17-18 - Endocrine System & Female Contraception Flashcards

1
Q

The endocrine system in organised in terms of endocrine ______/____ which secrete into the _____ _________

A

The endocrine system in organised in terms of endocrine endocrine glands/cells which secrete into the blood stream.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The endocrine system differs from the nervous system in that it uses _______ which are secreted into the blood stream and have their effects at ________________

A

The endocrine system differs from the nervous system in that it uses hormones which are secreted into the blood stream and have their effects at non-adjacent sites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The two classes of hormone are…

A
  1. Steroid
  2. Non-steroid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Steroid hormones are structurally _____ &_______. They effect ____ __________ and ________ ________, which makes them ( fast / slow ) acting.

A

Steroid hormones are structurally small & lipophilic. They effect DNA synthesis and protein synthesis, which makes them slow acting.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Non-steroid hormones can be…

A
  • Amines
  • Peptides
  • Glycoproteins

They’re hydrophobic (can’t pass through cell membranes) and their effects are faster than steroid hormones.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Steriod hormones are derived from…

A

Cholesterol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Regulation of renal function by ADH (vasopressin)

Low blood pressure is detected by ___________ , which send signals to the _______ ________ to trigger ADH release.

A

Regulation of renal function by ADH (vasopressin)

Low blood pressure is detected by baroreceptors , which send signals to the posterior pituitary to trigger ADH release.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Regulation of renal function by ADH (vasopressin)

ADH acts on the _____ through V1 and V2 receptors.

V1 stimulates ___________

V2 receptors in the ______ _________ stimulate water reabsorption.

A

Regulation of renal function by ADH (vasopressin)

ADH acts on the kidney through V1 and V2 receptors.

V1 stimulates vasoconstriction

V2 receptors in the distal tubule stimulate water reabsorption.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Regulation of metabolism by corticosteriods

Stress stimulates the __________ _____ which releases CRH which acts on the anterior pituitary.

The anterior pituitary releases ________________ (ACTH) which acts on the ______ ______ leading to the rease of ________.

Feedback control occurs as ________ levels influence the intial release of CRH.

A

Regulation of metabolism by corticosteriods

Stress stimulates the hypothalamic nuclei which releases CRH which acts on the anterior pituitary.

The anterior pituitary releases adrenocorticotrophic hormone (ACTH) which acts on the andrenal cortex leading to the rease of cortisol.

Feedback control occurs as cortisol levels influence the intial release of CRH.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Regulation of blood glucose by insulin

High blood glucose stimuates the _______ to release insulin.

This is an example of ______ control (direct influence by blood levels

A

Regulation of blood glucose by insulin

High blood glucose stimuates the pancrease to release insulin.

This is an example of substrate control (direct influence by blood levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

As with neurotransmitters in the nervous systems, drugs can target various stages of hormone production to influence their function. These targets are…

A
  • Synthesis
  • Release
  • Receptors
  • Metabolism
  • Replacement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Example of drug targeting hormone synthesis

A
  • Treatment for Cushing’s syndrome with Metyrapone
    • Inhibits 11β-hydroxylase (cortisol synthesising enzyme)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Example of drug targeting hormone release

A
  • Sulphonylereas (e.g. glibenclamide)
  • Block K+ channels in the β-cells (like ATP) causing insulin secretion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Example of drug targeting hormone receptors

A

Lypressin, desmopressin are V2 agonists (like ADH) decrease water reabsorption to treat copius hypotonic urine due to insufficient ADH in Diabetes insipidus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Example of drug that target the metabolism of hormones

A
  • Carbenoxolone (and licorice) increase cortisol levels by blocking 11β HSD which normally metabolises cortisol.
  • Increased cortisol levels in pregnancy associated with low birth weight, behavioural differences.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Example of a drug that works by replacing hormones

A

Insulin used to treat diabetes mellitus

17
Q

HPA

The hypothalamus signals the pituitary which signals the ovaries to produce _________ and ______.

This then gives _______ feedback to the pituitary and hypothalamus.

A

HPA

The hypothalamus signals the pituitary which signals the ovaries to produce progesterone and estrogen.

This then gives negative feedback to the pituitary and hypothalamus.

18
Q

Briefly outline the process of folliculogenesis

A
  • Maturation of primordial follucle into oocyte
  • grafian folicle
  • ovum released into fallopian tube
  • remains form corpus luteum
  • corpus luteum degrades to form corpus albicans
19
Q

Describe the effects of estrogen

A
  • Increased sensitivity to LH releasing hormones
  • Proliferation of endometrium
  • Inhibition of Follicule-Stimulating Hormone (FSH)
20
Q

Describe the effects of progesterone

A
  • maintains endometrium and pregnanacy
  • inhibits release of GRH, FSH and LH ❌

The implanted follicle stimulates the continued release of progesterone (thus if there is no fertilisation progesterone release stops and menstration occurs as endometrium is no longer maintained)

21
Q

Explain why estrogen antagonists would not make a good contraceptive…

A

They would prevent endometrial proliferation, but estrogen receptors are needed by other processes in the body. Estrogen antagonists would induce pharmacological menopause.

(However partial estrogen antagonists are used to treat estrogen dependent cancers)

22
Q

GRH agonists could be used as:

a) contraceptive
b) fertility aid
c) treatment for estrogen-dependent cancers
d) alternative to oral contraceptives

A

GRH agonists could be used as:

a) contraceptive

b) fertility aid

c) treatment for estrogen-dependent cancers
d) alternative to oral contraceptives

23
Q

The oral contraceptive (combined) pill consists of…

A

Exogenous progesterone and estrogen which signal pregnancy to the hypothalamus, thus inhibiting GRH, FSH, LH.

24
Q

The mini pill is progesterone only, therefore it doesn’t block…

A

Ovulation

It’s effects are mostly due to thickening of cervical mucus.

25
Q

List the mild and severe side effects associated with ‘the pill’…

A
  • Mild
    • Weight gain due to fluid retention
    • Mild nausea
    • Skin changes such as acne
  • Severe
    • Increased risk of venous thromboembolic diseases
    • Increased risk of myocardial infarct (thrombotic, in over 35s)
26
Q

Prolactin is released by the anterior pituitary to regulate milk production. However it also inhibits GRH, giving it a…

A

Contraceptive effect

27
Q

Describe the effects of prolactin on the mammary tissue…

A

Proliferation of mamary cells, milk production

28
Q

One alternative to oral contraceptives is the…

A

IUD (intrauterine device) or coil

29
Q

Describe how a copper IUD reduces chance of pregnancy…

A

Relases copper ions toxic to sperm, reduces probability of implantation

30
Q
A