18. Endocrine Flashcards

1
Q

Endocrine glands

A

-thyroid
-parathyoid -> 4
-adrenal
-pancreas
-pituitary
ovaries
-testes
-pineal

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2
Q

prostaglandins

A
  • located in body cells
  • aggregation of platelets
  • contract uterus
  • lower acid secretion in stomach
  • lower BP
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3
Q

cholecystokinin, gastrin, secretin

A
  • located in GI tract
  • contracts gal bladder
  • stimulates gastric secretion & pancreatic enzymes
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4
Q

human chorionic gonadotropin

A
  • located in placenta

- sustains pregnancy

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5
Q

erythropoietin

A
  • located in kidney

- stimulates erythrocyte production

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6
Q

vitamin D

A
  • located in skin

- affects absorption of Ca

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7
Q

corticosteriods

A
  • glucocorticoid
  • mineralocorticoids
  • sex hormones
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8
Q

thyroid

A
  • thyroxine- increases metabolism
  • goiter
  • nodule
  • calcitonin- decreases blood Ca
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9
Q

Parathyroid

A

-parathyroid hormone- increases blood Ca

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10
Q

Adrenal glands

A
  • cortex

- medulla

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11
Q

cortex

A
  • cortisol (glucocorticoid)- increase blood sugar
  • aldosterone (mineralocorticoid)- increases reabsorption Na
  • androgens & estrogen- secondary sex characteristics
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12
Q

medulla

A
  • epinephrine- sympathomimetic

- norepinephrine-sympathomimetic

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13
Q

pancreas

A
  • islet cells

- pituitary

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14
Q

islet cells

A
  • insulin- decrease blood sugar

- glucagon- increase blood sugar

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15
Q

pituitary

A
  • anterior lobe
  • posterior lobe
  • ovaries
  • testes
  • pea sized
  • base of brain
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16
Q

anterior lobe

A
  • *growth hormone (GH)- increases bone and tissue growth
  • *thyroid-stimulating hormone (TSH)- stimulates thyroid gland and thyroxine secretion
  • *adrenocorticotropic hormone (ACTH)- stimulates adrenal cortex (cortisol secretion)
  • gonadotropins
  • *follicle stimulating hormone (FSH)- oogenesis & spermatogenesis
  • *luteinizing hormone (LH)- promotes ovulation, testosterone secretion
  • prolactin (PRL)- promotes growth of breast and milk secretion
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17
Q

posterior lobe

A
  • antidiuretic hormone (ADH) (vasopressin)- stimulates reabsorption of water by kidney tubules
  • oxytocin- stimulates contraction of the uterus during labor
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18
Q

ovaries

A
  • estrogen- promotes development of ova and female secondary sex characteristics
  • progesterone- prepares and maintains the uterus for pregnancy
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19
Q

testes

A

-testosterone- promotes development of sperm and male secondary sex characteristics

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20
Q

adrenal cortex

A
  • outer secretion (cortex) of each adrenal gland
  • secretes cortisol, aldosterone, and sex hormone
  • cushing
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21
Q

adrenal medulla

A
  • inner section (medulla) of each adrenal gland

- secretes epinephrine and norepinephrine

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22
Q

ovaries

A
  • located in the lower abdomen of a female

- responsible for egg production and estrogen and progesterone secretion

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23
Q

pancreas

A
  • located behind the stomach
  • islet (alpha beta) cells (islets of langerhans) secrete hormones from pancreas
  • pancreas also contains cells that are exocrine function -> secrete enzymes via a duct into the small intestine for digestion
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24
Q

parathyroid gland

A
  • four small glands on the posterior of the thyroid gland

- people have 3-5

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25
pituitary gland (hypophysis)
- located at the base of the brain in the sella turcica - composed of an anterior lobe (adenohypophysis) and posterior lobe (neurohypophysis) - weighs only 1/16 of an ounce - acromegaly- gigantism
26
testes
- two glands enclosed in the scrotal sac of a male | - responsible for sperm production and testosterone secretion
27
thyroid gland
located in the neck on either side of the trachea | -secretes thyroxine, triiodothyronine, and calclitonin
28
adrenaline (epinephrine)
- secreted by the adrenal medulla - increases heart rate and BP - dilates airways (sympathomimetic)
29
adrenocorticotropic hormone (ACTH)
- secreted by the anterior lobe of the pituitary gland | - stimulates adrenal cortex
30
-aldosterone
- secreted by the adrenal cortex | - increases salt reabsorption
31
androgen
- male hormone secreted by the testes and to a lesser extent by the adrenal cortex - tesosterone is an example
32
antidiuretic hormone (ADH)
- secreted by the posterior lobe of the pituitary gland - AKA vasopressin - increases reabsorption of water by the kidney
33
calcitonin
- secreted by the thyroid gland | - decreases blood calcium levels
34
cortisol
- secreted by the adrenal cortex - increases blood sugar - secreted in times of stress - anti-inflammatory effect
35
estradiol
-estrogen (female hormone) secreted by the ovaries
36
estrogen
- female hormone secreted by the ovaries and to a lesser extent by the adrenal cortex - ex. estradiol and estrone
37
follicle-stimulating hormone (FSH)
- secreted by the anterior lobe of the pituitary gland | - stimulates hormones secretion, egg, sperm production
38
glucagon
- secreted by alpha islet cells of the pancreas | - increases blood sugar by conversion of glucagon to glucose
39
growth hormone (GH); somatotropin
- secreted by the anterior lobe of the pituitary gland | - stimulates growth of bones and soft tissues
40
insulin
- secreted by beta islet cells of the pancreas - insulin helps glucose to pass into cells - promotes the conversion of glucose to glycogen
41
luteinizing hormone (LH)
secreted by the anterior lobe of pituitary gland - stimulates ovulation in females - stimulates testosterone secretion in male
42
noepinephrine
- secreted by the adrenal medulla - increases HR and BP - sympathomimetic
43
oxytocin (OT)
- secreted by the posterior lobe of the pituitary gland | - stimulates contraction of the uterus during birth
44
parathormone (PTH)
- secreted by the parathyroid glands | - increases blood calcium
45
progesterone
- secreted by the ovaries | - prepares the uterus for pregnancy
46
prolactin (PRL)
- secreted by the anterior lobe of pituitary gland | - promotes milk secretion
47
somatotropin (STH)
- secreted by the anterior lobe of the pituitary gland | - growth hormone
48
testosterone
-male hormones secreted by testes
49
thyroid-stimulating hormone (TSH); thyrotropin
- secreted by the anterior lobe of the pituitary gland - acts on the thyroid gland to promote its functioning - not secreted by thyroid!
50
thyroxine (T4)
- secreted by thyroid gland - aka tetraiodothyronine - T4 increases metabolism in cells
51
triiodothyronine (T3)
- secreted by the thyroid gland | - increases metabolism in cells
52
vasopressin
- secreted by the posterior love of the pituitary gland - antidiuretic hormone (ADH) - increases water reabsorption - raises BP
53
catecholamines
- hormones derived from an amino acid and secreted by the adrenal medulla - ex. epinephrine
54
corticosteroids
- hormones (steroids) produced by the adrenal cortex | - ex. cortisol, aldosterone, androgens, estrogen
55
electrolyte
- mineral salt found in the blood and tissues - necessary for proper function of cells - ex. K, Na, Ca
56
glucocorticoid
-steroid hormone secreted by the adrenal cortex -regulates glucose, fat, protein metabolism -
57
hormone
- chemical, secreted by an endocrine gland - travels through the blood to a distant organ or gland where it influences the structure or function of that organ or gland
58
hypothalamus
- region of the brain lying below the thalamus and above the pituitary gland - secretes releasing factors and hormones that affect the pituitary gland
59
mineralocorticoid
- steroid hormone secreted by the adrenal cortex - regulates mineral salts and water balance - ex. aldosterone
60
receptor
-cellular or nuclear protein that binds to a hormone so that a response can be elicited
61
sella turcica
- cavity at the base of the skull | - contains the pituitary gland
62
sex hormones
-steroids (androgens and estrogens) produced by the adrenal cortex to influence males and female sexual characteristics
63
steroid
- complex substance related to fats, and of which many hormones are made - ex. estrogen, androgen. glucocorticoids, mineralocorticoids
64
ster/o
solid
65
-ol
oil
66
sympathomimetic
- pertaining to mimicking or copying the effect of the sympathetic nervous system - adrenaline (epinephrine) is a sympathomimetic hormone -> raises BP and HR, dilates airways
67
target tissue
-cells of an organ that are effected or stimulated by specific hormones
68
aden/o
gland
69
adrenal/o
adrenal gland
70
gonad/o
sex glands (ovaries and testes)
71
pancreat/o
pancreas
72
parathyoid/o
parathyroid gland
73
pituitar/o
pituitary gland | -hypophysis
74
thyr/o; thyroid/o
thyroid gland
75
andr/o
male
76
calc/o; calci/o
calcium
77
cortic/o
cortex; outer region
78
crin/o
secrete
79
dips/o
thirst
80
estr/o
female
81
gluc/o
sugar
82
glyc/o
sugar
83
home/o
sameness
84
hormon/o
hormone
85
kal/i
postassium
86
lact/o
milk
87
myx/o
mucus
88
natr/i
sodium
89
phys/o
growing
90
somat/o
body
91
ster/o
solid structure
92
toc/o
childbirth
93
toxic/o
poison
94
ur/o
urine
95
-agon
-assemble, gather together
96
-emia
blood condtion
97
-in, -ine
substance
98
-tropin
stimulating the function of (to turn or act on )
99
-uria
urine conditon
100
eu-
good, normal
101
oxy-
rapid, sharp, acid
102
pan-
all
103
poly-
many or increased
104
hyperthyroidism
- overactivity of the thyroid gland - thyrotoxicosis - graces disease - metabolism is faster -> increase HR, increase body temp, weight loss, increase peristalsis (diarrhea)
105
exophthalmos
- extrusion of eyeballs - occurs with hyperthyroidism (graves) - protosis - occurs as result of swelling of tissue behind eyeballs
106
hypothyroidism
- underactivity of thyroid gland - fatigue, sluggishness, weight gain, fluid retention, slow HR, low body temperature, constipation - ex. myxedema, cretinism
107
myxedema
- hypothyroidism - atrophy of thyroid gland -> no hormone produced - pale (sometimes yellow) dry skin, brittle hair, sluggish - prominent tongue
108
cretinism
- extreme hypothyroidism - lack of physical and mental growth - obese short stocky child appearance due to inhibited skeletal growth (but not soft tissue)
109
goiter
- wide neck - enlargement of thyroid gland - endemic goiter- occur in regions where there is lack of iodine (hypo) - nodular (adenomatous) goiter- hyperplasia, formation of nodules and adenomas (hyper)
110
en-
in
111
dem/o
people
112
crushing syndrome
- group of signs and symptoms produced by excess cortisol from the adrenal cortex - elevated plasma levels of cortisol - obesity, rounded facial appearance - moon face - thin skin that bruises easily - muscle weakness
113
thyroid carcinoma
-cancer of the thyroid gland
114
hyperparathyroidism
- excessive production of parathormone - hypercalcemia occurs -> damage to kidneys and heart - osteoporosis - kidney stones
115
hypoparathyroidism
- deficient production of parathyroid hormone - hypocalcemia -> muscle and nerve weakness, spasms - tetany- constant muscle contraction
116
adrenal virilism
- excessive secretion of adrenal androgens | - can cause virilization in adult women -> excessive hair, acne, deep voice -> hirsutism
117
addison disease
- hypofunctioning of the adrenal cortex - low aldosterone and cortisol -> weakness, muscle atrophy, loss of electrolytes, discoloration - autoimmune adrenalitis
118
pheochromocytoma
- benign tumor of the adrenal medulla - tumor cells stain a dark or dusk color - tumor cells produce excess secretion of epinephrine and norepinephrine - hypertension, tachycardia, palpitations, severe headaches, sweating, flushing of face, spasms
119
phe/o
dark or dusky
120
hyperinsulinism
- excess secretion of insulin causing hypoglycemia - overdose of insulin - hypoglycemia occurs - fainting spells, convulsions
121
diabetes mellitus (DM)
-lack of insulin secretion or resistance of insulin in promoting sugar, starch, and fat metabolism in cells
122
type 1 diabetes mellitus
- autoimmune disease - autoantibodies against normal pancreatic islet cells - lack of insulin production - destructs beta islet cells - abrupt - little to no insulin production - thin - hyperglycemia -> ketoacidosis - polydipsia- promotes water loss - polyuria - polyphagia - concentration urine
123
type 2 diabetes mellitus
- older - obesity common - lack of insulin or body's inability to use insulin efficiently - resistance by target tissues to insulin - high BP, high cholesterol - gradual onset - insulin usually present
124
insuin shock
- severe hypoglyemia - overdose of insulin - decreased food - excessive exercise - confusion, trembling, hunger, sweat
125
gestational diabetes
-hormonal changes during pregnancy can cause
126
acromegaly
- hypersecretion of growth hormone from the anterior pituitary after puberty leading to enlargement of extremities - GH stimulates liver to secrete hormone -> acromegaly
127
gigantism
- hypersecretion of growth hormone from the anterior pituitary before puberty leading to abnormal overgrowth of body tissues - benign adenomas of pituitary gland
128
dwarfism
- congenital hyposecretion of growth hormone - hypopituitary dwarfism - mental is fine
129
panhypopituitarism
- deficiency of all pituitary hormones | - tumors of the sella turcica and arterial aneurysms may cause
130
syndrome of inappropriate ADH (SIADH)
- excessive secretion of antidiuretic hormone | - hypersecretion of ADH -> excess water retention
131
diabetes insipidus (DI)
- insufficient secretion of antidiuretic hormone by pituitary gland (vasopressin) - causes kidney tubules to fail to hold back (reabsorb) needed water and salts - excessive urination and thirst - polyuria - polydipsia - insipidus- dilute urine
132
adrenal cortex
``` hyper -adrenal virilism -cushing syndrome hypo -addison disease ```
133
adrenal medulla
hyper: | -pheochromocytoma
134
pancreas
``` hyper: -hyperinsulinism hypo: -diabetes mellitus- type 1&2 -hypoglycemia ```
135
parathyroid glands
hyper: -hyperparathyroidism (hypercalcemia, osteoporosis, kidney stone) hypo: hypoparathyroidism (tetany, hypocalcemia)
136
pituitary- anterior lobe
``` hyper: -acromegaly -gigantism hypo: -dwarfism -panhypopituitarism ```
137
pituitary- posterior lobe
hyper: -syndrome of inappropriate antidiuretic hormone hypo: -diabetes insipidus
138
thyroid gland
``` hyper: -exophthalmic goiter (graves, thyrotoxicosis) -nodular (adenomatous) goiter hypo: -cretinism -endemic goiter -myxedema ```
139
fasting plasma glucose (FPG)
- aka fasting blood sugar test - measures circulating glucose level in a patient who has fasted at least 8 hours - diagnose diabetes and prediabtes
140
glycosylated hemoglobin (HnA1C) test
- measure percentage of RBC with glucose attached - long term glucose control test - high levels indicate poor glucose control
141
serum and urine tests
- measurement of hormones, electrolytes, glucose, and other substances in serum (blood) and urine as indicators of endocrine function - growth hormones, somatomedin C, prolactin, gonadotropin level, parathyroid, calcium, cortisol
142
urinary microalbumin assay
-detect small quantities of albumin in urine as a marker of diabetic nephropathy
143
thyroid function tests
-measurement of T3, T4, and TSH in blood
144
thyroid scan
- scanner detects radioactivity, ultrasound, or CT and visualizes the size, shape, and position of thyroid gland - RAIU- radioactive uptake scan - function is assessed - nodules and tumors can be evaluated
145
functions of endocrine
- metabolism - reproduction - growth - development - produce hormones - store hormones - release hormones into blood
146
endocrine glands
-ductless
147
acr/o
extremity, tip
148
endocrin/o
endocrine
149
thym/o
thymus gland
150
graves disease
-condition of excessive secretion of thyroid hormone causing goiter and exophthalmos
151
hashimoto thyroiditis
autoimmune disease causing chronic thyroiditis
152
cushing syndrome
-disease caused by excessive cortisol production by the adrenal glands
153
adrenopathy
-disease of the adrenal gland
154
diabetic ketoacidosis (DKA)
- excessive ketones in blood due to breakdown of stored fats for energy - a complication of diabetes mellitus - if left untreated, can lead to coma and death
155
thyroid stimulating hormone
- blood test that measures the amount of thyroid stimulating hormone in the blood - used to diagnose hyperthyroidism or to monitor thyroid replacement therapy
156
thyroxine level
-blood test that measures the amount of thyroxine in the blood to diagnose hyperthyroidism or hypothyroidism
157
radioactive iodine uptake test (RAIU)
-test of thyroid function by measuring the uptake of iodine by the thyroid
158
thyroidotomy
incision into thyroid gland
159
thyroparathyroidectomy
-excision of the thyroid and parathyroid glands