Hypothalmic and Pituitary Hormones II Flashcards

1
Q

what are the gonadotropin analogues

A

Follitropin
Urofollitropin
hCG
Menotropins

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2
Q

hCG mimics what actions

A

actions of LH and is obtained from urine of pregnant women

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3
Q

main source of menotropins

A

urine of pregnant women

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4
Q

what is urofillitropin

A

highly purified FSH preparation

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5
Q

in women what is the purpose of FSH and LH

A

ovarian follicle development and ovarian steroidogenesis

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6
Q

what is the use of gonadotropins

A

used for those who are infertile to stimulate spermatogenesis in men and ovulation in women with anovulation that is secondary to hypogonadotropic hypogonadism

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7
Q

adverse effects of gonadotropins and hCG use in men and women

A

men - gynecomastia

women - ovarian hyperstimulation syndrome and multiple pregnancies

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8
Q

what are the ACTH analogues

A

Corticotropin (ACTH itself)

Cosyntropin (recombinant ACTH)

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9
Q

uses of ACTH analogues

A
  • diagnose suspect cases of adrenal insufficiency

- diagnose if insufficiency is primary or secondary

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10
Q

function of oxytocin

A

muscular contraction –> milk release during lactation and uterine contraction

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11
Q

mechanism of oxytocin

A

works via Gq and G11 –> IP3 and DAG –> increased Ca2+ –> stimulate release of prostaglandins and leukotrienes

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12
Q

used outside the united states to prevent pre term labor

A

Atosiban - oxytocin antagonist

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13
Q

when is Vasopressin released

A

falling BP or increased tonicity

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14
Q

mechanism of vasopressin

A
  • Gq: works on V1 receptor found on vascular SM and mediates vasoconstriction
  • Gs: works on V2 receptor on renal tubule cells and decreases diuresis via increased water permeability and resorption
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15
Q

what happens if ADH disrupted

A
  • excess ADH: SIADH

- deficient ADH: diabetes insipidus

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16
Q

what is used to treat diabetes insipidus

A
vasopressin
desmopressin (long acting vasopressin analogue)
17
Q

what else is vasopressin used to treat

A

Esophageal varices bleeding

Colonic Diverticular bleeding

18
Q

what else is desmopressin used to treat

A

Coagulopathy in Hemophilia A and von willebrand disease

19
Q

side effects of vasopressin and desmopressin

A

hyponatremia

seizures

20
Q

vasopressin antagonist and its mechanism

A

Conivaptan –> V1 and V2 receptor antagonist

21
Q

what is vasopressin antagonist used to treat

A

Conivaptan –> SIADH induced hyponatremia