| Term 
 
        |     name the glucocorticoids:     |  | Definition 
 
        | Cortisol(natural in body) Hydrocortisone prednisone dexamethasone |  | 
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        | Term 
 
        | why would you taper a patient off of steroids? |  | Definition 
 
        | b/c the body senses high levels of cortisol due to steroid medication & then implements the negative feedback mechanism to suppress the production of ACTH.  When pt. stops steroid medication, their hypothalamus has not recieved the stimuli to begin sending corticotropic releasing hormone through the hypophyseal portal system to begin production of ACTH, adrenocorticotropic hormone to be sent to the adrenal cortex so that cortisol can be produced.  The result of the lowered levels of cortisol can be lethargy, fluid shifts, and in the worst case scenario, shock. |  | 
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        | Term 
 
        | what are the three types  of stimuli for hormonal release? |  | Definition 
 
        | Humoral stimuli: secretion of hormones in direct response to changing blood levels of ions and nutrients.   Neural stimuli:      nerve fibers stimulate hormone release(i.e. preganglionic s.n.s. fibers stim. adrenal medulla-secrete epiniphrine).   Hormonal stimuli:            hormonal release in response to hormones produced by other endocrine glands(i.e. hypothalamus hormones stim. ant. pit. to stim. targets to secrete still more hormones.) |  | 
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        | Term 
 
        | Describe the antagonistic  relationship between PTH and Calcitonin: |  | Definition 
 
        | PTH(produced-parathyroid gland):stim for release=Low blood Ca2+ levels:increases osteoclast activity(tears down bone matrix & releases more Ca2+ : increase intestinal absorption of Ca2+/increase Kidney tubules reabsob Ca2+.     Calcitonin(produced in thyroid gland):stim for release=high blood calcium levels: causes increased osteoblast activity: decreased kidney reabsorb/increased kidney excretion of calcium.       |  | 
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        | Term 
 
        | How is menopause confirmed?   |  | Definition 
 
        | LH and FSH levels will be high |  | 
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        | Term 
 
        | what causes TSH to be released? |  | Definition 
 
        | TRH--Thyroid stimulating hormone |  | 
        |  | 
        
        | Term 
 
        | name the four "tropic" hormones and say why they are tropic: |  | Definition 
 
        | TSH, FSH, LH, ACTH:  they are "tropic" or tropins because they are hormones that causes that have other endocrine glands as their target,,, most are produced in the anterior pituitary. |  | 
        |  | 
        
        | Term 
 
        | what are the hormones produced in the anterior pituitary?   |  | Definition 
 
        | LH, TSH, FSH, ACTH, PRL, and GH. |  | 
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        | Term 
 
        | where is GH produced? What is it's stim for release? What does it affect? What type of hormone is it? what does it promote(think metabolic process)? |  | Definition 
 
        | --produced(&released) in Anterior pituitary --stimulation for release = GHRH --Affects skeletal muscle & bone --is an anabolic hormone(promotes protein synthesis)   --GH directly encourages use of fats(lipolysis) --produces "somatomedins"(promote sulfur uptake)(in amino acid-cystine & hyaline cartilage) |  | 
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        | Term 
 
        | what other hormone does GHIH inhihbit besides GH? |  | Definition 
 
        | GHIH also inhibits TSH in addition to Growth Hormone. |  | 
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        | Term 
 
        | Where is PRL produced? what is its target? what is its effect? what other hormone has a direct&indirect effect on PRL? What is the inhibitor for PRL? |  | Definition 
 
        | -produced in anterior pituitary --targets are mammary glands --effect=milk production --Estrogen has both direct & indirect effect on PRL: high estrogen=high PRL;  Low estrogen=low PRL)   PIH(prolactin inhibiting hormone) inhibits |  | 
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        | Term 
 
        | Oxytocin: produced where? stim. for release? regulated how? what are its effects? how does it travel to post. pit? |  | Definition 
 
        | --produced in paraventricular nucleus of hypothalamus --stim for release=pressure/birth canal or uterus --regulated by positive feedback loop --causes sm. muscle contraction of uterus/mam. glands --also causes milk let-down (stim. suckling) --travels from hypothal. to post pit. via hypophyseal tract |  | 
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        | Term 
 
        | ADH: antidiuretic hormone where produced? Where released? how does it get there? Stim for release? target organ? |  | Definition 
 
        | --produced in supraoptic nucleus of hypothalamus --released in posterior pituitary --travels via hypophyseal tract to post. pit --stim for release=angiotensin 2,high solute conc. by macula densa cells monitoring for osmolarity. (ADH helps prevent water overload) --targets:kidney tubules and distal convuluted tubules-to reabsorb more water   (Alcohol directly intereferes with ADH so that body cannot reabsorb/consume water)   |  | 
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        | Term 
 | Definition 
 
        | Is the largest gland  & located on the anterior of neck.  Is highly vascularized and close to the carotid arteries. consists of follicular and parafollicular cells which are composed of simple cuboidal epithelium |  | 
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        | Term 
 
        | composition of T3, T4?   relevance?   |  | Definition 
 
        | T3= tyrosine plus 3 iodines   T4=tyrosine plus 4 iodines   tyrosine is an amino acid but with binding of iodine, it acts like a steroid hormone.   these are hormones that regulates metabolism   |  | 
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        | Term 
 
        | what are the main differences between amino acid based hormones and steroid hormones? |  | Definition 
 
        | 1)amino acid based hormones will be taken out of blood circulation quickly while steroid hormones stay in the blood much longer. 2)Steroid hormone cell receptors are inside the cell (in cytosol, nucleus, or mitochondria) while the amino acid based hormone receptors are typically on the plasma membrane. 3)Steroid(intracellular)hormones directly activate genes while plb receptors(a.a.'s) are coupled via regulatory molecule(g proteins) to one or more 2nd messengers that cause response |  | 
        |  | 
        
        | Term 
 
        | what are the 5 big categories of steroid hormones? |  | Definition 
 
        | Androgens(testosterone) Progesterones Estrogens Glococorticoids(coritsol) Mineralocorticoids(aldosterone) |  | 
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        | Term 
 
        | Thyroid Gland: T3, T4 (both essential for bone, muscle, nerv. system) target tissue? Stimulus? periperal tissue preference? Inhibition?   |  | Definition 
 
        | target tissues=ALL; stimulus for release=TSH thyroid hormone concerned w/ glucose oxidation,ATP:the higher the metabolic rate, the higher the heat production. TH plays a role in *regulating tissue growth*developing sk.muscle & CNS*maturation & reproductive capabilities   --peripheral tissues prefer T3, so T4 gets converted to T3. inhibition=negative feedback or GHIH   |  | 
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        | Term 
 | Definition 
 
        | Hyperthyroidism: TH sensitizes Beta receptors in heart/take very little sympathetic stimulation to increase contractility/heart enlarges   Hypothyroidism:  impedes neurological system;top cause of depression, slowdown of metabolic rate;2nd most common endocrine disorder in humans.   Problem converting T4 to T3 in peripheral tissues |  | 
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        | Term 
 
        | describe what happens during thyroid supplementation |  | Definition 
 
        | it takes a hormone and a receptor for system to work.  if a pt has been hypothyroidal for long time, they have developed too many receptors. they need to eliminate some of those receptors. That is why dose alterations in thyroid medication need to be done in a stepwise function. |  | 
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        | Term 
 
        | define up regulation     define down regulation   |  | Definition 
 
        | Up-regulation=when target cells develop more receptors in response to a hormone or in the absence of a hormone.   Down-regulation=when target cells lose receptors to a hormone either via a loss of the stimulating hormone or the presence of another hormone causes a decrease in receptors |  | 
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        | Term 
 
        | why is it so important to maintain a certain blood calcium level? |  | Definition 
 
        | Because of the contractile cells in the heart. |  | 
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        | Term 
 
        | Calcitonin(produced by parafollicular cells in thyroid) stim for release=high blood calcium levels causes decreased osteoclast activity/decrease in osteoclast activity;increase in excretion by kidney tubules;lower reabsorption rate by kidney tubules;   |  | Definition 
 
        | PTH(follicular cells/chief cells) 4 glands stim for release=low blood calcium levels result=high blood calcium levels because: PTH stimulates osteoclast activity to digest bone matrix-intestinal cells to absorb calcium-distal convuluted tubules to reabsorb calcium.   is a negative feedback loop |  | 
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        | Term 
 
        | what hormone is produced at each layer of the adrenal cortex? |  | Definition 
 
        | Zonaglomerulosa:outelayerer/locorticoid/aldosterone:secreted from outer layer in response to Na+ deprivation)   zonafasciculata:middlelayer/glucocorticoid/cortisol/stimulated by ACTH.   Zona Reticularis:  innerlayer/gonadocorticoids/testosterone   |  | 
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        | Term 
 
        | What are the layers of the Adrenal cortex? |  | Definition 
 
        | zona glomerulosa:outer layer   zona fasciculata: middle layer   zona reticularis: inner layer |  | 
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        | Term 
 
        | What does ACTH stimulate? where produded? target organ? Ihibition of release?   |  | Definition 
 
        | ACTH stimulates zona fasciculata to produce cortisol --in the adrenal cortex, fasciculata layer --target organ(s): Liver {effects=gluconeogenesis} Adipose tissue{effects=mobilize fatty acids} Muscle{mobilize use of amino acids} Immune system: {anti-inflammatory suppression}   inhibition of release=negative feedback     |  | 
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        | Term 
 
        | why are corticosteroid drugs not indicated for long term use? |  | Definition 
 
        | these types of meds suppress the immune system; collagen formation is impeded by cortisol; it inhibits any connective tissue longterm; it causes longterm damage to endothelial tissue in the cardiovascular system |  | 
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        | Term 
 
        | Cortisol has a __________________ effect and causes ___________________. |  | Definition 
 
        | anti-inlammatory; vasoconstriction |  | 
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        | Term 
 
        | Aldosterone(a mineralocorticoid) stimulation for release=1) angiotensin2;  2)low Na+ levels 3)high blood levels of K+; 4) ACTH |  | Definition 
 
        | ANP wants to decrease Na+ (blood volume) works opposite to Aldosterone(antagonistic to) |  | 
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        | Term 
 
        | An ____________ of blood glucose causes insulin to be released |  | Definition 
 | 
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        | Term 
 
        | what are two reasons for the Indirect system? |  | Definition 
 
        | 1) to augment response   2) to allow for variable response |  | 
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        | Term 
 
        | All protein hormones work by __________  _____________ |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | it triggers all activation of enzymes, i.e. add ion channels, remove ion channels, etc. |  | 
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        | Term 
 
        | The 2nd messenger system, a.k.a the ___________ or the __________________ system, allows for multiple responses in multiple cells.  But can also have different responses in the same cells. |  | Definition 
 
        | G-protein; Indirect system |  | 
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        | Term 
 
        | in the cAMP 2nd messenger system, the 1st messenger causes the _______ to _____ __________; the 2nd messnger _______________ will be augmented and will then _____________________________. |  | Definition 
 
        | hormone; change shape; cAMP; cause other responses |  | 
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        | Term 
 
        | how can the same chemical messenger do different functions? |  | Definition 
 
        | depends on the cell and type of receptors |  | 
        |  | 
        
        | Term 
 
        | describe the overall process of the 2nd messenger system |  | Definition 
 
        | --thru a series of proteins changing shape -then produces a 2nd messenger --that 2nd messenger then initiates responses --there will be more of the responses and they will last longer |  | 
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        | Term 
 
        | what is the PIP mechanism? |  | Definition 
 
        | another indirect response system that uses calcium calmodulin as it's second messenger. |  | 
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        | Term 
 
        | The second messenger system is  process of _________________________.  a small number of hormone molecules bind to membrane receptors, which leads to 1000's of 2nd messengers in cell.  this magnifies the effect of hormone on target cell. |  | Definition 
 | 
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        | Term 
 
        | Hormones binding to intracellular receptor prompts ______ _____________ to produce __________.   The _____ is translated into proteins, which bring about a cellular effect & directly affect metabolic activity and structure of target cell: includes steroid and __________ hormones. |  | Definition 
 | 
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        | Term 
 
        | Target cell activation depends on 3 factors: ___________________________ ______________________________ ______________________________ |  | Definition 
 
        | --blood levels of the hormone --relative number of receptors on the target cell --the affinity of those receptors for the hormone |  | 
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        | Term 
 
        | concentrations of circulating hormone reflect: ________________________ ____________________________________________.   Hormones are removed from the blood by: ______________________,  ____________________ and _______________________. |  | Definition 
 
        | rate of release; speed of intactivation and removal from the body; degrading enzymes; the kidneys; liver enzyme systems. |  | 
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        | Term 
 
        | Free hormones: --remain functional for __________________. they can leave the bloodstream in the following 3 ways: 1) _____________________________ 2) _____________________________ 3) _____________________________   |  | Definition 
 
        | diffuse out of bloodstream (binds to receptors on target cells);   gets broken down & absorbed by liver or kidney;   gets broken down by enzyme in plasma or I.F. |  | 
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        | Term 
 
        | bound hormones: are primarily _______________ and ______________.  they remain in circulation much longer.  when they enter the boodstream, more than 99% become attached to special transport proteins.  the bloodstream contains substantial reserve of bound hormones. |  | Definition 
 
        | steroid hormones; thyroid hormones. |  | 
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        | Term 
 
        | blood levels of hormone are usually controlled by __________ ___________.  stimulus triggers production of hormone whose effects reduce intensity of a stimulus. the effects reduce the intensity of a stimulus.  so they vary only within a narrow range of desirable limits. |  | Definition 
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