4) Endocrine Flashcards

1
Q

Adrenal Gland Disorders:

A

= Hyperadrenalism (Cushing’s Syndrome) & Hypoadrenalism (Addison’s Disease)

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2
Q

At what blood glucose level does the kidneys start passing glucose into urine?

A

180 mg/dL

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3
Q

Cushing’s Syndrome (Hyperadrenalism):

A

= Excess cortisol → moon face, weight gain (upper body), buffalo hump, purple striae. “Cortisol Cushion”

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4
Q

Diabetic Ketoacidosis (DKA) - Type 1:
Kussmaul’s Respirations:

A

= Fat metabolism → ketones → metabolic acidosis (pH <7.35) → hyperglycemia (250-500+), Kussmaul respirations, “fruity breath”, ABDMN pain
= Deep rapid breathing due to metabolic acidosis from excess ketones.

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5
Q

Diabetic Ketoacidosis (DKA) is usually seen in patients with which type of diabetes?

A

Type I Diabetes

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6
Q

Endocrine Chromaffin Cells (Adrenal Medulla):

A

Release epinephrine & norepinephrine; overactivity leads to hypertension (pheochromocytoma), underactivity reduces stress response.

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7
Q

Endocrine Alpha Cells (Pancreas):

A

Produce glucagon to increase blood glucose; overproduction results in hyperglycemia, underproduction causes hypoglycemia.

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8
Q

Endocrine Beta Cells (Pancreas):

A

Secrete insulin to regulate blood glucose; destruction causes diabetes mellitus.

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9
Q

Endocrine Cells

A

Beta Cells (Pancreas), Alpha Cells (Pancreas),
Chromaffin Cells (Adrenal Medulla)

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10
Q

Types of Diabetes:
Endocrine vs Exocrine:

A

= Influences nearly every cell, organ, & bodily Fn.
= Endocrine releases hormones into the bloodstream; exocrine secretes substances through ducts.

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11
Q

Types of Diabetes:

Islets of Langerhans:

A

= Type 1 (autoimmune, insulin-dependent) & Type 2 (insulin resistance, linked to obesity, may be managed w/ diet & meds)
= Alpha Cells (glucagon ↑ blood sugar), Beta Cells (insulin ↓ blood sugar), Delta Cells (somatostatin inhibits glucagon & insulin).

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12
Q

Endocrine/hormone) Cortisol
Epinephrine

A

= Stress hormone from adrenal cortex; promotes gluconeogenesis & anti-inflammatory effects.
= Adrenal medulla hormone; increases HR, cardiac output, & bronchodilation during stress.

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13
Q

Endocrine/Hormones System) Glucagon:
Insulin:
Cortisol

A

: Secreted by alpha cells of pancreas; increases BG by stimulating glycogenolysis & gluconeogenesis. Binds to receptors on liver, adipose tissue, & heart (reg/s CO).
= Secreted by beta cells; lowers BG by enhancing cellular uptake & glycogenesis.

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14
Q

Enzymes) Amylase:
Lipase:

A

= Breaks down carbohydrates (starches) into simpler sugars (e.g., maltose); found in saliva & pancreas.
= Hydrolyzes lipids into glycerol & fatty acids; secreted by the pancreas.

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15
Q

Endocrine/hormone) Parathyroid Hormone (PTH):
Thyroid Hormones (T3/T4):

A

= Increases blood Ca+ by stimulating bone resorption & renal reabsorption.
= Regulate metabolism, growth, & development.

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16
Q

Glucagon Function:

Insulin Function:

A

= Released by alpha cells when blood sugar is low → liver breaks down glycogen into glucose → raises blood sugar
= Released by beta cells when blood sugar is high → allows glucose into cells via facilitated diffusion → lowers blood sugar.

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17
Q

How does the endocrine system control the body?

A

Via hormones.

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18
Q

Hyperglycemia Pathophysiology:
S/S:

A

= Lack of insulin → fat metabolism (lipolysis) → ketones & metabolic acidosis → excessive glucose causes kidney diuresis.
= Polyuria (frequent urination), Polydipsia (excessive thirst), Polyphagia (excessive hunger).

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19
Q

Hyperosmolar Hyperglycemia Syndrome (HHS) is usually seen in patients with which type of diabetes?

A

Type II Diabetes

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20
Q

Hyperosmolar Hyperglycemic Syndrome (HHS) - Type 2:

A

= Gradual onset, hyperglycemia (>600), severe dehydration, AMS, no ketones (no acidosis)

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21
Q

Hyperthyroidism (Graves’ Disease):

A

= Autoimmune overproduction of thyroid hormones (T3/4) stim/ cell metabolism
goiter, exophthalmos (bulging eyes)

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22
Q

Hypoglycemia:

A

= Blood glucose <70 mg/dL → caused by excess insulin, inadequate food intake → can cause seizures, coma, death.

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23
Q

Hypothyroidism (Myxedema, Myxedema Coma):

A

= Inadequate thyroid hormone (T3/4) stim/ “hypo slows cells down”
= goiter, heart issues, neuropathy, coma.

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24
Q

In Type I diabetics with Diabetic Ketoacidosis (DKA), what process increases ventilation?

A

The lack of available insulin forces the cells of the body to convert to lipolysis in order to make cellular energy.

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25
Q

Major Endocrine Glands:

Diabetes:

Pancreas & Diabetes:

A

= Hypothalamus, pituitary, thyroid, parathyroid, thymus, pancreas, adrenal glands, gonads
= Disease where insulin production or response is impaired → abnormal carbohydrate metabolism & increased blood glucose.
= Contains both endocrine (hormone-producing) & exocrine (digestive enzyme-producing) tissues.

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26
Q

Mesothelial Cells:
Pancreatic Acinar Cells:

A

= Line body cavities (pleura, peritoneum); secrete lubricating fluid.
= Secrete digestive enzymes (e.g., amylase, lipase) into the duodenum

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27
Q

Thyroid Disorders:

A

= Hyperthyroidism (Graves’ Disease, Thyroid Storm) & Hypothyroidism (Myxedema, Myxedema Coma)

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28
Q

Addison’s Disease (Hypoadrenalism):

A

= Inadequate cortisol & aldosterone production → adrenal crisis if untreated.

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29
Q

Thyroid Storm (Thyrotoxic Crisis):

A

= “Tense Tachy Temp” Life-threatening thyroid hormone surge → extreme tachycardia, hypertension, fever.

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30
Q

Type 1 Diabetes:

A

= Autoimmune destruction of beta cells → no insulin production → requires insulin therapy & frequent glucose monitoring.

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31
Q

Type 2 Diabetes:

A

= Insulin resistance → linked to obesity → managed w/ diet, exercise, & meds that increase insulin secretion or receptor sensitivity.

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32
Q

What are adrenal gland disorders?

A

Hyperadrenalism (Cushing’s Syndrome).
Hypoadrenalism (Addison’s Disease).

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33
Q

What are Kussmaul’s respirations?

A

Deep rapid breathing due to metabolic acidosis from excess ketones.

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34
Q

What are the characteristics of Type 1 diabetes?

A

Requires external insulin, frequent blood sugar monitoring, & sometimes insulin pumps.

Without insulin, glucose cannot enter cells, leading to alternative energy pathways.

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35
Q

What are the characteristics of Type 2 diabetes?

A

Insulin resistance, often linked to obesity; can sometimes be reversed w/ lifestyle changes.
Treated w/ meds that increase insulin secretion, enhance receptor sensitivity, or decrease glucagon effects.

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36
Q

What are the major endocrine glands?

A

Hypothalamus, pituitary, thyroid, parathyroid, thymus, pancreas, adrenal glands, gonads.

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37
Q

What are the signs & symptoms of hyperglycemia?

A

3 P’s: Polyuria (frequent urination), Polydipsia (excessive thirst), Polyphagia (excessive hunger).

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38
Q

What are the types of cells in the Islets of Langerhans?

A

Alpha Cells: Produce glucagon (raises blood sugar).
Beta Cells: Produce insulin (lowers blood sugar).
Delta Cells: Produce somatostatin (inhibits glucagon & insulin secretion).

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39
Q

What are the types of diabetes?

A

Type 1: Autoimmune destruction of beta cells → requires insulin.
Type 2: Insulin resistance, often linked to obesity; can be managed w/ diet, exercise, & meds.

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40
Q

What are thyroid disorders?

A

Hyperthyroidism (Graves’ Disease, Thyroid Storm).
Hypothyroidism (Myxedema, Myxedema Coma).

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41
Q

What best defines Type I Diabetes?

A

It is usually caused by an autoimmune response in which the body’s immune system attacks and kills the beta cells of the pancreas.

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42
Q

What blood glucose level identifies as being hyperglycemic?

A

> 120mg/dL - >140mg/dL

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43
Q

What blood glucose level identifies as being hypoglycemic?

A

< 70mg/dL

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44
Q

What breathing pattern is recognized in a newly diagnosed Type I diabetic with lethargy and confusion?

A

Kussmaul’s Respirations

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45
Q

What causes endocrine disorders?

A

Endocrine disorders are caused by internal communication problems.

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46
Q

What condition is characterized by insufficient cortisol production from the adrenal glands?

A

Addison’s Disease

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47
Q

What condition might a patient with an enlarged neck, weight loss, and bulging eyes have?

A

Graves’ Disease

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48
Q

What do alpha cells of the pancreas secrete?

A

Glucagon

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49
Q

What do beta cells of the pancreas secrete?

A

Insulin

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50
Q

What do delta cells of the pancreas secrete?

A

Somatostatin

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51
Q

What do the adrenal glands secrete?

A

The adrenal glands, located on top of the kidneys, secrete catecholamines such as norepinephrine and epinephrine.

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52
Q

What does adrenocorticotropic hormone (ACTH) stimulate?

A

Stimulates release of corticosteroid hormones cortisol and aldosterone.

Targets adrenal cortexes.

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53
Q

What does Somatostatin do?

A

Somatostatin is the opposite of GH (Growth Hormone). “Stopper”

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54
Q

What does the endocrine system influence?

A

Nearly every cell, organ, and bodily function.

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55
Q

What does the parathyroid hormone cause?

A

An increase in the blood Ca level.

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56
Q

What does the release of calcitonin from the thyroid gland cause?

A

The blood Ca level to drop “calcitonin cuts Ca”

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57
Q

What findings support a diagnosis of Cushing’s Disease?

A

Moon face, Excessive purple stretch marks, Buffalo hump. “Cushings look like a cushion”

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58
Q

What findings would substantiate a suspected overdose of levothyroxine? “Thyroid horomone replacement med”

A

A-Fib w/ RVR, hypotension and seizures.

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59
Q

What happens when T-cells attack normal cells?

A

When T-cells attack normal cells, it can lead to autoimmune diseases.

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60
Q

What hormone contributes to salt and fluid balance?

A

Aldosterone (ADH)

Targets kidneys, blood.

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61
Q

What hormone decreases blood glucose levels?

A

Insulin

Targets all cells, particularly in liver, muscle, and fat.

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62
Q

What hormone does the hypothalamus release to stimulate growth?

A

Growth hormone-releasing hormone (GHRH)

Targets the anterior pituitary.

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63
Q

What hormone does the hypothalamus release to stimulate the adrenal cortex?

A

Corticotropin-releasing hormone (CRH)

Targets the anterior pituitary.

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64
Q

What hormone increases blood calcium levels?

A

Parathyroid hormone (PTH)

Targets bone, intestine, kidneys.

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65
Q

What hormone increases blood glucose levels?

A

Glucagon

Targets all cells, particularly in liver, muscle, and fat.

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66
Q

What hormone inhibits growth hormone release?

A

Somatostatin (GHIH)
Targets the anterior pituitary.

67
Q

What hormone inhibits milk production?

A

Prolactin-inhibiting hormone (PIH)
Targets the anterior pituitary.

68
Q

What hormone is released by the posterior pituitary?

A

Antidiuretic hormone (ADH) & Oxytocin

69
Q

What hormone is released in response to light and affects mood?

A

Melatonin
Exact action unknown; can help determine daily, lunar, and reproductive cycles.

70
Q

What hormone is responsible for uterine contractions?

A

Oxytocin
Released by the posterior pituitary.

71
Q

What hormone prepares the uterus for pregnancy?

A

Progesterone
targets uterus

72
Q

What hormone stimulates cell metabolism?

A

Thyroxine (T4) targets all cells

73
Q

What hormone stimulates milk production in mammary glands?

A

Prolactin (PRL)
Targets mammary glands.

74
Q

What hormone stimulates milk production?

A

Prolactin-releasing hormone (PRH)
(Targets anterior pituitary)

75
Q

What hormone stimulates reproduction and functional development of T lymphocytes?

A

Thymosin
Targets white blood cells, primarily T lymphocytes.

76
Q

What hormone stimulates the development of secondary sexual characteristics in females?

A

Estrogen
Targets most cells, particularly those of the female reproductive tract.

77
Q

What hormone stimulates the development of secondary sexual characteristics in males?

A

Testosterone
Targets most cells, particularly those of the male reproductive tract.

78
Q

What hormone stimulates the development of sex cells?

A

Follicle-stimulating hormone (FSH)
Targets ovaries or testes.

79
Q

What hormone stimulates the fight-or-flight response?

A

Epinephrine (adrenaline)
Targets muscle, liver, cardiovascular system.

80
Q

What hormone stimulates the release of estrogen and testosterone?

A

Luteinizing hormone (LH)
Targets ovaries or testes.

81
Q

What hormone stimulates the release of sex hormones?

A

Gonadotropin-releasing hormone (GnRH)
(Targets anterior pituitary)

82
Q

What hormone stimulates the thyroid gland?

A

Thyrotropin-releasing hormone (TRH)
(Targets anterior pituitary)

83
Q

What hormone stimulates the thyroid to release thyroid hormones?

A

Thyroid-stimulating hormone (TSH)

84
Q

What hormones are produced by the anterior pituitary?

A

ACTH (Adrenocorticotropic), TSH (Thyroid-Stimulating), GH (Growth Hormone), PRL (Prolactin), LH (Luteinizing), FSH (Follicle-Stimulating).

85
Q

What hormones does the pituitary gland secrete?

A

The pituitary gland secretes 2 posterior hormones (ADH/Vasopressin and Oxytocin) and 6 anterior hormones (Thyroid, Prolactin, FSH, LH, Adrenocorticotropic hormone, GH).

86
Q

What hormones does the posterior pituitary secrete?

A

ADH (Antidiuretic Hormone) & Oxytocin.

87
Q

What is Addison’s Disease (Hypoadrenalism)?

A

Inadequate cortisol & aldosterone production.
Can lead to adrenal crisis, requiring immediate treatment. “Addison can’t stress”

88
Q

What is Cushing’s Syndrome (Hyperadrenalism)
Causes:

A

Excess cortisol → moon face, weight gain (especially upper body), buffalo hump, purple striae.
= Exogenous (steroids) or endogenous overproduction.

89
Q

What is diabetes?

A

Disease where the body’s ability to produce or respond to insulin is impaired, leading to abnormal carbohydrate metabolism & increased blood glucose.

90
Q

Diabetic ketoacidosis (DKA) in Type 1 diabetes:
Signs:
Treatment:

A

Fat metabolism → ketone production → metabolic acidosis.
=Hyperglycemia (250-500+), ketones, Kussmaul respirations (rapid deep breathing, fruity breath), abdominal pain, pH <7.35.
= Fluids, insulin, electrolyte management.

91
Q

What is hyperosmolar hyperglycemic syndrome (HHS) in Type 2 diabetes?
Treatment:

A

Gradual onset, extreme hyperglycemia (>600), severe dehydration, altered mental status, no ketones (no acidosis).
Fluids, electrolyte correction, insulin if needed.

92
Q

What is hyperthyroidism (Graves’ Disease)?
Symptoms:
Thyroid Storm:

A

Autoimmune overproduction of thyroid hormones.
= Goiter, exophthalmos (bulging eyes).
= Life-threatening excessive thyroid hormone release → ↑HR, ↑BP, ↑temp.

93
Q

What is hypoglycemia?

A

Blood sugar <70 mg/dL, must be corrected immediately.

Causes: Excess insulin, inadequate food intake. Symptoms: Pale, diaphoretic, tachycardia, AMS, seizures, possible death.

94
Q

What is hypothyroidism (Myxedema, Myxedema Coma)?
Treatment:

A

Inadequate thyroid hormones, can lead to goiter, heart issues, neuropathy, coma.
=Thyroid hormone replacement.

95
Q

What is the difference between endocrine and exocrine glands?

A

Exocrine glands have ducts and can deal with enzymes, while endocrine glands are more systemic.

96
Q

Endocrine vs Exocrine glands?

A

Endocrine glands release hormones into the bloodstream w/o ducts
Exocrine glands secrete substances through ducts.

97
Q

ACTH (Adrenocorticotropic Hormone) fn

A

Stimulates adrenal cortex to release cortisol.

98
Q

ADH (Antidiuretic Hormone) fn

A

Increases water reabsorption in kidneys → prevents dehydration.

99
Q

Aldosterone fn

A

Increases Na+ retention & K+ excretion to regulate BP.

100
Q

Calcitonin fn

A

Calcitonin lowers blood Ca+ Lvls via promotes osteoblast activity & by inhibiting osteoclasts.

101
Q

Epinephrine fn

A

Increases HR, BP, & metabolism (fight-or-flight response).

102
Q

FSH (Follicle-Stimulating Hormone) fn

A

Stimulates follicle maturation in females & spermatogenesis in males.

103
Q

GH (Growth Hormone) fn

A

Stimulates growth, metabolism, & IGF-1 production in liver.

104
Q

Glucagon fn

A

Raises blood glucose by stimulating glycogen breakdown.

105
Q

Insulin fn

A

Lowers blood glucose by promoting glucose uptake into cells.

106
Q

LH (Luteinizing Hormone) fn

A

Stimulates ovulation in females & testosterone production in males.

107
Q

Melatonin fn

A

Regulates sleep-wake cycle (circadian rhythm).

108
Q

Oxytocin fn

A

Stimulates uterine contractions & milk ejection.

109
Q

PRL (Prolactin) fn

A

Stimulates milk production in mammary glands.

110
Q

PTH (Parathyroid Hormone) fn

A

Increases blood Ca+ by stimulating osteoclasts & kidney reabsorption.

111
Q

Pancreas fn

A

The pancreas has the majority of endocrine functions and produces pancreatic juice.

112
Q

Pineal gland fn

A

The pineal gland secretes melatonin, which regulates the circadian cycle.

113
Q

TSH (Thyroid-Stimulating Hormone) fn

A

Stimulates thyroid gland to release T3 & T4.

114
Q

What is the Glasgow Coma scale score for a patient who is verbal but confused, closes eyes, and localizes with painful stimulus?

115
Q

What is the key organ in diabetes?

A

Pancreas (contains both endocrine & exocrine tissues).

116
Q

What is the longest cranial nerve in the human body?

A

Vagus CN 10

117
Q

What is the pathophysiology of hyperglycemia?

A

Insufficient insulin → reliance on fat metabolism (lipolysis) → ATP & CO₂ production → excess glucose causes kidney diuresis.

118
Q

Growth hormone (GH) fn

A

Stimulates body growth in childhood; causes switch to fats as energy source.

Targets all cells, especially growing cells.

119
Q

What is the role of hormones in the endocrine system?

A

Hormones are chemical substances produced by a gland that act as messenger signals.

120
Q

Thymus?

A

The thymus matures T-cells (4 & 8) and helps detect irregular human and cancer cells.

121
Q

Thyroid often referred to as?

A

The thyroid is referred to as the ‘internal flame.’

122
Q

What might a patient with damage to the posterior pituitary gland experience?

A

Excrete too much water and become extremely hypovolemic. (ADH)

123
Q

What organ is key in blood glucose level regulation?

124
Q

What should the release of glucagon by the pancreas cause?

A

An increase in the BGL.

125
Q

What should the release of insulin by the pancreas cause?

A

A decrease in the blood sugar level.

126
Q

What triggers glucagon release?

A

Released by alpha cells when blood sugar drops, triggering the liver to break down glycogen into glucose.

127
Q

What triggers insulin release?

A

Released by beta cells when blood sugar rises, allowing glucose to enter cells via facilitated diffusion.

128
Q

Which cranial nerve controls the size of the pupil?

A

Cranial Nerve III

129
Q

Which gender tends to have more endocrine problems

A

Females tend to have more

130
Q

Why does glycosuria cause fluid loss from the body?

A

increase amount of water that is not reabsorbed by the kidneys bc Water loves to follow sugar

131
Q

Cranial nerves name mnemonic:
Cranial nerve names:

A

= “Oh, Oh, Oh, To Touch And Feel A Girl’s Vagina, Such Heaven!
1. Olfactory
2. Optic
3. Oculomotor
4. Trochlear
5. Trigeminal
6. Abducens
7. Facial
8. Vestibulocochlear (or Auditory)
9. Glossopharyngeal
10. Vagus
11. Spinal Accessory
12. Hypoglossal

132
Q

Cranial nerve types mnemonic:
Nerve types:

A

= “Some Say Marry Money, But My Bitch Says Big Boobs Matter Most.”
= 1. Olfactory - Sensory
2. Optic - Sensory
3. Oculomotor - Motor
4. Trochlear - Motor
5. Trigeminal - Both
6. Abducens - Motor
7. Facial - Both
8. Vestibulocochlear (or Auditory) - Sensory
9. Glossopharyngeal - Both
10. Vagus - Both
11. Spinal Accessory - Motor
12. Hypoglossal - Motor

133
Q

Cranial nerve location mnemonic:
Nerve locations:

A

= “Sexy EMTs Play Erotic Jokes, Exciting Their Erotic Lover’s Asshole Stimulating Them.”
= Sniffer- smells (Olfactory)
= Eyes - Eyesight (Optic)
= Pupils - Pupils & eye movement (Oculomotor)
= Eyes = eyes movement (Trochlear)
= Jaw -mastication (Trigeminal: sense face & motor jaw)
= Eyes - Eye movement (Abducens)
= Taster - Taste & facial expression (Facial)
= Ears - Ears hearing & balance (Vestibulocochlear)
= Licker- tongue taste & swallow (Glossopharyngeal)
= ABDMN- Autonomic control thorax & ABDMN (Vagus)
= Shoulders -shrug & neck m-nt (Spinal Accessory)
= Tongue - Tongue movement (Hypoglossal)

134
Q

Most head injury PTs who’re in a coma & likely to need endotracheal intubation have a GCS score of:

135
Q

CN 3,7,9,10

A

Pupil correlates w/ L. of injury EX right pupil blown is right brain trauma

136
Q

CN with their correct name) CN 4
CN 10
CN 6
CN 9
CN 8
CN 12
CN 11
CN 3
CN 5
CN 7
CN 2
CN 1

A

Trochlear 4
Vagus 10
Abducens 6
Glossopharyngeal 9
Acoustic (Vestibulocochlear) 8
Hypoglossal 12
Spinal Accessory 11
Oculomotor 3
Trigeminal 5
Facial 7
Optic 2
Olfactory 1

137
Q

Eyes cranial nerves:
Lost Eye motor control CN:

A

= 2, 3, 4, 6
= 4 & 6

138
Q

What is the function and type of CN I

A

(Olfactory)Sensory | Smell | Neither sympathetic nor parasympathetic.

139
Q

What is the function and type of CN II

A

(Optic) Sensory | Vision | Neither sympathetic nor parasympathetic.

140
Q

What is the function and type of CN III

A

(Oculomotor) Motor | Eye movement, pupil constriction | Parasympathetic.

141
Q

What is the function and type of CN IV

A

(Trochlear) Motor | Eye movement (superior oblique) | Neither sympathetic nor parasympathetic.

142
Q

What is the function and type of CN V

A

(Trigeminal) Both | Facial sensation, mastication | Neither sympathetic nor parasympathetic.

143
Q

What is the function and type of CN VI

A

(Abducens) Motor | Eye movement (lateral rectus) | Neither sympathetic nor parasympathetic.

144
Q

What is the function and type of CN VII

A

(Facial) Both | Facial expression, taste (anterior 2/3), lacrimation | Parasympathetic.

145
Q

What is the function and type of CN VIII

A

(Vestibulocochlear) Sensory | Hearing & balance | Neither sympathetic nor parasympathetic.

146
Q

What is the function and type of CN IX

A

(Glossopharyngeal) Both | Taste (posterior 1/3), swallowing | Parasympathetic.

147
Q

What is the function and type of CN X

A

(Vagus) Both | Parasympathetic control of heart, lungs, digestion | Parasympathetic.

148
Q

What is the function and type of CN XI

A

(Accessory) Motor | Shoulder shrug (trapezius, sternocleidomastoid) | Neither sympathetic nor parasympathetic.

149
Q

What is the function and type of CN XII

A

(Hypoglossal) Motor | Tongue movement | Neither sympathetic nor parasympathetic.

150
Q

Osmotic diuresis

A

When glucose spills into urine, the osmotic pressure, or concentration of particulates, rises inside the kidney tubule to a Lvl > blood Lvl. Water follows glucose into urine to cause a marked water loss termed

151
Q

What is Graves’ Disease?

A

Hyperthyroidism

S/S: Goiter, Exophthalmos, TachyC, Wt loss, Heat intolerance. Complications/Rx: Minor life threat: Irreg/ rhythms or BradyC | O₂ if needed.

152
Q

What is a Thyroid Storm?

A

Severe Hyperthyroidism Crisis

S/S: High fever, TachyC, HTN, AMS. Complications/Rx: Life threat: Arrhythmias | Beta-blockers, Cooling, Fluids.

153
Q

What is Myxedema Coma?
S/S:
Complications/Rx:

A

=Severe Hypothyroidism Crisis
= HypoT, BradyC, AMS, Hypothermia.
= Life threat: Respiratory failure | IV Levothyroxine, Warmth, Fluids.

154
Q

Cushing’s Syndrome:
S/S:
Complications/Rx:

A

= hyperadrealism causing Excess Cortisol
= Moon face, Buffalo hump, Wt gain, Purple striae.
= Minor life threat: HTN | Treat underlying cause.

155
Q

Addison’s Disease:
S/S:
Complications/Rx:

A

= HypoAdrenalism Insufficiency “Addison can’t stress”
= Weakness, Wt loss, HypoT, HyperK+, Bronze skin
= Life threat: Adrenal Crisis (Shock) | IV Hydrocortisone, Fluids.

156
Q

What is Adrenal Crisis?
S/S:
Complications/Rx:

A

=Acute Cortisol Deficiency
= Severe HypoT, Shock, AMS.
= Life threat: Circulatory Collapse | IV Hydrocortisone, Fluids.

157
Q

What is Diabetic Ketoacidosis (DKA):
S/S:
Complications/Rx:

A

Type 1 DM w/ Severe Hyperglycemia & Ketones
= Polyuria, Polydipsia, Polyphaga, Fruity breath, Kussmaul’s, AMS.
=Life threat: Acidosis, HyperK+ | IV Insulin, Fluids, Electrolytes.

158
Q

What is Hyperosmolar Hyperglycemic Syndrome (HHS)?

A

Type 2 DM w/ Severe Hyperglycemia (>600)
= Severe Dehydration, AMS, Weakness, No Ketones.
=Life threat: Shock | IV Fluids, Insulin if needed.

159
Q

What is Hypoglycemia?
S/S:
Complications/Rx:

A

Low Blood Sugar (<70)
=AMS, Diaphoresis, TachyC, Seizures.
= Life threat: Seizures, Coma | Oral Glucose, IV Dextrose.

160
Q

What is SIADH (Syndrome of Inappropriate ADH)
S/S:
Complications/Rx:

A

Excess ADH → Fluid Retention
=Dilutional HypoNa+, Low urine output, AMS.
=Life threat: Seizures | Fluid restriction, Hypertonic saline.

161
Q

What is Diabetes Insipidus (DI)
S/S:
Complications/Rx:

A

ADH Deficiency → Excess Urination
=Polyuria, Polydipsia, Dehydration, HyperNa+.
=Life threat: HypoV Shock | IV Fluids, DDAVP.

162
Q

What is Pheochromocytoma:
S/S:
Complications/Rx:

A

Adrenal Tumor → Excess Catecholamines
=Severe HTN, TachyC, Sweating, HA.
=Life threat: HTN Crisis NEVER ADMIN DOP| Alpha-blockers, Surgery.

163
Q

When Ketones Are Made:
Liver & Ketones:
Ketosis vs. Ketoacidosis:

A

= If glucose is unavailable (or cannot enter cells), the body burns fat for energy, producing ketones.
= The liver converts fatty acids into ketones when glucose is low
= Ketosis is a normal metabolic process (low-level ketones), while ketoacidosis is a dangerous condition (high ketones → acidosis).