4. Endocrinology + BioChem Flashcards

(53 cards)

1
Q

In terms of the structure of the pituitary glaand, the majority of lobes are?

anterior or posterior?

A

anterior (75%)

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2
Q

Adenohypophysis forms the Rathke’s pouche which is associated with what structure of the pituitary gland?

A

anterior

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3
Q

Down growth of the hypothalamus via Neurohypophysis is what structure of the pituitary gland?

A

posterior

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4
Q

What is the most common type of pituitary tumour?

A

Adenomas –> Prolactinoma

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5
Q

the thyroid is found on which vertebrae levels?

A

5 - 7th

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6
Q

The thyroid derives from what in terms of embryology?

A

Foregut

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7
Q

RET / NTRK1 / BRAF V600E mutations are associated with what in the thyroid

A

malignant tumour –> Papillary carcinoma

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8
Q

What type of nodule is present in follicular carcinoma (most common)

A

90% solitary nodule

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9
Q

What syndromes are associated with Hyperparathyrodism

A

MEN1 + MEN2 Syndrome

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10
Q

Secondary parathyrodism occurs in what?

A

Hyperplasia of glands with elevated PTH in response to HYPOCALCAEMIA

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11
Q

tertiaray parathyrodism occurs with what?

A

longstanding secondary hyperparathyroidism

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12
Q

Prolonged exposure of cortisol leads to what?

A

Cushings syndrome

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13
Q

Conn’s syndrome =

what releases aldosterone?

A

Hyperaldosteronism

Adrenal Cortex

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14
Q

Addisons disease =

A

primary adrenal cortical insufficiency

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15
Q

Most common cause of addisons diseasae

A

Auto immune

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16
Q

Phaechromocytoma

what does it affect

A

Catecholamine secreting tumour

adrenal medulla

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17
Q

What is phaeachromocytoma associated with? (syndrome)

A

MEN2a / MEN2b Syndrome

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18
Q

Cortical bone =

is it the majority of bone?

A

hard outer layer

yes = 80%

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19
Q

Trabecular bone =

A

inner spongy layer

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20
Q

TRAP + Cathepsin K + RANKL are associated with what enzyme

A

Osteoclasts

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21
Q

osteoclasts can be found where?

A

Bone pits

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22
Q

what 3 molecules are involved in the regulation of osteoclasts

A

PTH + Calcitonin + IL- 6

23
Q

Bisphosphonates can be used in what?

how does it work

A

Osteoporosis

Ingested by osteoclasts so they stop ingesting bone

24
Q

Lytic bone metastasis involves what?

A

Destruction of normal bone

25
Sclerotic bone metastasis involves what?
Deposition of new bone
26
Primary Hyperparathyroidism
Elevated PTH with high calcium
27
85% of PHPT are what?
Benign Adenomas
28
Pagets disease involves wht?
Rapid bone turnover + formation === abnormal bone remodelling
29
Osteomalacia =
Lack of mineralisation of bone
30
What is the childhood version of osteomalacia
Rickets
31
Main cause of osteomalacia
Lack of vit D to absorb Calcium
32
what is the predominant mineral in bone?
Hydroxyapatite
33
Calcium is generally found in what form
Ionised Free Ca2+ form
34
What is calcium generally bound to
Albumin
35
Phosphorus is generally found in what form
Organic
36
When is PTH released
Low Calcium
37
What receptor is involved in inhibiting PTH release
CaSR
38
Calcitonin
Inhibits bone resorption + opposes PTH
39
Oestrogen on Bone
Inhibits bone resorption
40
What is the main cause of hypermagnesaemia
Iatrogenic
41
What cells release somatostatin
D cells in pancreas
42
Role of somatostatin
prevents production of other hormones
43
The most common tumour of the islets of Langerhans
Insulinoma
44
Glycated haemoglobin
HbA1C
45
autoimmune process in the thyroid results in clinical hyperthyroidism and diffuse hyperplasia of the follicular epithelium?
Graves
46
Most accurate picture is to measure what type of calcium with a blood gas analyser?
Ionised
47
The commonest type of thyroid carcinoma is more common in females, can be secondary to radiation and can occur at quite young ages. What carcinoma is it?
Papilliary Carcinoma
48
Microalbuminuria is the earliest measure of what
diabetic neuropathy + renal failure
49
phosphate levels in hyperPTH
High calcium = Low phosphate
50
Hypoalbuminaemia = *calcium
hypocalcaemia
51
what type of calcium should be measured in Hypoalbuminaemia
adjusted level calcium
52
does detection of auto antibodies against pancreas indicate diabetes mellitus
No Auto AB is only used as a way to differentiate between type 1 + type 2
53
GGT is a marker for what
High alcohol consumption