semester 2 endocrine Flashcards

1
Q

what is energy metabolism like in a fasted state and what hormone controls it

A

catabolic, glucagon

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2
Q

what is energy metabolism like in a fed state and what hormone controls it

A

anabolic, insulin

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3
Q

anabolism

A

using chemical energy to build up macromolecules

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4
Q

catabolism

A

breaking down macromolecules to generate chemical energy

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5
Q

symptoms of hypoglycaemia

A
  1. dizziness
  2. hunger
  3. irritability
  4. headache
  5. tingly lips
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6
Q

what occurs due to counter-regulatory activity of SNS during hypoglycaemia

A

palpitation, tremors, sweating, anxiety

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7
Q

what happens due to glucose deficiency in the brain

A

loss of concentration, slurred speech, seizures, loss of consciousness, coma

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8
Q

what happens as a result of hyperglycaemia

A

increased vol and freq of urination, thirst, dehydration

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9
Q

what happens in acute hyperglycaemia

A

confusion, high temp, seizure and coma

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10
Q

what happens in chronic hyperglycaemia

A

long-term complications, nephropathy, retinopathy, neuropathy

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11
Q

another way of saying chronic hyperglycaemia

A

diabetes mellitus

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12
Q

what do metformin and pioglitazone do

A

improve insulin action, treats type 2 diabetes

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13
Q

what do sulphonylureas and incretin-based therapies do

A

promote insulin do, treat type 2 diabetes

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14
Q

what do SGLT-2 inhibitors do

A

decrease renal reabsorption of glucose

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15
Q

how is energy redirected in times of stress

A
  1. increase CV tone and ventilation
  2. increase glucose availablilty
  3. decrease energy-consuming activites
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16
Q

what are the 2 parts of the integrated stress response system

A

SNS, adrenaline and CRH-CTH-cortisol

17
Q

what does CRH-ACTH-cortisol do

A
  1. increase CO and ventilation
  2. diversion of blood flow to muscles and heart
  3. mobilisation of glycogen and fat stores
18
Q

metabolic actions of cortisol

A

build up glycogen stores

19
Q

what happens if there is elevated cortisol levels for a prolonged period of time in chronic stress situations

A
  1. muscle wasting
  2. hyperglycaemia
  3. GI ulcers
  4. impaired immune response
20
Q

2 adrenal disorders

A

cushings syndrome, addisons disease

21
Q
A