Adrenal gland Flashcards

1
Q

adrenal glands are

A

hormone producing organs

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2
Q

4 tissue zones of the adrenal glands

A

zona glomerulosa
zona fasciculata
zona reticularis
adrenal medulla

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3
Q

what hormone is released in the zona glomerulosa?

A

mineralcorticoids = aldosterone

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4
Q

what hormone is released in the zona fasciculata?

A

glucocorticoids = cortisol

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5
Q

What hormone is released in the zona reticularis?

A

androgens = dehydroepiandrosterone

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6
Q

What hormones are released in the adrenal medulla?

A

stress hormones = epinephrine and norepinephrine

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7
Q

the cortical zone of the adrenal galnds secrete

A

corticocosteroids

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8
Q

all corticosteroids are made from

A

cholesterol

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9
Q

t/f The adrenal cortex does not receive neural innervation, and so must be stimulated hormonally (by ACTH secreted from the anterior pituitary)

A

true

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10
Q

the medullary region of the adrenal glands secrete

A

catecholamines

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11
Q

examples of catecholamines

A

Epinephrine (adrenaline): most abundant

Norepinephrine (noradrenaline, NA): lesser amount

Dopamine: least amount

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12
Q

aldosterone regulates

A

Na+ and K+ balance

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13
Q

all catecholamines are made from

A

tyrosine

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14
Q

mechanism of homeostasis by aldosterone

A

Stimulate the kidneys to retain NaCl and water while excretion K+ in the urine.
increases blood volume and pressure

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15
Q

Aldosterone secretion is in response to

A

reduction in extracellular fluid and Na+ via the renin-angiotensin system
increased renin-angiotensin = increased aldosterone

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16
Q

where is located the aldosterone receptor?

A

in the cytoplasm

17
Q

acute effect of aldosterone action

A

increased activity of Na and k channels
increased activity of Na and K ATPase

18
Q

chronic effect of aldosterone action

A

increased expression of Na and K channels
N and K ATPase

19
Q

What stimulates cortisol secretion by the adrenal glands?

A

ACTH (Adrenocorticotropic hormone) by the hypothalamus

20
Q

fxn. of cortisol

A

Suppress the immune response inhibit inflammation
stimulates glucogenesis
inhibits glucose utilization
promotes lipolysis

21
Q

glucogenesis

A

promoted by cortisol
production of glucose from amino acids, glycerol and lactic acids

22
Q

The inhibition of glucose utilization by cortisol helps

A

Raise the blood glucose level; and it promotes lipolysis and the consequent release of free fatty acids into the blood

23
Q

Exogenous glucocorticoids are taken to

A

suppress the immune response and inhibit inflammation

24
Q

used to treat asthma and rheumatoid arthritis

A

glucocorticoids

25
side effects of glucocorticoids
hyperglycemia and decreased glucose tolerance decrease synthesis of collagen and other extracellular matrix proteins increased bone resorption leading to osteoporosis
26
Glucocorticoid receptors (GR) and mineralocorticoid receptors (MR) are located
in the cytoplasm and are associated with several other proteins, including heat shock proteins, members of the nuclear receptor family
27
t/f G protein coupled receptors can also be receptors for corticisteroids
true
28
Hyperadrenocorticism (Cushing’s Disease) can be
ACTH-dependent: most ACTH-independent (adrenal tumor)
29
Primary: most; autoimmune Secondary (atrophy of pituitary)
Hypoadrenocorticism (Addison’s Disease)
30
caused by oversecretion of ACTH from the anterior pituitary (could be microadenoma). It can result from a tumor of the adrenal cortex. It can be iatrogenic (hospital related) by corticosteroid over usage. Even “stress” can mimic some signs
Cushing's disease
31
characterized by changes in carbohydrate and protein metabolism, hyperglycemia, hypertension, and muscular weakening. Metabolic problems give the body a puffy appearance and can cause structural changes characterized as "buffalo hump" and "moon face
cushing's
32
Hyposecretion (inadequate secretion) of corticosteroid hypoglycemia, sodium and potassium imbalance, dehydration, hypotension, rapid weight loss, and generalized weakness. If not treated with corticosteroids, death will occur within a few days because of severe electrolyte imbalance and dehydration.
Addison’s Disease
33
fxns. of adrenal medulla cathecolamines
increase the cardiac output and heart rate Dilate coronary blood vessels increase mental alertness increase the respiratory rate elevate the metabolic rate
34
t/f The effects of these catecholamine hormones are similar to those caused by stimulation of the sympathetic nervous system, except that the hormonal effect lasts about ten times shorter.
false, longer
35
t/f The adrenal medulla is innervated by preganglionic sympathetic axons, and secretes its hormones -whenever the sympathetic nervous system is activated during "fight or flight".
true
36
with epinephrine and nor epinephrine, a rise in blood glucose occurs due to
hepatic glycogenolysis gluconeogenesis rise in blood fatty acids due to stimulation of lipolysis