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PHYSIOLOGY MED1 > Adrenal Glands > Flashcards

Adrenal Glands Flashcards

1
Q

Remnant of the adrenal medulla present outside the adrenal gland usually at the bifurcation of the aorta

A

Organ of Zuckerkandl

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2
Q

The type of hormone that was determined to be the physiologic link between the adrenal cortex and medulla

A

Glucocorticoid hormone

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3
Q

The function of catecholamines is potentiated by which hormones?

A

Glucocorticoids

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4
Q

Catecholamines are metabolized by the action of two enzymes:

A

catechol-O-methyltransferase

monoamine oxidase.

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5
Q

What are the metabolites for Epinephrine and Norepinephrine?

A

Metanephrine and Normetanephrine

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6
Q

The primary end product of catecholamine metabolism

A

Vanillyl mandelic acid

enzyme: monoamine oxidase

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7
Q

Which catecholamine metabolite can be found in urine with pheochromocytoma?

A

Vanillyl mandelic acid

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8
Q

The rate-limiting enzyme in the synthesis of catecholamines:

A

Tyrosine hydoxylase

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9
Q

Hormone that stimulates the conversion of NE to EPI

A

Cortisol

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10
Q

The fight or flight reaction is mainly produced by:

A

Epinephrine

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11
Q

80% of normetanephrine is found in the:

A

CSF

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12
Q

The final product of catecholamines in the CNS

A

3-methoxy-4hydroxyphenyl glycol

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13
Q

Which catecholamine is produced by blood vessels?

A

Norepinephrine

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14
Q 
Catecholamine receptor of the heart:
A. α
B. α2
C. β1
D. β2
E. β3
A

C. β1

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15
Q 
Catecholamine receptor in veins, lymphatics and splanchnic arterioles:
A. α
B. α2
C. β1
D. β2
E. β3
A

A. α

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16
Q 
Catecholamine receptors in skeletal muscle arterioles:
A. α
B. α2
C. β1
D. β2
E. β3
A

D. β2

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17
Q 
Catecholamine receptor in pancreatic β cells:
A. α
B. α2
C. β1
D. β2
E. β3
A

B. α2

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18
Q 
Catecholamine receptor in pancreatic α cells
A. α
B. α2
C. β1
D. β2
E. β3
A

D. β2

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19
Q 
The primary mechanism of action of catecholamines with α1-adregrenergic receptors
A. Increased IP3 and Ca++
B. Increased DAG
C. Increased cAMP
D. Decreased cAMP
E. Both A and B
A

E. Both A and B

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20
Q 
The primary mechanism of action of catecholamines with α2-adrenergic receptors:
A. Increased IP3 and Ca++
B. Increased DAG
C. Increased cAMP
D. Decreased cAMP
E. Both A and B
A

D. Dec cAMP

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21
Q 
The primary mechanism of action of catecholamines with β-adrenergic receptors:
A. Increased IP3 and Ca++
B. Increased DAG
C. Increased cAMP
D. Decreased cAMP
E. Both A and B
A

C. Increased cAMP

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22
Q

Catecholamines that promote lipolysis in adipose

A

Both Epi and NE

23
Q

Epinephrine increases blood glucose by:

A

glycogenolysis

gluconeogenesis

24
Q 
Common recursor of corticosteroids
A. C22H40OH2
B. C27H45OH
C. C25H40OH
D. C22H45OH2
A

B. C27H45OH = cholesterol

cyclopentanoperhydrophenanthrene

25
Q

Rate-limiting step in cholesterol synthesis

A

Conversion of cholesterol to pregnenolone via CYP11A1 or CytP450 after activation of protein kinase A

26
Q

True or False:

Deoxycortisone mainly functions as glucocorticoid

A

False:
Deoxycortisone has little glucocorticoid activity but mainly
functions as mineralocorticoid.

27
Q

True or False:

9a-fluorocortisol is mainly mineralocorticoid

A

True

28
Q

Gene that allows production of the enzyme for the primary human mineralocorticoid

A

CYP11B2 for aldosterone synthase

29
Q

True or False:

Majority of cortisol is secreted in the early morning

A

True

30
Q 
Which of the following exhibit circadian patterns?
A. ACTH
B. Androgens
C. Cortisol
D. AOTA
A

D. AOTA

31
Q

PRENENOLONE → PROGESTERONE → 11-Deoxycorticosterone (DOC) → _______→ 18(OH) ________→ Aldosterone

A

Corticosterone

32
Q

Enzymes necessary for the production of DHEA from pregnenolone

A

17α-hydroxylase

17, 20-lyase

33
Q

The major conjugates of steroid hormones

A

Glucoronides

34
Q

Cortisol is converted to cortisone as a reserve supply and can be converted back to cortisol when needed by the enzyme:

A

Cortisone to Cortisol: 11-β-hydroxysteroid dehydrogenase 1 (liver) & 11-β-hydroxysteroid dehydrogenase 2 (kidney)
Cortisol to Cortisone: 11-β-hydroxysteroid dehydrogenase 2

35
Q

Protein that binds about 90% cortisol for transport in blood

A

Corticosteroid binding globulin (CGB) or transcortin

36
Q

The key hepatic gluconeogenic enzyme stimulated by cortisol

A

Phosphoenolpyruvate carboxykinase (PEPCK)

37
Q 
Cortisol is a naturally occurring glucocorticoid released by the adrenal gland in response to a wide variety of stressful events, including fear and the other forms of psychological stress, vigorous exercise, acute trauma, surgery, or severe infection. The responses produced by cortisol can be divided into metabolic effects and anti-inflammatory effects that are mediated primarily by changes in gene expression. Which of the following is a metabolic effect produced by elevated levels of this hormone?
A. Reduced muscle catabolism
B. Reduced lipolysis
C. Increased insulin sensitivity
D. Hyperglycemia
A

D. Hyperglycemia

38
Q 
These hormones bind with protein receptors inside the cell rather than in the cell membrane, are lipid soluble, readily cross the cell membrane and interact with receptors in the cytoplasm or nucleus, EXCEPT:
A. Steroid hormones
B. Gonadal hormones
C. Catecholamines
D. Thyroid hormones
A

C. Catecholamines

39
Q 
In catecholamine biosynthesis, in adrenal medulla, cortisol stimulates conversion of which of the ff?
A. Norepinephrine to epinephrine
B. Dopamine to DOPA
C. Epinephrine to norepinephrine
D. Tyrosine to dopamine
A

A. Norepinephrine to epinephrine

40
Q

Psychosis occurring with either excessive or deficient cortisol

A

Frank psychosis

41
Q

True or False:

Polycythemia occurs when cortisol levels are deficient

A

False:
Polycythemia occurs when cortisol levels are excessive
Anemia occurs when cortisol is deficient
→ Cortisol stimulates erythropoietin synthesis and increases red blood cell production

42
Q

True or False:
Cortisol increases the glomerular filtration rate
by both increasing cardiac output and acting DIRECTLY on the kidney

A

True

43
Q

True or False:

High cortisol can lead to Hyperkalemia

A

False:
High cortisol can lead to Hypokalemia
→ Muscle weakness is caused by the hyperpolarization of the plasma membrane making it more difficult to stimulate

44
Q

Receptors utilized by ACTH to stimulate cortisol synthesis

A

Melanocortin 2 Receptor (MC2R)

45
Q

True or False:
The whole adrenal cortex participates in the negative
feedback loop

A

False
Zona reticularis does NOT participate in the negative
feedback loop.

46
Q

Aldosterone regulates electrolyte metabolism by stimulating epithelial cells of distal nephron to SECRETE:

A

H+ and K+

REABSORBE: Na+ and Cl-

47
Q

True or False:

Too little Aldosterone causes hyperkalemia and cardiac toxicity

A

True

48
Q

True or False:

Cortisol also has mineralocorticoid activity

A

True:

Cortisol also has mineralocorticoid activity, but only 1/400th that of aldosterone

49
Q

Expression of procollagen genes and MR-induced fibroblast-dependent interstitial and perivascular collagen deposition is an effect of which hormone?

A

Aldosterone = Cardiac and Vascular Fibrosis

50
Q

The only region of the adrenal cortex that does not atrophy upon pituitary failure

A

Zona glomerulosa

Since aldosterone is primarily regulated by Angiotensin II through renin-angiotensin aldosterone system (RAAS).

Rise in ACTH can also increase aldosterone but it’s much less potent stimulus

51
Q

True or False:

Increased extracellular K+ greatly increases aldosterone secretion by direct stimulation

A

True

52
Q

True or False:
ACTH is necessary for aldosterone secretion but has little effect in controlling the rate of secretion in most physiologic conditions

A

TRUE

53
Q

Enzymes necessary for cortisol metabolism that are diminished in prolonged phase of illness

A

5α reductase

11β hydroxysteroid dehydrogenase

PHYSIOLOGY MED1 (15 decks)

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