endocrine/ renal Flashcards

1
Q

what is the hollow of the skull that the pituitary sits in

A

sella turnica

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2
Q

where does the optic chasm sit in relation to the pituitary

A

above

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3
Q

which fibres cross at the optic chiasm

A

nasal

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4
Q

what are the other names of the anterior and posterior pituitary lobes

A

anterior - pars anterior/ adenohypophysis

posterior - pars nervosa/ neurohypophysis

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5
Q

what splits the anterior and posterior pituitary lobes

A

pars intermediator

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6
Q

what does the anterior pituitary develop from

A

brachial arches (not part of posterior)

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7
Q

which of the 2 pituitary lobes is dark staining

A

anterior

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8
Q

which types of cells are contained in the anterior pituitary

A

acidophilic - pink, basophilic - blue, chromophobic (resting) - pale

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9
Q

which arteries supply the pituitary gland

A

superior and inferior hypophyseal artery - from internal carotid

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10
Q

which artery forms the hypophyseal portal system

A

superior hypophysial

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11
Q

how does the hypothalamus communicate with the posterior pituitary

A

axons

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12
Q

which vertebral level does the thyroid run between

A

C5 - T1

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13
Q

which cartilage does the thyroid run between

A

cricoid cartilage to the 6th tracheal ring

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14
Q

which tracheal rings does the thyroid isthmus lie opposite

A

2nd to 4th

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15
Q

which muscles overlie the thyroid gland

A

sternothyroid, sternohyoid, omohyoid

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16
Q

which 2 nerves supply the muscles of the vocal cords

A
recurrent laryngeal ( between trachea and oesophagus) 
superior laryngeal (behind ICA)
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17
Q

from which major artery does the superior thyroid arise

A

External carotid (1st branch)

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18
Q

from which major artery does the inferior thyroid arise

A

subclavian

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19
Q

into which vein do the superior and middle thyroid veins drain

A

IJV

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20
Q

into which vein does the inferior thyroid vein drain

A

brachiocephalic

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21
Q

which lymph nodes drain the thyroid

A

deep cervical

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22
Q

what is contained in thyroid follicles

A

colloid - hormone bound to glycoprotein

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23
Q

what colour does the thyroid colloid stain

A

pink

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24
Q

which type of cells lien the follicle

A

C cells - secrete calcitonin

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25
where do the parathyroid glands lie on the thyroid lobes
posterior, lateral surface (separated by thin fibrous capsule)
26
where are the superior parathyroids situated
inferior border of cricoid cartilage
27
which artery supplies the parathyroid glands
inferior thyroid artery
28
which two types of cells are present in the parathyroid
child cells and oxyphil cells (paler and more)
29
what hormone do the parathyroid glands secrete and what is its action
PTH - control Ca in body by allowing osteoclasts to release Ca
30
where are the suprarenal glands located
upper pole of each kidney
31
how are the adrenal glands peritonised
retroperitoneal
32
what embryological origin gives rise to the adrenal cortes
mesodermal epithelium
33
what embryological origin gives rise to the adrenal medulla medulla
neuroectoderm
34
which 3 arteries supply the suprarenal glands
superior, middle, inferior
35
what is the superior adrenal artery a branch of
inferior phrenic
36
what is the middle adrenal artery a branch of
aorta
37
what is the inferior adrenal artery a branch of
renal
38
what drains the suprarenal gland on the right
IVC
39
what drains the suprarenal gland on the left
left renal veins
40
what are the 3 layers of the adrenal cortex in order form outer - inner
zona glomerulosa, zona fasciculata, zona reticularis
41
which cells in the adrenal medullar secrete adrenaline/ noradrenaline
chromaffin
42
what are the 3 main hormones secreted from the adrenal cortex at each level
zg - mineralcorticosoids, zf - corticosteroids, zr - androgens
43
what is the exocrine part of the pancreas
acini
44
what is the fucntion of the kidney
maintain homeostasis by blood filtration
45
what is the function of the ureter
transport urine from kidney to bladder
46
what its he function of the bladder
collection, temporary storage and expulsion of urine
47
what is the function of the urethra
transport urine form bladder to opening in the perineum
48
where doe the kidneys lie
T12-L3 - paravertebral gutter on the posterior abdominal wall either side of the vertebral column
49
what landmarks happen at the transpyloric plane
``` pylorus of the stomach 2nd part of duodenum hilum of kidney neck of pancreas origin of portal vein start of SMA termination of spinal cord ```
50
what are the 4 layers covering the kidney
1. fibrous renal capsule 2. fatty renal capsule 3. renal fascia - fibro-fatty tissue 4. pararenal fatty tissue
51
in what order are the structures in the hilum of the kidney (anterior to posterior)
vein , artery, ureter
52
why are the kidneys partly peritonised
peritonisation of organs sitting around
53
what gives parasympathetic innervation to the kidney
vagus nerve
54
what gives sympathetic innervation to the kidney
T12-L1 spinal segments (coeliac ganglia
55
what does the ureter arise from embryologically
uteric bud
56
what is in between the visceral (podocytes) and parietal layers of Bowmans capsule
Bowmans space
57
what epithelium is Bowman's
squamos epithelium
58
what happens to the renal artery when it reaches the hilum of the kidney
splits into segmental branches
59
at what level are the renal arteries given off from the aorta
L1-2
60
where do the ureters commence
renal pelvis
61
what muscle do the ureters lie in front of
psoas major
62
what crosses the ureter superiorly in males
vas deferens
63
what crosses the ureter superiorly in females
internal iliac artery - supplies uterus (water under a bridge)
64
where are the 3 constrictions of the ureter
PUJ, VUJ, pelvic brim (crossing posterior iliac crest)
65
which part of the bladder does the urethra exit
neck
66
which part of the bladder do the ureters enter
apex
67
which ligament joins the bladder and umbillicus
median umbilical ligament
68
what is the bladder an embryological remnant of
hindgut
69
which muscle is found in the bladder
detrouser (smooth muscel)
70
what kind of epithelium lines the urinary bladder and ureter
transitional - protects underlying structures from acidity/ alkali
71
what makes up the renal fascia
fibrofatty tissue