Chapter 31 HPA Flashcards

1
Q

Cosyntropin (cortroxyn)

A
  • synthetic analogue of human corticotropin
  • used in diagnostic testing for primary vs secondary adrenal insufficiency, congenital adrenal hyperplasia, or ovarian hyperandrogenism
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2
Q

corticorelin (acthrel)

A
  • recombinant ovine hormone that imitates functions of corticotropin releasing hormone
  • used for diagnostic testing in Cushing syndrome (pituitary adenoma vs adrenal tumor)
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3
Q

somatotropin (humatrope)

A
  • biosynthetic form of naturally occurring growth hormone

- used to treat various growth hormone deficiencies in children

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4
Q

mecasermin (increlex)

A
  • recombinant form of IGF-1
  • used to treat growth failure in children with severe IGF-1 deficiency
  • may cause hypoglycemia
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5
Q

octreotide (sandostatin)

A
  • somatostatin analogue with greater selectivity for growth hormone vs pancreas
  • used in acromegaly
  • used in various neoplasm producing growth hormone
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6
Q

lanreotide (somatuline depot)

A
  • prolonged release analog of somatostatin

- can be administered monthly

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7
Q

pegvisomant (somavert)

A
  • growth hormone derivative that acts as a receptor blocker
  • normalizes IGF-1 in acromegaly
  • improves S/S of acromegaly, even if resistant to octreotide
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8
Q

menotropins (menopur)

A
  • contains FSH and LH

- refined from urine of menopausal women

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9
Q

human chorionic gonadotropin (hCG, pregnyl)

A

isolated from urine of pregnant women

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10
Q

choriogonadotropin alfa (ovidrel)

A

recombinant DNA form of hCG

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11
Q

follitropin alfa/beta

A

recombinant FSH

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12
Q

lutropin alfa

A

reconbinant LH

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13
Q

leuprolide (lupron)

A
  • synthetic analogues of GnRH with longer half life than natural hormone
  • affects release of FSH, LH
  • used for prostate, breast, uterine cancer
  • used in precocious puberty, endometriosis
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14
Q

ganirelix (orgalutran)

A
  • competitive antagonist at GnRH receptors
  • inhibits secretion of FSH, LH
  • used in prevention of premature LH surge/ovulation, advanced prostate cancer
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15
Q

thyrotropin (TSH, thyrogen)

A

-used to increase thyroid gland uptake of RAI

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16
Q

oxytocin (pitocin)

A
  • induces uterine contraction/labor
  • prevents post-partum hemorrhage
  • stimulates milk ejection
17
Q

vasopressin

A
  • simulates V1 receptors for vasoconstriction

- stimulates V2 to increase renal actions

18
Q

desmopressin (DDAVP)

A
  • long acting synthetic vasopressin analogue
  • more ADH effect and less vasoconstrictive
  • used in nocturnal enuresis, control bleeding, congenital or drug induced platelet defects, von Willebrand disease, hemophilia A