Adrenal physiology Flashcards

1
Q

Describe the classification of steroid hormones

-how many carbons denote which class

A

21 carbons = progesterone and corticosteroids
19 carbons =androgens
18 carbons = oestrogens

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2
Q

where are Glucocorticoids produced

A

Zona fasciculata and reticularis

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3
Q

What are glucocorticoids released in response to?

A

stress

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4
Q

describe the Actions of Glucocorticoids

A

Increase glucose mobilisation

Maintenance of circulation

Immunomodulation

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5
Q

what hormone controls cortisol

A

ACTH

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6
Q

What is the function of ACTH?

A

It acts on adrenal glands to stimulate cortisol synthesis.

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7
Q

what is ACTH’s role with cortisol on the below factors

-release
-synthesis
-which hormone stimulate ACTH
-negative feedback

A
  • Acutely stimulates cortisol release
  • Stimulates corticosteroid synthesis (and capacity)
  • CRH stimulates ACTH release
  • Negative feedback of cortisol on CRH and ACTH productio
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8
Q

list the causes of stress

A
  • Infection
  • Trauma
  • Haemorrhage
  • Medical illness
  • Psychological
  • Exercise/exhaustion
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9
Q

describe Mineralocorticoids

-where is is synthesised
-basic function
-what is a very common Mineralocorticoids

A

-zona glomerulosa
-water and salt balance
-aldosterone

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10
Q

where does aldosterone act upon

A

Distal convoluted tubules/cortical collecting ducts

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11
Q

where are androgens produced

A

zona reticularis

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12
Q

what is the supply of the adrenal glandss

-blood
-nervous

A

-Arterial supply
Superior adrenal artery from inferior phrenic
Middle adrenal artery from abdominal aorta
Inferior adrenal artery from renal artery

-Venous drainage
Right kidney –> inferior vena cava
Left kidney –> left renal vein then into IVC

-nervous - splanchnic nerve

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13
Q

the adrenal glands are part of the ______ nervous system

A

autonomic

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14
Q

Adrenal cortex synthesises:

A

Glucocorticoids
mineralocorticoids
androgens

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15
Q

Adrenal medulla synthesises:

A

Catecholamines

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