Hormonal Therapeutics Flashcards

1
Q

two hormones released by the posterior pituitary are

A

oxytocin and antidiuretic hormone

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2
Q

hormones can generally be classified as ____ or ____, based on where they bind

A

lipid-soluble (bind to targets inside cell) or water soluble (bind to cell surface targets)

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3
Q

eicosanoids (prostaglandins and related compounds; they are involved in intracellular signalling) are produced from _______

A

arachidonic acid

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4
Q

give 4 key points about hormones

A

synthesis depends on a variety of factors (age, repro status, sex, env factors); hormone secretion is not constant; signalling requires 3 key events; endocrine systems are controlled by feedback loops

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5
Q

the estrus cycle is controlled by (A) secretion from the hypothalamus, which acts locally on the pituitary to stimulate (B) secretion. (B) causes follicular maturation; as follicles mature they secrete (C) which eventually causes a (D) spike, triggering ovulation. give A, B, C, D.

A

GnRH; FSH; estrogen; LH

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6
Q

why bother synchronizing estrus in cattle? give at least 1 reason

A

estrus detection is hard; improves poor conception rates; synchronized carvings

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7
Q

what are 4 reproductive therapeutics used to manipulate the estrous cycle

A

GnRH, PGF2 alpha, progesterone, estrogen

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8
Q

PGF2 alpha promotes what and relaxes what?

A

promotes luteolysis and uterine contraction, relaxes cervix

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9
Q

PGF2 alpha can cause what 2 bad things in humans?

A

bronchospasm or miscarriage… wear gloves

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10
Q

what are 2 forms of hormonal therapeutic PGF2 alpha

A

dinoprost (naturally occurring prostaglandin, labelled for cattle, horses, swine) and cloprostenol (synthetic prostaglandin analogue, for cattle and swine).

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11
Q

gonadorelin and perforelin are synthetic ____ agonists and cause a surge-like release of FSH and LH; used to treat cystic ovaries and estrous sync in cattle

A

GnRH

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12
Q

_____ causes the behavioural effects of estrus and is not widely used in vet med due to human safety concerns

A

estrogen

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13
Q

give 2 forms of estrogen. which is natural and which is synthetic

A

estradiol cypionate ECP is natural. diethylstilbestrol DES is synthetic.

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14
Q

give at least 2 adverse effects of estrogen

A

uterine cancer, bone marrow suppression. also endometrial hyperplasia, SA lower seizure threshold, prolonged estrus, cyst development, cattle decreased lactation

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15
Q

the most commonly used hormone in theriogenology is ____. in cattle a form of this called ______ is inserted in the vagina for 7 days to start anestrus cows cycling

A

progesterone; CIDR controlled internal drug release

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16
Q

horses are _____ ______: anestrous in winter, cycling triggered by lengthening days in spring

A

seasonally polyestrous

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17
Q

cows are _______ ______estrous

A

aseasonally polyestrous

18
Q

why induce ovulation in mares

A

have 21 day cycle, willingness to show estrus varies, and ovulated egg only viable for 12 hours

19
Q

what 2 hormonal therapeutics can induce ovulation in mares

A

hCG human chorionic gonadotropin and deslorelin (synthetic GnRH analogue, not licensed for vet use in Canada)

20
Q

what is estrous manipulation much less common in SA than LA

A

side effects and unreliable

21
Q

what to give to maintain equine pregnancy

A

progesterone. common in high risk mares

22
Q

why induce parturition in cattle

A

more postpartum time before next breeding; reduce calf size and dystocia; prevent excessive udder edema, take adv of forage available for lactation

23
Q

what 2 drugs can be used to induce parturition in cattle

A

GCs eg. dexamethasone (mimic fetal cortisol surge), prostaglandin (similar results), or both combined (faster results). they are mimicking fetal stress.

24
Q

why is induction of parturition in horses rarely done

A

variable gestation lengths, rarely necessary. when done though, we use oxytocin

25
Q

retained fetal membranes are common in cattle. what are a couple of options to treat?

A

systemic antibiotics if fever, PGF2alpha, collagenase (super expensive, used rarely), or do nothing

26
Q

are retained fetal membranes more of an emergency in horses or cows

A

horses

27
Q

what non steroidal estrogen is used in Canada as a cattle growth promoting

A

zeranol

28
Q

what are 3 reasons to use hormonal growth promoters in beef cattle

A

increased feed efficiency, economic benefit, and leaner meat

29
Q

describe thyroid hormone synthesis briefly

A

ingested iodine taken up by thyroid gland and secreted into colloid as iodide, iodide binds to thyroglobulin tyrosine and then thyroid peroxidase couples these residues to create T3 or T4; when thyroid stimulated to secrete TH (by TSH) the thyroglobulin is endocytose and T4/T3 are released into circulation

30
Q

which has more biological activity, T3 or T4

A

T3

31
Q

hypothyroidism should lead to _____ TSH due to negative feedback loops, while hyperthyroidism should lead to ____ TSH, but in cats TSH assay may not be reliable so TSH testing is recommended when diagnosing disease

A

high; low

32
Q

___thyroidism is one of the most common diseases of middle-aged to older cats; 98% of these cases are due to benign thyroid hyperplasia

A

hyperthyroidism

33
Q

what drug is used to treat hyperthyroidism in cats

A

methimazole. it reduced the amount of T4 and T3 secreted, but it doesn’t affect T3 and T4 already in tissues or circulation. it takes effect over several weeks

34
Q

this thyroid drug is usually given orally, bioavailability is variable, half life 2-10 hours, metabolized in liver, and is capable of crossing placenta. when used, total T4 and CBC should be monitored every 3 weeks for 3 months, then total T4 at 3-6 month intervals

A

methimazole (used for hyperthyroid cats)

35
Q

what 4 things is diagnosis of hypothyroidism in dogs based on

A

total T4, free T4, TSH, C/S. note considerable overlap between normal T4 values and hypothyroid range.

36
Q

this thyroid drug has a large first pass effect, absorbed best on empty stomach, large percentage excreted in bile, bioavailability varies based on formulation, dosing 1-2x daily, and requires monitoring 1-2 month after starting treatment total T4 at plea and then recheck 2-4 weeks after any dosage change

A

levothyroxine (used for hypothyroid dogs)

37
Q

what is used to treat hypothyroidism in dogs? Is it a form of T3 or T4?

A

levothyroxine. L-T4, a synthetic T4

38
Q

MOA of insulin

A

bind to insulin receptor tyrosine kinase to induce translocation of GLUT4 (transporter) to cell membrane, promoting glucose uptake by cells

39
Q

normally, insulin is secreted by pancreatic beta cells in response to ____ (increased or decreased?) blood glucose concentrations. insulin causes _____ of glucose by cells, _____ glucose production by liver, and _____ glycogen production by liver. all has the effect of lowering blood glucose.

A

increased, uptake, suppresses, promotes

40
Q

what is major adverse effect of insulin

A

hypoglycaemia if too much insulin or inadequate food intake. can be life-threatening

41
Q

cats usually have type ___ diabetes, while dogs sully have type _

A

cats type II (insulin resistance causing pancreatic beta cell failure); dogs type I (primary destruction of the beta cells, often immune mediated)