Endocrinology Flashcards

1
Q

Give two examples of peptide hormones

A

Insulin, FSH, LH

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2
Q

Give three examples of steroid (or cholesterol derivative) hormones

A
  1. Mineralocorticoids (aldosterone)
  2. Glucorticoids (cortisol)
  3. Androgens (oestrogen and testosterone)
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3
Q

Give the 3 zones of the adrenal cortex

A
  1. Zona glomerulosa
  2. Zona fasciculata
  3. Zona reticularis
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4
Q

What is produced in the adrenal medulla?

A

Epinephrine and norepinephrine

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5
Q

What form of hormones are norepinephrine and epinephrine?

A

Amines

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6
Q

Give the 5 steps in the production of epinephrine in the adrenal medulla

A

L-Tyrosine –> L- dopa –> Dopamine –> Norepinephrine –> Epinephrine

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7
Q

T3 and T4 are stored in the thyroid in what substance?

A

Stored in colloid bound to thyroglobulin

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8
Q

What stimulates the movement of T3 and T4 into the bloodstream?

A

TSH

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9
Q

Which of the anterior or posterior pituitary is descended from the brain (floor of the ventricles) and appears brighter on MRI?

A

Posterior pituitary

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10
Q

Anterior pituitary is formed of what?

A

Ectoderm (roof of mouth)

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11
Q

Vasopressin and oxytocin are released from what part of the pituitary?

A

Posterior

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12
Q

Oxytocin and vasopressin are synthesised where?

A

In the hypothalamus.
Are released down axons of hypothalamic - hypophyseal tract and stored in axon terminals in posterior pituitary

Released from posterior pituitary

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13
Q

Name 6 hormones released by the anterior pituitary

A
TSH
GH
ACTH
LH
FSH
Prolactin
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14
Q

A functioning pituitary tumour can lead to 3 main pathologies, what are they?

A
  1. Prolactinoma - always rule out first
  2. Acromegaly
  3. Cushing’s
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15
Q

Give 5 signs or symptoms of a prolactinoma

A
  1. Galactorrhoea
  2. Amenorrhoea
  3. Infertility
  4. Loss of libido
  5. Visual field defect
  6. Headache
  7. CSF leak (rare)
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16
Q

What is the main form of treatment for a prolactinoma?

A

CABERGOLINE (Dopamine agonist)

Will shrink tumour