HPA Flashcards

1
Q

Corticotroph cells product and target organ

A

ACTH
adrenal glands
adipocytes
melanocytes

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2
Q

thyrotroph cells product and target organ

A

TSH
Thyroid gland

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3
Q

Gonadotroph cells product and target organ

A

LH, FSH
gonads

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4
Q

somatotroph cells products and target organ

A

all tissues
liver

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5
Q

lactotrophs prodcut and target organ

A

PRL
mammary gland

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6
Q

growth hormone

A

stimulates growth of skeletal epiphyseal plates and body to synthesize protein.

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7
Q

Precursor of GH is

A

Growth hormone releasing hormone (GHRH) from the hypothalamus.

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8
Q

what increases levels of GH?

A

energy deficient states like starvation, protein deficiency, hypoglycemia, low free fatty acid levels

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9
Q

indirect anabolic effect of GH

A

Acts on the liver to cause Insulin Growth Factor

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10
Q

Direct catabolic effect of GH

A

Hyperglycemia and lipolysis.

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11
Q

Fxns. of GH

A

Carbohydrate metabolism
Fat Metabolism
Protein metabolism

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12
Q

GH defficiency

A

dwarfism
acromegaly

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13
Q

Adrenocorticotropic hormone stimulates

A

adrenal cortex and secretion of glucocorticoids

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14
Q

Cortisol is a

A

glucocorticoid

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15
Q

ACTH is secreted from the anterior pituitary in response to

A

corticotrophin-releasing hormone (CRH) from the hypothalamus

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16
Q

CRH or corticotropin is released in response to

17
Q

CRH is inhibited by

A

glucocorticoids, part of a negative feedback loop

18
Q

ACTH acts on

A

steriodogenic tissue of the adrenal glands affecting carbohydrate and mineral metabolism

19
Q

Each adrenal gland is separated in 2 parts

A

adrenal cortex - outer
adrenal medulla - inner

20
Q

adrenal cortex secretes

A

corticosteroids

21
Q

corticosteroids are

A

lipid based steroid hormones

22
Q

corticosteroids are divided in 2 categories

A

mineralcorticoids
glucocorticoids

23
Q

name a mineralcorticoid

A

aldosterone

24
Q

name a glucocorticoid

25
Q

what does the adrenal medulla secrete ?

A

epinephrine and nor-epinephrine

26
Q

fxn. of mineralcorticoids

A

Na+, K+ and water homeostasis in blood and extracellular fluid

27
Q

fxn. of glucocorticoids

A

Glucose homeostasis and many other function

28
Q

cortisol

A

helps body deal with stressful situations
Regulates or supports a variety of important cardiovascular, metabolic, immunologic, and homeostatic functions, including water balance

29
Q

what happens to people that have adrenal insufficiency?

A

stress causes hypotension shock and death

30
Q

treatment for adrenal insufficiency

A

glucocorticoids supplementation

31
Q

Keeps blood glucose levels high enough to support brain’s activity
Forces other body cells to switch to fats and amino acids as energy sources
breaks down protein
Redirects circulating lymphocytes to lymphoid and peripheral tissues

32
Q

adrenal cortex charateristics

A

mainly glandular tissue
site of corticosteroid synthesis

33
Q

t/f Large quantities of cortisol can depress the immune system and cause an inflammatory response

34
Q

Hormonal stimulation of glucocorticoids is mediated via the

A

HPA axis (hypothalamic/pituitary/adrenal axis)

35
Q

Stress response steps

A

hypothalamus sends CRH to adenohypophysis
adenohypophysis secretes ACTH
ACTH is carried through blood stream to adrenal cortex and stimulates glucocorticoid secretion

36
Q

t/f the SNS can also stimulate glucocorticoid secretion

37
Q

fxn. of dehydroepiandrosterone DHEA

A

secreted by adrenal cortex
converted in peropheral tissues to testosterone and estrogen
unclear function related to stress

38
Q

site of corticosteroid synthesis

A

adrenal cortex

39
Q

steroid hormones are not

A

stored in cells
synthesis = secretion