Pituitary Flashcards

1
Q

What are the the two hormones secretes by the posterior pituitary gland

A

Vasopressin (ADH)

Oxytocin

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2
Q

What is the role and nuclei of vasopressin

A

Controls water secretion into the urine

Primarily from supraoptic nuclei

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3
Q

What is the role and nuclei of oxytocin

A

Expression of milk from the glands of the breast to the nipples - promotes onset of labour

Primarily from the paraventricular nuclei

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4
Q

What does caffeine and alcohol do to the control and release of vasopressin

A

Inhibitor

Less ADH secreted - water loss

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5
Q

What are positive feedbacks for the control of vasopressin release

A

High osmolality
Low blood volume

Nausea
Vomiting
Stress
Exercise

More ADH secreted = higher water retention

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6
Q

For osmolality is the size of the particle important

A

No

Number is important

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7
Q

What does drinking rapidly do to vasopressin release

A

Supresses vasopressin release and thirst

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8
Q

What happens to vasopressin release in pregnancy

A

Osmotic threshold for VP release and thirst is decreased

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9
Q

Does plasma vasopressin concentrations decrease or increase with age

A

Increases

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10
Q

What is the release and action of oxytocin

A

Release stimulated by milk suckling

Action
- stimulates milk let down
- stimulates contraction of myometrium (100x more potent than AVP)
- 200x less active at the V2 receptor compared to AVP

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11
Q

What produces positive feedback in oxytocin action

A

Suckling

Uterine contractions

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12
Q

What does the pituitary secrete hormones in response to

A

Signals from hypothalamus

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13
Q

What does the anterior pituitary secrete

A

ACTH

TSH

GH

LH

FSH

Prolactin

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14
Q

What is the hormone type and function of adrenocorticotrophic hormone (ACTH)

A

Polypeptide

Glucorticoid and adrenal androgen production

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15
Q

What is the hormone type and function of growth hormone (GH)

A

Polypeptide

Linear growth, CHO metabolism, bone mass

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16
Q

What is the hormone type and function of prolactin

A

Polypeptide

Lactation

17
Q

What connects the hypothalamus to the anterior pituitary

A

Hypothalamic-hypophyseal portal system

18
Q

What does the release of thyrotropin releasing hormone (TRH) for the hypothalamus, stimulate hormone release from the anterior pituitary

A

TSH - thyroid stimulating hormone

19
Q

What does the release of corticotropin releasing hormone (CRH) for the hypothalamus, stimulate hormone release from the anterior pituitary

A

Adrenocorticotrophic (ACTH)

20
Q

What does the release of gonadotropin releasing hormone from the hypothalamus release what hormone from the anterior pituitary

A

Follicle stimulating hormone (FSH)

Luteinising hormone (LH)

21
Q

What does the release of GH releasing hormone (GHRH) from the hypothalamus trigger the release of what hormone

A

Growth hormone (GH)

22
Q

What is the inhibatory hormone released from the hypothalamus for effect on growth hormone

A

Somatostatin

23
Q

What is the inhibitor for the release of prolactin from the anterior pituitary

24
Q

What is the only anterior pituitary hormone that does not have negative feedback

25
Describe ACTH - adrenocorticotropic hormone
Affects adrenal size - too much = big adrenal gland Regulates glucocorticoid synthesis - stimulates cortisol release - stimulates corticosteriod release - CRH stimulates ACTH release - negative feedback of cortisol on CRH and ACTH production
26
Describe growth hormone (GH)
Released throughout life Pulsatile Stimulates by low glucose, exercise, sleep Supressed by hyperglycaemia Effectors mediated by GH and IGF1
27
What are the actions of growth hormone
Linear growth in children Acquisition of bone mass Stimulates - protein synthesis - lipolysis (fat breakdown) - glucose metabolism Regulation of body composition Psychological well-being
28
Describe thyroid stimulating hormone (TSH)
Negative feedback loop between TSH and thyroxine
29
Describe LH and FSH (female axis)
LH stimulates sex hormone secretion FSH stimulates development of follicles Absence leads to infertility and hypogonadism
30
Describe prolactin
Synthesised in lactotrophs Regulation of PRL different to other anterior pituitary hormones Negative regulation by tonic release in inhibiting factor - dopamine
31
What is the role of prolactin
Essential for lactation Levels increase dramatically in pregnancy and during breast-feeding Inhibits gonadal activity through central suppression of GnRH