27 - Hypothalamus and pituitary Flashcards

1
Q

Function of hypothalamus

A

Regulates pituitary function, feeding, stress response, water balance, sleep-wake cycle, thermoregulation, emotions

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2
Q

What does anterior lobe of pituitary release

A

adenohypophysis – releases GH, TSH, LH, FSH, PRL, ACTH - gland

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3
Q

What does posterior lobe release

A

Neurohypophysis – releases ADH and oxytocin – Hormones synthesised in the hypothalamus and travel to the posterior lobe (does not secrete)

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4
Q

What is PUOF1

A

TF that can be mutated and cause hypothyroidism

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5
Q

Development of pituitary

A

o Oral ectoderm → Rudimentary pouch →Definitive pouch → Pituitary gland

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6
Q

What regulates growth hormone

A

GHRH (stimulating) and Somatostatin (inhibiting),

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7
Q

When is prolactin produced

A

made when lack of dopamine as it inhibits production, TRH stimulates, and causes milk production and immune system effects

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8
Q

What regulates FSH and LH

A

made in gonadotroph cells and are regulated by GnRH and kisspeptin and they regulate the ovaries and testes

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9
Q

What causes McCune-Albright syndrome

A

Mosaic mutation - R201

alpha subunit mutation in embryo

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10
Q

What is McCune-Albright syndrome

A

Fibrous dysplasia, café au lait spots, endocrine dysfunction (Precocious puberty, hyperthyroid goitre, adrenal hyperplasia, somatotroph hyperplasia)

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11
Q

Duplication of GPR101 on X chromosome

A

Gigantism

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12
Q

Too much cortisol

A

Cushings

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13
Q

Too little cortisol

A

Addisons

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14
Q

Gonadal axis

A

o Kisspeptin stimulates GnRH to be released from the HT
o GnRH stimulates LH and FSH to be released from the AP
o LH and FSH are released independently

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15
Q

Primary underactivity

A

Target organ is damaged

hypothalamic stimulating hormone increases as does the pituitary hormone

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16
Q

Secondary underactivity

A

damage at the pituitary then the target organ will shrink in size and the hypothalamic hormone will increase

17
Q

Primary overactivity

A

Target organ has a tumour so increase in the hormone, so the pituitary hormone and hypothalamic hormone are suppressed

18
Q

o Secondary overactivity

A

Tumour of anterior pituitary gland increased pituitary –> target organ enlarges –> decreased hypothalamic hormone