Hypothalamus / Pituitary Flashcards

1
Q

The sella turcica houses _

A

The pituitary

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2
Q

The pituitary has 3 lobes. Which is not found in adults?

A

Anterior, Intermediate, Posterior

Intermediate

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3
Q

The superior hypophyseal artery connects _ with _. The specific branch making this connection is _

A

Portal system connecting anterior pit with hypothalamus.

Trabecular artery

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4
Q

What is the significance of the median eminence?

A

It is a location where hypothalamic hormones are released into the portal system connecting the hypothalamus and pituitary

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5
Q

The blood supply to the posterior lobe of the pituitary is _. What 2 hormones are secreted from nerve terminals in the posterior pit.? Where are they made?

A

Inferior hypophyseal artery
ADH and oxytosin
Hypothalamus

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6
Q
There are 5 trophic hormones released from the anterior pit. What are the cell types that produce these hormones? 
hGH
ACTH
TSH
LH/FSH
Prolactin
A
hGH - Somatroph
ACTH - Corticotroph
TSH - Thyrotroph
LH/FSH - Gonadotroph
Prolactin - Mammotroph
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7
Q

Dopamine is the same as _

A

Prolactin inhibitory factor

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8
Q

The most common tumor of the aterior pituiary is _. What is the effect? How can it affect males?

A

Prolactinoma - too much prolactin secretion, can block LH/FSH in males, leading to infertility

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9
Q

The only tonically inhibited anterior pit. hormone is _

A

Prolactin

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10
Q

Released in pulses, act on membrane receptors, stimulate release / sythesis of hormone, cause target glycosylation. These are characteristics of _

A

The hypothalamic releasing hormones

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11
Q

What mediates the ultrashort loop, short loop and long loop feedback?

A

Ultra - the releasing hormone itself
Short - the Pituitary product
Long - The product of the target cell

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12
Q

Increased protein synthesis, decreased utilization of glucose, increased lipolysis are all effects of _

A

hGH

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13
Q

The growth promoting effect of GH are mediated by _, AKA _

A

IGF-1

Somatomedin C

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14
Q

GH directly acts on _ (2) Most other effects are mediated via _

A

Adipose, Muscle

IGF1

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15
Q

The GH receptor requres _(#) molecules of GH to bind, leading to _. Its activation leads to activation of _

A

2
Dimerization
STAT

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16
Q

GH is pro-protein synthesis, therefore it _ [increase/decrease] AA transport into the cell.

17
Q

GH [ncreases / decreases] lipolysis. It can therefore contribute to insulin resistance

18
Q

GH can cause hyperglycemia via to mechanisms. They are _

A

Increase gluconeogenesis in the liver

Decreased glucose uptake by insulin sensitive cell

19
Q

Pituitary diabetes is _

A

Increased blood glucose from GH

20
Q

Inadequate / no production of insulin from B cells can lead to _

A

Type 1 diabetes mellitus

21
Q

What is the effect of GH on bones?

A

Stimulates the lengthening of long bones

Stimulates the thickening of non-long bones (jaw, skull)

22
Q

The growth promoting effects of GH are mediated via _

A

IGF-1 / somatomedin

23
Q

Of the 3 types of feedback loops, GH is inhibited by _

24
Q

Somatostatin [promotes/inhibits] GH

Ghrelin (GHRP) [promotes/inhibits] GH

A

Inhibits

Promotes

25
To treat a child with dwarfism, you can use bovine or porcine GH, true or false
False. Need human GH
26
What is panhypopituitarism?
Decreased secretion of all anterior pit. hormones
27
How would you treat gigantism? What would you expect to see in a gigantism patient regarding circulating sugar levels?
Somatostatin analogue | Increased (pituitary diabetes)
28
ADH is made in what hypothalamic nuclei? What is its major effect? What is the molecular mechanism
Supraoptic Increased collecting duct permeability to water Increased phospho-Aqp2 to membrane
29
High concentrations of ADH acts as _. Too little secretion of ADH leads to _
Potent vasocontrictor | DIabetes insipidus
30
Oxytosin is synthesized in what hypothalamic nucleus? Primary function is _? Secondary role during childbirth?
Paraventricular Milk leftdown reflex Uterine contraction
31
In males, oxytosin in produced in _. Its major function is _
testis, epidydimis and prostate | Stimulates contractions to aid sperm release from reproductive tract