Puberty and the HPG axis Flashcards

1
Q

what is precocious puberty

A

puberty before the age of 8

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2
Q

why might precocious puberty be stimulated by meningitis

A

as menignitis infers with the pulsating release of GnRH, disrupting the axis

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3
Q

will individuals who have had precocious puberty be taller or shorter and why

A

shorter - as their epiphyseal growth plates will close sooner

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4
Q

what scale is used to asses points of puberty

A

tanner scale

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5
Q

define puberty

A

a stage of human development when sexual maturation and growth are completed and result in the ability to reproduce

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6
Q

the secretion of what hormone from the pineal gland assists in puberty

A

melatonin

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7
Q

what role does leptin play in puberty

A

leptin determines when the child (particularly girls) have enough adipose tissue to sustain reproductive life

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8
Q

what is the critical weight for girls to enter puberty

A

47kg

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9
Q

what can cause precocious puberty

A

Brain injury, hydrocephalus, meningitis, congenital adrenal hyperplasia, pituitary tumour, pineal tumour

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10
Q

when does puberty begin in girls

A

9-13

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11
Q

what is aromatase

A

an enzyme which converts testosterone into oestrogen

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12
Q

what causes the closure of epiphyseal growth plates

A

oestrogen

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13
Q

when does puberty start in boys

A

10-14

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14
Q

what does HPG stand for

A

hypothalamo-pituitary-gonadal axis

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15
Q

what hormone is released from the hypothalamus in the HPG axis

A

GnRH

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16
Q

what does GnRG stand for

A

gonadotrophin releasing hormone

17
Q

what causes the release of GnRH

A

leptin and photoperiod

18
Q

in what pattern type if GnRH secreted

A

pulsatile pattern

19
Q

where does GnRH go

A

to the anterior pituitary gland to stimulate the release of hormones

20
Q

what hormones are released in response to GnRH

A

luteinising hormone and follicle stimulating hormone

21
Q

how is the HPG axis controlled

A

though positive and negative feedback

22
Q

when do LH secretions increases

A

during sleep

23
Q

in males what does LH do

A

stimulates leading cells to produce testosterone

24
Q

in males what does FSH do

A

stimulates Sertoli cells to help mature sperm cells and release inhibin

25
Q

what does inhibin do

A

causes a negative feedback loop to FSH

26
Q

why dos Sertoli cells have tight junctions

A

to prevent sperm from entering the blood stream as they have different antigens so are seen as foreign

27
Q

in females where does LH go

A

goes to the theca interna cells

28
Q

in females where does FSH go

A

granulose cells

29
Q

what negative feedback occurs in the female HPG axis

A

normal oestrogen levels give negative feedback to the hypothalamus
inhibin gives negative feedback to FSH

30
Q

what cells in females produce inhibin

A

granulose cells

31
Q

describe the positive feedback occurring in the female HPG axis

A

high levels of oestrogen send positive feedback signals to the hypothalamus causing a LH surge