6 - adrenal glands Flashcards

1
Q

where are the adreanal glands

A

ontop of teh kidneys

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

what are teh parts of teh adreanl gand

A

adrenal medulla
adrenal cortex

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

what does the adrenal medulla release

A

catecholamines - epinephrine and norepineprhine and dopamine

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

what does teh adrenal cortex realease

A

mineralocorticoids - aldrosterone
glucocortiocs - cortiosl
sex steroids - testosterone

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

what is teh role of aldosterone

A

regulation of na and k

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

what is teh role of glucocortiocids

A

mainstains plama glucose

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

which part of te adranl gand is in the centre and whihc is in the the peripary

A

centre - adreal medsulla
periply - cortex

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

what is the arrange of teh cortex form centre out

A

zona reticular - sex horems
zona fasicula - glucocortoids
zona glomerulosa - aldosterone

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

where are all steroids dirived from

A

cortisol

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

what enzyem turn cholester to cortisol and aldosteron

A

21- hyroxlase

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

what enzyme turns cholestol to sex steroids

A

aromatase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the precusou to aldrosteon

A

corticosterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what does dhea go to form

A

sex steroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

effect of defeect in 21 hydroxlase

A

defeciny in aldosterone and cortisol and salt and glucose

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

why does a defect in 21 hydrolase cause adrenal hyperlasi

A

inhits symtesi of colicol , removing negative feedback on acth and crc relse, this increase achth section increas adranl galnds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is reols for negative feed back of adrneal corex

A

cortisol realsa, acting on acth and crh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

where is crh realse fthm

A

hypothalum

18
Q

where is acth realse from

A

pitutatry

19
Q

effect of cortisol

A

influes glucose metabols as it is a glucocotial hormone
it alters gene expresssion, transcripon and translation
has secondary mesenegy sysetm repson to creater rapid cellualr repsoes

20
Q

is corisol carrier bound

A

yes - most of it only unbound can elicit a respone

21
Q

when is cortisol highest

A

during points of stress, ie duirng firts thing in the moing, it is circadium

22
Q

use of cortisol in vrian

A

prevnts hypoglycemai

23
Q

role of cortison on glucose metabolims

A

gluconeogiensis - through liver
proteolysis - thouhg break down of mucle portoiesn to provide gluconeogie substrates for the liver
lipolysis - in adibe tissue increase ffa
decres insuin sensisty in mucles and adipose tissues

24
Q

non glucocorito efect of ccortisol

A

effects ca balance, due to decreaseab absoion form gut and inceaes kidney ca+ loss and bone reapsbipon
imparents of mood and cogintion - linked to depression
premissive effect of norepineprhien in vasuclar smooth muscle,
suppresion of immune sysnte though destroym lympoctes

25
Q

what is issue with withdrawing glucocoriti tramtin

A

due to additonal therapic corial enches ngeitve fadiahc when withdra could have no fuciotn corisal thus resuting in negative effects

26
Q

function of aldosterone

A

it works on the kidneys to determine the level of mineral that need to re absorbed and excreted form the kidneys
it increase reabso of an ion and excretion of k+ form th ebody

27
Q

what pathwya cuaes aldosterone secterion form adrnal corte

A

renin angiotensin aldosterone system

28
Q

effect of aldosteron on cvs

A

increase in aldoese stimulases na and h20 retion and k+ delpton, this increase blood pressure
decreased aldosteron leads to an and h20 loss and increase k+ meang that there is decreased blood perssure

29
Q

what is a disorder of hypersecrtino of cortisol

A

cushing

30
Q

difference betwen cusing disease and syndrome

A

cusing syndoem is primary due to ecess section form adranl cortex
cushings disease is secnosdary due to hyper section from pituitary gland

31
Q

symptons of cusching

A

deposit fo fat in abon places inlcuing on back of neck
wasting of the extremes
increa fat around bloto of trunk
moon face

32
Q

what is teh disorder of hyposection of cortisol

A

addisons

33
Q

what is addison diseawe

A

hypo sectio of all adrenal steroids, due to auto immune destruciton of the of adrenal cortex

34
Q

symptons of addison

A

hypotens due to loss of corticol effect and loss of an retention
hyperpignmetns due to stimulator fo melano cyes

35
Q

when are crh and acth relased and how to inraes there relaes

A

due to stress
alchol, caffine and lack of sleep , due to them cuaign negative feed back on hypothalamic pituralr adrena axis, thus cuaign more lerales

36
Q

downside of increae cortios

A

it turns down the immune system, making it more likely to be vunvelrabel to infection

37
Q

how does the adranl meddudl reales hormoen

A

directly into the blood

38
Q

what is exces adrenal medulla relaes

A

phenochromocytoma

39
Q

effect of phyemocrhomocytom

A

excess catecholamines , thus relauign in increase in hr, co and blood pressure
it is also idabetoic due to change in glucose memtnaolim

40
Q

cause of phenochyojmacytom

A

neuroendocine tumor in teh adreanl meddula

41
Q

what caues relawes in adreanl meddual

A

preganglinc sympic fibers