HPA Flashcards

1
Q

name so glucocorticoids

A

Hydrocortisone
Prednisolone
Dexamethasone

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2
Q

Hydrocortisone drug class

A

glucocorticoid nuclear receptor agonist

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3
Q

what receptor does Hydrocortisone bind to

A

cortisol

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4
Q

what happens when Hydrocortisone binds to its receptor

A

translocated to the nucleus and binds to glucocorticoid response elements

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5
Q

what does Hydrocortisone increase

A

the expression of certain genes

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6
Q

where are binds to glucocorticoid response elements

A

promotor region

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7
Q

commonly what do glucocorticoids increase the expression of

A

lipocortins

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8
Q

what do lipocortins do

A

inhibit phospholipase A2, thereby reducing arachidonic acid synthesis and production of inflammatory mediators

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9
Q

prednisolone target

A

Intracellular steroid receptors

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10
Q

what does prednisolone mimic

A

action of the endogenous mediator cortisol at steroid receptors

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11
Q

some side effects of prednisolone that you wouldnt expect

A

Steroid induced cataracts

Steroid induced psychosis

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12
Q

what might you prescribe alongside prednisolone

A

bisphosphonates

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13
Q

Fludrocortisone drug class

A

mineralocorticoid

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14
Q

what does Fludrocortisone bind to

A

mineralocorticoid receptor

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15
Q

Fludrocortisone actions

A

Increase in ion and water transport
Raising extracellular fluid volume and blood pressure
Lowering potassium levels.

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16
Q

what would you use Fludrocortisone to treat

17
Q

what is the mineralocorticoid receptor

A

aldosterone receptor

18
Q

what is Tetracosactide

A

synthetic ACTH

19
Q

what does Tetracosactide do

A

binds to ACTH receptors creating a rise in cortisol

20
Q

synthetic human gowth hormone

A

Somatropin

21
Q

Cabergoline drug class

A

dopamine agonist

22
Q

how does dopamine from the hypothalamus act on

A

acts on D2 receptors on the pituitary to decrease endocrine secretion

23
Q

testosterone ester

24
Q

how is Sustanon given

25
how is testosterone produced in men
in leydig cells in the testes in response to LH
26
where is testosterone produced in women
ovaries adrenals peripheral tissues
27
what is testosterone derived from in peripheral tissues in women
androstenedione
28
what does testosterone do in women
maintain libido