Endocrine Flashcards

1
Q

What does D/L mean?

A

It is the rotation of a plane of polarised light. D is naturally occurring and rotates the plane to the right.

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2
Q

What is the commitment step in glycolysis?

A

PHOSPHOFRUCTOKINASE, it is inhibited by citrate, ADP, ATP.

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3
Q

Fructose is converted into molecules that can be used as intermediates of glycolysis, what are they?

A

DHAP and G3P

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4
Q

What is a Hexokinase?

A

An enzyme that phosphorylates e.g. hexose (glucose) producing hexose phosphate (G6P)

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5
Q

No matter what the fate of glucose is what is a common step between them all?

A

Glucose must be phosphorylated to Glucose-6-phospahte

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6
Q

What is the proportion of beta and alpha cells in the islets of langerhans?

A

70% Beta

20% Alpha

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7
Q

How is the pancreas formed?

A

2 buds extend from the primitive duodenum at the junction of the foregut and midgut. These fuse forming the pancreas and bile duct system.

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8
Q

Why is the pentose pathway important?

A

To make NADH for reductive biosynthesis and nucleotides for the formation of ribose-5-phosphate in DNA and RNA.

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9
Q

What is the commitment step in the pentose pathway?

A

Dehydrogenation of G6P

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10
Q

Where is the insulin tyrosine kinase receptor primarily found?

A

Liver, striated muscle and adipocytes

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11
Q

Where would you find SGLT-1/2?

A

Intestinal mucosa and kidney tubules (LOH-1) (PCT-2)

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12
Q

What is special about GLUT-2 and where is it found?

A

Liver, pancreatic beta cells, SI, kidney

it is bidirectional and so uptakes glucose in glycolysis and releases it in gluconeogenesis

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13
Q

Where is preproinsulin synthesised?

A

ER

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14
Q

In the fed state what effect does insulin have on the Liver?

A

It increased glucokinase and glycogen synthase activity

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15
Q

In fed state what effect does insulin have on the muscles?

A

Increased GLUT-4 and glycogen synthase

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16
Q

In fed state what effect does insulin have on adipose?

A

Increases GLUT-4, acetyl CoA carboxylase and lipoprotein lipase

17
Q

What does the [urinary glucose] tell us about kidney function?

A

Renal threshold has been reached, SGLT-2 fully saturated. Or infection or renal failure.

18
Q

How does Cortisol affect insulin?

A

It is in response to stress but affects transcription and so its affect is at gene expression level, it takes time.

19
Q

What is the [glucose] in hyperglycaemia?

A

> 13.9mmol/L

20
Q

What enzyme is used in blood glucose monitoring systems and clinistixs?

A

Glucose oxidase

21
Q

What treatment is there in diabetic ketoacidosis?

A

Supportive treatment: NG tubes, antiemetics
Hypovolaemia: Give IV fluids
Insulin deficient: Give IV insulin
Hypokalemia: Give IV potassium

22
Q

What are some risks of Hyperosmolar hyperglycaemic state?

A

Cerebral pontine myelinolysis and cerebral oedema

23
Q

What affect does GH have on its taregets?

A

Liver: IGF-1 release
Long bones: cartilage growth (Chondrocyte replication)
Muscles: incorporation of aa and protein synthesis
Adipose: Lipolysis and fatty acid release

24
Q

What causes acromegaly?

A

Excess GH (& IGF-1) usually due to a pituitary adenoma

25
Q

What tissues can regulate plasma T3 synthesis

A

Liver, spleen, kidney

26
Q

What happens if there is an increase in Na in the blood in the brain?

A

Osmotic demyelination syndrome

27
Q

What is adrenal crisis

A

Medical emergency when there is severe adrenal insufficiency - hyponatreamia, hyperkalaemia, hypoglycaemia