Pituitary-Hypothalamic Functional Relationship Flashcards

1
Q

What is the primary function of the hypothalamus in the endocrine system?
a) Producing all hormones in the body
b) Acting as a control center for homeostasis
c) Directly releasing hormonesx into the bloodstream
d) Storing hormones for later release

A

Answer: b) Acting as a control center for homeostasis

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2
Q

What structure connects the hypothalamus to the pituitary gland?
a) Sella turcica
b) Pituitary stalk
c) Intermediate lobe
d) Adenohypophysis

A

Answer: b) Pituitary stalk

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2
Q

Which part of the pituitary gland is also known as the neurohypophysis?
a) Anterior pituitary
b) Intermediate lobe
c) Posterior pituitary
d) Pituitary stalk

A

Answer: c) Posterior pituitary

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3
Q

The anterior pituitary receives regulatory signals through:
a) Direct nerve fibers from the hypothalamus
b) Portal blood vessels
c) Neurophysin proteins
d) Spinal cord pathways

A

Answer: b) Portal blood vessels

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3
Q

Which of the following hormones is released from the posterior pituitary?
a) Oxytocin
b) Growth hormone
c) Prolactin
d) Thyroid-stimulating hormone

A

Answer: a) Oxytocin

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4
Q

What triggers the release of hormones from the posterior pituitary?
a) Direct hormone synthesis by the pituitary
b) Action potentials in neurons from the hypothalamus
c) Blood vessel contractions
d) Direct stimulation by the adrenal gland

A

Answer: b) Action potentials in neurons from the hypothalamus

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5
Q

Apart from the pituitary, where else is prolactin produced?
a) Liver and kidneys
b) Hypothalamus, uterus, placenta, breast, and lymphocytes
c) Heart and lungs
d) Pancreas and intestines

A

Answer: b) Hypothalamus, uterus, placenta, breast, and lymphocytes

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5
Q

What is the primary function of hypothalamic-hypophysiotropic hormones?
a) They act on specific membrane receptors
b) They degrade pituitary hormones
c) They prevent hormone release from the pituitary gland
d) They only affect non-endocrine tissues

A

Answer: a) They act on specific membrane receptors

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5
Q

Which of the following statements about prolactin (PRL) is true?
a) PRL is structurally unrelated to growth hormone (GH)
b) PRL receptors utilize the JAK/STAT signaling pathway
c) PRL secretion is primarily stimulated by dopamine
d) PRL is always bound to serum proteins

A

Answer: b) PRL receptors utilize the JAK/STAT signaling pathway

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6
Q

What is a key role of hypothalamic-hypophysiotropic hormones?
a) They regulate their own receptors
b) They inhibit all pituitary hormone secretion
c) They function exclusively in the immune system
d) They act on intracellular receptors only

A

Answer: a) They regulate their own receptors

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7
Q

The hypothalamo-hypophysial portal system primarily connects:
a) The hypothalamus and posterior pituitary
b) The hypothalamus and anterior pituitary
c) The adrenal gland and pituitary gland
d) The pancreas and hypothalamus

A

Answer: b) The hypothalamus and anterior pituitary

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8
Q

Which neurotransmitter is the primary inhibitor of prolactin secretion?
a) Serotonin
b) Dopamine
c) Acetylcholine
d) Glutamate

A

Answer: b) Dopamine

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9
Q

Which of the following factors increases prolactin secretion?
a) Somatostatin
b) Dopamine
c) Breastfeeding and exercise
d) High cortisol levels

A

Answer: c) Breastfeeding and exercise

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10
Q

How does estradiol modulate prolactin (PRL) release?
a) Increases sensitivity of lactotrophs to TRH
b) Increases sensitivity of lactotrophs to dopamine
c) Blocks the JAK/STAT signaling pathway
d) Prevents prolactin from binding to its receptor

A

Answer: a) Increases sensitivity of lactotrophs to TRH

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10
Q

What is a key characteristic of prolactin (PRL) in circulation?
a) PRL is always bound to serum proteins
b) PRL circulates unbound to serum proteins
c) PRL requires a carrier protein for transport
d) PRL is stored in red blood cells before release

A

Answer: b) PRL circulates unbound to serum proteins

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11
Q

What is the primary effect of somatostatin on prolactin secretion?
a) It stimulates PRL release
b) It inhibits PRL secretion
c) It converts PRL into another hormone
d) It increases PRL receptor expression

A

Answer: b) It inhibits PRL secretion

12
Q

Which hormone is not a prolactin-releasing factor (PRF)?
a) Thyrotropin-releasing hormone (TRH)
b) Angiotensin II
c) Substance P
d) Cortisol

A

Answer: d) Cortisol

12
Q

What effect does stress have on prolactin secretion?
a) It dramatically increases PRL secretion
b) It decreases PRL secretion
c) It prevents PRL receptor activation
d) It has no effect on PRL levels

A

Answer: a) It dramatically increases PRL secretion

13
Q

What is the main effect of prolactin-releasing factors (PRFs)?
a) They inhibit PRL secretion
b) They increase PRL secretion
c) They block dopamine receptors
d) They bind to serum proteins to transport PRL

A

Answer: b) They increase PRL secretion

14
Q

What is the primary function of the hypothalamo-hypophysial portal system?
a) Transmits neural signals to the posterior pituitary
b) Provides blood flow from the hypothalamus to the anterior pituitary
c) Stores hormones for later secretion
d) Transports PRL from the pituitary to target organs

A

Answer: b) Provides blood flow from the hypothalamus to the anterior pituitary

15
Q

Which of the following is not an effect of prolactin on the mammary gland?
a) Growth and development of the mammary gland (mammogenesis)
b) Synthesis of milk (lactogenesis)
c) Maintenance of milk secretion (galactopoiesis)
d) Inhibition of milk production

A

Answer: d) Inhibition of milk production

15
Q

What is the primary role of prolactin in lactogenesis?
a) Inducing synthesis of milk components such as lactose, casein, and lipids
b) Suppressing milk production during pregnancy
c) Stimulating milk ejection from the mammary gland
d) Preventing lobuloalveolar growth

A

Answer: a) Inducing synthesis of milk components such as lactose, casein, and lipids

16
Q

What is the function of galactokinetic hormones in lactation?
a) Stimulating growth of mammary tissue
b) Promoting contraction of myoepithelial cells for milk ejection
c) Maintaining milk production after it has been established
d) Suppressing prolactin release

A

Answer: b) Promoting contraction of myoepithelial cells for milk ejection

17
Q

Why does lactation not occur during pregnancy despite high prolactin levels?
a) Low prolactin levels prevent milk production
b) Oxytocin inhibits the prolactin receptor
c) High progesterone levels downregulate prolactin receptors
d) Estrogen directly blocks milk synthesis

A

Answer: c) High progesterone levels downregulate prolactin receptors

18
Q

Which of the following describes prolactin’s role in maternal behavior?
a) It stimulates oxytocin release exclusively
b) It allows the development of maternal instinct
c) It suppresses stress hormones to enhance bonding
d) It only functions in milk production and has no behavioral effects

A

Answer: b) It allows the development of maternal instinct

18
Q

How does prolactin affect ovulation during breastfeeding?
a) It inhibits GnRH release, leading to lactational amenorrhea
b) It increases estrogen levels, promoting ovulation
c) It stimulates progesterone release to restart the menstrual cycle
d) It decreases dopamine secretion, enhancing ovulation

A

Answer: a) It inhibits GnRH release, leading to lactational amenorrhea

19
Q

What role does prolactin play in immune regulation?
a) It only functions in pregnancy-related immunity
b) It has no role in immune function
c) It regulates humoral and cellular immune responses
d) It only affects immune cells during lactation

A

Answer: c) It regulates humoral and cellular immune responses

20
Q

How can prolonged breastfeeding influence fertility?
a) It increases GnRH levels, leading to early ovulation
b) It stimulates estrogen production, enhancing fertility
c) It inhibits GnRH release, delaying ovulation
d) It has no effect on fertility

A

Answer: c) It inhibits GnRH release, delaying ovulation

21
Q

Which of the following is a function of galactopoietic hormones?
a) Promoting milk synthesis and initiation of lactation
b) Inducing lobuloalveolar growth in the mammary gland
c) Maintaining milk production after it has been established
d) Stimulating contraction of myoepithelial cells

A

Answer: c) Maintaining milk production after it has been established

22
Q

Which of the following is not a category of hormones affected by prolactin?
a) Mammogenic hormones
b) Lactogenic hormones
c) Galactokinetic hormones
d) Thyroid hormones

A

Answer: d) Thyroid hormones

23
Q

Why might breastfeeding be associated with reduced fertility?
a) Prolactin directly suppresses ovarian function
b) Prolactin inhibits GnRH release, preventing ovulation
c) Dopamine increases during breastfeeding, blocking estrogen production
d) Prolactin stimulates FSH, reducing ovarian follicle maturation

A

Answer: b) Prolactin inhibits GnRH release, preventing ovulation

23
Q

What is a key immune-related role of prolactin?
a) It suppresses all immune activity
b) It enhances both humoral and cellular immune responses
c) It only affects immunity during pregnancy
d) It prevents autoimmune diseases

A

Answer: b) It enhances both humoral and cellular immune responses