Overview Of The Endocrine System Flashcards

1
Q

What is a hormone

A

A hormone is a substance secreted directly into the blood by specialised cells which bind to specific receptors in target cells to influence a cellular response

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2
Q

What are the endocrine glands found within the body

A

Hypothalamus
Pituitary
Thyroid
Parathyroid
Adrenals
Pancreas
Ovaries
Testes

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3
Q

What else within our bodies can be classed as an endocrine organs

A

Heart
Liver
Intestines
Fat
Kidneys
Skin

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4
Q

What are the 3 different types of hormones

A

Steroid
Peptides
Thyroid hormones

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5
Q

What are steroid hormones synthesised from

A

Cholesterol

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6
Q

What are catecholamines synthesised from

A

Tyrosine

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7
Q

How do hormones exert their effect

A

They bind to cell surface and intracellular receptors

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8
Q

What is the basic action of a thyroid hromone

A

Basal metabolic rate and growth

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9
Q

What is the basic action of the parathyroid hormone

A

Ca2+ regulation

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10
Q

What is the basic action of cortisol

A

Glucose regulation and inflammation

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11
Q

What is the basic action of aldosterone

A

Blood pressure and Na+ regulation

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12
Q

What is the basic action of catecholamines

A

Blood pressure and stress

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13
Q

What is the basic action of oestradiol

A

Menstruation and femininity

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14
Q

What is the basic action of testosterone

A

Sexual function and masculinity

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15
Q

What is the basic action of insulin

A

Glucose regulation

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16
Q

What is the basic action of ANP

A

Na+ regulation

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17
Q

What is the basic function of vitamin D

A

Ca2+ Regulation

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18
Q

How are hormone levels measured

A

Bioassays
Immunoassays
Mass spectrometry

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19
Q

What is the most important endocrine organ

A

The pituitary gland

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20
Q

What hormones are secreted by the anterior pituitary

A

ACTH - regulation of adrenal cortex
TSH - thyroid hormone regulation
GH - growth hormone
LH/FSH - reproductive control
PRL - Breast milk production

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21
Q

What hormones are secreted by the posterior pituitary

A

ADH - water regulation
Oxytocin - breast milk expression

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22
Q

What are example of endocrinological disorders

A

Thyrotoxicosis
Cushing’s disease
Acromegaly

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23
Q

What are Avaliable treatments for thyrotoxicosis

A

Destruction of thyroid tissue using radioiodine
Anti thyroid drugs to stop hormone synthesis
Partial surgical ablation of thyroid

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24
Q

What drugs can be used to treat functioning pituitary tumours

A

Somatostatin analogues
Dopamine agonists
GH receptor antagonists

25
What is a type of steroid hormone
Cortisol
26
What is an example of a peptide hormone
Insulin
27
Hat is an example of a thyroid hormone
Thyroxine
28
Which endocrine gland is the main regulator for metabolism
Thyroid gland
29
What does high levels of thyroid hormones such as T3 and T4 cause
They cause metabolic pathways and metabolic processes to occur more frequently and faster
30
What metabolic processes are increased by thyroid hormones
Basal metabolic rate Gluconeogenesis Glycogenolysis Lipogenesis Thermogenesis
31
What are the 6 steps involved in the synthesis of thyroid hormones
Active transport of iodide into the follicular cells via a sodium-iodide symporter Thyroglobulin is a large protein rich in thyrosine is formed in the follicular ribosome Exocytosis of the thyroglobulin into the follicle lumen where it is stored as colloid Iodination of the thyroglobulin to produce MIT and DIT Coupling of MIT and DIT = T3 hormone and coupling of DIT and DIT = T4 hormone Endocytosis of iodinated thyroglobulin back into follicular cell and free T3 and T4 released
32
How are Thyroid hormones carried
They are carried by plasma proteins
33
How are T3 and T4 deactivated and where does this happen
They are deactivated by removing the iodine and is done in the liver and kidneys
34
Why are thyroid hormones released
Thyroid hormones are released due to the hypothalamus detecting low plasma concentration if thyroid hormones which stimulates the release of TRH into the hypophyseal portal system. TRH binds to cells in the anterior pituitary gland stimulating the release of TSH into the systemic circulation. TSH then binds to cells off the membrane of the thyroid follicular cells inducing the synthesis of thyroid hormones
35
What is goitre
Enlarged thyroid
36
What is hyperthyroidism
The thyroid is overactive
37
What can caused hyperthyroidism
Graves’ disease- an autoimmune disease where antibodies are produced that stimulate TSH receptors
38
What is hypothyroidism
They thyroid is under active
39
What can cause hypothyroidism
Hashimotos disease- an autoimmune disease where thyroid follicles are destroyed
40
What are the main 3 actions of parathyroid hormone
All 3 actions act to increase the calcium levels in the body Increased bone resorption Increased reabsorption in the kidneys Vitamin D synthesis
41
How is parathyroid hormone regulated
It is controlled by a negative feedback loop Chief cells have a unique G-protein calcium receptor on their cut face which can regulate the hormone When calcium is elevated PTH production must stop to prevent further elevation of calcium which could lead to hypercalcaemia, to do this calcium binds to the G protein and stimulated the production of phosphoinositide which prevents any more secretion of PTH and so calcium is deposited into the bones When calcium is reduced the reverse happens
42
What are the different types of hyperparathyroidism
Primary - direct alterations to the parathyroid gland like a benign tumour Secondary - elevated PTH due to reduced calcium levels due to chronic renal failure or decreased vit D intake Tertiary - prolonged secondary Malignant - caused by some tumours such as bronchial squamous cell carcinomas
43
What cells are responsible for producing glucagon
Alpha cells in the pancreas
44
What cells are responsible for producing insulin and amylin
Beta cells of the pancreas
45
What cells are responsible for productions somatostatin
Delta cells in the pancreas
46
What cells are responsible for producing pancreatic polypeptide
Gamma cells in the pancreas
47
What cells are responsible for producing ghrelin
Epsilon cells in the pancreas
48
What type of hormones do the pancreas produce
Polypeptide hormones
49
What is the function of insulin
Decrease blood glucose
50
What is the function of amylin
Slows gastric emptying to prevent spikes in blood glucose
51
What is the function of glucagon
Increase blood glucose
52
What is the function of somatostatin
Regulates islet cells secretion of other hromones
53
What is the function of pancreatic polypeptide
GI function
54
What is the function of Ghrelin
Increase in appetite
55
Where is oxytocin released from
Posterior pituitary gland
56
What is the main function of oxytocin
Regulation of lactation and control of the uterine contractions in labour
57
What are the 2 posterior pituitary hormones
Oxytocin and ADH
58
What is the main function of ADH
Increases plasma osmolarity