LESSONS Flashcards

1
Q

The Thyroid Follicular Cells are derived from which Structure?

A

The Endoderm

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2
Q

What is the primary regulator of the Zona Glomerulosa?

A

Angiotensin II

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3
Q

Primary Hormone produced in the Zona
glomerulosa ?

A

Aldosterone

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4
Q

What Hormone class is made in the Zona Glomerulosa?

A

Mineralocorticoids

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5
Q

2 main Physiologic Functions of Oxytocin

A

To cause uterine contraction during labor.
Milk let down in response to Suckling.

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6
Q

Prolactin is structurally homologous o which hormone?

A

Growth hormone

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7
Q

What effect does the dopamine antagonist have on prolactin secretion?

A

It stimulates it which binds to the nuclear receptor with greater affinity t3 or t4

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8
Q

On which type of bone cell is the rank receptor located?

A

Osteoclasts

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9
Q

Where is prepro insulin Synthesized?

A

In the rough endoplasmic reticulum of the pancreatic beta cells

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10
Q

In which two structures is the Glut-5 transporter fund?

A

Spermatocytes
GI tract

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11
Q

What type of activity does the insulin receptor possess?

A

Tyrosine Kinase Activity

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12
Q

What effect does Cortisol have on gluconeogenesis?

A

It increases it

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13
Q

What effect does Cortisol have on Lipolysis?

A

It increases it

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14
Q

What effect does Cortisol have on Proteolysis?

A

It increases it

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15
Q

3 ways by which we can diagnose acromegaly

A

We can identify an increased serum IGF-I .
We can look at the oral glucose tolerance test that fails to suppress growth hormone.
We can look at the MRI which will demonstrate a pituitary mass.

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16
Q

Medullary Carcinoma comes from which type of cell?

A

The Parafollicular C Cells

17
Q

What is the state of hydration and serum osmolarity in the Hyperosmolar Hyperglycemic state?

A

Dehydration is present and there is an increase in serum Osmolality.

18
Q

Which type of cell does a carcinoid tumor arise?

A

Neuroendocrine Cell

19
Q

How does Sevelamer treat Hyperphosphatemia in Chronic Kidney disease?

A

It binds phosphate in the GI tract and prevents its absorption

20
Q

Which vitamin deficiency can develop in someone taking a biguanide?

A

Vitamin B12

21
Q

Recurrent Ulcers in the Jejunum or Duodenum despite treatment may indicate the presence of which syndrome?

A

Zollinger Ellison Syndrome

22
Q

The field Chromosatoma is derived from which type of cell?

A

Chromafin Cells which arise from the neural Crest

23
Q

Children under which age are most likely to develop the neuroblastoma?

A

Under 4 years of age

24
Q

The serum Osmolality in hyperosmolar hyperglycemic state is usually above which value?

A

320 milliosmoles per kilogram

25
Q

Non-enzymatic glycation of small vessels in diabetes leads to thickening of which part of vessel?

A

Basement Membrane

26
Q

Describe the level of calcium Phosphate and PTH in secondary hyperparathyroidism.

A

Calcium is decreased
Phosphate is increased
PTH is increased

27
Q

3 findings associated with hypoparathyroidism

A

Tetany
Hypocalcemia
Hyperphosphatemia

28
Q

An injury to the external branch of the superior laryngeal nerve is most likely to occur during ligation of which structure?

A

The superior thyroid vascular pedicle

29
Q

3 common findings that should make you think about subacute granulomatous thyroiditis

A

Increased ESR , Jaw pain , and tender thyroid

30
Q

Expected levels of HDL , IDL and total cholesterol in primary hyperthyroidism.

A

There is a decrease of all 3

31
Q

Most common cause of death in a child with gigantism.

A

Heart Failure

32
Q

A decrease in sex hormone-binding globulin in women can cause which physical side effect

A

Pursuitism

33
Q

What effect does fasting have on ghrelin production?

A

It increases it

34
Q

Which enzyme deficiency is the most common cause of congenital adrenal insufficiency?

A

21 Hydroxylase

35
Q

Name the 4 roles of Glucagon

A

It promotes Glycogenolysis, gluconeogenesis, lipolysis and ketogenesis

36
Q

What receptors in the heart does active thyroid hormone stimulate?

A

Beta 1 receptor

37
Q

Drug Choice for managing Central diabetes insipidus?

A

Desmopressin

38
Q

The posterior pituitary is derived from which cell type?

A

Neuroectoderm

39
Q

Which cell type is the anterior pituitary derived?

A

Oral Eectoderm