endocrine 11 Flashcards

1
Q

what space occupation problem could pituitary tumours cause

A
  • compression optic chiasma
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2
Q

5 stimuli which can increase insulin release

A
  • high blood glucose
  • high amino acids
  • glucagon
  • hormones controlling GI secretion
  • vagal nerve activity
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3
Q

stages through which insulin release is triggered

A
  1. high blood glucose
  2. metabolism increase
  3. ATP increase
  4. kATP channels close
  5. cells depolarise, Ca open
  6. Ca entry acts as a signal triggering insulin secretion
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4
Q

why does the liver take up glucose in a fed state

A

insulin activates hexokinase, lowering [BG], creating a gradient favouring glucose movement into cells

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5
Q

aside from negative feedback loops, what are other factors that can control hormone secretion

A
  • neural feedback
  • prolonged exposure to high/ low levels
  • permissive effects
  • antagonistic effects
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6
Q

what connects hypothalamus and pituitary

A
  • capillaries

- stalk called infundibulum

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7
Q

stimuli which inhibit insulin release?

A
  • low blood glucose
  • somatostatin
  • stress
  • sympathetic alpha effects
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8
Q

main mediation of GH secretion

A

modulation control of GHIH/ GHRH @ hypothalamus

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9
Q

neutropenia

A

abnormal decrease in number of neutrophils in peripheral blood

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10
Q

how is atherosclerosis accelerated in diabetes mellitus patients

A

glycosylation

glucose attaches to LDLs, stopping proper binding of LDLs @ liver, LDLs not removed by liver, so stay in blood -> hyperlipidaemia and atherosclerosis

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11
Q

what random venous plasma glucose result would indicate diabetes

A

> 11.1mmol/l

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12
Q

how is insulin synthesised

A

large pre hormone -> preproinsulin -> proinsulin

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13
Q

when is infantile phase

A

0-2yrs

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14
Q

function tropic hormones

A

govern the release of other hormones

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15
Q

what is function of feeding centre

A

promotes feelings of hunger and drive to eat

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16
Q

function of insulin

A

stimulates glucose uptake by cells

17
Q

when is pubertal phase

A

12->final height

18
Q

2 tissue types/ areas located in pituitary

A

anterior - endocrine

posterior - neuroendocrine

19
Q

MODY

A

maturity onset diabetes of the young

20
Q

what are peptide/ protein hormones composed of

A

chains of amino acids

21
Q

osteoblasts

A

bone building cells

22
Q

normoglycaemia

A

glucose levels associated with a low risk of developing diabetes or cardiovascular risk

23
Q

what kind of cells have cytoplasmic glucocorticoid receptors

A

all nucleated

24
Q

Cushing syndrome

A

excess corticosteroid