Module 9.2 Adrenal Glands Flashcards

1
Q

The adrenal glands are the _____\_organs that reside above each of the _____\_

A

The adrenal glands are the endocrine organs that reside above each of the kidneys

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2
Q

Each adrenal gland is composed of the ______\_ and the ________.

A

Each adrenal gland is composed of the adrenal cortex and the adrenal medulla.

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3
Q

What are the three layers of the Adrenal Cortex?

A
  1. zona glomerulosa,
  2. zona fasciculata, and
  3. zona reticularis
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4
Q

The adrenal cortex is responsible for the secretion of the ________ hormones, all of which are derived from ________

A

The adrenal cortex is responsible for the secretion of the adrenocortical hormones, all of which are derived from cholesterol

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5
Q

What are the three classes of the adrenocortical hormones?

A
  1. mineralcorticoids,
  2. glucocorticoids, and
  3. sex hormones
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6
Q

The mineralcorticoids are secreted from the ________\_

A

The mineralcorticoids are secreted from the zona glomerulosa

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7
Q

The _______\_ are secreted from the zona glomerulosa

A

The mineralcorticoids are secreted from the zona glomerulosa

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8
Q

The glucocorticoids and the reproductive (sex) hormones are secreted both from the_________ and the ________

A

The glucocorticoids and the reproductive (sex) hormones are secreted both from the zona fasiculata and the zona reticularis

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9
Q

The ______\_and the _______\_ are secreted both from the zona fasiculata and the zona reticularis

A

The glucocorticoids and the reproductive (sex) hormones are secreted both from the zona fasiculata and the zona reticularis

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10
Q

The cells of each region of the adrenal cortex contain different _____\_ that enable the production of their respective hormones.

A

The cells of each region of the adrenal cortex contain different enzymes that enable the production of their respective hormones.

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11
Q

The primary mineralcorticoid produced by the adrenal cortex is _______

A

The primary mineralcorticoid produced by the adrenal cortex is aldosterone

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12
Q

Aldosterone acts primarily on the kidney to increase ________ reabsorption and ________ secretion

A

Aldosterone acts primarily on the kidney to increase sodium ion (Na+) reabsorption and potassium ion (K+) secretion

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13
Q

Aldosterone secretion is regulated by the ________ and by plasma concentrations of ____

A

Aldosterone secretion is regulated by the renin-angiotensin-aldosterone system (RAAS) and by plasma concentrations of K+

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14
Q

Primary hyperaldosteronism is referred to as ______\_and results from excessive production of ____\_ from the adrenal cortex

A

Primary hyperaldosteronism is referred to as Conn’s syndrome and results from excessive production of aldosterone from the adrenal cortex

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15
Q

Secondary hyperaldosteronism results from excessive stimulation of the _______, such as from continual stimulation of the ______.

A

Secondary hyperaldosteronism results from excessive stimulation of the adrenal cortex, such as from continual stimulation of the RAAS.

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16
Q

The primary glucocorticoid produced by the adrenal cortex is ____\_

A

The primary glucocorticoid produced by the adrenal cortex is cortisol

17
Q

Cortisol plays a key role in the body’s adaptations to _____, which include metabolic effects that are responsible for increasing plasma levels of _____, as well as _____, ________, and _______ effects

A

Cortisol plays a key role in the body’s adaptations to stress, which include metabolic effects that are responsible for increasing plasma levels of glucose, as well as sympathomimetic, anti-inflammatory, and immunosuppressive effects

18
Q

Secretion of cortisol is regulated by the _______-______-_______ pathway

A

Secretion of cortisol is regulated by the hypothalamus-anterior pituitary-adrenal cortex pathway, as shown in the diagram below.

19
Q

Cortisol hypersecretion is referred to as _______\_

A

Cortisol hypersecretion is referred to as Cushing’s syndrome

20
Q

Cushing’s syndrome can result from:

  • increased secretion of ______\_or of ______\_,
  • from ______\_ tumours or _________secreting tumours.
A

Cushing’s syndrome can result from:

  • increased secretion of corticotrophin-releasing hormone (CRH) or of adrenocorticotropic hormone (ACTH),
  • from cortisol-secreting tumours or _non-pituitary ACTH-_secreting tumours.
21
Q

The adrenal cortex produces both ____\_and ____\_ in small quantities in both males and females. However, the only reproductive hormone of physiological significance produced by the adrenal cortex is ________\_

A

The adrenal cortex produces both androgens and estrogens in small quantities in both males and females. However, the only reproductive hormone of physiological significance produced by the adrenal cortex is dehyroepiandrosterone (DHEA)

22
Q

In females, the sole source of androgens is the ______, whereas in adult males, the _______\_ supply an abundance of androgens

A

In females, the sole source of androgens is the adrenal cortex, whereas in adult males, the reproductive gonads supply an abundance of androgens

23
Q

In adult females, ____\_ is responsible for the androgen-dependent processes that occur, including body hair growth, the pubertal growth spurt, and the development and maintenance of the sex drive.

A

In adult females, DHEA is responsible for the androgen-dependent processes that occur, including body hair growth, the pubertal growth spurt, and the development and maintenance of the sex drive.

24
Q

Secretion of DHEA is regulated by ___________ in a manner similar to regulation of cortisol secretion

A

Secretion of DHEA is regulated by adrenocorticotropic hormone (ACTH) in a manner similar to ACTH regulation of cortisol secretion

25
In the feedback loop of DHEA regulation, DHEA inhibits _\_\_\_\_\_\_\_\_\_\_\__
In the feedback loop of DHEA regulation, DHEA inhibits _gonadotropin-releasing hormone (GnRH)_
26
Reproductive hormone hypersecretion is called _\_\_\_\_\_\_\_\_\__and commonly results from an _\_\_\_\_\_\__ defect in the _\_\_\_\_\_\__ pathway
Reproductive hormone hypersecretion is called _adrenogenital syndrome_ and commonly results from an _enzymatic_ defect in the _cortisol synthesis_ pathway
27
Hormonal interrelationships in adrenogenital syndrome: 1. the deficiency of a specific enzyme essential for _\_\_\_\_\__production by the _\_\_\_\_\__ inhibits cortisol secretion by the adrenal cortex. 2. This causes a lack of negative-feedback on the _\_\_\_\_\__and _\_\_\_\_\__ and results in elevated levels of _\_\_\_\_\__-releasing hormone (CRH) and _\_\_\_\_\__ hormone (ACTH). 3. In response to increased levels of ACTH, the adrenal cortex increases _\_\_\_\_\__ secretion. 4. Increased levels of androgens inhibit the _\_\_\_\_\__pathway and the production of _\_\_\__ hormones and _\_\_\_\_\__.
Hormonal interrelationships in adrenogenital syndrome: 1. the deficiency of a specific enzyme essential for _cortisol_ production by the _adrenal cortex_ inhibits cortisol secretion by the adrenal cortex. 2. This causes a lack of negative-feedback on the _hypothalamus_ and _anterior_ _pituitary_ and results in elevated levels of _corticotrophin_-releasing hormone (CRH) and _adrenocorticotropic_ hormone (ACTH). 3. In response to increased levels of ACTH, the adrenal cortex increases _androgen_ secretion. 4. Increased levels of androgens inhibit the _gonadotropin_ pathway and the production of _sex_ hormones and _gametes_.
28
Hyposecretion of the adrenal cortical hormones results only when activity of _\_\_\_\__of the _\_\_\_\_\_\__ is impaired
Hyposecretion of the adrenal cortical hormones results only when activity of _both_ of the _adrenal glands_ is impaired
29
_\_\_\_\_\_\_\_\_\_\_\__, also called Addison’s disease, involves an autoimmune-mediated destruction of all cortical layers
_Primary adrenocortical insufficiency_, also called Addison’s disease, involves an autoimmune-mediated destruction of all cortical layers
30
Primary adrenocortical insufficiency, also called Addison’s disease, involves an _\_\_\_\_\_\__-mediated _\_\_\_\_\_\__ of all _\_\_\_\_\_\_\__
Primary adrenocortical insufficiency, also called Addison’s disease, involves an _autoimmune_-mediated _destruction_ of all _cortical layers_
31
The most serious physiological consequence of Primary adrenocortical insufficiencyis the deficiency of _\_\_\_\_\__, which results in _\_\_\_\_\__, leading to cardiac _\_\_\_\_\__, and _\_\_\_\_\__, leading to _\_\_\_\_\__
The most serious physiological consequence of Primary adrenocortical insufficiencyis the deficiency of _aldosterone_, which results in _hyperkalemia_, leading to cardiac _arrhythmias_, and _hyponatremia_, leading to _hypotension_
32
Secondary adrenocortical insufficiency results from decreased _\_\_\__secretion and affects adrenal cortex secretion of both _\_\_\__ and _\_\_\_\_\_\_,_ leading to an impaired _\_\_\__response and _\_\_\_\_\_\__.
Secondary adrenocortical insufficiency results from decreased _ACTH_ secretion and affects adrenal cortex secretion of both _cortisol_ and _reproductive hormones,_ leading to an impaired _stress_ response and _hypoglycemia_.
33
The adrenal medulla is a modified part of the _\_\_\_\_\_\_\_\_\_\_\__
The adrenal medulla is a modified part of the _sympathetic nervous system_
34
In response to an increase in sympathetic nervous system activity, the secretory cells release _\_\_\_\_\_\_\_\__
In response to an increase in sympathetic nervous system activity, the secretory cells release _catecholamines_
35
catecholamines consist of about 80% \_\_\_\_\_\_\_, about 20% \_\_\_\_\_\_\_, and less than 1% \_\_\_\_\_\_
catecholamines consist of about 80% _epinephrine_, about 20% _norepinephrine_, and less than 1% _dopamine_
36
Epinephrine mimics the actions of the ___________ and plays an important role in mediating the __________ response.
Epinephrine mimics the actions of the _sympathetic nervous system_ and plays an important role in mediating the _“fight-or-flight”_ response.
37
Epinephrine is important for * maintaining _\_\_\_\_\_\_\__, * increasing plasma concentrations of _\_\_\_\_\_\_\__, * increasing the _\_\_\_\_\_\_\__, and * stimulating the _\_\_\_\_\_\_\__
Epinephrine is important for * maintaining _arterial blood pressure_, * increasing plasma concentrations of _glucose_, * increasing the _metabolic rate_, and * stimulating the _central nervous system_