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Barry 2013
Patho 1 test 1 (endocrine)
75
Other
Graduate
02/03/2011

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Term
The second most important control system that regulates the body's functions is the endocrine system. What is the MOST important?
Definition
The nervous system
Term
What are the 3 main functions of hormones?
Definition
1. regulate rate of chemical reactions
2. Transport of substances through the membrane
3. cellular growth and secretion
Term
what is a hormone?
Definition
a chemical substance secreted into the internal body fluids by one cell or a group of cells and having a physiological control effect on other cells in the body
Term
There are many interrelations between the nervous and endocrine systems. There are at least two glands that secrete their hormones almost entirely in response to neural stimuli. What are they?
Definition
Adrenal medulla and pituitary gland
Term
The _______ is made up of almost all neurons, but is still considered part of the endocrine system.
Definition
Posterior hypophysis (neurohypophysis)
Term
The whole endocrine system is regulated by the ___________, which is part of the _________ (part of the nervous system).
Definition
hypothalamus; diencephalon
Term
Some hormones are local hormones. The important ones are:
Definition
acetylcholine, secretin, and cholecystokinin
Term
What is the center of all cholinergic receptors in the body?
Definition
Acetylcholine
Term
What is the function of secretin?
Definition
Released by the duodenal wall and transported in the blood to the pancreas in response to high acidity (chime) in small intestine---> pancreas secretes a HCO3 rich fluid to buffer the acidic environment in the small intestine and liver to secrete bile.
Term
What is the function of cholecystokinin?
Definition
Term
What is the function of cholecystokinin?
Definition
In the presence of chyme it is released in small intestine and transported to gallbladder (to release bile) and pancreas (to secrete digestive enzymes)
Term
What 2 general hormones affect all, or almost all, of the cells of the body?
Definition
growth hormone and thyroid hormone (t3 & t4)
Term
What 2 general hormones affect all, or almost all, of the cells of the body?
Definition
growth hormone and thyroid hormone
Term
A) What controls most of the endocrine glands?

B) What controls the pituitary?
Definition
A) The hypophysis (pituitary)

B) The hypothalamus (via feedback mechanisms)
Term
How is hormonal secretion maintained within physiologic range?
Definition
via feedback mechanisms (mainly negative)
Term
What are the 2 parts of the pituitary
Definition
anterior pituitary (adenohypophysis) and posterior pituitary (neurohypophysis)
Term
What hormones does the neurohypophysis release?
Definition
ADH (vasopressin) and oxytocin
Term
What is the function of ADH?
Definition
secreted based on the necessity to maintain homeostatic osmolarity of ~ 300 mOsmol/L. Works on distal tubule and cortical portion of the collecting duct to reabsorb water.
Term
What is the function of oxytocin?
Definition
positive feedback mechanism. Upon uterine contractions oxytocin is released which causes more contractions during labor. Also sucking by the infant during breastfeeding causes spinal nerves to relay message to hypothalamus--> neurohypophysis--> milk "letdown" into subareolar tissue
Term
How is the anterior pituitary (adenohypophysis) connected to the hypothalamus?
Definition
via the hypophyseal portal system
Term
communication b/w the hypothalamus and ______ pituitary is mainly via chemical/hormonal means and communication b/w hypothalamus and ________ pituitary is mainly via nervous system stimulation.
Definition
anterior; posterior
Term
the adenohypophysis regulates other glands through the ______ hormones, which are released after stimulation by the _______ hormones
Definition
tropic (tropin); releasing
Term
what hormones does the anterior pituitary release?
Definition
TROPIN HORMONES:
ACTH, TSH, FSH, LH

Also hormones that act directly on tissues: GH, prolactin, and melanocyte stimulating hormone)
Term
FSH and LH are known as the ______ hormones.
Definition
gonadotropic
Term
What are tropin hormones?
Definition
hormones that regulate the activity of various other endocrine glands. The release of tropic hormones is controlled by a class of hypothalamic hormones called releasing hormones, produced in the hypothalamus
Term
Where does ACTH (corticotropin) act and what does it do? What hormone is it controlled by?
Definition
Acts on adrenal glands (suprarenal) to secrete glucocorticoids (cortisol) and mineralcorticoids (aldosterone)known as corticosteroids.
ACTH is controlled by CRH (corticotropin releasing hormone)
Term
Where does TSH (thyrotropin) act and what does it do? What hormone is it controlled by?
Definition
Acts at the thyroid to release T3 and T4.
TSH is controlled by TRH (thyrotropin releasing hormone)
Term
Where does FSH act, what does it do, and what hormone controls it?
Definition
FSH acts at the ovaries to stimulate growth and recruitment of immature follices/eggs. Acts in the testes to stimulate maturation of seminiferous tubules and spermatogenesis. It is controlled by GnRH (gonadotropin releasing hormone)
Term
Where does LH acts, what does it do, what hormone controls it?
Definition
LH acts at the ovaries to secrete estrogen and progesterone. Works at the cells of Leydig in the testes to secrete testosterone. It is controlled by GnRH (gonadotropin releasing hormone)
Term
LH and FSH MUST work together in ___________.
Definition
reproduction
Term
what are "releasing hormones"
Definition
A class of hormones produced by the hypothalamus that control the release of tropic hormones
Term
Name the "releasing hormones"
Definition
thyrotropin releasing hormone (TRH), corticotropin releasing hormone (CRH), growth hormone releasing hormone (GHRH), gonadotropin releasing hormone (GnRH), growth hormone inhibitory hormone (GHIH), prolactin inhibitory hormone (PIH)
Term
For most hormones the RELEASING factors are most important, but in the case of _________ the inhibitory factor exerts more control.
Definition
Prolactin
Term
A) Does the hypothalamus control the releasing/inhibitory hormones or the tropic hormones?

B) What about the posterior pituitary?
Definition
A) releasing/inhibitory hormones

B)NEITHER, the posterior pituitary releases ADH & oxytocin. The ANTERIOR pituitary releases the tropic hormones
Term
A) Does the hypothalamus control the releasing/inhibitory hormones or the tropic hormones?

B) What about the posterior pituitary?
Definition
A) releasing/inhibitory hormones

B)NEITHER, the posterior pituitary releases ADH & oxytocin. The ANTERIOR pituitary releases the tropic hormones
Term
between the ant & post. pituitary, which would be more accurately called "glandular"?
Definition
The anterior pituitary.
The posterior pituitary is not a gland, per se, it is more of a collection of axons extending from the hypothalamus
Term
growth hormone is also known as _________.
What does GH do?
Definition
somatotropin.
GH
Term
What is the function of GH?
Definition
1. causes growth of almost ALL tissues in the body capable of growing except brain. After adolescence GH levels diminish.
2. lipolysis (utilization of fat for energy)
3. increase in protein synthesis
4. decreases liver uptake of glucose
5. promotes gluconeogenesis
Term
What controls the rate of secretion of GH (not GHRH or GHIH).
Definition
levels of protein and glucose
Term
what is the most potent stimulator of GH in acute conditions?
Definition
Hypoglycemia. causes decreased uptake of glucose by liver and promotes formation of glucose from non-carbohydrate carbon substrates (gluconeogenesis)
Term
What is the most potent stimulator of GH in chronic conditions?
Definition
decreased protein in cells. causes protein synthesis.
Term
What is acromegaly?
Definition
An increase in GH levels AFTER epiphyseal plate closure.
Term
How do GH levels in elderly people compare to those of adolescents?
Definition
GH levels are ~25% of that during adolescence
Term
What is the function of Prolactin?
Definition
Stimulate the secretion of milk by the mammary glands (lactation)
Term
What is the function of melanocyte stimulating hormone (MSH)?
Definition
Acts on the proliferation, growth, and maturation of melanocytes in the skin.
Term
T/F. The catecholamines (epinephrine & norepinephrine) are secreted by the adrenal cortex.
Definition
FALSE. They are secreted by the adrenal medulla
Term
A) in the CNS, is norepinephrine or epinephrine more commonly released?

B) How about in the adrenal medulla?
Definition
A) norepinephrine

B) epinephrine
Term
What causes the adrenal medulla to secrete catecholamines?
Definition
DIRECT neural/nervous stimulation induced by a stressor
Term
What stimulates the adrenal cortex to release its components?
Definition
ACTH
Term
Once stimulated by ACTH, What does the adrenal cortex release?
Definition
mineralcorticoids (aldosterone), glucocorticoids (cortisol), and androgens
Term
What is the function of aldosterone?
Definition
reabsorption of Na+ and H2O and excretion of K+ in the distal convoluted tubule.
Term
What is the function of cortisol?
Definition
Depression of immune and inflammatory response, increase release of glucose from cells, also inc. reabsorption of H2O.
Term
What is the function of androgens?
Definition
stimulates testosterone and increases sex drive
Term
What hormones does the thyroid gland secrete?
Definition
thyroid hormones (thyroxine & triiodothyronin), and calcitonin
Term
What is the function of calcitonin?
Definition
SMALL role in regulation of calcium. It decreases calcemia by:
inhibition of osteoclast activity in bones and also decreases GI tract absorption of Ca++
Term
T/F. Thyroid hormone acts on MOST tissues and cells of the body
Definition
TRUE
Term
what is the function of thyroid hormone?
Definition
1. increase metabolism of fat, protein, and carbs
2. Increases heat production and body temp.
3. Regulates metabolic rate of ALL cells
4. Allows GH to act properly during fetal period
Term
What are the functions of estrogen?
Definition
formation of female sex characteristics, proliferation of endometrium, in high levels will inhibit ovulation-- contraceptives contain estrogen
Term
What is the function of progesterone?
Definition
Maintenance of pregnancy
Term
gametes are the ______ and ______
Definition
egg and sperm
Term
T/F. the placenta secretes estrogen and progesterone to maintain pregnancy
Definition
TRUE
Term
In the early stages, the placenta secretes _____, which stimulates the secretion of estrogen and progesterone
Definition
human chorionic gonadotropin (HCG)
Term
What is the single most important factor in the regulation of Ca++ in the blood?
Definition
secretion of PTH by the parathyroid gland
Term
What the 3 mechanisms does PTH use to increase calcemia?
Definition
1. increases the activity of osteoclasts (destroys bone and releases Ca++ into blood)
2. Increases the reabsortion of Ca++ in the digestive tract
3. Decreases the excretion of Ca++ in the urine
Term
What the 3 mechanisms does PTH use to increase calcemia?
Definition
1. increases the activity of osteoclasts (destroys bone and releases Ca++ into blood)
2. Increases the reabsortion of Ca++ in the digestive tract
3. Decreases the excretion of Ca++ in the urine
Term
What 3 things is Ca++ very important for in the body?
Definition
muscle contraction, cardiac function, nerve impulse transmission
Term
T/F. The pancreas involves both endocrine and exocrine functions.
Definition
TRUE
Term
What are the exocrine functions of the pancreas?
Definition
Secretion of bicarbonate fluid into duodenum and secretion of digestive enzymes for proteins, carbs, and fats.
Term
Where is the endocrine portion of the pancreas and what is its purpose?
Definition
Islets of langerhans. Consists of alpha and beta cells.
Alpha--> glucagon
Beta--> Insulin
Term
How does insulin work?
Definition
hyperglycemia causes release of insulin by the pancreas. The insulin increases cell permeability to glucose so it can be taken up and also causes the liver to turn excess glucose into glycogen to be stored.
Inhibits gluconeogenesis by inhibiting release of glucagon
Also enhances active transport of amino acids into tissue cells resulting in protein synthesis
Term
Does insulin increase the permeability of ALL cells to glucose?
Definition
No. Neurons and muscle cells during exercise are not dependent on insulin to absorb glucose.
Term
T/F. Insulin is lipogenic. What does this mean?
Definition
TRUE. It causes high cholesterol
Term
where does the body store glycogen?
Definition
In the liver and skeletal muscle (mostly liver)
Term
What happens to excess glucose that can't be stored as glycogen?
Definition
It is stored as fat in the adipose tissue
Term
How does glucagon work?
Definition
It causes conversion of glycogen to glucose in the liver
Increases gluconeogenesis
Activates adipose cell lipase--> increases # of fatty acids available--> inhibits storage of triglycerides in liver.
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