8 THE CHEMISTRY DEPARTMENT Flashcards

1
Q

What was the state of diabetes treatment before insulin was discovered?

A

Diabetes was a horrible disease with almost no effective treatment, leading to a miserable death for most patients

Youngsters with diabetes often died within a year of diagnosis, and the only way to reduce sugar levels was to keep them on the edge of starvation.

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2
Q

Who discovered insulin?

A

Frederick Banting

Banting was a general practitioner with no prior experience in medical research.

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3
Q

What are the two main functions of the pancreas?

A
  1. Producing enzymes for digestion
  2. Producing insulin in the islets of Langerhans
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4
Q

What is insulin?

A

A small protein vital for maintaining blood sugar balance

Insulin is produced by the islets of Langerhans in the pancreas.

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5
Q

What was Banting’s hypothesis regarding the pancreatic duct?

A

Tying off the pancreatic duct would stop digestive juices from being produced, allowing insulin to be separated

This hypothesis was based on no evidence.

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6
Q

Who assisted Banting in his experiments?

A

Charles Herbert Best

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7
Q

What unexpected result did Banting and Best achieve in their experiments?

A

They produced pure insulin despite conducting their experiments incorrectly

Their approach was described as “wrongly conceived, wrongly conducted, and wrongly interpreted.”

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8
Q

What is the difference between type 1 and type 2 diabetes?

A

Type 1: Body stops producing insulin
Type 2: Insulin is less effective due to decreased production or insulin resistance

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9
Q

What is insulin resistance?

A

A condition where the body’s cells do not respond effectively to insulin

This is often seen in type 2 diabetes.

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10
Q

What are the primary causes of type 2 diabetes?

A
  1. Unhealthy lifestyle
  2. Genetic factors
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11
Q

What has been the trend in diabetes rates from 1980 to 2014?

A

The number of adults with diabetes increased from just over 100 million to over 400 million

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12
Q

What is a limitation of insulin therapy?

A

Insulin cannot be taken orally as it is broken down in the gut

It must be injected, which is tedious and less precise than natural insulin regulation.

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13
Q

What are hormones?

A

Substances produced in one part of the body that cause actions elsewhere

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14
Q

How many hormones were known by 1958?

A

About twenty hormones

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15
Q

What are endocrine glands?

A

Glands that secrete hormones directly into the bloodstream

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16
Q

What is the role of the pituitary gland?

A

Controls various bodily functions by producing hormones

It is often referred to as the master gland.

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17
Q

Who was Robert Wadlow?

A

The tallest human who ever lived, due to a pituitary condition causing overproduction of growth hormone

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18
Q

What experiment made Charles-Édouard Brown-Séquard famous?

A

He injected himself with extracts from animal testes, claiming rejuvenation effects

This was based on a misunderstanding of testosterone’s effects.

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19
Q

What is the estimated number of hormones currently known?

A

At least eighty, possibly up to a hundred

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20
Q

What did Brown-Séquard report feeling after his experiment?

A

Frisky as a forty-year-old

This feeling was entirely psychological.

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21
Q

Why do mammalian testes contain almost no testosterone?

A

Because it is sent out into the body as quickly as it is made

Mammals manufacture very little testosterone.

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22
Q

What term did E. H. Starling coin in 1905?

A

Hormone

The term means ‘to set in motion’ in Greek.

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23
Q

When was the first journal devoted to endocrinology founded?

A

1917

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24
Q

Who is considered the real father of endocrinology?

A

Thomas Addison

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25
What serious medical condition is named after Thomas Addison?
Addison's disease
26
What is Addison's disease?
A degenerative disorder of the adrenal glands
27
How common is Addison's disease?
About one person in ten thousand
28
Who was the most famous sufferer of Addison's disease?
John F. Kennedy
29
What hormone imbalance causes Addison's disease?
Cortisol levels
30
What role does cortisol play in the body?
Regulates blood pressure
31
What hormone was discovered by Jeffrey Friedman in 1995?
Leptin
32
Where is leptin produced?
In fat cells
33
What is the primary function of leptin?
Helps to regulate appetite
34
What was the outcome of human clinical trials with leptin?
Volunteers weighed the same after a year of injections
35
What is ghrelin primarily associated with?
Appetite regulation
36
Where is ghrelin produced?
Mostly in the stomach
37
True or False: Appetite is influenced by a single hormone.
False ## Footnote Appetite is influenced by multiple factors including thyroid gland, genetics, culture, mood, and more.
38
What hormone is often referred to as 'the hug hormone'?
Oxytocin
39
What functions does oxytocin serve?
Generates feelings of attachment, directs uterine contractions, initiates milk production
40
Who was Adolf Butenandt?
A German biochemist known for his work on hormones
41
What did Butenandt distill from urine donated by policemen?
Androsterone
42
What is one of the roles of testosterone in males?
Makes a man fertile and influences his behavior
43
What happens to testosterone levels in men as they age?
They fall by about 1 percent a year starting in their forties
44
What is the liver's weight compared to the brain?
About 3.3 pounds
45
What is the liver's primary function?
Manufactures hormones, proteins, and bile
46
What is nonalcoholic fatty liver disease (NAFLD) associated with?
Being overweight or obese
47
How many metabolic processes does the liver take part in?
About five hundred
48
What is unique about the liver's regeneration?
It can grow back to its original size after two-thirds is removed
49
What is a common misconception about the causes of liver disease?
That it is mostly caused by excessive alcohol consumption
50
What does NAFLD stand for?
Non-Alcoholic Fatty Liver Disease ## Footnote NAFLD is a condition characterized by the accumulation of excess fat in the liver, not due to alcohol consumption.
51
What percentage of children and adolescents in the United States are estimated to have fatty livers?
10.7 percent ## Footnote This statistic highlights the concerning trend of NAFLD emerging in younger populations.
52
What is a significant risk factor for hepatitis C?
Contaminated blood transfusions and sharing needles ## Footnote These practices were particularly common among individuals born between 1945 and 1965.
53
How long can hepatitis C live within a victim without them knowing?
Forty years or more ## Footnote This long incubation period contributes to the stealthy nature of the disease.
54
What organ is considered the seat of courage in historical beliefs?
Liver ## Footnote This belief led to the term 'lily-livered' to describe someone cowardly.
55
What are the four humors in ancient medical theory?
* Black bile * Yellow bile * Blood * Phlegm ## Footnote These humors were believed to influence health and temperament.
56
What is the primary function of the pancreas?
Produces insulin and digestive enzymes ## Footnote It plays a crucial role in regulating blood sugar and digesting fats.
57
What is the size and shape of the pancreas?
About six inches long and shaped like a banana ## Footnote This unique shape helps it fit behind the stomach.
58
What is the spleen's function in the body?
Monitors blood cells and aids the immune system ## Footnote It also acts as a reservoir for blood.
59
What mnemonic aids medical students in remembering the spleen's attributes?
Counting upward in odd numbers: 1, 3, 5, 7, 9, 11 ## Footnote These numbers correspond to its size and position.
60
What does the gallbladder do?
Stores bile from the liver ## Footnote Bile is important for digestion, particularly of fats.
61
What is a common complication associated with the gallbladder?
Gallstones ## Footnote Gallstones can block the gallbladder outlet and cause pain.
62
Who performed one of the first surgical removals of a gallbladder?
William Stewart Halsted ## Footnote He conducted the operation on his mother in 1882.
63
What is the primary function of the kidneys?
Filter wastes from the blood ## Footnote They also regulate blood chemistry and maintain salt and water balance.
64
How much water do the kidneys process daily?
About 190 quarts ## Footnote This is equivalent to the volume of a typical bath.
65
What is the urinary bladder's primary role?
Stores urine for disposal ## Footnote It does not produce hormones or play a role in body chemistry.
66
What is the historical significance of the word 'bladder'?
One of the oldest words in the body, dating from Anglo-Saxon times ## Footnote It has remained true to its original pronunciation for over a thousand years.
67
What is lithotomy?
Stone removal procedure ## Footnote Historically associated with extreme pain and risk.
68
What was Samuel Pepys's stone removal experience?
He had a tennis ball-sized stone removed in 1658 ## Footnote His experience was traumatic and left him bedridden for weeks.
69
What is the commonest cause of kidney failure?
Diabetes ## Footnote Obesity and high blood pressure are also significant contributing factors.