Endocrinology Flashcards
Endocrine
Hormone secreted into blood binds distant target cells
Paracrine
Hormone acts locally by diffusing from its source to target cells in the neighborhood
Autocrine
Hormone acts on same cell that produced it
Steroids
Originate from cholesterol precursor
Hypothalamus
Lies below third ventricle at base of brain
Pituitary gland
Endocrine gland connected to hypothalamus by infundibulum
Anterior pituitary
Releasing hormones
Inhibiting hormones
Posterior pituitary
Oxytocin
Antidiuretic hormone ( ADH)
Nonpeptide hormone
Dopamine most important inhibitor of prolactin
Corticotropin releasing hormone
Acts on corticotrophs in the anterior pituitary to stimulate production of ACTH
GnRH
Acts on gonadotropes in the anterior pituitary to stimulate production of FSH and LH
GHRH
GHIH
GHRH- acts on somatotrophs in the anterior pituitary stimulates production of GH
GHIH- also called somatostatin in the anterior pituitary and inhibits production of GH
TRH
Acts on thyrotrophs of the anterior pituitary to stimulate TSH
PRH
Acts on lactotrophs in the anterior pituitary
Stimulates prolactin
Dopamine
Acts on lactotrophs to INHIBIT production of prolactin by the anterior pituitary
Oxytocin
Uterine contraction and milk let down
Inhibited by progesterone
What does ADH do
Decreases urine output
Increases water resorption
Decreases sweating
Increases blood pressure
V1 receptors
Blood vessels
V2 receptors
Renal collecting duct epithelial cells
V3 receptors
Mediating ACTH secretion from the anterior pituitary
Diabetes Insipidus
Lack of ADH production or response
Characteristics of diabetes inipidus
Dilute urine
Problem in hypothalamus
Rise in urine osmolality following administration of ADH
Which of the following are synthesized in the hypothalamus
A. Corticotropin releasing hormone
B. Thyroid hormone
C. Gonadotropin releasing hormone
D. Dopamine
E. A, C, and D
E.
Which of the following hormones is NOT released by the posterior pituitary?
A. Oxytocin
B. Anti-diuretic
C. Vasopressin
D. Dopamine
D.
ADH is involved in
A. Parturition
B. Milk-let down
C. Social attachment
D. All of the above
E. None of the above
E.
The posterior pituitary is composed of neural tissue
True or false
True
Which of the following is NOT a peptide hormone
A. Somatostatin
B. Thyroid-stimulating hormone
C. Dopamine
D. Growth hormone releasing hormone
E. All of the above
C.
Diabetes insipidus is caused by
A. Too little ADH
B. To much ADH
C. Too little oxytocin
D. To much oxytocin
A.
Syndrome of inappropriate diuresis is characterized by
A. Elevated or normal ADH is presence of low plasma osmolality
B. Water retention
C. Cellular over hydration
D. All of the above
D.
Five distinct cell types ( master gland)
Lactotrophs PRL
Gonadotrophs FSH LH
Thyrotrophs TSH
Corticotrophs ACTH
Somatotrophs GH
Antidiuretic hormone ADH
Kidney tubules
Posterior pituitary
Oxytocin
Muscles of uterus
Posterior pituitary
Gonadotropic hormones FSH and LH
Testis and ovary
Anterior pituitary
Growth hormone (GH)
Bone
Anterior pituitary
Adrenocorticotropic Hormone (ACTH)
Adrenal cortex
Anterior pituitary
Thyroid stimulating hormone (TSH)
Thyroid gland
Anterior pituitary
GnRH stimulates
LH and FSH
Prolactin releasing factors ( TRH and PRH) stimulates
PRL ( lactotrophs )
Prolactin PRL
Mammary glands
anterior pituitary
Which of the following is not secreted by anterior pituitary
A. FSH and LH
B. Prolactin
C. TSH
D. GnRH
D. GnRH
Comes from hypothalamus
Which of the following statements about prolactin is wrong
A. It is a peptide hormone
B. It is involved in milk-ejection reflex
C. It is inhibited by dopamine
D. It’s secretion is enhanced during pregnancy
B. It is involved in milk ejection reflex
Dopamine is responsible for this
Where is GH made
Anterior pituitary
What GH regulated by
GHRH and GHIH
Growth hormone does which of the following
A. Increase amino acid uptake
B. Decrease glucose uptake
C. Decreases fat synthesis
D. All of the above
D.
Growth hormone is not affected by age or time of day
False
Excess growth hormone causes
A. Acromegaly
B. Dermatosis
C. Dermatitis
D. All the above
E. None of the above
A.
IGF 1 has a similar structure to insulin T or F
True
IGF 1 has a similar function to insulin T or F
False
BST does
Increase milk production
Increases IGF1 levels in milk
3 things that inhibit prolactin
Dopamine
Progesterone
High prolactin levels
True or false
Cats have a higher incidence of hyperthyroidism than dogs
True
Hyperthyroidism is characterized by
A. Weight gain
B. Weight loss
C. Slow activity
D. None of the above
B.
T3
Acts more rapidly
3-5x more potent that T4
More biologically active hormone
What would cause ADH to be released
Dehydration
Low blood volume
Which of the following statements about peptide protein hormones is not true
A. They utilize second messenger systems
B. Their receptors are located on the cell membrane
C. They have a faster onset of action than both steroid and thyroid hormones
D. They produce direct changes in gene expression
D.
Which of the following statements is not true for hormone signaling
A. Negative feedback is important to maintain homeostasis
B. cAMP is a 2nd messenger in GPCR signaling
C. GPCR is a tyrosine kinase
D. Hormone agonist/antagonist can be used to interfere with hormone signals and provide clinical benefit
C.