Anatomy And Physiology Flashcards

1
Q

What hormones does the anterior pituitary secrete?

A
  1. Leutenizing hormone
  2. Follicle stimulating hormone
  3. Prolactin
  4. Thyroid stimulating hormone
  5. Adrenocorticotrophic hormone
  6. Growth hormone
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2
Q

What hormones does the posterior pituitary secrete?

A

ADH

Oxytocin

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3
Q

What properties do protein/peptide hormones have?

A
  1. Made from amino acid chains
  2. Lipophobic- cannot pass cell membrane
  3. So can be stored in vesicles
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4
Q

What properties do steroid hormones have?

A
  1. Derived from cholesterol
  2. Lipophilic so freely diffuse across membranes
  3. So cannot be stored
  4. Transport in blood usually bound to carrier proteins
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5
Q

How does a Gprotein receptor work?

A
  1. Hormone binds receptor extra cellular domain
  2. GTP binds to alpha domain of G protein
  3. This is now ACTIVE
  4. Alpha subunit detaches, binds other protein coupled to receptor
  5. May activate second messenger systems: cAMP, CGMP, DAG, IP3, calcium
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6
Q

How do enzyme linked receptors work?

A
  1. Transmembrane protein
  2. Hormone binding induces conformational change
  3. Causes activation of intracellular domains
  4. Target protein binds with SH2 domain
  5. Activates signal transduction cascades
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7
Q

What are some protein hormone examples?

A
Growth hormone
Parathyroid hormone
Insulin
Glucagon
Prolactin
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8
Q

What are examples of amine hormones?

A

Thyroxine
Epinephrine
Dopamine

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9
Q

What are the essential properties of hormone receptors?

A
  1. Recognition: must bind with high affinity and selectivity
  2. Response: binding triggers signal transduction to have some deserved effect on cell
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10
Q

Which hormones oppose insulin?

A

Growth hormone
Glucagon
Cortisol
Epinephrine

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11
Q

What is the position of the pituitary gland?

A

In the middle cranial fossa, enclosed by the diaphragma sellae. Within the diencephalon, central core of brain.

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12
Q

What is the blood supply of the pituitary?

A

The cavernous part of the internal carotid artery. Also supplied by superior & inferior hypophyseal arteries

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13
Q

What is the relationship anatomically between the hypothalamus and pituitary?

A

Anatomic: both are within diencephalon. Hypothalamus lies above pituitary. Connected by stem/infundibulum

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14
Q

What is the physiological relationship between the hypothalamus and pituitary?

A
  1. Linked to posterior pituitary via neurons (carry ADH & oxytocin for release)
  2. Linked to anterior pituitary via portal system- signals are given through here.
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15
Q

Anatomic location of thyroid gland

A

Below the thyroid cartilage of the larynx, anterior to trachea

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16
Q

Anatomic location of parathyroid glands

A

Posterior aspect of thyroid gland

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17
Q

What hormones do the adrenal glands secrete?

A
Cortex:
1. Mineralcorticoids (ie aldosterone)
2. Glucocorticoids (ie. cortisol)
3. Sex hormones (testosterone,androgens)
Medulla:
1. Catecholamines (epinephrine, norepinephrine, dopamine)
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18
Q

Glut4

A

Transports glucose into muscle and fat

Insulin induced

19
Q

GLUT2

A

Transports glucose into liver and pancreas

LOW sensitivity so only does when HIGH glucose levels

20
Q

GLUT1/GLUT3

A

Transports glucose into brain

HIGH sensitivity so maintains brain power supply

21
Q

How does glucose get absorbed?

A

Via active transport into enterocytes using SGLT1 (sodium cotransporter)

22
Q

How does glucose get into the bloodstream from gut?

A

Passive transport via GLUT2 transporters

23
Q

What are the three fates of glucose once absorbed by cells?

A
  1. Metabolism to ATP (glycolysis, TCA, lactic acid fermentation, oxidative phosphorylation)
  2. Storage as glycogen
  3. Conversion to fatty acids via lipogenesis
24
Q

What processes does insulin release affect?

A
  1. Expression of GLUT4 transporter on muscle and fat cells
  2. Upregulate glycogen formation
  3. Upregulate metabolism/ATP formation
  4. Upregulate protein formation
  5. Upregulate lipogenesis
25
What processes does glucagon stimulate?
1. Liver: A. glycogen breakdown B. Gluconeogenesis C. Fatty acid oxidation and ketone body production 2. Muscle: proteolysis
26
What fuel can the brain use?
Glucose | Ketone bodies
27
Chylomicrons
1. Origin: intestine 2. Composition: TG 10: CE 1 3. Major proteins: Apo B48 4. Metabolized by LPL
28
Chylomicron remnants
1. Origin: Chylomicrons 3. Major proteins: ApoE (from HDL) 4. Removed in liver via LRP1 and LDL receptor
29
VLDL
1. Origin: Liver 2. Composition: TG 5: CE 1 3. Major proteins: Apo E 4. Metabolized by LPL into IDL
30
IDL
1. Origin: VLDL 2. Composition: CE=TG 3. Major proteins: Apo E 4. Metabolized by hepatic lipase into LDL 5. Removed in liver via LDL receptor
31
LDL
1. Origin: IDL 2. Composition: CE 3. Major proteins: ApoB100 4. Taken up in peripheral tissues via LDL receptor mediated endocytosis 5. Taken up for excretion in liver
32
HDL
1. Origin: liver, small intestine, plams 3. Major proteins: ApoA1 4. Scavenge LDL from periphery 5. Donate LDL to other lipoproteins 6. Deliver LDL for steroidogenesis 7. Deliver LDL to liver for excretion.
33
Lipema Retinalis
Hypertriglyceridemia | White cast to retinal vessels
34
Eruptive xanthomas
Hypertriglyceridemia | Buttocks, extensor surfaces
35
Xanthelasmas
Hypercholesterolemia | Yellow plaques on eyelids
36
Tuberous Xanthomas
Hypercholesterolemia | Red/orange large non tender nodules
37
Tendon Xanthomas
Familial Hypercholesterolemia | Thickening of tendons
38
Corneal Arcus
Hypercholesterolemia | Grey ring around eye
39
Familial Hypercholesterolemia
Mutation of LDL receptor gene means cholesterol cannot be scavenged by liver or peripheral tissue
40
Palmar xanthomas
Familial dysbetalipoproteinemia | Orange palmar creases
41
Orange tonsils
Tangier's Disease
42
Fish Eyes
LCAT deficiency
43
Blood supply of thyroid?
1. Superior thyroid artery (from external carotid) | 2. Inferior thyroid artery (from subclavian)