T1 L2 Intro to hypothalamic-pituitary axis Flashcards

1
Q

What is a consequence of an enlargement of the pituitary gland?

A

Presses on optic chasm leading to visual defects

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2
Q

Describe the location of the pituitary gland

A

Below the brain, encased in the skull

Hypothalamus is directly above

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3
Q

How is the pituitary gland connected to the brain?

A

Infundibulum

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4
Q

What is neurohypophysis?

A

Posterior pituitary

Down-growth from the brain

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5
Q

What does the neurohypophysis secrete?

A

ADH

Oxytocin

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6
Q

Where are ADH & oxytocin synthesised?

A

By neurons of the hypothalamus (supraoptic nuclei and paraventricular nucleus)

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7
Q

Describe the path of ADH and oxytocin to the posterior pituitary

A

Inactive hormones are transported from the supraoptic and paraventricular nuclei
Along hypothalamico-neurohypophyseal tract to the posterior pituitary for storage

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8
Q

What influences the secretion of ADH?

A

Plasma osmolarity

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9
Q

What occurs when v2 receptors are stimulated?

A

Translocation of aquaporins to membrane of kidney tubule leading to water reabsorption

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10
Q

What occurs when v1 receptors are stimulated?

A

Vasoconstriction

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11
Q

What is the consequence of a disorder of ADH secretion?

A

Disorders of fluid balance

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12
Q

When is oxytocin important?

A

During parturition & lactation

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13
Q

What is an increase oxytocinase activity important in early pregnancy?

A

The levels of oxytocin rise so it breaks down oxytocin to prevent parturition

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14
Q

Describe the effect of oxytocin during parturition

A

1) Acts on G-protein linked receptor to cause calcium influx.
2) Contraction of myometrium
3) Increased stimulation of stretch receptors in uterine wall
4) Expulsion of foetus
5) Stimulation of cervix & vagina
6) Oxytocin production

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15
Q

Describe the effect of oxytocin during lactation

A

1) Acts on G-protein linked receptor to cause calcium influx
2) Contraction of smooth muscle of myoepithelium
3) Milk let down
4) Suckling
5) Nipple stimulation
6) Oxytocin production

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16
Q

What hormones does the anterior pituitary gland secrete?

A
Growth hormone
Prolactin
TSH
ACTH
FSH
LH
17
Q

What cells synthesise TSH?

A

Thyrotrophe cells

18
Q

What cells synthesis ACTH?

A

Corticotrophe cells

19
Q

What cells synthesise FSH?

A

Gonadotrophe cells

20
Q

Why is the timing of diagnostic tests important?

A

Diurnal rhythm

21
Q

Describe the steps for diagnosis

A

Signs & symptoms
Biochemical tests
Imaging
Visual field tests

22
Q

Where is prolactin synthesised?

A

Lactotrophe cells of anterior pituitary

23
Q

What does prolactin release inhibiting factor (dopamine) do?

A

Allows hypothalamic control of prolactin secretion

24
Q

What stimulates prolactin synthesis?

A

TRH

25
Q

What does prolactin do to fertility?

A

inhibits fertility

26
Q

What stimulates prolactin secretion?

A

Mild stress
Nipple stimulation
Coitus

27
Q

What are the roles of prolactin?

A

Promote lactation
Development of breast tissue
Excess causes infertility in males and females

28
Q

What controls the secretion of growth hormone?

A

The hypothalamus via GHRH and GHRIH

29
Q

What is GHRIH?

A

Growth hormone release inhibiting hormone

30
Q

What stimulates secretion of growth hormone?

A

Decreased carbohydrates
Decreased fatty acids
Increased amino acids

31
Q

What is the role of growth hormone?

A

Promote linear growth of adolescence by increasing protein synthesis and collagen deposition
Foetal growth is relatively independent of GH
Tissue turnover and repair