Male Phys Flashcards

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1
Q

describe the secretion of GnRH

A
  • released in median eminence of hypothalamus
  • secreted for a few minutes every 1-3 hours
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2
Q

describe the cell signaling pathway of GnRH

A
  • IP3 and DAG increases Ca which causes exocytosis of LH/FSH
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3
Q

describe the cell signaling pathway of LH

A
  • binds to Leydig cells receptors to increase cAMP
  • increases DNA transcription to produce testosterone from cholesterol
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4
Q

describe the cell signaling of FSH

A
  • binds to Sertoli cells receptors to increase cAMP
  • causes increase in DNA transcription of:
    • inhibin
    • aromatase
    • androgen binding protein
    • GFs
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5
Q

describe the function of ABP

A
  • helps maintain high levels of local concentrations of testosterone to help keep sperm viable
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6
Q

describe the cell signaling pathway of testosterone

A
  • binds to intracellular receptor (it’s a steroid)
  • testosterone is converted into DHT (via 5 alpha reductase)
  • DHT binds to receptor and causes modulation of gene expression
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7
Q

describe the function of testosterone in the fetus

A
  • forms penis and scrotum
  • accessory organs
  • testicular descent
  • female suppression
    • if testosterone levels low, female genitalia may be present
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8
Q

describe the function of testosterone in adults

A
  • promotes long bone fusion
  • increases BMR
  • increase in RBC mass
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9
Q

describe the secondary sexual characteristics caused by testosterone in adult males

A
  • deposition of protein
  • increase in muscle mass
  • increase in strength and size of bones
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10
Q

how does testosterone travel and how is it metabolized

A
  • travels bound (~97%) to:
    • sex-hormone binding globulin
    • albumin
  • free testosterone is coverted into the more active form by 5-alpha reductase into DHT
  • it is broken down in the liver and excreted by the kidneys
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11
Q

describe feedback mechanisms of LH and FSH

A
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12
Q

describe the formation of the ejaculate

A
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13
Q

describe the mechanism of an erection

A
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14
Q
A
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15
Q
A
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16
Q

describe how Viagra/Cialis function

A
  • NO increases cGMP levels
  • Phosphodiesterase (PDE) degrades cGMP
    • ED drugs inhibit PDE to inhibit cGMP degradation
17
Q

describe effects of hypogonadism

A
  • non-functional testes in fetus
    • leads to development of female sex organs
  • loss of testes pre-puberty
    • maintain inftantile sex organs
    • bones less strong but longer
18
Q

describe adiposogenital syndrome

A
  • inability of hypothalamus to secrete enough GnRH
    • also effects feeding center of hypothalamus
  • obese and hypogonadism