The Pituitary Gland and the Hypothalamus Flashcards

1
Q

what is the name given to the depression in the skull where the pituitary gland sits?

A

sella turcica

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2
Q

in the body of which cranial bone does the pituitary gland sit?

A

sphenoid bone

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3
Q

identify structures 1-5

A
  1. hypothalamus
  2. pituitary gland
  3. optic chiasma
  4. thalamus
  5. sphenoid air sinus
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4
Q

Clinical: Enlargement of the pituitary gland in disease often impinges on the crossing fibres of the optic chiasm.
Which fibres from the optic nerve, nasal or temporal, cross over to the opposite side at the chiasm?

A

nasal fibres

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5
Q

What therefore would the resultant visual field defect be due to pituitary gland enlargement?

A

bitemporal hemianopia

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6
Q

what is the anterior pituitary gland also called?

A

pars anterior/adenohypophysis

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7
Q

what is the posterior pituitary gland also called?

A

pars nervosa/neurohypophysis

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8
Q
  1. identify which is anterior and which part is posterior
  2. label the pituitary stalk, anterior and posterior lobes
A
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9
Q

which is the larger of the two pituitary lobes?

A

anterior pituitary

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10
Q

which of the two pituitary lobes is glandular and manufactures numerous hormones?

A

anterior pituitary

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11
Q

what is the function of the posterior pituitary?

A

stores hormones coming from hypothalamus in synaptic terminals and releases them when required

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12
Q

label the anterior and posterior pituitary

A
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13
Q

Now look at the image below showing anterior pituitary under high power. Identify three types of cells: acidophilic (which stain pink), basophilic (which stain light purple) and chromophobic (which do not take up much stain and therefore appear pale). Can you see capillaries?

A
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14
Q

The posterior pituitary looks very different to the anterior pituitary (see image below). It contains non-myelinated axons which are the neurosecretory cells. The cell bodies of these cells are located in the hypothalamus.
What hormone(s) do these cells secrete?

A
  • ADH/vasopressin
  • oxytocin
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15
Q

what are the two types of acidophils found in the anterior pituitary called and what do they secrete?

A
  • somatotrophs > secrete GH
  • mammotrophs > secrete prolactin
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16
Q

what are the three types of basophils found in the anterior pituitary and what do they secrete?

A
  • corticotrophs > ACTH, MSH
  • thyrotrophs > TSH
  • gonadotrophs > FSH, LH
17
Q

what is the arterial blood supply of the hypothalamus and pituitary?

A
  • from branches of the internal carotid artery > the superior hypophysial artery and the inferior hypophysial artery.
  • superior hypophysial > hypothalamus and anterior pituitary
  • inferior hypophysial > posterior pituitary
18
Q

how does the hypothalamus communicate with the anterior pituitary?

A

hypothalamic-hypophyseal portal system

19
Q

how does the hypothalamus communicate with the posterior pituitary?

A

hypothalamic axons and nerve terminals

20
Q

venous drainage of hypothalamus and pituitary?

A

through hypophysial veins into the cavernous sinus