Exam One Flashcards
What does the endocrine system use to regulate the body?
Chemicals (hormones)
What are the basic functions of the endocrine system?
Maintaining homeostasis
Responds to stress
Growth and development
Sexual reproduction
How does the nervous system regulate the body?
Electrical impulses
What are endocrine glands?
Glands that secrete only hormones
Release hormones directly into the bloodstream
What are exocrine glands?
Glands that secrete sweat and oils
Produce secretions into a duct or outside the body
What are neurocrine glands?
Nervous tissues that produce a hormone
Hypothalamus
What are autocrines?
Hormones released locally into interstitial fluid and affect same type of cell they were released from
What are paracrines?
Hormones released locally and affects neighboring cells of different type
What are the true endocrine glands?
Pineal Anterior pituitary Thyroid Parathyroid Adrenal
What are the multiple function endocrine glands?
Hypothalamus Posterior pituitary Thymus Pancreas Ovaries Testes
What are the four classes of hormones?
Steroids
Proteins
Amino acids
Prostonoids
What is the process that must occur for steroids to be transported?
Bind to carrier protein
Pass through plasma membrane of cell
Bind to receptor inside the cell
Causes direct interaction on the cell
What are the four ways that steroids can be transported?
Cortisol - Cortisol Binding Globulin - Strong affinity
Testosterone/Estrodiol - TEBG - Strong affinity
Albumin - can bind to testosterone and estrodiol with weak affinity
Free hormone - circulates through blood alone
What are biologically active hormones?
Hormones that are able to be used right now
Free hormone and albumin
What are biologically inactive hormones?
Hormones that are unable to be used right now
TEBG and CBG
What is the mechanism of action for steroids?
- Steroid hormone diffuses through the plasma membrane and binds to an intracellular receptor
- Receptor-hormone complex enters the nucleus
- Receptor-hormone complex binds a specific DNA region
- Binding initiates transcription of the gene to mRNA
- The mRNA directs protein synthesis
What is the mechanism of action for amino acids?
- Hormone (first messenger) binds to receptor
- Receptor activates G protein
- G protein activates adenylate cyclase
- Adenylate cyclase converts ATP to cAMP (2nd messenger)
- cAMP activates protein kinases
How are hormones removed from blood?
Degrading enzymes
kidneys
liver
What is basal secretion?
General day to day hormone secretion
What is stimulatory secretion?
Secretion requires a stimulus
What is pulsatile stimulation?
Basal secretion when there are peaks throughout the day
What are the three types of endocrine gland stimulation?
Humoral
Neural
Hormonal
What is humoral stimulation?
Changing blood levels of ions and nutrients directly stimulate secretion
Calcium levels and parathyroid
What is neural stimulation?
Nerve fibers stimulate hormone release
What is hormonal stimulation?
Hormones stimulate other endocrine glands to release their hormones
What does target cell activation depend on?
Blood levels of hormone
Relative number of receptors on or in the cell
Affinity of binding between receptor and hormone
What is up-regulation?
Receptors become more sensitive due to low hormone levels
What is down regulation?
Receptors become less sensitive due to high hormone levels
What is permissiveness?
One hormone can not exert its effects without another hormone being present
What is synergism?
More than one hormone produces same effects on target cell
Amplification
What is antagonism?
One or more hormone oppose the action of another hormone
What is the difference between the anterior and posterior pituitary?
Anterior is true endocrine (adrenohypophysis)
Posterior is composed of nervous tissue (neurohypophysis)
What are the main parts of the posterior pituitary?
Hypothalamic-hypophyseal tract - neural connection of pituitary and hypothalamus
What is the function of ADH?
Causes urine retention
What are the main causes for the release of ADH?
Change is osmolality
Change in blood pressure
What are the different types of ADH receptors?
V2 receptors
V1a receptors
V1b receptors
Where are V2 receptors found?
Kidneys
Makes kidneys reabsorb water through aquaporin channels
Where are V1a receptors found?
Smooth muscle
Causes smooth muscle to contract in blood vessels to increase BP
Where are V1b receptors found?
Anterior pituitary
Cause release of ACTH
What are factors that increase ADH secretion?
Increases in osmolarity Decreases in fluid volume Periods of stress Nausea and vomiting Prolonged periods of standing Angiotensin 2
What are factors that decrease ADH secretion?
Decrease in osmolality
Increase in extracellular fluid volume
Alcohol - supresses hypothalamus
What is diabetes insipidus?
ADH deficiency due to hypothalamus or posterior pituitary damage
What are the functions of oxytocin?
Strong stimulation of uterine contraction
Hormonal trigger for milk ejection
Releases at time of ejaculation to contract muscles and push sperm out
Positive feedback
What hormones does the hypothalamus produce that regulate hormone production in the anterior pituitary?
GHRH - Growth hormone releasing hormone GHIH - Growth hormone inhibiting hormone TRH - Thyroid releasing hormone CRH - Corticotropin releasing hormone GnRH - Gonadotropin releasing hormone PIH - Prolactin inhibiting hormone
What are the three types of interaction that can occur at a target cell?
Permissiveness
Synergism
Antagonism
What are the two hormones that the hypothalamus makes?
Paracentricular nucleus - makes oxytocin
Supraoptic nucleus - makes ADH
What hormones does the anterior pituitary produce?
Growth hormone Prolactin Thyroid stimulating hormone Adrenocorticotropic hormone Follicle stimulating hormone Luteinizing hormone
What is a tropic hormone?
Hormone that controls the release of another hormone
What are the tropic hormones that the anterior pituitary produces?
Thyroid stimulating hormone
Adrenocorticotropic hormone
Follicle stimulating hormone
Luteinizing hormone
What cells in the anterior pituitary produce Growth hormone?
Somatotropic cells
What are the direct actions that growth hormone has?
Increases blood levels of fatty acids - encourages fatty acid use
Decrease rate of glucose uptake and metabolism
Causes glycogen breakdown and glucose release into blood
What are the indirect actions that growth hormone has?
Mediates growth via growth promoting proteins - insulin like growth factors
What do the insulin like growth factors stimulate?
Uptake of nutrition
Formation of collagen and deposition of bone matrix
How is growth hormone regulated?
Hypothalamus regulates growth hormone with GHRH and GRIH
What are the homeostatic imbalances of growth hormone?
Hypersecretion - In children results in gigantism - In adults results in acromegaly Hyposecretion - In children results in dwarfism
What are the effects of thyroid stimulating hormone?
Stimulates normal development and secretion of thyroid
What produces thyroid stimulating hormone?
Thyrotropic cells of the anterior pituitary
How is thyroid stimulating hormone regulated?
Thyroidtropin releasing hormone from hypothalamus
What are the effects of ACTH?
Stimulates adrenal cortex to release corticosteriods (cortisol)
What produces ACTH?
Corticotropic cells of anterior pituitary
How is ACTH regulated?
Triggerd by corticotropin-releasing hormone from hypothalamus
Internal and external factors such as stress, fever and hypoglycemia can alter CRH release
What are the ganodotropins?
Follicle-stimulating hormone
Luteinizing hormone
What are the effects of follicle-stimulating hormone?
Stimulate gamete production (sperm or egg)
What are the effects of luteinizing hormone?
Promotes prodcution of gonadal hormones
What produces ganodotropins?
Gonadotropic cells of anterior pituitary
How are ganodotropins regulated?
Triggered by GnRH from hypothalamus
Negative feedback mechanism
What are the effects of prolactin?
Stimulates milk production
How is prolactin regulated?
Controlled by prolactin inhibiting hormone (dopamine) from hypothalamus
What produces prolactin?
Secreted by prolactin cells of anterior pituitary
What are the two hormones that the thyroid releases?
Calcitonin
Thyroid hormone
What are the effects of thyroid hormone?
Has a calorigenic effect
Has a thermogenetic effect
Regulates growth and development
Helps maintain blood pressure
What are the two related compounds of thryroid hormone?
T4 - thyroxine ( 2 tyrosine and 4 iodine)
T3 - Triiodothyronine ( 2 tyrosine and 3 iodine)
What makes up colloid cells?
Thyroglobulin
What is the protein that transports MIT and DIT across the cell?
Megalin
What are the steps of T3 and T4 synthesis?
- Thyroglobulin is synthesized and discharged into the follicle lumen
- Iodide is trapped, transported into follicular cells
- Iodide is oxidized into iodine in colloid
- Iodine is attached to tyrosine, forming DIT and MIT
- Iodinated tyrosines are linked together to form T3 and T4
- Thyroglobulin colloid is endocytosed and combined with a lysosome
- Lysosomal enzymes cleave T4 and T3 from thyroglobulin, hormones diffuse into blood
How are T3 and T4 transported?
Thyroxine binding globulin - tightly bound
Transthyretin - transports to brain / CNS
Albumin - weak affinity
Free in blood
Which is more active T3 or T4?
T3 is about ten times more active than T4
What are the homeostatic imbalances of T3 and T4?
Hyposecretion - Myxedema in adults - Cretinism in infants Hypersecretion -Grave's disease
What are the effects of calcitonin?
Inhibits osteoclast activity and stimulates calcium uptake
Antagonist to parathyroid hormone
What is the function of parathyroid hormone?
Stimulates osteoclasts and releases calcium into the blood
What are the two divisions of the adrenal gland?
Medulla and Cortex
What hormones does the adrenal medulla produce?
Epinephrine and norepinephrine
What are the effects of epinephrine and norepinephrine?
Vasoconstriction to abdomen
Increased heart rate
Increased blood glucose levels
What are the three layers of the adrenal cortex and what are their hormones?
Zona Glomrulosa - aldosterone
Zona fasciculata and reticularis - Cortisol and androgens
What is the main hormone that the pineal gland produces?
Melatonin
What are the effects of melatonin?
Timing of sexual maturity
Day and night cycles
Rhythmic cycles (sleep, appetite, and body temp)
What are the different types of cells in the pancreas?
Acinar cells (exocrine cells)
Pancreatic islets (contains endocrine cells)
Alpha cells - produce glucagon
Beta cells - produce insulin
What are the effects of glucagon?
Main target is liver
Release of glucose into blood
What are the effects of insulin?
Transports glucose into fat and muscle cells
Lowers blood glucose levels
What are the two types of diabetes?
Type 1 - Hyposecretion of insulin
Type 2 - Hypoactivity of insulin
What is hyperinsulinism?
Produce to much insulin or are to sensitve to insulin
What hormones do the ovaries produce?
Estrogen and progesterone
What are the effects of estrogen?
Reproductive organ maturation
Appearance of secondary sexual characteristics
Cause breast development
What is the function of the thymus?
Activates white blood cells for children
What hormones do adipose tissue produce?
Leptin - appetite control
Resistin - insulin antagonist
What hormones do enteroendocrine cells produce?
Gastrin - stimulates release of HCl for food breakdown
Secretin - stimulates liver
Serotonin - acts as paracrine
What hormones does the heart produce?
Atrial natriuretic peptide - decreases blood sodium
What hormones do the kidney produce?
Erythropoietin - signals red blood cell production
Renin - initiates renin-angiotensin-aldosterone mechanism
What makes blood more viscous than water?
Formed elements
What are the formed elements in blood?
Erythrocytes - no nucleus or organelles
Luekyocytes - only true cell
Plateletes - cell fragments
What are the functions of blood?
Protection - immune system, blood clotting
Regulation of blood - pH, fluid volume, temperature
Transport
What is the make up of plasma?
90% water
10% plasma proteins
What are the proteins in blood plasma?
60% albumin
36% globulin
4% fibrinogen
What is hematocrit?
Percent of blood volume that is RBCs
Average is 45% for males, 40% for females
What are the two major categories of luekyocytes?
Granulocytes - visible cytoplasmic granules
Agranulocytes - no cytoplasmic granules
What is the function of neutrophils?
Engulf foreign particles
Kill bacteria
What are the different types of granulocytes?
Neutrophil
Basophil
Esinophil
What is the function of eosinophils?
Helps kill parasitic worms
Helps with allergic reactions
What is the function of basophils?
Releases histamine
Releases heparin
Helps with allergic reaction response
What are the different types of agranulocytes?
Lymphocytes
Monocytes
What are the functions of lymphocytes?
Direct cell to cell attack
Helps develop antibodies
What are the functions of monocytes?
Engulf other debris
Can become a macrophage
What are the functions of erythrocytes?
Carry oxygen and carbon dioxide with hemoglobin
Contain spectrin - allow RBC to fold over on itself
What is an antigen?
A type of glycoprotein that generates an immune response
Helps classify blood types
What happens in a transfusion reaction?
Blood can glutinate and clot
Diminished oxygen carrying
Kidney damage
What is the structure of hemoglobin?
Globin - 4 polypeptide chains (2 alpha and 2 beta)
Heme - pigment bonded to each globin
How many oxygen can each hemoglobin transport?
Four
How many hemoglobin can each RBC contain?
250 million
What is hematopoiesis?
Blood cell formation in red bone marrow
What is erythropoiesis?
Development of RBCs
What is an immature red blood cell called?
Reticulocyte
What stimulates erythropoiesis?
Erythropoietin
What causes hypoxia?
Having low levels of red blood cells
Insufficient hemoglobin per RBC
Reduced availability of oxygen
What is anemia?
Blood has abnormally low oxygen carrying capacity
What are the causes of anemia?
Blood loss
Low RBC production
High RBC destruction
What are platelets?
Cytoplasmic fragments of megakaryocytes from bone marrow
What are the stages of hemostasis?
Vascular spasm
Platelet plug formation
Coagulation
What is vascular spasm?
Smooth muscle inside artery begins to contract
What are the causes of vascular spasm?
Direct injury to smooth muscle
What is important about the intrinsic pathway of coagulation?
Slow, takes about six minutes
Activated by internal damage
What is important about the extrinsic pathway of coagulation?
Fast, takes 6-15 seconds
Where do the intrinsic and extrinsic pathways meet?
Common pathway at clotting factor ten
What are pain reflexes?
Tells muscle contraction to occur more
What are the two chemical messengers released during platelet plug formation?
ADP - causes more platelets to stick
Serotonin and thromboxane A2 - Enhance vascular spasm
What happens in the coagulation step?
Reinforces platelet plug with fibrin threads
Blood transformed from liquid to gel
What is a critical activation step in clotting?
Thrombin
What is clot retraction?
Actin and myosin platelets contract
Squeezing serum from clot
What limits clot size?
Swift removal and dilution of clotting factors
Inhibition of clotting factors
What is a thrombus?
Clot that develops and persists in unbroken blood vessel
What are the conditions associated with a thrombus?
Embolus - thrombus free floating in blood stream
Emobolism - embolus obstructing a blood vessel
Which side of the heart is the systemic circuit?
Left side
Pumps blood to the body
Which side of the heart is the pulmonary circuit?
Right side
Pumps blood to the lungs
What are the four chambers of the heart?
Right atrium
Left Atrium
Right ventricle
Left ventricle
What is the function of the right atrium?
Receives blood returning from the systemic cicuit
What is the function of the left atrium?
Receives blood returning from the pulmonary circuit
What is the function of the left ventricle?
Pumps blood through the systemic circuit
What is the function of the right ventricle?
Pumps blood through the pulmonary cicuit
What is the name of the covering of the heart?
Pericardium
What are the layers of the heart wall?
Epicardium
Myocardium
Endocardium
What is pericarditis?
Inflammation of the pericardium
Roughens surface causing a creaking sound
What are the three veins that empty into the right atrium?
Superior vena cava
Inferior vena cava
Coronary sinus
What are the four valves of the heart?
Tricuspid
Bicuspid
Aortic semilunar
Pulmonary semilunar
What is the function of the tricuspid valve?
Lets blood flow from the right atrium to the right ventricle
What is the function of the bicuspid valve?
Lets blood flow from the left atrium to the left ventricle
What is the function of the aortic semilunar valve?
Lets blood flow from left ventricle into aorta
What is the function of the pulmonary semilunar valve?
Lets blood flow from right ventricle into pulmonary trunk
What are the two conditions associated with bad valves?
Incompetent valve - blood backflows
Valvular stenosis - valves become stiff
What is coronary circulation?
Blood flow that supplies the heart
What arteries supply the right side of the heart?
Right marginal artery
Posterior interventricular artery
What arteries supply the left side of the heart?
Circumflex artery
Anterior interventricular artery
What are the homeostatic imbalances associated with the heart?
Angina pectoris - thoracic pain caused by poor blood flow
Myocardial infarction - heart attack
How is cardiac muscle different from skeletal muscle?
Automaticity - can beat without a nervous system
All or nothing principle
Refractory period - Long absolute refractory period
What are the important structures in cardiac muscle?
Many mitochondria - very oxygen dependent
Intercolated discs - allows complete contraction
Gap junction - helps allow sequential contraction
What is the term for the heart lacking oxygen?
Ischemia
What is normal heart rate and what are the terms associated with abnormal heart rate?
Normal: 60 - 100 BPM
Tachycardia - Heart rate above normal
Bradycardia - Heart rate below normal
What is the path of intrinsic regulation in the heart?
Sinoatrial node Atrioventricular node Bundle of HIS Right and Left bundle branches Perkinje fibers
What paces the heart?
Sinoatrial node
Paces heart at about 75 BPM
What paces the heart in the SA node fails?
Atrioventricular node
Backs up heart at 40-60 BPM
What paces the heart if both the SA and AV nodes fail?
Perkinje fibers
Backs up heart at 20-40 BPM if all else fails
What does the bundle of HIS do?
Connects the atria to the ventricles
What do the bundle branches do?
Conducts impulses through interventricular septum
What are the different waves in an EKG reading?
P wave - Depolarization of the atria
QRS - wave - Depolarization of the ventricles
T wave - Repolarization of the ventricles
What are the ways that the sympathetic nervous system can control the heart?
Chronotropic - causes heart rate to increase
Inotropic - causes heart to squeeze tighter
Lusotropic - Decreases resting phase
What are the ways that the parasympathetic nervous system can control the heart?
Decrease heart rate and increases resting phase
Regulated by vagus nerve
Vagal tone - helps keep heart rate slow
What are the heart conditions that can be determined by an EKG?
Junctional rhythm
Second degree heart block
Ventricular fibrillation
Atrial fibrillation
How can you tell junctional rhythm on an EKG?
No P waves
SA node is non functional
How can you tell second degree heart block on an EKG?
Twice as many P waves as QRS waves
How can you tell ventricular fibrillation on an EKG?
Chaotic irregular peaks
Happens in heart attack and electrical shock
How can you tell atrial fibrillation on an EKG?
Shakey at P waves
Ventricles still work
Not life threatening
What is systole?
Contraction of the heart
What is diastole?
Relaxation of the heart
What is EDV?
End diastolic volume
Volume of blood in the heart after relaxation
About 120 mL
What is ESV?
End systolic volume
Volume of blood in heart after contraction
About 50 mL
What is EF?
Ejection fraction
Percentage of blood pumped by heart
SV/EDV
What is HR?
Heart Rate
About 60 - 100 BPM
What is cardiac output?
Amount of blood pumped by heart per minute
About 5.25 L
What is cardiac reserve?
Difference between resting and maximal CO
Max is about 25 L, 35 L in trained
What are the factors that influence SV?
Preload
Contractility
Afterload
What is the Frank Sterling law of the heart?
Heart stretches and contracts more when the preload is higher
What is afterload?
Amount of stress put on the heart to force open the aortic semilunar valve
What happens in pulmonary congestion?
Left side fails
Blood backs up into lungs
What happens in peripheral congestion?
Right side fails
Blood backs up into organs
What are the three tunics of arteries and veins?
Tunica externa
Tunica media
Tunica intima
What are the different types of arteries?
Elastic arteries
Muscular arteries
What are the functions of capillaries?
Gas and nutrient exchange
Regulates blood flow
What are the different types of capillaries?
Continuous capillaries
Fenestrated capillaries
Sinusoid capillaries
What are continuous capillaries?
Found in skin and muscles
Have clefts for solutes to pass
What are fenestrated capillaries?
Have pores for absorption
Found in intestines, kidneys and endocrine glands
What are sinusoid capillaries?
Have large lumen with allow large solutes to pass
Found in liver, bone marrow and spleen
What is microcirculation?
Interwoven network of capillaries connecting arterioles and venuoles
What controls blood flow in capillaries?
Sphincters
What is the direct route between terminal arterioles and venuoles?
Metarterioles
How do veins return blood to the heart?
Uses valves and muscle contraction
Respiratory pump
Vasoconstriction
What is flow equal to?
Chane in pressure/ resistance
What are the three main factors affecting resistance?
Blood viscosity
Total blood vessel length
Blood vessel diameter
What is the blood pressure in capillaries?
Ranges from 17 - 35 mm Hg
What is mean arterial pressure?
Pressure that propels blood to tissues
Diastolic pressure + 1/3 pulse pressure
Average is 93 mm Hg
What is pulse pressure?
Difference between systolic and diastolic pressure
What factors influence Blood Pressure?
Cardiac output
Peripheral resistance
Blood volume
Arterial compliance
What is resting heart rate maintained by?
Vagus nerve
What is the short term neural control of BP?
Maintains MAP by altering blood vessel diameter
Alters blood distribution to organs in response to specific demand
What role do barorecptors and chemoreceptors play in blood pressure?
Located in aorta and carotid sinus
Relay info to the cardiovascular center of medulla and pons
What are the higher brain centers responsible for BP regulation?
Cerebral cortex - established BP set point
Hypothalamus - relays info from cerebral cortex to medulla
How do barorecptors effect blood pressure?
Function as stretch receptors
Work only for short term regulation
Causes increased HR, Contractility, and CO if BP is low
Causes decreased HR, Contractility and CO if BP is high
How do chemoreceptors effect blood pressure?
Detect increase in CO2, drop in pH, or drop in O2
Increases CO and vasocontriction
What are the hormones that cause BP to increase?
Epinephrine and norepinephrine
Angiostensin II
High ADH levels
What hormone decreases BP?
Atrial natriuretic peptide
What are the receptors for Epi/norepinephrine?
Alpha 1 - vasocontriction in skin and veins
Beta 1 - Found in heart, increases HR
Beta 2 - Coronary arteries, skeletal muscle, vessels in lungs
- Causes vasodialation
How is long term blood pressure controlled?
All about maintaining fluid volume
What are the functions of angiotensin 2?
Stimulates aldosterone secretion
Causes ADH release
Triggers hypothalamic thirst center