Endo week 9 Flashcards

1
Q

Angiotensin II is produced by the ?

A

Angiotensin II is produced by the ?

Answer: renin-angiotensin system.

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2
Q

Is ACTH required for the initial step of

aldosterone synthesis?

A

Is ACTH required for the initial step of
aldosterone synthesis?

Answer: yes

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3
Q

does aldosterone have any negative feedback on ACTH secretion?

A

does aldosterone have any negative feedback on ACTH secretion?

Answer: no

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4
Q

atrial natriuretic peptide is a regulator for _____ secretion.

A

atrial natriuretic peptide is a regulator for __Aldosterone___ secretion.

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5
Q

what is responsible for the development of pubic hairs in boys and girls before puberty?

A

what is responsible for the development of pubic hairs in boys and girls before puberty?

Answer: androgens – Androstenedione and dehydroepiandrosterone (DHEA)

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6
Q

Cushing’s syndrome – Primary adrenal hyperplasia. Features – ???

(hint: hpr gly, mu ws, trn ob, ospr, hpr ten, mn fa, inc ft dep)

A

Cushing’s syndrome – Primary adrenal hyperplasia. Features –

hyperglycemia, muscle wasting, truncal obesity, osteoporosis, hypertension, moon face, increased fat deposition at the back (buffalo hump).

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7
Q

Addison’s disease Features –

hint: ho gly, wk, wg loss, ho ten, hpr k, hpr pmt, ho n

A

Addison’s disease Features –

hypoglycaemia, weakness, weight loss, hypotension,
hyperkalemia, hyperpigmentation, hyponatremia, Plasma ACTH is elevated

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8
Q

_______ cells mainly secrete epinephrine plus a small amount of norepinephrine in response to preganglionic stimulation.

A

___Chromaffin___ cells mainly secrete epinephrine plus a small amount of norepinephrine in response to preganglionic stimulation.

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9
Q

Catecholamines are derived from which amino acid?

A

Catecholamines are derived from which amino acid?

Answer: tyrosine

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10
Q

How does cortisol help the conversion of epinephrine to Norepinephrine?

A

How does cortisol help the conversion of epinephrine to Norepinephrine?

Answer: Cortisol increases this conversion by increasing PNMT activity.

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11
Q

The major endocrine product released by the adrenal medulla is ____________,
whereas the major sympathetic neurotransmitter released by the adrenal medulla is ____________.

A

The major endocrine product released by the adrenal medulla is epinephrine,
whereas the major sympathetic neurotransmitter released is norepinephrine

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12
Q

Catecholamine actions are?

hint: H.A.L.L.B

A

Catecholamine actions are?

Answer:

  • Heart: increase force of contraction, heart rate, cardiac output & blood pressure.
  • Apidose tissue: lipolysis
  • Liver: glycogenolysis
  • Lung: bronchodilation
  • Beta adrenergic mechanism: increase secretion of glucagon.
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13
Q

What are the 3 regions of the adrenal cortex?

what do they secrete?

A

What are the 3 regions of the adrenal cortex?

  1. zona glomerulosa, Aldosterone only
  2. zona fasciculata, Cortisol & some Androgens
  3. zona reticularis, Androgens & some Cortisol
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14
Q

what is the binding protein for cortisol?

does it have a long or short half-life?

What sex hormone increases the synthesis of the binding protein?

A

what is the binding protein for cortisol?

Answer:
Corticosteroid-binding globulin (CBG).
has a long half-life
Estrogen increases synthesis of CBG in liver.

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15
Q

is cortisol stored?

where is its receptors?

A

is cortisol stored? Answer: very little

where is its receptors? Answer: cytoplasm & nucleus because it is lipophilic hormone.

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16
Q

actions of Cortisol are?

hint: 4I.R.S.A.D

A

actions of Cortisol are?

Increase protein catabolism
Increase Free Fatty Acid
Increase hepatic glucose output
Increased bone resorption
Reduce immunity, increased red cells and platelets
Salt and Water balance (Na+ reabsorption & K+ excretion)
Anti-inflammatory effects (decrease T lymphocytes, increase Neutrophils, inhibit cytokine production)
Decrease CRH and ACTH

17
Q

does Aldosterone have a specific plasma transport protein?

A

does Aldosterone have a specific plasma transport protein?

Answer: NO, is rapidly cleared by liver

18
Q

what does aldosterone do in the principle cells?

A

what does aldosterone do in the principle cells?

answer:
increases Na+ reabsorption via ENAC’s (epithelial Na+ Channels)
increases K+ excretion
increases Na+/K+ activity.

19
Q

what regulates aldosterone release?

A

what regulates aldosterone release?

Answer:

activate:
- Angiotensin II
- Increase K+

Inhibit:

  • high levels of Na+
  • Atrial Natriuretic Peptide
20
Q

catecholamines have short or long half lives?

catecholamines are synthesized from which amino acid?

A

catecholamines have short or long half lives?
Answer: short (2mins)

catecholamines are synthesized from which amino acid?
Answer: Tyrosine