Anterior Pituitary Hormone Flashcards

(49 cards)

1
Q

Where is growth hormone (GH) produced?

A

GH is produced in the anterior pituitary gland by specialized cells called somatotrophs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the primary function of growth hormone?

A

GH plays a crucial role in bone and muscle growth, metabolism, and increasing serum glucose levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the role of IGF-1 in GH function? (Insulin like growth factor)

A

IGF-1 mediates the effects of GH, stimulating bone and muscle growth and maintaining stable GH-related functions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Why is IGF-1 measured instead of GH in clinical evaluations?

A

IGF-1 levels are more stable than GH, which is secreted in a pulsatile manner throughout the day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How does GH promote bone growth?

A

GH and IGF-1 stimulate growth at the epiphyseal plates in children, leading to increased height

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Why does bone growth stop after puberty?

A

By age 18 (females) and 20 (males), the epiphyseal plates close, preventing further linear bone growth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How does GH affect muscle growth?

A

GH and IGF-1 promote myocyte hypertrophy, increasing muscle mass and protein synthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Why is GH treatment in kids a big deal?

A

It is used in children with growth deficiencies but has restrictions due to potential misuse(سوء استخدام) in sports

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How does GH affect blood sugar levels?

A

GH increases serum glucose via hepatic gluconeogenesis, lipolysis, and insulin antagonism (making liver produce more glucose)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What hormone stimulates GH secretion during starvation?

A

Ghrelin, secreted from the stomach, induces GH secretion to maintain blood sugar levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What causes dwarfism?

A

GH deficiency leads to short stature, delayed puberty, and developmental issues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is gigantism, and what causes it?

A

Gigantism is excessive height due to excess GH secretion before puberty, often caused by pituitary tumors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is acromegaly?

A

A where excess GH after puberty causes enlargement of hands, feet, and facial bones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Where is prolactin produced?

A

Prolactin is produced in the anterior pituitary by lactotroph cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the primary functions of prolactin?

A

Prolactin promotes milk production, maternal behaviors (motherly behaviors) , and influences reproductive hormones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How does prolactin inhibit reproductive function?

A

Prolactin inhibits GnRH, leading to decreased FSH and LH, reducing estrogen/testosterone levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the positive regulators of prolactin secretion? ( makes prolactin go up)

A

increase prolactin secretion:Nipple stimulationestrogenthyrotropin-releasing hormone (TRH)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What inhibits prolactin secretion? ( stops prolactin from being made)

A

Dopamine is the main inhibitor, reducing prolactin release from the anterior pituitary.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How does prolactin contribute to autoimmunity?

A

It suppresses B-cell negative selection, increasing the likelihood of autoimmune diseases

It makes the immune system more likely to attack the body, which can lead to autoimmune disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Why does prolactin remain high during pregnancy?

A

Estrogen and TRH increase it, but dopamine keeps it from getting too high

21
Q

What happens to prolactin levels after childbirth?

A

Prolactin levels peak during nursing, stimulating continuous milk production

22
Q

Which hormone directly increases GH secretion?

23
Q

Which hormone increases prolactin levels during pregnancy?

24
Q

Which hormone inhibits prolactin secretion?

25
What happens in a patient with excess GH after puberty?
They develop acromegaly, characterized by enlarged hands, feet, and facial bones
26
What type of hormone is GH?
A peptide hormone.
27
What cells produce GH?
Somatotrophs in the anterior pituitary.
28
What is the main hormone that helps GH work?
IGF-1 (Insulin-like Growth Factor-1)
29
When is IGF-1 highest in the body?
During puberty when growth is fastest
30
What happens to GH levels during fasting or starvation?
GH increases to help maintain blood sugar
31
Which hormone from the stomach increases GH release?
Ghrelin
32
What are two ways GH increases blood sugar?
Liver makes more glucose, and GH blocks insulin action.
33
What happens if GH is too high before puberty?
Gigantism - the person grows very tall.
34
What causes GH levels to drop?
Aging, obesity, and high blood sugar
35
What is prolactin main job?
Helps with breast milk production
36
What cells produce prolactin?
Lactotrophs in the anterior pituitary
37
How does prolactin affect sex hormones?
It lowers estrogen and testosterone.
38
What brain chemical stops prolactin release?
Dopamine
39
What happens if prolactin levels are too high?
It can cause irregular periods, infertility(عقم) , or low testosterone
40
What increases prolactin levels?
Baby sucking, estrogen, and TRH
41
Why does prolactin increase during pregnancy but not cause milk production?
Progesterone blocks prolactin’s effect until after birth
42
What effect does prolactin have on the immune system?
It makes autoimmune diseases more likely
43
What happens to prolactin levels if dopamine is blocked?
Prolactin increases.
44
Name a medication that can increase prolactin levels.
Antipsychotics (e.g., risperidone, chlorpromazine)
45
A child is very short but has normal intelligence and hormone levels. What condition might they have?
Levi-Lorain dwarfism - normal GH but IGF-1 doesn’t work properly.
46
A tall man with a big jaw and large hands comes to your clinic. What condition does he likely have?
Acromegaly - too much GH after puberty.
47
A woman gives birth and starts breastfeeding. What hormone helps her body make milk?
Prolactin
48
A man takes a drug that lowers dopamine levels. What effect might this have on prolactin?
Prolactin will increase, possibly causing low testosterone and enlarged breasts
49
A bodybuilder is using GH illegally. What side effects might they experience?
Joint pain, diabetes, organ growth, acromegaly-like changes