Hypothalamic and Pituitary Hormones Flashcards

1
Q

pulsatile release of GnRH will cause _______

A

stimulates the release of LH and FSH (must be PULSATILE)_

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2
Q

sustained NONpulsatile GnRH release will _____ FSH and LH release

A

inhibit; (leads to hypogonadism)

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3
Q

______ (drug) is a diagnostic tool for differentiating between primary adrenal insufficiency (Addison’s) and secondary adrenal insufficiency (inadequate ACTH production)

A

corticotropin/cosyntropin

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4
Q

oxytocin acts on GPCR’s that stimulates the release of ______ and _____ that augment uterine contractions

A

prostaglandins and leukotrienes

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5
Q

menotropins are purified extract of FSH and LH from what type of women

A

post menopausal women

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6
Q

FSH/LH is important for spermatogenesis and the conversion of testosterone to estrogen

A

FSH

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7
Q

what are two clinical applications for the use of bromocriptine/cabergoline?

A
  • both are dopamine agaonists
  • treat hyperprolactinemia
  • treat acromegaly
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8
Q

V__ subtype of the ADH receptor is found on the vascular smooth muscles and cause Vascoconstrictoin

A

V1

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9
Q

mecasermin is a ______ analog

A

IGF-1 (insulin like growth factor 1)

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10
Q

which of the dopamine agonists (bromocriptine and cabergoline) have the longer half life

A

cabergoline

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11
Q

vasopressin/desmopressin is given to treat esophageal farcical bleeding

A

vasopressin

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12
Q

what are some AE of gonadorelin?

GnRH receptor agonists

A
  • generalized HS

- sudden pituitary apoplexy (bleeding into/impaired blood supply at pituitary gland) and blindness

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13
Q

which subtype of the ADH receptor is found on the renal tubules?

A

V2

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14
Q

vasopressin/desmopressin is given for the coagulopathy treatment of Hemophilia A and Vw disease

A

desmopressin;

Desmopressin also stimulates release of von Willebrand factor from endothelial cells by acting on the V2 receptor.

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15
Q

which subtype of the receptor does desmopressin have the most effect?

A

V2; minimal V1 effects

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16
Q

oxytocin given via IM is used for _________

A

control of postpartum hemorrhage

17
Q

hCG extracted form (choriogonadropin α) is taken from what type of women

A

pregnant

18
Q

what type of drug is bromocriptine?

A

dopamine agonist

19
Q

corticotropin and cosyntropin act on ______ receptor

A

MC2R which then ↑ cAMP (G coupled protein)

20
Q

______ and ______ are GnRH receptor antagonists

A

cetrorelix and ganirelix

competitive antagonists

21
Q

what are the two adrenocorticotropic (ACTH) analogs?

A

corticotropin and cosyntropin but they have limited utility has therapeutic agents

22
Q

what drug is a GH receptor antagonist used to treat GH releasing tumors?

A

pegvisomant

23
Q

the effects of GH (somatotropin) effects are mediated by _____

A

IGF-1

24
Q

oxytocin give via ___ is used for initiation and augmentation of labor

A

IV

25
Q

_______ (drug) is given for SIADH and hyponatremia

A

conivaptan; it has a high affinity for V1 and V2 receptors and is an ANTAGONIST at them

26
Q

GnRH and analogs are more commonly used for the _______ of gonadotropin release

A

suppression

27
Q

what are some clinical situations that you would use a GnRH analog for suppression

A
  • uterine leiomyomata (fibroids)
  • prostate cancer
  • endometriosis
  • thinning of endometrial lining
28
Q

FSH/LH is a stimulus for the production of testosterone

A

LH

29
Q

what is the drawback of continuous GnRH analogs for suppression?

A

it initially starts with with agonist response: “flare” and then get inhibitor actions after 1 week

30
Q

GH meditates effects via cell surface receptors that activate the ________ signaling cascade

A

JAK/STAT (↑ gene expression of IGF-1)

31
Q

what kind of drug is octreotdie?

A

analog of somatostatin