Endocrine System Flashcards

1
Q

Located in the anterior neck; it is situated anterior to the trachea and is easily palpated (i.e., you can feel the nodules or enlargement).

A

Thyroid gland

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2
Q

Butterfly-shaped and has two large lobes connected by a band of tissue called the isthmus (iss-muss).

A

Thyroid gland

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3
Q

This band of tissue connects the thyroid gland.

A

Isthmus (iss-muss)

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4
Q

The thyroid gland contains ___ types of cells.

A

2

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5
Q

The thyroid gland contains two types of cells: the ___ cells, located within the thyroid ___, and the ___ cells, located between the ___.

A

follicular

follicle

parafollicular

follicles

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6
Q

Composed of many secretory units called follicles.

A

Thyroid gland

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7
Q

True or false: each type of cell in the thyroid gland secretes a specific hormone.

A

True

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8
Q

The cavity in each follicle is filled with this clear, viscous substance.

A

Colloid

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9
Q

Follicular cells secrete ___ thyroid hormones.

A

2

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10
Q

Follicular cells secrete two thyroid hormones: ___ (___) and ___ (___ or ___).

A

triiodothyronine (try-eye-oh-doh-thy-roh-neen) / T3

tetraiodothyronine (tet-rah-eye-oh-doh-thy-roh-neen) (T4 or thyroxine)

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11
Q

The term thyroid hormones refers to ___ and ___ collectively.

A

T3

T4

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12
Q

True or false: the thyroid hormones T3 and T4 have similar functions, although T3 is more potent.

A

True

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13
Q

The small amount of T4 that enters the cells is converted to ___.

A

T3

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14
Q

Regulates all phases of metabolism; they increase the release of energy from carbohydrates and fatty acids, increase protein synthesis, and determine the number of calories required to “keep the body running at rest.”

A

Thyroid hormones

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15
Q

The “keep the body running at rest” is called the ___ ___ ___ (___).

A

basal metabolic rate

BMR

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16
Q

Determines basal metabolic rate.

A

Thyroid hormones

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17
Q

Essential for the normal maturation of the nervous system and for normal growth and development; they also play a permissive role in that they are necessary for the proper functioning of all other hormones.

A

Thyroid hormones

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18
Q

Thyroid Gland. (A) Location; the follicular cells (thyroid follicle) and parafollicular cells.

A
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19
Q

This system communicates through chemical signals called hormones.

A

Endocrine System

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20
Q

This system responds more slowly and generally exerts longer-lasting effects.

A

Endocrine system

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21
Q

The ___ system and its ___ help regulate metabolic processes involving carbohydrates, proteins, and fats.

A

endocrine

hormones

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22
Q

Play an important role in growth and reproduction and help regulate water and electrolyte balance.

A

Hormones

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23
Q

When you become hungry, thirsty, hot, or cold, your body’s response includes the secretion of ___.

A

hormones

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24
Q

Help the body meet the demands of infection, trauma, and stress.

A

Hormones

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25
Q

Composed of endocrine glands that are widely distributed throughout the body.

A

Endocrine system

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26
Q

Secrete the chemical substances called hormones.

A

Endocrine glands

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27
Q

Ductless glands (secrete the hormones directly into the blood and not into ducts). For example, the pancreas secretes the hormone insulin into the blood, which then delivers the insulin to cells throughout the body.

A

Endocrine glands

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28
Q

Many hormones are also secreted by ___, such as the stomach, kidney, and heart.

A

organs

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29
Q

An ___ gland, such as the sweat gland, uses ducts or tiny tubes to carry its secretions to the surface of the body.

A

exocrine

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30
Q

Secrete hormones into the blood and not into ducts.

A

Endocrine glands

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31
Q

A chemical messenger that influences or controls the activities of other tissues or organs.

A

Hormone

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32
Q

Chemically classified as either proteins (and protein-related substances) or steroids.

A

Hormones

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33
Q

True or false: with the exception of secretions from the adrenal cortex and the sex glands, all hormones are protein or protein related.

A

True

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34
Q

The adrenal cortex and the sex glands secrete ___.

A

steroids

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35
Q

Major Endocrine Glands of the Body.

A
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36
Q

Each hormone binds to a specific tissue called its ___ tissue or organ.

A

target

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37
Q

May be located close to or at a distance from the endocrine gland.

A

Target tissue

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38
Q

Some hormones, such as thyroid hormone and insulin, have ___ target tissues and therefore exert more widespread or generalized effects.

A

many

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39
Q

Some hormones such as parathyroid hormone (PTH) have ___ target tissues and therefore exert fewer effects.

A

few

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40
Q

What Hormones Do. (A) Hormones: aim at target tissues or target organs. (B) Protein hormones and membrane receptors. (C) Steroid hormones and intracellular receptors.

A
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41
Q

Hormones bind to the ___ sites of the cells of their target tissues.

A

receptor

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42
Q

The two types of receptors are those located on the outer surface of the cell membrane (___ receptors) and those located within the cell (___ receptors).

A

membrane

intracellular

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43
Q

True or false: the hormone and its receptor can be compared with a lock-and-key mechanism. The key must fit the lock.

A

True

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44
Q

Hormones can only stimulate the cells that have their specific ___.

A

receptors

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45
Q

Generally bind to receptor sites located on the cell membrane.

A

Protein hormones

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46
Q

The interaction of the protein hormone with its receptor stimulates the production of a second messenger such as ___ ___ ___ (___).

A

cyclic adenosine monophosphate (cAMP)

sick - lick - a - den - o - seen - mon - o - fos - fate

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47
Q

Helps activate the enzymes in the cell. For example, when epinephrine stimulates its receptors in the heart, it is formed and then stimulates the heart itself.

A

cyclic adenosine monophosphate (cAMP)

sick - lick - a - den - o - seen - mon - o - fos - fate

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48
Q

This receptor is located intracellularly.

A

Steroid receptors

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49
Q

Steroid hormones, which are lipid soluble, pass through the plasma membrane of the target cell and bind to receptors in the ___.

A

nucleus

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50
Q

The steroid-receptor complex then stimulates ___ synthesis.

A

protein

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51
Q

True or false: newly synthesized protein alters cellular function.

A

True

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52
Q

Three mechanisms control the secretion of hormones: ___ control loops, ___, and control by the ___ nervous system (___).

A

feedback

biorhythms (bye - oh - rith - ums)

central - CNS

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53
Q

True or false: normal endocrine function depends on the normal plasma levels of hormones.

A

True

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54
Q

True or false: life-threatening complications develop when the glands hypersecrete or hyposecrete hormones.

A

True

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55
Q

The adrenal cortex, a steroid-secreting gland, knows when it has secreted enough steroids through a ___ feedback control loop.

A

negative

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56
Q

The pattern of adrenocorticotropic hormone (ACTH) and cortisol secretion is one example of a ___ feedback loop. ACTH, secreted by the anterior pituitary gland, stimulates its ___ organ (___ cortex) to secrete cortisol. As blood levels of cortisol increase, the cortisol in the blood chemically ‘tells’ the anterior pituitary gland to slow further secretion of ACTH. The diminished ACTH, in turn, decreases the secretion of cortisol by the ___ cortex.

A

negative

target

adrenal x2

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57
Q

The following picture is an example of a:

A

negative feedback loop.

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58
Q

True or false: because the cortisol diminished the secretion of the anterior pituitary gland, the response is referred to as negative feedback control.

A

True

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59
Q

True or false: over time, the plasma level of cortisol declines as the hormone is degraded and eliminated from the body; the negative inhibition by cortisol is relieved, and ACTH is again secreted.

A

True

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60
Q

Causes an enhanced response, a self-amplification cycle in which a change is the stimulus for an even greater change in the same direction. For example, during early labor, the head of the baby stretches the cervix, the neck of the uterus. The stretch causes nerve impulses to travel from the cervix to the brain, which in turn causes the secretion of a hormone called oxytocin. The oxytocin is carried by the blood to the uterus, where it stimulates the contraction of the uterus. In response to uterine contraction, the cervix is stretched further by the baby’s head, causing the release of additional oxytocin.

A

Positive feedback loop

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61
Q

True or false: positive feedback loops are often designed to produce a rapid response.

A

True

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62
Q

True: negative feedback loops are more common than positive feedback loops.

A

True

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63
Q

Blood levels of most hormones are also controlled by ___.

A

biorhythms (bye - oh - rith - ums)

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64
Q

A rhythmic alteration in a hormone’s rate of secretion.

A

Biorhythm (bye - oh - rith - um)

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65
Q

True or false: some hormones, such as cortisol, are secreted in a circadian rhythm.

A

True

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66
Q

A 24-hour rhythm; its pattern repeats every 24 hours.

A

Circadian rhythm (sir - kay - dee - in)

Circa- means ‘around’; -dian means ‘day’

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67
Q

True or false: because of its circadian rhythm, cortisol secretion is highest in the morning hours (peak at 8 AM) and lowest in the evening hours (lowest at midnight).

A

True

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68
Q

True or false: the female reproductive hormones represent another biorhythm. They are secreted in a monthly pattern-hence, the monthly menstrual cycle.

A

True

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69
Q

Can be disturbed by travel and alterations in sleep patterns. For example, jet lag and the symptoms of fatigue experienced by persons who work the night shift.

A

Biorhythms

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70
Q

True or false: more recently, alterations in biorhythms have also been linked to disturbances in cholesterol metabolism and diseases such as cancer. The problem has become so acute that some hospitals have developed staffing schedules based on biorhythms.

A

True

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71
Q

True or false: sometimes drugs are administered on a schedule that mimics normal biorhythms. For example, steroids are administered in the morning, when natural steroid levels are highest. Coordinating with the natural rhythms increases the effectiveness of the drug and causes fewer side effects. The effect of biorhythms on drug effects is so important that a branch of pharmacology addresses this issue: chronopharmacology. The time of drug administration may have a profound effect on its activity.

A

True

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72
Q

The CNS helps control the secretion of hormones in two ways: activation of the ___ and stimulation of the ___ nervous system.

A

hypothalamus (hypo-thal-a-mus)

sympathetic

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73
Q

When we are stressed out, the ___ nervous system (___) causes several of the endocrine glands to secrete stress hormones, thereby alerting every cell in the body to the threat.

A

central

CNS

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74
Q

True or false: our emotions affect the endocrine system because the central nervous system (CNS) is also the centre of our emotional lives.

A

True

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75
Q

True or false: stress can cause the menstrual period to occur early or late; it may even cause the cycle to skip a month.

A

True

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76
Q

Hypophysis (hye-pof-is-sis):

A

Pituitary gland (pa-too-a-tary)

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77
Q

A pea-sized gland located in a depression of the sphenoid bone on the floor of the cranium.

A

Pituitary gland (pa-too-a-tary)

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78
Q

The pituitary gland is attached to the undersurface of the hypothalamus by a short stalk called the ___.

A

infundibulum (in-fin-dib-u-lum)

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79
Q

The pituitary contains two main parts: the ___ pituitary gland and ___ pituitary gland.

A

anterior

posterior

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80
Q

Pituitary Gland. (A) Hormones and target organs of the anterior and posterior pituitary glands. (B) Relationship of the hypothalamus to the anterior pituitary gland. (C) Relationship of the hypothalamus to the posterior pituitary gland. ACTH, Adrenocorticotropic hormone; ADH, antidiuretic hormone; FSH, follicle-stimulating hormone; GH, growth hormone; LH, luteinizing hormone; PRL, prolactin; TSH, thyroid-stimulating hormone.

A
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81
Q

The secretions of both the anterior and posterior lobes of the pituitary gland are dependent upon the ___, although in different ways.

A

hypothalamus (hypo-thal-amus)

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82
Q

The secretion of the ___ pituitary gland is controlled by the hypothalamic secretion of hormones called releasing hormones and release-inhibiting hormones.

A

anterior

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83
Q

Prolactin-releasing hormone, secreted by the hypothalamus, ___ the pituitary gland to secrete prolactin (PRL).

A

stimulates

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84
Q

Stimulate the secretion of anterior pituitary hormones.

A

Releasing hormones

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85
Q

Inhibits the secretion of anterior pituitary hormones.

A

release-inhibiting hormones

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86
Q

Prolactin-inhibiting hormone (PIH), secreted by the hypothalamus, ___ the secretion of PRL by the anterior pituitary gland.

A

inhibits

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87
Q

The hypothalamus secretes its hormones into a network of capillaries (tiny blood vessels) that connect the hypothalamus with the ___ pituitary gland. These connecting capillaries are called the ___-___ portal system. Thus, hormones secreted by the hypothalamus flow through the portal capillaries to the ___ pituitary.

A

anterior

hypothalamic–hypophyseal (hypo-thal-a-mic)-(hypo-fiz-e-ol)

anterior

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88
Q

Composed of glandular epithelial tissue.

A

Anterior pituitary gland (pa-too-a-tary)

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89
Q

Adenohypophysis (ad-eh-no-hye-pof-i-sis):

A

Anterior pituitary gland (pa-too-a-tary)

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90
Q

The anterior pituitary gland secretes ___ major hormones. These hormones control other glands and affect many organ systems. In fact, the anterior pituitary affects so many other glands that it is often called the ___ gland.

A

6

master

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91
Q

The hormones of the anterior pituitary include:

A

Growth hormone (GH)

The gonadotropins: follicle-stimulating hormone (FSH) and luteinizing hormone (LH)

Prolactin (PRL): thyroid-stimulating hormone (TSH) and adrenocorticotropic hormone (ACTH)

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92
Q

Includes thyroid-stimulating hormone (TSH), ACTH, growth hormone (GH), the gonadotropins, and PRL.

A

Anterior pituitary hormones

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93
Q

Somatotropin or somatotropic hormone:

A

Growth hormone (GH)

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94
Q

Its primary effects are on the growth of bones, cartilage, and skeletal muscles, thereby determining a person’s size and height.

A

Growth hormone (GH)

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95
Q

Exerts powerful metabolic effects causing amino acids to be built into proteins and fats to be broken down and used for energy.

A

Growth hormone (GH)

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96
Q

Stimulates the conversion of protein to glucose (gluconeogenesis), especially during periods of fasting between meals (causing blood glucose levels to rise).

A

Growth hormone (GH)

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97
Q

True or false: growth hormone (GH) has been used successfully in the treatment of severe burns because it stimulates tissue growth and repair.

A

True

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98
Q

Affects electrolyte balance: it stimulates the kidneys to reabsorb sodium (Na+), potassium (K+), and chloride (Cl − ) and the digestive tract to absorb dietary calcium. These electrolytes then become available to growing tissue.

A

Growth hormone (GH)

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99
Q

Stimulates the liver to produce growth stimulants called insulin-like growth factors (or somatomedins).

A

Growth hormone (GH)

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100
Q

True or false: growth hormone (GH) is secreted primarily during periods of exercise, sleep, and hypoglycemia.

A

True

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101
Q

Lactogenic hormone:

A

PRL

Pro- means ‘for’; -lact- means ‘milk’

102
Q

Stimulates the growth of the mammary glands and the production of milk after childbirth.

A

PRL

103
Q

The remaining hormones of the anterior pituitary gland are called ___ hormones, which are aimed at and control other glands.

A

tropic

104
Q

Include thyroid-stimulating hormone (TSH), adrenocorticotropic hormone (ACTH), and gonadotropic hormones.

A

Tropic hormones

105
Q

Thyrotropin:

A

thyroid-stimulating hormone (TSH).

106
Q

The target gland for this hormone is the thyroid gland, stimulating it to secrete two thyroid hormones.

A

Thyroid-stimulating hormone (TSH)

107
Q

The target gland for this hormone is the adrenal cortex, stimulating it to secrete steroids.

A

Adrenocorticotropic hormone (ACTH)

108
Q

The target glands for these hormones are the gonads or sex glands (ovaries and testes).

A

Gonadotropic hormones.

109
Q

Follicle-stimulating hormone (FSH) and luteinizing hormone (LH).

A

Gonadotropins

110
Q

Stimulates the development of ova (eggs) in the female and sperm in the male.

A

Follicle-stimulating hormone FSH

111
Q

Causes ovulation in the female and causes the secretion of sex hormones in both the male and the female.

A

Luteinizing hormone (LH)

112
Q

It is also called interstitial cell–stimulating hormone (ICSH) in the male because it stimulates the interstitial cells in the testes to synthesize and secrete testosterone.

A

Luteinizing hormone (LH)

113
Q

True or false: the posterior pituitary gland is also controlled by the hypothalamus, but not through the secretion of releasing hormones.

A

True

114
Q

An extension of the hypothalamus.

A

Posterior pituitary gland

115
Q

It is composed of nervous tissue and is therefore called the neurohypophysis (neuro-hye-pof-i-sis).

A

Posterior pituitary gland

116
Q

The two hormones of the posterior pituitary gland are produced in the hypothalamus and transported to the gland, where they are ___ until needed.

A

stored

117
Q

Antidiuretic hormone (ADH) and oxytocin.

A

Posterior pituitary gland hormones

118
Q

Released from the posterior pituitary gland to conserve water.

A

Antidiuretic hormone (ADH)

119
Q

The primary target organ for this hormone is the kidney.

A

Antidiuretic hormone (ADH)

120
Q

This hormone causes the kidney to reabsorb water from the urine and return it to the blood. By so doing, the amount of urine that the kidney excretes decreases.

A

Antidiuretic hormone (ADH)

121
Q

Means ‘against’ ‘urine flow’.

A

Antidiuretic hormone (ADH)

122
Q

Released in response to concentrated blood (increased osmolarity) and decreased blood volume; both occur in dehydration.

A

Antidiuretic hormone (ADH)

123
Q

The hypothalamic cells that sense the increasing osmolarity of the blood.

A

Osmoreceptors

124
Q

Increased osmolarity:

A

concentrated blood

125
Q

In the absence of ADH, a profound ___ occurs, and the person may excrete up to 25 L/day of dilute urine. This ADH deficiency disease is called diabetes ___ and should not be confused with the more common diabetes mellitus, which is an insulin deficiency.

A

diuresis

insipidus

126
Q

Causes the blood vessels to constrict, thereby elevating blood pressure.

A

Antidiuretic hormone (ADH)

127
Q

An agent is one that elevates blood pressure.

A

Vasopressor

128
Q

This hormone is also called vasopressin (vay-so-press-in) because its blood pressure-elevating effect.

A

Antidiuretic hormone (ADH)

129
Q

The target organs of this hormone in the female are the uterus and the mammary glands (breasts).

A

oxytocin (oxy-toe-sin)

130
Q

The release occurs in response to neuroendocrine reflexes, that is, in response to signals from the nervous system, stimulating the uterus muscles to contract and playing a role in labour and the delivery of a baby.

A

Oxytocin (oxy-toe-sin)

131
Q

‘Swift birth’:

A

Oxytocin

132
Q

An ___ drug is one that causes uterine contractions and hastens delivery (inducing).

A

oxytocic (oxy-toe-sick)

133
Q

Plays a role in breast-feeding: when the baby suckles at the breast, this hormone is released and stimulates contraction of the smooth muscles around the mammary ducts within the breasts, thereby releasing breast milk.

A

Oxytocin (oxy-toe-sin)

134
Q

True or false: oxytocin has recently been dubbed the bonding or relationship hormone; it seems that a high blood level of oxytocin generates feelings of goodwill and an urge to be cooperative, protective, and friendly. It makes sense that breastfeeding and the release of oxytocin facilitate bonding between Mom and Baby.

A

True

135
Q

The hypothalamus secretes a ___ releasing hormone, which stimulates the anterior pituitary to secrete thyroid-stimulating hormone (TSH).

A

hypothalamic

136
Q

Stimulates the thyroid gland to secrete T3 and T4.

A

Thyroid-stimulating hormone (TSH)

137
Q

When the plasma levels of the thyroid hormones increase sufficiently, ___ feedback inhibition prevents further secretion of thyroid-stimulating hormone TSH.

A

negative

138
Q

The synthesis of ___ and ___ requires iodine salts called iodides.

A

T3

T4

139
Q

Come from dietary sources; they are absorbed into the blood and are then actively pumped into the follicular cells of the thyroid gland, where they are used in the synthesis of the thyroid hormones.

A

Iodides

140
Q

Tetraiodothyronine or thyroxine, contains four (tetra-) ___ atoms and therefore is called T4. Triiodothyronine (tri-) contains three ___ atoms and is called T3 .

A

iodine x2

141
Q

With insufficient ___, thyroid hormones cannot be made in quantities great enough to shut off the secretion of thyroid-secreting hormones (TSH) through negative feedback control. Persistent stimulation of the thyroid gland by thyroid-secreting hormone (TSH) causes the thyroid gland to ___.

A

iodine

enlarge

142
Q

An enlarged thyroid gland:

A

goiter (goy-ter).

143
Q

Increased iodine uptake is observed in ___thyroid and iodine-deficient patients, whereas a decrease in iodine uptake is noted with ___thyroid patients.

A

hyper-thyroid

hypo-thyroid

144
Q

The parafollicular cells of the thyroid gland secrete a hormone called ___.

A

calcitonin (cal-sa-tone-nin)

145
Q

True or false: although calcitonin is secreted by the thyroid gland, it is not called “thyroid hormone” as are T3 and T4.

A

True

146
Q

Helps regulate blood levels of calcium and phosphate.

A

Calcitonin (cal-sa-tone-nin)

147
Q

Secreted in response to elevated blood levels of calcium and stimulates osteoblastic (bone-making) activity in the bones, thereby moving calcium from the blood into the bone.

A

Calcitonin (cal-sa-tone-nin)

148
Q

Increases the excretion of calcium and phosphate in the urine.

A

Calcitonin (cal-sa-tone-nin)

149
Q

In general, calcitonin acts as an antagonist to ___ (___).

A

prolactin (PTH)

150
Q

Four tiny ___ glands lie along the posterior surface of the thyroid gland.

A

parathyroid

151
Q

Secrete PTH.

A

Parathyroid glands

152
Q

The main hormone the body uses to maintain calcium homeostasis; the stimulus for its release is a low blood level of calcium.

A

Parathyroid hormones

153
Q

This hormone has three target organs: bone, digestive tract (intestine), and kidneys.

A

Parathyroid hormone (PTH)

154
Q

The overall effect of parathyroid hormone (PTH) is to increase blood ___ levels, which it does in three ways.

A

calcium

155
Q

Parathyroid hormone (PTH) increases the release of calcium from bone tissue, called ___. Do not confuse the word resorption with reabsorption. It does so by stimulating ___ (bone breakdown) activity. In response, calcium moves from the bone to the blood.

A

resorption

osteoclastic

156
Q

Parathyroid hormone (PTH) stimulates the kidneys to reabsorb ___ from the urine. At the same time, PTH causes the kidneys to excrete ___. The excretion of ___ by the kidneys is called its ___ effect. The urinary excretion of ___ is important because of the inverse relationship of phosphate and ___ in the blood. The inverse relationship means that as ___ levels decrease, ___ levels increase; and vice versa. Thus, to raise blood ___ levels, it is necessary to lower blood ___ levels.

A

calcium

phosphate x2

phosphaturic (foss-foh-tour-ick)

phosphate x2

calcium

phosphate

calcium x2

phosphate

157
Q

Activates vitamin D and, with the assistance of vitamin D, increases the absorption of dietary calcium by the digestive tract (intestine).

A

Parathyroid hormone (PTH)

158
Q

True or false: a vitamin D deficiency can decrease the dietary absorption of calcium.

A

True

159
Q

Parathyroid glands. Parathyroid hormone (PTH) and three target organs (bone, kidneys, and intestine).

A
160
Q

Blood calcium levels control the secretion of both calcitonin and parathyroid hormone (PTH) through ___ feedback control. High blood calcium levels ___ secretion of calcitonin, whereas low blood calcium levels ___ secretion of calcitonin and ___ secretion of parathyroid hormone (PTH).

A

negative

stimulate

inhibit

stimulate

161
Q

True or false: calcium normally stabilizes nerve and muscle membranes.

A

True

162
Q

With insufficient parathyroid hormone (PTH), blood calcium declines, causing ___. Consequently, the nerve and muscle membranes become unstable and continuously fire electrical signals, causing the muscles to remain contracted.

A

hypocalcemia

163
Q

Sustained skeletal muscle contraction:

A

tetany (tet-annie)

164
Q

This condition does not only contorts the wrist; more seriously, it causes sustained contractions of the muscles of the larynx (laryngospasm) and the breathing muscles. Inability of these muscles to relax causes asphyxiation and death.

A

Hypocalcemic tetany

165
Q

Two small glands located above the kidneys.

A

Adrenal glands

166
Q

Means ‘near’; ‘kidney’:

A

Adrenal glands

167
Q

Consists of two regions: an inner medulla and an outer cortex.

A

Adrenal gland

168
Q

The ___ and the ___ of the adrenal glands secrete different hormones.

A

medulla

cortex

169
Q

True or false: although the adrenal gland secretes two different types of hormones from two distinct regions, there is some interaction between the medulla and cortex, especially in the hormonal response to stress.

A

True

170
Q

The inner region of the adrenal gland and considered an extension of the sympathetic nervous system.

A

Adrenal medulla

171
Q

___ cells in the adrenal medulla secrete two hormones: epinephrine (85%) and norepinephrine (15%).

A

Chromaffin (crow-ma-fin)

172
Q

Chromaffin cells in the adrenal medulla secrete two hormones: ___ (85%) and ___ (15%).

A

epinephrine (eppa-nef-rin)

norepinephrine (nor-eppa-nef-rin)

173
Q

Epinephrine (adrenaline) and norepinephrine, classified as ___, are secreted in emergency or stress situations. You may have heard the expression, “I can feel the adrenaline flowing.” It is another way of saying, “I’m ready to meet the challenge.”

A

catecholamines (cata-cole-a-means)

174
Q

The catecholamines, like the ___ nervous system, help the body respond to stress.

A

sympathetic

175
Q

Elevate blood pressure in response to stress.

A

Catecholamines (cata-cole-a-means)

176
Q

‘Fight-or-flight’ system:

A

Sympathetic nervous system

177
Q

Increase heart rate in response to stress.

A

Catecholamines (cata-cole-a-means)

178
Q

Convert glycogen to glucose in the liver, thereby making more glucose available to the cells in response to stress.

A

Catecholamines (cata-cole-a-means)

179
Q

Increases metabolic rate of most cells, thereby providing more energy in response to stress.

A

Catecholamines (cata-cole-a-means)

180
Q

Causes bronchodilation (opening up of the breathing passages) to increase the flow of air into the lungs in response to stress.

A

Catecholamines (cata-cole-a-means)

181
Q

(A) Adrenal glands: adrenal medulla and adrenal cortex. (B) Negative feedback control of the secretion of cortisol. ACTH, Adrenocorticotropic hormone.

A
182
Q

Changes blood flow patterns; causing dilation of the blood vessels to the heart and muscles and constriction of the blood vessels to the digestive tract in response to stress.

A

Catecholamines (cata-cole-a-means)

183
Q

True or false: some medullary cells extend into the outer cortical layer. When stress activates the sympathetic fight-or-flight response, the medullary cells stimulate the cortex to secrete steroids (also stress hormones).

A

True

184
Q

The outer region of the adrenal gland.

A

Adrenal coretx

185
Q

Secretes hormones called steroids.

A

Adrenal cortex

186
Q

Lipid-soluble hormones made from cholesterol.

A

Steroids

187
Q

Secretes three steroids: glucocorticoids, mineralocorticoids, and sex hormones.

A

Adrenal cortex

188
Q

True or false: adrenal cortical hormones are essential for life. If the adrenal cortex is removed or its function is lost, death will occur unless steroids are administered.

A

True

189
Q

Steroids from here regulate sugar, salt, and sex.

A

Adrenal cortical

190
Q

Steroids that affect carbohydrates.

A

Glucocorticoids (clue-co-kor-ta-coids)

191
Q

They convert amino acids into glucose by gluconeogenesis, thereby maintaining blood glucose levels between meals. This action ensures a steady supply of glucose for the brain and most other cells.

A

Glucocorticoids (clue-co-kor-ta-coids)

192
Q

Affect protein and fat metabolism, burning both substances as fuel to increase energy production.

A

Glucocorticoids (clue-co-kor-ta-coids)

193
Q

Exert a permissive effect enabling other hormones to perform normally. For instance, they do not have a direct effect on vascular smooth muscle (blood vessels); they permit other hormones to affect the blood vessels to maintain blood pressure.

A

Glucocorticoids (clue-co-kor-ta-coids)

194
Q

The chief glucocorticoid.

A

Cortisol

195
Q

___ is a hormone that is secreted in greater amounts during times of stress.

A

Cortisol

196
Q

The secretion of ___ involves the hypothalamus, anterior pituitary gland, and adrenal gland. The hypothalamus secretes a ___ hormone, which then stimulates the anterior pituitary gland to secrete ___. ___, in turn, stimulates the adrenal cortex to secrete ___.

A

cortisol

releasing

ACTH x2

cortisol

197
Q

Through ___ feedback control, the cortisol inhibits the further secretion of ACTH and additional cortisol.

A

negative

198
Q

The chief mineralocorticoid.

A

Aldosterone (al-daws-ter-rone)

199
Q

Often called the salt-retaining (NaCl) hormone.

A

Aldosterone (al-daws-ter-rone)

200
Q

The primary target organ of this hormone is the kidney where it acts to reabsorb sodium and water and eliminate potassium.

A

Aldosterone (al-daws-ter-rone)

201
Q

Through its action on the kidney, aldosterone plays an important role in the regulation of blood ___, blood ___, and the concentration of ___.

A

volume

pressure

electrolyte

202
Q

In the absence of aldosterone, the body loses ___ and ___ and both blood volume and blood pressure decline.

A

salt

water

203
Q

Secreted in small amounts - include the female hormones, primarily estrogens, and male hormones, called androgens (primarily testosterone).

A

Sex hormones

204
Q

The sex hormones of the ovaries usually mask the effects of the adrenal sex hormones. In females, the masculinizing effects of the adrenal androgens, such as increased body hair, may become evident after menopause, when levels of estrogen and ___ from the ovaries decrease.

A

progesterone

205
Q

The sex hormones-secreted in small amounts-include the female hormones, primarily ___, and male hormones, called ___ (primarily testosterone).

A

estrogens

androgens

206
Q

Yet another reason to understand negative feedback control and ACTH/cortisol! Consider this situation. A patient is given prednisone (cortisol-like) as a drug for the treatment of arthritis. As blood cortisol levels rise, the secretion of ACTH by the anterior pituitary gland is ___ by negative feedback. In the absence of ACTH, the adrenal gland becomes “lazy” and stops its production of cortisol. As long as the person continues to take the prednisone, blood cortisol levels remain ___. If, however, the person suddenly discontinues the drug, the lazy adrenal gland no longer produces cortisol in response to ACTH, and the person may develop a lethal acute adrenal cortical insufficiency. (Remember: Steroids are essential for life.) Because of lazy adrenal cortical response, steroid drugs are never discontinued ab___; dosage is tapered off over an extended period. This gradual reduction in drug dose gives the lazy adrenal gland time to recover and regain its ability to respond to ACTH.

A

inhibited

high

ab-ruptly

207
Q

A long, slender organ that lies transversely across the upper abdomen, extending from the curve of the duodenum to the spleen.

A

Pancreas

208
Q

Functions as both an exocrine gland and an endocrine gland.

A

Pancreas

209
Q

Secretes at least five hormones; we are concerned primarily with two hormones: insulin and glucagon.

A

Pancreas

210
Q

The hormone-secreting cells of the pancreas are called the i___ of L___.

A

i-slets

L-angerhans

211
Q

The islets of Langerhans have several types of cells: the ___ cells, which secrete glucagon, and the ___ cells, which secrete insulin.

A

alpaha

beta

212
Q

Both ___ and ___ help regulate the metabolism of carbohydrates, proteins, and fats.

A

insulin

glucagon

213
Q

Released in response to increased blood levels of glucose, as occurs after a meal.

A

Insulin

214
Q

The secretion of ___ decreases as blood levels of glucose decrease.

A

insulin

215
Q

True or false: insulin has many target tissues and therefore exerts widespread effects.

A

True

216
Q

Helps transport glucose into most cells.

A

Insulin

217
Q

True or false: without insulin, glucose remains outside the cells, thereby depriving the cell of its fuel (insulin is the only hormone that lowers blood glucose).

A

True

218
Q

Helps control carbohydrate, protein, and fat metabolism in the cell.

A

Insulin

219
Q

Stimulates the breakdown of glucose (glycolysis) for energy and stimulates the liver and skeletal muscles to store excess glucose as glycogen (glycogenesis).

A

Insulin

220
Q

Increases the transport of amino acids into cells and then stimulates the synthesis of protein from the amino acids.

A

Insulin

221
Q

Promotes the making of fats from fatty acids.

A

Insulin

222
Q

Insulin can only work if it first binds to the ___ receptors on the target cell membrane.

A

insulin

223
Q

Pancreatic regulation of blood glucose: insulin and glucagon.

A
224
Q

Secreted by the alpha cells of the islets of Langerhans.

A

Glucagon

225
Q

Its primary action is to increase blood glucose levels.

A

Glucagon

226
Q

Glucagon ___ the blood glucose level in two ways: by stimulating the conversion of glycogen to glucose in the liver and by stimulating the conversion of proteins into glucose (gluconeogenesis).

A

raises

227
Q

The stimulus for the release of glucagon is a ___ in blood levels of glucose.

A

decrease

228
Q

Conversion of proteins into glucose.

A

Gluconeogenesis

229
Q

The sex glands and refer to the ovaries in the female and to the testes in the male.

A

Gonads

230
Q

Gland that not only produce ova (eggs) and sperm but also secrete hormones.

A

Gonads

231
Q

The ovaries secrete two female sex hormones: ___ and ___.

A

estrogen

progesterone

232
Q

A female appears female (i.e., size, hair distribution, and fat distribution) primarily because of ___. The testes secrete testosterone; a male appears male primarily because of ___.

A

estrogen

testosterone

233
Q

Lies in the thoracic cavity behind the sternum and secretes hormones called thymosins which play a role in the immune system.

A

Thymus gland

234
Q

A cone-shaped gland located close to the thalamus in the brain.

A

Pineal gland

235
Q

It has been called the body’s ‘biological clock,’ controlling many of its biorhythms.

A

Pineal gland

236
Q

Secretes a hormone called melatonin, which affects the reproductive cycle by influencing the secretion of hypothalamic-releasing hormones.

A

Pineal gland

237
Q

Thought to play a role in the sleep-wake cycle.

A

Melatonin

238
Q

True or false: in general, melatonin plays an important role in sexual maturation.

A

True

239
Q

The amount secreted is related to the amount of daylight.

A

Melatonin

240
Q

Secretion of this is lowest during daylight hours and highest at night.

A

Melatonin

241
Q

True or false: as melatonin levels increase, the person becomes sleepy.

A

True

242
Q

Said to have a tranquilizing effect.

A

Melatonin

243
Q

These hormones usually control the activities of a particular organ.

A

Organ-specific hormones

244
Q

For example, hormone-secreting cells in the digestive tract secrete cholecystokinin and gastrin, which help regulate digestion. The kidneys secrete erythropoietin, which helps regulate red blood cell production. The liver secretes a number of hormones, including insulin-like growth factor (IGF-1). IGF-1 mediates the action of growth hormone.

A

Organ-specific hormones

245
Q

Hormones derived from a fatty acid called arachidonic acid.

A

Prostaglandins

246
Q

Produced by many tissues and generally act locally, near their site of secretion.

A

Prostaglandin

247
Q

Play an important role in the regulation of smooth muscle contraction and the inflammatory response.

A

Prostaglandins

248
Q

Thought to increase the sensitivity of nerve endings to pain.

A

Prostaglandins

249
Q

True or false: drugs such as aspirin and ibuprofen block the synthesis of prostaglandins and are therefore useful in relieving pain and inflammation.

A

True

250
Q

Excess ___ tissue acts as a gland-a very nasty gland-that secretes hormones called cytokines.

A

adipose