Chapter 17 : Endocrine System Flashcards

1
Q

Endocrine system

A

Uses glands, tissues, and cells to produce molecules called hormones
These hormones will control the bodies metabolism, growth and development

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2
Q

Endocrinology

A

The study of the endocrine system and the diagnosis and treatment of its disorders

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3
Q

Endocrine glands

A

An organ that produces the hormone

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4
Q

Hormones

A

Chemical messengers that are transported by the bloodstream and stimulate physiological responses in cells of another tissue or organ, often a considerable distance away

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5
Q

Overview of cell communications

A

Internal communication is necessary for coordination of cell activities
There are 4 principle mechanisms of communication between cells
- gap junctions, neurotransmitters, paracrine hormones, and hormones

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6
Q

Gap junctions

A

Pores in cell membrane allow signaling molecules, nutrients, and electrolytes to move from cell to cell

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7
Q

Paracrine ( local ) hormones

A

Secreted into tissue fluids to affect nearby cells

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8
Q

What is this organ from the endocrine system?

A

Pineal gland

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9
Q

What is this organ from the endocrine system?

A

Hypothalamus

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10
Q

What is this organ from the endocrine system?

A

Pituitary gland

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11
Q

What is this organ from the endocrine system?

A

Thyroid gland

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12
Q

What is this organ from the endocrine system?

A

Thymus

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13
Q

What is this organ from the endocrine system?

A

Adrenal gland

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14
Q

What is this organ from the endocrine system?

A

Pancreas

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15
Q

What is this organ from the endocrine system?

A

Parathyroid glands

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16
Q

What is this organ from the endocrine system?

A

Gonads: ovary (female)

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17
Q

What is this organ from the endocrine system?

A

Gonads: testis (male)

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18
Q

Communication by the endocrine system compared to the nervous system

A

Response take longer before they begin and last longer
Works with the nervous system via the adrenal gland and pituitary gland

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19
Q

Communication of the endocrine system

A

Body tells endocrine gland to release its hormones into a capillary bed
They travel around the body until they reach the target cells
Target cell then does what it was told to do by that hormone

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20
Q

Target cells

A

A Cell that has a receptor for that specific hormone

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21
Q

Anterior pituitary gland

A

Controlled by hormones from the hypothalamus via a portal system
Far more vascularized (darker color)
More cellular

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22
Q

Portal system

A

2 subsequent capillary beds

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23
Q

Posterior pituitary gland

A

Hypothalamus has neurons that travel to the posterior pituitary gland
Less cellular and has many nerve fibers  (has lighter stain)

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24
Q

Hypophyseal portal system: hypothalamic hormones

A

Hypothalamic releasing and inhibiting hormones travel in hypophyseal portal system from hypothalamus to anterior pituitary gland

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25
Q

Hypophyseal portal system: anterior lobe hormones

A

Hormones secreted by anterior pituitary gland

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26
Q

Chromophobe

A

In the anterior pituitary gland
Don’t stain very dark
Chromo-color
Phobe/phobia-aversion to something/don’t like it

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27
Q

Acidophil

A

Darker stain

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28
Q

TRH

A

Thyroid releasing hormone
Tells anterior pituitary gland to direct hormones to the thyroid

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29
Q

Releasing hormones

A

The hormones the hypothalamus makes to direct the pituitary gland to release hormones

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30
Q

GnRH

A

Gonad releasing hormone
Tells anterior pituitary gland to direct hormones to the gonads

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31
Q

CRH

A

Corticotropin releasing hormone
Directs anterior pituitary gland to direct hormone to adrenal gland

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32
Q

GHRH

A

Growth hormone releasing hormone
Directs anterior pituitary gland to produce growth hormone

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33
Q

PRL

A

Prolactin
Anterior pituitary gland produces it
Tells mammary gland to begin producing lactin
After birth stimulates mammary glands to synthesize milk, enhances secretion of testosterone by testes

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34
Q

TSH

A

Thyroid stimulating hormone
Produced by the anterior pituitary gland
Stimulates secretion of thyroid hormone

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35
Q

LH

A

Luteinizing hormone
Produces by anterior pituitary gland
Direct gonads
Stimulates ovulation, corpus luteum to secret progesterone, and stimulates testes to secret testosterone

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36
Q

FSH

A

Follicle stimulating hormone
Produced by anterior pituitary gland
Directs gonads
Stimulates secretion of ovarian sex hormones, development of ovarian follicles, and sperm production

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37
Q

GH

A

Growth hormone
Produced by anterior pituitary gland
Active most importantly on liver and muscle cells
Stimulates mitosis and cellular differentiation

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38
Q

ACTH

A

Adrenocorticotropin hormone
Produced by anterior pituitary gland
Works on the adrenal cortex to secret glucocorticoids

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39
Q

Neurohyphothesis

A

Neurons that pass down into the posterior pituitary gland

40
Q

ADH

A

Antidiuretic hormone
Produced by posterior pituitary gland and Directs the kidneys
Increases water retention thus reducing urine volume and prevents dehydration
Also called vasopressin because it can cause vasoconstriction

41
Q

OT

A

Oxytocin hormone
Produced by posterior pituitary gland
Directs uterus to increase uteri contractions and increases the frequency of contractions

42
Q

Posterior pituitary hormones

A

Produced in hypothalamus
Transported by hypothalamus- hypophyseal tract to posterior lobe
Releases hormones when hypothalamic neurons are stimulated

43
Q

Endocrine secretion is typically controlled by….

A

Negative feedback mechanisms

44
Q

Negative feedback

A

Increased target organ hormone levels inhibits release of hormones

45
Q

Positive feedback

A

Stretching of uterus increases OT release, causes contractions, causing more stretching of uterus, etc. Until delivery

46
Q

Thymus

A

Has roles in 3 systems:endocrine, lymphatic, and immune
Sale of maturation of T cells important in immune defense
Secretes thymopoietin, thymosin, and thymolin which stimulates development of other lymphatic organs and activity of T-lymphocytes

47
Q

Thyroid gland

A

Largest endocrine gland
Composed of 2 lobes and an isthmus below the larynx
Has a dark reddish brown cover due to rich blood supply

48
Q

Thyroid follicles

A

Sacs that compose most of thyroid
Contain protein rich colloid

49
Q

Follicular cells

A

Simple cuboidal epithelium that lines follicles

50
Q

Thyroxine (T4) and triiodothyronine (T3)

A

Thyroid hormone that increases metabolic rate, O2 consumption, heat production, appetite, growth hormone secretion, alertness and quicker reflexes

51
Q

Parafollicular (C or clear) cells

A

Secrete calcitonin with rising blood calcium
Stimulates osteoblasts activity and bone formation

52
Q

Colloid

A

Stores thyroid hormone
Helps thyroid dissolve and stores to release the hormone quickly

53
Q

Parathyroid glands

A

Usually four glands partially embedded in posterior surface of thyroid gland
Can be found from as high as hyoid bone to as low as aortic arch

54
Q

Parathyroid hormone (PTH)

A

Secreted parathyroid glands
Increases blood Ca^2+ (calcium ion) ‘ levels
Promotes synthesis of calcitriol
Increases absorption of Ca^2+
Decreases urinary excretion
Increases bone resorption

55
Q

Histology of parathyroid glands

A
56
Q

Adrenal gland

A

-Small grand that sits on top of each kidney
-They are retroperitoneal like the kidney
-Has an adrenal cortex and medulla formed by 2 fetal stands with different origins and functions

57
Q

What is this feature of the adrenal gland?

A

Connective tissue capsule

58
Q

What is this feature of the adrenal gland?

A

Adrenal cortex

59
Q

What is this feature of the adrenal gland?

A

Adrenal medulla

60
Q

What is this feature of the adrenal gland?

A

Zona glomerulosa

61
Q

What is this feature of the adrenal gland?

A

Zona fasciculata

62
Q

What is this feature of the adrenal gland?

A

Zona reticularis

63
Q

Adrenal cortex

A

Surrounds adrenal medulla and produces more than 25 steroids hormones called corticosteroids or corticoids

64
Q

Zona glomerulosa (thin, outer layer of adrenal cortex)

A

Cells are arranged in rounded clusters
Secretes mineralocorticoid: regulate the body’s electrolyte balance

65
Q

Zona fasciculata (thick, middle layer of adrenal cortex)

A

Cells arranged in fascicles separated by capillaries
Secretes glucocorticoids

66
Q

Zona reticularis (narrow, inner layer of adrenal cortex)

A

Cells in branching network
Secretes sex steroids

67
Q

Pancreatic hormones: insulin

A

Secreted during and after meals when glucose and amino acid blood levels are rising
Stimulates cells to absorb nutrients and store or metabolize them which lowers blood glucose levels
A negative feedback mechanism

68
Q

Diabetes mellitus

A

Causes insufficiency or inaction of insulin

69
Q

Pancreatic hormones: glucagon

A

-Secreted by A alpha cells
-Released between meals when blood glucose concentration is failing
-In liver, stimulates gluconeogenesis, glycogenolysis, and the release of glucose into the circulation raising blood glucose revels
-In adipose tissue, stimulates fat catabolism and release of free fatty acids

70
Q

Pancreatic hormones: somatostatin

A

Secreted by D or delta cells
Partially suppresses secretion of glucagon and insulin
Inhibits nutrients digestion and absorption which prolongs absorption of nutrients

71
Q

Pancreatic hormones: pancreatic polypeptide

A

Secreted by pp cells or F cells
Inhibits gallbladder contraction and secretion of pancreatic digestive enzymes

72
Q

Pancreatic hormones: gastrin

A

Secreted by G cells
Stimulates stomach acid secretion, motility and emptying

73
Q

Pancreas info

A

Endocrine function: controlled by pancreatic islets
Exocrine function: controlled by exocrine acinus
Found retroperitoneal and is inferior and posterior to the stomach

74
Q

Glucagon

A

Also released to rising amino acid levels in blood, promotes amino acid absorption, and provides cells with raw material for gluconeogenesis

75
Q

Blood glucose homeostasis when Blood glucose increases: step 1

A

Blood glucose increases → beta islet cells sense it and begin to secrete insulin → all cells are stimulated to tale up glucose for future use

76
Q

Blood glucose homeostasis Blood glucose increases: step 2

A

The liver and muscle take up glucose and store it us glycogen

77
Q

Blood glucose homeostasis Blood glucose increases: step 3

A

Adipose tissue take up lipids and store them as triglycerides

78
Q

Blood glucose homeostasis when glucose decreases: step 1

A

Blood glucose levels decrease → alpha cells produce and secrete glucagon→glucagon targets the liver and the liver breaks down glycogen and secretes glucose into the blood → brings blood glucose levels up

79
Q

Blood glucose homeostasis when glucose decreases: step 2

A

Adipose tissue releases stored lipids (as HDL’s) and the liver then takes up that fat and catabolizes it using the energy to produce new glucose →brings down blood glucose levels back to homeostasis

80
Q

Diabetes mellitus

A

Most prevalent metabolic disease in the world
Disruption of metabolism due to hyposecretion or inaction of insulin
Symptoms revealed by elevated blood glucose, glucose in urine and ketones in the urine

81
Q

Transport maximum

A

Limit to how fast the glucose transporters can work to reabsorb
Excess glucose enters urine and water follows it
Causes polyuria, dehydration,and thirst

82
Q

Type 1 diabetes mellitus

A

5-10 % of cases in the US
Insulin is always used to treat
Hereditary susceptibility if infected with certain viruses (rubella, cytomegalovirus)
Autoantibodies attack and destroy pancreatic beta lens

83
Q

Type 2 diabetes mellitus

A

90- 95% of cases
Problem is insulin resistance: failure of target cells to respond to insulin
Treated with weight loss program and exercise or oral medications

84
Q

Pathogenesis

A

Cells can’t absorb glucose, must very on fat and proteins for energy needs
Fat catabolism increases free fatty acids and ketones in blood

85
Q

Ketonuria

A

Promotes osmotic diuresis, loss of sodium and potassium, irregular heartbeat, and neurological issues

86
Q

Ketoacidosis

A

Occurs as ketones decrease blood pH
Deep, gasping breathing and diabetic coma are terminal result

87
Q

Chronic pathology (chronic hyperglycemias)

A

Leads to neuropathy and cardiovascular damage from atherosclerosis and microrascular disease
Arterial damage in retina and kidneys (common in type 1)
Atherosclerosis leads to heart failure (common in type 2)

88
Q

Diabetic neuropathy

A

Nerve damage from impoverished blood flow can lead to erectile dysfunction, incontinence, poor wound healing, and loss of sensation from even

89
Q

Normal blood glucose level

A

70-120 mg/dl

90
Q

The gonads

A

Ovaries and testes are both endocrine and exocrine

91
Q

Exocrine product

A

Whole cells - eggs and sperm ( cytogenic glands)

92
Q

Endocrine product

A

Gonadal hormones - mostly steroids

93
Q

Ovarian hormones

A

Estradiol, progesterone, and inhibin
Estrogen and progesterone produce the female characteristics

94
Q

Testicular hormones

A

Testosterone, weaker androgens, estrogen and inhibin
Testosterone will produce masculine characteristics

95
Q

Hormone clearance

A

Hormone signals must be turned off when they have served their purpose
Most hormones are taken up and degraded by liver and kidney (excreted in bile or urine)

96
Q

Metabolic clearance rate (MCR)

A

Rate of hormone removal from the blood
Half-life: time required to clear 50% of hormone from the blood
Faster the MCF, the shorter is the half-life