Endocrinology Flashcards
True or false : Insulin stimulates glucose uptake by cells and thus lowers blood glucose levels
True
True or false : Diabetes insipidus is also known as sugar diabetes
False
diabetes mellitus is sugar diabetes; diabetes insipidus is characterized by excessive urination due to a deficiency of ADH; both types of diabetes have in common polyuria and polydipsia
True or false : Cardiac output is increased due to stimulation from the parasympathetic nervous system (PSNS)
False
CO is increased by the SNS (increased rate and force of contraction, decreased by PSNS)
True or false : Diabetes insipidus can result from an absolute deficiency of ADH or deficient ADH receptors that cannot bind the hormone
True
Central diabetes insipidus at the level of the hypothalamus and/or posterior pituaitary (deficiancy of ADH) or deficient receptors in the kidneys (nephrogenic diabetes insipidus)
True or False : Catecholamines will stimulate bronchodilation in stressful situations
True
Stress reaction- bronchodilation increases air flow to the lungs
True or False : Mineralocorticoids, glucocorticoids, and sex steroids are all derived from cholesterol
True
True or False : Mineralocorticoids are secreted by the adrenal cortical zona glomerulosa
True
Mineralocorticoids (aldosterone) are from the outer zone (zona glomerulosa), corticosteroids (cortisol) are from the middle zone (zona fasiculata), and androgens are from the inner zone (zona reticularis)
True or False : Aldosterone levels increase in response to a decrease in renal blood flow
True
the renin-angiostensin system is activated by a decrease in renal blood flow
True or false : both thyroid hormone and catecholamines will increase basal metabolic rate
True
True or false : cortisol administration can cause fluid retention because cortisol can have mineralocorticoid effects
True
exogenous cortisol has weak mineralocorticoid activity and will therefore mimic aldosteone action for sodium and water retention
True or false : Hypertension is associated with Cushing’s disease
True
Cushing’s disease is hyperadrenocorticism; hypertension results due to sodium and water retention
True or false : Lethargy and sensitivity to cold can be signs of hypothyroidism
True
the basal metabolic rate is lower
True or false : The neurohypophysis (posterior pituitary) is said to be a neural extension of the hypothalamus
True
The adrenohypophysis (anterior pituitary) is a true endocrine gland whereas the neurohypophysis (posterior pituitary) is a neural extension of the hypothalamus
True or false : the skin of hypothyroid dogs is often cool and clammy to the touch
True
since a deficiency of thyroid hormone will lower the basal metabolic rate the skin of hypothyroid dogs will feel cool and clammy to the touch
True or false : Maternal behaviour is stimulated in new mothers by increased CSF levels of oxytocin
True
oxytocin in cerebrospinal fluid is believed to stimulate maternal behaviour
True or false : Another name for ADH is vasopressin
True
ADH is for anti-diuretic characteristics, vasopressin due to vasoconstriction
True or false : Somatostatin is a hypothalamic hormone that stimulates growth hormone synthesis and release
False
somatostatin (growth hormone inhibiting factor ) secreted by the hypothalamus inhibits GH synthesis and release from the anterior pituitary whereas hypothalamic GH-RH stimulates GH synthesis and release
True or false : Chrondrocytes are cartilage cells that stimulate bone growth in response to growth hormone
True
True or false : High estrogen levels in late pregnancy stimulate prolactin release from the anterior pituitary
True
There is an estrogen surge near term that stimulates prolactin release in preparation for lactation
True or false : Oxytocin in seminal fluid stimulates sperm transport in the female reproductive tract
True
Oxytocin has effects on sperm transport in both male and female
True or false : Amylase is secreted in saliva and pancreatic juices for the breakdown of starch
True
True or false : the epiglottis is a flap of tissue that covers the opening to the trachea during swallowing
True
True or false : HCl secretion by the stomach is essential for the conversion of pepsinogen to pepsin
True
True or false : The iron released by the breakdown of red blood cells in the body cannot be re-used and must be excreted
False
the one part of the blood that cannot be reused by the body is the heme portion that is converted to bilirubin by the liver (for elimination in bile)
True or false : the liver functions as a reservoir for the blood volume of the general circulation
True
storage capacity of up to 10-15% of the total blood volume; the liver can eject blood if there is any blood loss
True or false : the portal circulation is entirely venous and transport nutrients from the intestinal tract to the liver
True
Transport of venous blood from the intestinal tract to the liver
True or false : bilirubin is a breakdown product of ‘spent’ red blood cells and is toxic if not secreted by the liver in bile
True
elevated bilirubin levels occur with liver disease
True or false : the digestive enzymes trypsin and chymotrypsin are not harmful if released within the pancreas
False
These enzymes are stored as their inactive forms (trypsinogen and chymotrypsinogen) in the pancreas and activated in the small intestine by intestinal enterokinase
True or false : eosinophils are elevated when an animal has a heavy burden of internal parasites
True
An increase in eosinophils (in absolute numbers and in percentage) occurs with heavy parasite burdens and allergic reactions
True or false : Basophils cause the reddening associated with the inflammatory response due to the release of histamines
True
An important hormone secreted by the thyroid gland, in addition to thyroxine (T4) and triiodothyronine (T3) is:
a) insulin
b) parathyroid hormone
c) calcitonin
d) cortisol
e) growth hormone
C
Adrenocorticotropic hormone controls the synthesis of:
a) glucocorticoids from the adrenal medulla
b) glucocorticoids from the adrenal cortex
c) epinephrine from the adrenal medulla
d) mineralocorticoids from the adrenal cortex
B
The main function of the hypothalamic-hypophyseal portal system is:
a) to regulate stress of consiousness
b) to ensure rapid delivery of hormone releasing factors to the posterior pituitary
c) to allow the liver to rapidly detoxify absorbed substances
d) to ensure rapid delivery of hormone relasing factors to the anterior pituitary
e) to control blood flow to the hypothamalus
D
A hormone not regulated by releasing hormones from the hypothalamus is:
a) growth hormone
b) thyroid hormone
c) follicle stimulating hormone
d) insulin
e) adrenocorticotropic hormone
D
Which of the following does not influenece blood glucose levels?
a) cortisol
b) insulin
c) calcitonin
C
Which of the following does not increase blood glucose levels?
a) mobilization of amino acids from extra hepatic tissues
b) liver gluconeogenesis
c) stimulation of fat breakdown in adipose tissue
d) glycogenesis
e) glycogenolysis
D
glycogenesis is glycogen formation; all others can result in increased glucose levels
Renin is secreted by the kidneys in response to:
a) elevated aldosterone levels
b) increased blood pressure
c) decreased blood pressure
d) decreased aldosterone levels
e) low ECF sodium ion levels
C
Hypoadrenocorticism (Addison’s disease) is characterized by a deficiency in two hormones:
a) calcitonin and parathyroid hormone
b) cortisol and growth hormone
c) aldosterone and cortisol
d) aldosterone and thyroid hormone
e) growth hormone and thyroid hormone
C
IGF-1 is synthesized and released by the liver in response to:
a) growth hormone
b) prolactin
c) oxytocin
d) thyroid hormone
e) ACTH
A
Hormone receptors:
a) are necessary for hormone action and bind to form a hormone receptor complex
b) transmit action potentials inside the cell
c) are carried in the blood by large carrier proteins
d) play a significant role in phagocytosis
A
The function of bicarbonates in the saliva of ruminants is:
a) To decrease the pH of rumen contents
b) To aid in digestion of cellulose by the rumen microbes
c) To act as a nutrient source for rumen bacteria
d) To neutralize acids produced by rumen microbes
D
Hypothalamic control of prolactin depends on:
a) Prolactin negative feedback
b) Serotonin
c) Dopamine
d) Growth hormone
e) Progesterone
C
The release of prolactin is inhibited by the hypothalamus by dopamine (prolactin inhibiting hormone) unless the animal is stimulated to lactate; in all other cases hypothalamic hormones are stimulatory (releasing hormones)
The process of digestion requires:
a) Mechanical breakdown of food
b) Enzymatic breakdown of food
c) Absorption through the intestinal wall
d) Secretion of enzyme-containing fluids
e) A, b, and d
f) All of the above
F
Digestion is both the breakdown and absorption of nutrients
Amenorrhea is:
a) Excessive and prolonged menstruation
b) Cessation of menstrual periods
c) Shorter intervals between menstrual periods
B
Which statement is correct:
a) B lymphocytes form the thymus stimulate cell mediated immunity and T lymphocytes from the bone marrow stimulate antibody production
b) B lymphocytes from the bone marrow stimulate cell mediated immunity and t lymphocytes from the thymus stimulate antibody production
c) B lymphocytes from the bone marrow stimulate antibody production and T lymphocytes form the thymus stimulate cell mediated immunity
C
Briefly describe the major role or roles of cortisol in the respiratory systems of newborn animals
Promotes fetal lung maturation and surfactant development
Briefly describe the major role or roles of cortisol in adult mammals
- Increases glucose metabolism
- Increases and maintains glucose blood levels
- Mobilizes amino acids
- Stimulates fat breakdown in adipose tissue (lipolysis)
- Response to stress
- Anti-inflammatory
- Immunosuppressive
- Birth process
Briefly describe the major role or roles of aldosterone in affecting blood mineral concentrations
Increases blood sodium levels; decreases blood potassium levels
Briefly describe the major role or roles bile salts
Digestion of fats (emulsification)
Elimination of cholesterol
Biliary excretion of waste products (bilirubin) via the faeces
Cortisol levels are highest in the ___________________
morning
Tyrosine is essential for the production of several hormones. Two essential hormones produced from tyrosine are __________ and __________
Thyroid hormones (T3 and T4), epinephrine, norepinephrine, or dopamine
Aldosterone stimulates the activity of the enzyme _________________
sodium + potassium- dependent ATPase
_____________________ deficiency can cause hypothyroidism
Iodine, TSH, thyroid hormone
Secretion of the hormone ____________ from the hypothalamus stimulates adrenal cortisol excretion
corticotrophic releasing hormone (CRH)
Plasma osmoreceptors that control ADH secretion are located in the _______________
hypothalamus
Growth hormone has its positive indirect effects on growth by stimulating the production of the hormone _______ by the ______
IGF-1 (insulin growth factor-1), Liver
The two hormones that have opposite effects in regulating blood calcium levels are ______ and _________. They are secreted from the ___________ and the ______________ respectively.
calcitonin, parathyroid hormone (PTH), thyroid gland, and parathyroid gland
- Calcitonin- parafollicular cells of the thyroid gland- decrease blood calcium levels*
- Parathyroid hormone from the parathyroid gland- increases blood calcium levels*
HIV/AIDS patients are deficient in which specific immune cell?
T- lymphocytes
- B-Lymphocytes- antibody mediated immunity*
- T-lymphocytes- cell mediated immunity (and deficient in HIV/AIDS patients)*
All disease is a manifestation of:
a) Tissue injury
b) Cell injury
c) Nuclear injury
d) Organ injury
e) Organ system injury
B
Na+/K+ ATPase mediated transport of sodium and potassium across cell membranes:
a) Does not require energy
b) Is active transport
c) Required the use of energy in the form of ATP
d) Is by exocytosis
e) Both B and C
f) Both B and D
E
An etiologic diagnosis:
a) Predicts the future behaviour of the disease
b) Names the causative agent
c) Names the specific disease or disease process
d) Names the lesion
e) Is a list of tentative diagnosis
B
Physiology is the study of:
a) normal body function
b) pathological changes in body function
c) normal physiology
A
A prognosis:
a) predicts the future behaviour of the disease or potential outcome
b) names the causitive agent
c) identifies the specific disease or disease process
d) names the lesion
e) makes a list of tentative diagnoses
A
Endocrinology is best defined as the study of:
a) the body’s aquired immune system
b) the control of body function by the nervous system
c) the regulation of body functions by hormones
d) criminology
C
Changes in protein activity from the inactive state to the active state and vice versa:
a) are called allosteric changes
b) change the 3D shape of a protien
c) alter the rate of cellular biochemical reactions
d) all of the above
e) none of the above
D
A hormone agonist:
a) blocks hormone action at a receptor site
b) mimics the action of another hormone at a receptor site
B
Important hormones secreted by the adrenal cortex are:
a) cortisol
b) parathyroid hormone
c) calcitonin
d) aldosterone
e) androgens
f) both A and C
g) both A and D
h) A, D, and E
i) B, C, and D
H
Adrenocorticotropic hormone (ACTH) controls the synthesis and release of:
a) cortisol from the adrenal medulla
b) cortisol from the adrenal cortex
c) epinephrine from the adrenal medulla
d) growth hormone from the anterior pituitary
B
The main function of the hypothalamic-pituitary axis is:
a) To regulate the states of consciousness
b) To ensure rapid delivery of hormone releasing factors to the posterior pituitary
c) To allow the liver to rapidly detoxify absorbed substances
d) To ensure rapid endocrine delivery of hormone releasing facts to the anterior pituitary
e) To control blood flow to the hypothalamus
D
An etiologic diagnosis:
a) predicts the future behaviour of the disease
b) identifies the causative agent
c) names the specific disease or disease process
d) identifies the lesion
e) is a list of tentative diagnoses
f) has nothing to do with disease diagnosis, identification, or treatment
B
IGF-1 is synthesized and released by the liver in response to
a) Growth hormone
b) prolactin
c) thyroid hormone
A
Apoptosis is:
a) Programmed cell death
b) Cell necrosis
c) A normal physiologic process
d) Both A and C
e) Both A and B
D
The renin-angiotensin system stimulates the secretion of the hormone:
a) Aldosterone
b) Growth hormone
c) Cortisol
d) Thyroid hormone
A
Hypoadrenocorticism (Addison’s disease) is characterized by:
a) Hypertension
b) Normal blood pressure
c) Hypotension
C
Which of the following is not a stress response:
a) constriction of the bronchioles
b) increased heart rate
c) pupillary dilation
d) increased digestive activity
D
Anterior pituitary release of prolactin is inhibited by hypothalamic secretion of:
a) serotonin
b) progesterone
c) growth hormone
d) dopamine
D
Cortisol secretion:
a) increases blood glucose levels
b) decreases blood glucose levels
c) has no effect on blood glucose levels
A
Lung surfactant is deficient in:
a) cystic fibrosis
b) diabetes mellitus
A
The master gland that controls homeostasis in the body is the
a) adrenal gland and the hypothalamus
b) pancreas and the spleen
c) hypothalamus and the anterior pituitary
d) anterior pituitary and the thyroid
C
The neurotransmitter secreted by the SNS is:
a) epineprine
b) norepinephrine
B
Which of the following is not a homeorrheic process
a) pregnancy
b) adolescent growth
c) lactation
d) sleep
D
Resting or basal metabolic rate is mainly controlled by
a) growth hormone
b) thyroid hormone
c) cortisol
d) aldosterone
B
The hormone that turns on the Na+/K+ ATPase pump in the kidneys is
a) aldosterone
b) cortisol
c) thyroid hormone
A
The SNS is referred to as the:
a) fight-flight reaction
b) rest-digest reaction
A
Homeorrhesis:
a) refers to homeostasis maintained around a static body state
b) refers to homeostasis maintained around a dramatically changing body state
B
Hypothyroidism is characterized by:
a) sensitivity to cold, cold skin, plus polyuria, and polydipsia (PU/PD)
b) sensitivity to heat, warm skin, and excessive nervousness
c) sensitivity to cold, cold skin, and listlessness
C
Na+/K+- ATPase mediated transport across cell membranes:
a) maintains potassium concentrations higher inside the cell compared to the ECF
b) maintains sodium levels higher in the ECF compared to inside the cell
c) is essential for cell membrane integrity and the prevention of osmotic damage
d) all of the above
e) only A and B
D
The embryonic origin of the adrenal cortex is dfferent than that of the adrenal medulla. The adrenal cortex is derived from:
a) the ectoderm of the embryo
b) the mesoderm of the embryo
c) the endoderm of the embryo
B
A morphologic diagnosis:
a) names the causative agent
b) names the specific disease or disease process
c) names the lesion caused by the disease
d) is a list of tentative diagnoses
C
The parasympathetic nervous system (PSNS)
a) activates the digestive system when we are resting
b) inhibits the digestive system when we are resting
A
Thyroid hormone:
a) is essential for the development of the fetal brain
b) requires iodine for its synthesis
c) is essential for the maintenance of basal metabolic rate
d) warms us up on a cold day
e) all of the above
f) both A and B only
g) A only
E
Bile salts are produced by the
a) gall bladder
b) liver
c) pancreas
B
Prolonged and excessive secretion of parathyroid hormone by parathyroid gland tumours:
a) can cause bones to be brittle and fracture easily
b) can cause bones to become markedly thickened due to the excess of calcium uptake
A
Hypothalamic releasing hormones control the endocrine release of:
a) six different anterior pituitary hormones
b) two different posterior pituitary hormones
A
Cell membrane gated channels:
a) may open in response to hormonal signals
b) may open in response to neuronal signals
c) perform passive transport
d) all of the above
e) none of the above
D
The Na+/K+ ATPase-pump is essential:
a) in the distal tubes of the kidneys for sodium resorption
b) for the electrical transmission of nerves impulses
c) none of the above
d) both A and B
D
Oxytocin is released in response to suckling from:
a) hypothalamic nerve endings in the anterior pituitary
b) hypothalamic nerve endings in the posterior pituitary
B
Starch digestion begins when food enters the body due to the action of:
a) salivary gland amylases
b) pancreatic juices
A
Pancreatic juices secreted into the small intestine
a) breakdown fats, proteins, and carbohydrates
b) digest proteins only
A
The caecum in horses:
a) digests cellulose
b) functions soley as a food storage vat.
A
Convulsions and tetany can be caused by:
a) hypercalcaemia due to PTH excess
b) hypocalcaemia due to PTH deficiency
B
Innate immunity is due to:
a) the phagocytic neutrophils and macrophages we are born with
b) antibodies produced in response to infectious organisms entering the body
A
Passive immunity in domestic animals:
a) is passed from dam to offspring through the colostrum
b) is only passed from dam to offspring across the placenta
A