunosuppr, asthma
Definition
glucocorticoids use
Term
iatr cushings
Definition
glucocorticoids SE
Term
spermatogenesis
Definition
A & B spermatogonia (2N)
->spermatocyte (dipl 4N)->soermatocyte (hapl 2N)->
spermatid (N)

in sem tubules

Term
LH->
Definition
stim release of test from Leydig cells
Term
test->
Definition
differentiates male gen
anabolic on protein metab
maintains gametogenesis & libido
inh GnRH
fuses epiphyseal plates in bone
Term
FSH->
Definition
stim sertoli cells to produce ABP & inhibin
Term
ABP
Definition
ensures that test in sem tubule is high
Term
inhibin
Definition
inh FSH
Term
FSH gen
Definition
fSh -> Sertoli cells -> Spermatogen
Term
LH gen
Definition
Lh -> Leydig cells -> Libido (test)
Term
test subtype potency
Definition
DHT>test>andro
Term
stim release of test from Leydig cells
Definition
LH->
Term
differentiates male gen
anabolic on protein metab
maintains gametogenesis & libido
inh GnRH
fuses epiphyseal plates in bone
Definition
test->
Term
stim sertoli cells to produce ABP & inhibin
Definition
FSH->
Term
ensures that test in sem tubule is high
Definition
ABP
Term
inh FSH
Definition
inhibin
Term
fSh -> Sertoli cells -> Spermatogen
Definition
FSH gen
Term
Lh -> Leydig cells
Definition
LH gen
Term
where do DHT and test come from?
Definition
testis (leydig)
Term
where does andro come from?
Definition
adrenals
Term
test targets
Definition
skin, prostate, sem ves, epididymis, liver, mm, brain
Term
test fns
Definition
1) wolffian -> internal gonadal structures
2) 2nd sex chars & growth spurt
3)reqd for nl spermgen
4)anabol-> up mm size & RBC prdn
5)up libido
Term
adipose tissue hormonal fn
Definition
test & andro -> estr (aromatase)
Term
estrogen source
Definition
ovary (estradiol)
placenta (estriol)
blood (aromatase)
Term
estrogen type potencies
Definition
estradiol > estrone > estriol
Term
estrogen fns
Definition
growth of follice
endometrial prolif, myometr exc'y
dev of genitalia
stromal dev of breast
female fat distr
hep synth of transport proteins
feedback inh FSH
LH surge (FB on LH switches from neg->pos right before surge)
up HDL, dn LDL
Term
estrogne ther post MP
Definition
dn hot flashes
dn bone loss

but if unopposed (no prog) -> up risk endometrial CA

Term
granulosa cell fn
Definition
FSH stims aromatase ->
aromatase cat: andro ->estrogen
secr estrogen

Term
theca cell fn
Definition
LH stim desmolase
desmolase cat: chol -> andro
Term
FSH stims aromatase ->
aromatase cat: andro ->estrogen
secr estrogen

Definition
granulosa cell fn
Term
LH stim desmolase
desmolase cat: chol -> andro
Definition
theca cell fn
Term
progest source
Definition
corpus lut, placenta, adr cortex, tested
Term
prgest fn
Definition
stim endom gland secrns & spiral art dev
mainatain preggers
dn myom exc'y
prodn thick cerv muc (inh sperm entry into uterus)
up body temp
inh LH & FSH
ut SM relax
Term
up prog inds
Definition
ovulation ind'd by
Term
corpus lut, placenta, adr cortex, tested
Definition
progest source
Term
stim endom gland secrns & spiral art dev
mainatain preggers
dn myom exc'y
prodn thick cerv muc (inh sperm entry into uterus)
up body temp
inh LH & FSH
ut SM relax
Definition
prgest fn
Term
ovulation ind'd by
Definition
up prog inds
Term
progesterone gen
Definition
prep for preggers
Term
phases of mens
Definition
prolif phase, LH surge & ovulation, secr phase, mens
Term
fastest foll growth?
Definition
2nd week of prolif phase
Term
estrogens role in mens cycle
Definition
stimulates endometrial prolif
Term
proges role in mens cycle
Definition
maintains endometrium to support implantation
Term
FSH highest when
Definition
right before LH surge
Term
estrogen graph
Definition
up, peaking before LH surge, another sm peak w/ proges peak in prolif phase
Term
progestin highest when
Definition
prolif phase
Term
when is estrogen surge
Definition
day bf ov
Term
estr role in ov
Definition
stims LH
inh FSH
Term
LH surge->
Definition
ovulation
Term
progesterone -> temp?
Definition
up (during ov)
Term
ferning of cerv mucosa
Definition
during ov
Term
OCP role?
Definition
prevent estr surge -> no LH surge -> no ov
Term
mittelschmerz
Definition
pain during ov
due to blood from ruptd follicle -> irrat
can mimic appy
Term
pain during ov
due to blood from ruptd follicle -> irrat
can mimic appy
Definition
mittelschmerz
Term
when is meiosis 1
Definition
prim oocytes begin in fetal life
finish just bf ovulation
Term
where is meisosis 1 halted
Definition
prophase
for yrs, until ov
Term
meisosis 2 is arrested…?
Definition
in metaphase until fert
Term
follicle progression
Definition
prim follicle -> oocyte ->
2nd follice (w. antrum)
Term
hCG source
Definition
syncytiotrophoblast of placenta
Term
hCG fn
Definition
maintains corpus luteum for 1st trim by acting like LH
in 2nd &3rd: placenta synth its own estr & progest & CL degens

used to detect pregs: appears 8 days after successful fert

elevated w. hydatidiform mole or chorioCA

Term
menopause
Definition
cessation of estr prodn w. age-linked decline in number of ov folls
av onset at 51 y.o
earlier in smokers
Term
hormonal changes in menopause
Definition
dn estr
UP FSH, up LH (w.o surge)
up gnRH
Term
menopause ssx
Definition
Hot flashes
Atrophy of Vagina
Osteoporosis
CAD
Supporting users have an ad free experience!