Larry Flashcards

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1
Q

what is linear growth

A

increased in the height of an organism and lenght of arms and legs

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2
Q

what is body mass growth

A

increase in soft tissue resulting in increase in weight

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3
Q

what is the main influence related to body mass

A

energy intake vs energy expenditure

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4
Q

what kind of cells in the anterior pituitary does ghrh activate

A

somatotroph

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5
Q

what is the hormone that is used for negative feedback of gh

A

insulin like growth factor

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6
Q

name target tissues of insulin like growth factor

A

liver, skeletal muscle

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7
Q

growth hormone release is usually released during what times

A

during feeding times , it is stiumulated by the release of ghrelin from the stromach

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8
Q

is growth hormone usually increased or decreased in gastric bypass pts

A

depressed!

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9
Q

what are pre puberty growth hormone levels like

A

they are very high after puberty the levels will drop

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10
Q

why is there decreased growth hormone in adults

A

there is smaller PULSE WIDTH & AMPLITUDE rather than a decrease in the number of pulses

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11
Q

what 3 amnio acids increase the release of growth hormone

A

phenylalanine, leucine and arginine

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12
Q

what is the most important effect of growth hormone

A

stimulation of longitidinal bone growth

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13
Q

what 2 things are stimulated in longitudinal bone growth

A

osteoblasts

chondrocytes

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14
Q

how does growth horome increase muscle mass

A

growth hormone causes release of IGF which stimulates amino acid uptake into muscle cells which leads to protein production and muscle growth

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15
Q

how can liver dysfunction affect longitudinal growth

A

IGF is produced in the liver, so if there is dysfunction of linear growth

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16
Q

cretinism is caused by what

A

fetal hypothyroidism

17
Q

does fetal hypothyroidism affect birth weight

A

no it caused mental retardation

18
Q

what are the sx of acquired hypothyroidism

A

reduce bone advancement but it wont cause mental retardation

19
Q

what does hypersecretion of growth hormone cause in pre puberty children

A

gigantism

20
Q

Is IGF higher before or after puberty

A

before. as growth hormone levels reduce, so do IGF levels

21
Q

describe the effect of increased growth hormone in adults and pre puberty kids

A
gigantism = kids 
acromegaly  = adults
22
Q

describe the glucose and insulin status of people with acromegaly

A

insulin resistance

glucose intolerance

23
Q

do pts with growth hormone have increased or decreased liploysis

A

increased

24
Q

does protein synthesis increase or decrease with acromegaly

A

increase

25
Q

what can cause dwarfism

A

hyposecretion of growth hormone

26
Q

whats the problem with african pigmes

A

failure to generate IGF-1 in the liver

27
Q

what causes laron dwarism

A

growth hormone receptor deficincy

28
Q

what are the causes of too much and too little thyroid hormone in kids

A

too much = NO EXCESSIVE GROWTH

too little = stunted growth

29
Q

what is cortisols effect on growth hormone releasing hormone

A

it inhibits the release of growth hormone releasing hormone

30
Q

do estrogen and testosterone have a role pre puberty

A

no