Endocrinology 17 Flashcards

1
Q

What kind of hormone is parathyroid hormone?

A

It is a peptide hormone

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2
Q

How does PTH affect blood calcium and phosphate?

A
  • Increases blood calcium

* Decreases blood phosphate

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3
Q

What are the three targets of PTH?

A
  • Bone
  • Kidney
  • GI tract
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4
Q

What does parathyroid hormone do to bone?

A

It increases the reabsorption of calcium from bone and moves it to the blood

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5
Q

How can PTH be used as a treatment for osteoporosis?

A

PTH can sometimes have an opposite effect

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6
Q

How does PTH affect the kidney?

A

It increases the reabsorption of calcium and increases the excretion of phosphate ions

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7
Q

How does PTH affect the gut?

A

It increases the absorption of calcium and phosphate from the gut

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8
Q

What kind of hormone is Active vitamin D3?

A

A steroid like molecule

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9
Q

Where is active vitamin D3 secreted from?

A

The kidneys

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10
Q

How does active vitamin D3 affect blood calcium and phosphate?

A

It increases the levels of blood calcium and phosphate by increasing their absorption in the GI tract

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11
Q

How do active vitamin D and PTH work together in the bone?

A

They increase the reabsorption of calcium and phosphate (increase breakdown)

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12
Q

What does a lack of calcitonin do?

A

It does not give rise to any obvious disorders within the body

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13
Q

What family of hormones is Calcitonin?

A

A peptide

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14
Q

Where does calcitonin come from?

A

C-cells/parafollicular cells in the thyroid gland

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15
Q

How does Calcitonin affect calcium and phosphate levels in the blood?

A

It decreases both calcium and phosphate levels in the blood

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16
Q

What is secretion of calcitonin increased by?

A

Increased blood calcium

17
Q

What are the effects of too much PTH?

A

It eats away at the bones causing them to be more fragile. It can also cause the precipitation of calcium into kidney stones

18
Q

What are the effects of too little PTH?

A

Tetany - Muscles go into spasms due to increased levels of blood calcium

19
Q

What are the disease of too little Active vitamin D?

A

Rickets in kids and osteomalacia in adults where there is softening of the bones because no calcium and phosphate is absorbed from the gut

20
Q

What does low extracellular calcium favor?

A

The opening of sodium channels

21
Q

What does high extracellular calcium favor?

A

Inhibition of the opening of sodium channels and decreases excitability