Ch. 16 Part B PPT Notes Flashcards

(89 cards)

1
Q

(thyroid gland) two lateral lobes connected by median mass called …
composed of follicles that produce glycoprotein ….

A

isthmus;

thyroglobulin

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2
Q

(thyroid gland) … (… + …) fills lumen of follicles and is precursor of .. hormone

A

colloid;
thyroglobulin + iodine;
thyroid

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3
Q

(thyroid gland) … cells produce the hormone …

A

parafollicular;

calcitonin

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4
Q

(thyroid hormone-TH) actually two related compunds:
… (…); has 2 tyrosine molecules + 4 bound iodine atoms
… (…); has 2 tyrosines + 3 bound iodine atoms
affects virtually every cell in body

A

T4; thyroxine;

T3; triiodothyronine

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5
Q

(thyroid hormone-TH)
major … hormone
increases … and … production (… effect)

A

metabolic;
metabolic rate;
heat production; calorigenic

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6
Q
(thyroid hormone-TH) 
regulation of tissue growth and development: 
development of ... and ... systems 
... capabilities 
maintenance of ...
A

skeletal; nervous;
reproductive;
blood pressure

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7
Q

(synthesis of thyroid hormone) thyroid gland stores hormone …
… synthesized and discharged into follicle lumen
… actively taken into cell and released into lumen

A

extracellularly;
thyroglobulin;
iodides (I-);

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8
Q

(synthesis of thyroid hormone) iodide oxidized to …, which then attaches to …, mediated by … enzymes

A

iodine (I2);
tyrosine;
peroxidase

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9
Q

(synthesis of thyroid hormone) iodinated tyrosines link together to form … and …
colloid is … and combined with …
T3 and T4 are … and diffuse into bloodstream

A

T3; T4;
endocytosed;
lysosome;
cleaved

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10
Q

(synthesis of thyroid hormone)

  1. thyroglobulin is synthesized and discharged into the …
  2. iodide is trapped (… transported in)
  3. iodide is oxidized to iodine through … enzyme
  4. iodine is attached to tyrosine in colloid, forming … and …
A

follicle lumen;
actively;
thyroid peroxidase
DIT; MIT

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11
Q

(synthesis of thyroid hormone)

  1. … are linked together to form T3 and T4
  2. thyroglobulin colloid is endocytosed and combined with a …
  3. … enzymes cleave T3 and T4 from thyroglobulin and hormones diffuse into bloodstream
A

iodinated tyrosines;
lysosome;
lysosomal;

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12
Q

(synthesis of thyroid hormone) … is a protein that facilitates transport of thyroid hormone to appropriate tissues

A

thyroxine-binding globulins

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13
Q

(transport and regulation of TH) T4 and T3 transported by … (TBGs)
both bind to target receptors, but … is ten times more active
peripheral tissues convert … to …

A

thyroxine-binding globulins;
T3;
T4; T3

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14
Q

(transport and regulation of TH) negative feedback regulation of TH release:
rising TH levels provide negative feedback inhibition on release of …
hypothalamic … can overcome negative feedback during … or exposure to …

A

TSH;
thyrotropin-releasing hormone (TRH);
pregnancy; cold

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15
Q

(homeostatic imbalances of TH) hyposecretion in adults–…; … if due to lack of iodine
hyposecretion in infants- …
hypersecretion- … disease

A

myxedema; goiter;
cretinism;
Graves’

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16
Q

(homeostatic imbalances of TH)

graves is …. the immune system also attacks … and scar tissue pushes the eyes out

A

autoimmune;

eye muscles

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17
Q

(calcitonin) produced by … cells
no known physiological role in hormones
antagonist to …

A

parafollicular (C) cells;

parathyroid hormone; PTH

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18
Q

(calcitonin) at higher than normal doses:
inhibits … activity and release of … from bone matrix
stimulates … and incorporation into …

A

osteoclast;
Calcium;
Calcium uptake;
bone matrix

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19
Q

(parathyroid glands) … to … tiny glands embedded in posterior aspect of thyroid

A

four; eight

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20
Q

(parathyroid glands) contain … cells (function unknown) and … cells that secrete … or …

A

oxyphil;
parathyroid;
parathyroid hormone (PTH); parathormone

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21
Q

(parathyroid glands) PTH- most important hormone in

A

calcium homeostasis

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22
Q

(parathyroid hormone) functions:

1. stimulates osteoclasts to … and release … to blood

A

digest bone matrix; calcium

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23
Q

(parathyroid hormone) functions:

2. enhances … and secretion of … by kidneys

A

reabsorption of Ca2_;

phosphate

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24
Q

(parathyroid hormone) functions:
3. promotes activation of … (by kidneys); increases absorption of calcium by …
negative feedback control: rising … in blood inhibits PTH release

A

vitamin D;
intestinal mucosa;
Ca2+

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25
(parathyroid hormone) ... (low blood calcium) stimulates PTH release from parathyroid gland which increases osteoclast activity in bone and thus causes ... and ... release into blood also increases calcium reabsorption in kidney tissue and increased activation of vit D by kidney which leads to increased calcium absorption from ... in ...
hypocalcemia; Ca2+; PO43-; food; small intestine
26
(homeostatic imbalances of PTH) hyperparathyroidism due to ...: bones ... and ... elevated calcium depresses ... system and contributes to formation of ...
tumor; soften; deform; nervous; kidney stones
27
(homeostatic imbalances of PTH) hypoparathyroidism following gland ... or ... or dietary ... deficiency: results in ..., ..., and ...
trauma; removal; magnesium; | tetany; respiratory paralysis; death
28
...: paired, pyramid shaped organs atop kidneys
(adrenal/suprarenal glands)
29
(adrenal/suprarenal glands) structurally and functionally are two glands in one ...- nervous tissue; part of sympathetic NS ...- three layers of glandular tissue that synthesize and secrete corticosteroids
adrenal medulla; | adrenal cortex
30
(adrenal cortex) three layers of cortex produce the different corticosteroid: 1. zona ... - ... 2. zona ... - ... 3. zona ... - ...
glomerulosa; mineralocorticoids; fasciculata; glucocorticoids; reticularis; gonadocorticoids
31
(adrenal cortex) zona glomerulosa- ... layer produces mineralocorticoids- hormones that help control balance of ... and ... in the blood
superficial; | minerals; h2o
32
(adrenal cortex) zona fasciculata- ... layer: mainly produces the ... hormones- ...
middle metabolic; glucocorticoids
33
(adrenal cortex) zona reticularis- the ... layer- produce small amounts of adrenal ... hormones or ...
innermost; sex; gonadocorticoids
34
(mineralocorticoids) regulate ... (primarily ... and ...) in ECF (extracellular fluid)
electrolytes; | Na+; K+
35
(mineralocorticoids) importance of sodium: affects ECF ..., ...., ..., levels of other ...
volume; blood volume; blood pressure; ions
36
(mineralocorticoids) importance of K+: sets ... of cells
RMP (resting membrane potential)
37
(mineralocorticoids) ... most potent mineralocorticoid: | stimulates ... and ... by kidneys; elimination of ...
aldosterone; sodium reabsorption; water retention; K+;
38
(aldosterone) release triggered by ... and ... | rising blood levels of ...
decreasing blood volume and blood pressure; | K+
39
(Homeostatic imbalances of aldosterone) ...- hypersecretion due to adrenal tumors: ... and ... due to excessive Na+ excretion of K+ leading to abnormal function of ... and ...
aldosteronism; hypertension; edema; neurons; muscle
40
(glucocorticoids) keep blood glucose levels relatively ... | maintain ... by increasing action of ...
constant; blood pressure; vasoconstrictors
41
(glucocorticoids) ... (...)-- only one in significant amounts in humans ... ...
cortisol; hydrocortisone cortisone; corticosterone
42
(glucocorticoids) Cortisol: released in response ..., patterns of ... and ..., and ...
ACTH; eating; activity; stress
43
(glucocorticoids) Cortisol: prime metabolic effect is ... - formation of glucose from ... and ...
gluconeogenesis; | fats; proteins
44
(glucocorticoids) cortisol: through gluconeogenesis promotes rise in ..., ..., and ... Saves glucose for the ...
blood glucose; fatty acids; amino acids; brain
45
(glucocorticoids) cortisol | enhances ... - rise in blood pressure to quickly ... to cells
vasoconstriction; | distribute nutrients
46
(homeostatic imbalances of glucocorticoids) hypersecretion - ... syndrome/disease: depresses ... and ... formation inhibits ...
cushing's; cartilage; bone; inflammation
47
(homeostatic imbalances of glucocorticoids) hypersecretion-cushing's; depresses ... disrupts ..., ..., and ... function
immune system; | cardiovascular; neural; gastrointestinal
48
(homeostatic imbalances of glucocorticoids) hyposecretion- ... disease also involves deficits in ... decrease in ... and ... levels
addison's; mineralocorticoids; glucose; Na+
49
(homeostatic imbalances of glucocorticoids) hyposecretion- addison's: ..., severe ..., and ...
weight loss; dehydration; hypotension
50
(homeostatic imbalances of glucocorticoids) characteristic of cushing's syndrome is ... of fat on upper back
buffalo hump
51
(gonadocorticoids-sex hormones) most weak ... (... hormones) converted to ... in tissue cells, some to ...
androgens; male sex; testosterone; estrogens
52
``` (gonadocorticoids-sex hormones) may contribute to: onset of ... appearance of ... ... in women ... in postmenopausal women ```
puberty; secondary sex characteristics; sex drive; estrogens
53
(gonadocorticoids-sex hormones) hypersecretion: ... syndrome (...) not noticeable in ...
adrenogenital syndrome; masculanization; | adult males
54
(gonadocorticoids-sex hormones) hypersecretion: females and prepubertal males: boys- reproductive organs mature; secondary sex characteristics .... females -..., masculine pattern of ...; clitoris resembles ...
emerge early; beard; body hair; small penis
55
(adrenal medulla) ... cells synthesize ... (80%) and ... (20%)
medullary chromaffin; epinephrine; norepinephrine
56
``` (adrenal medulla) effects: ... increased ... increased ... levels blood diverted to ..., ..., and ... ```
vasoconstriction; heart rate; blood glucose; brain; heart; skeletal muscle
57
(adrenal medulla) responses brief: epinephrine stimulates metabolic activities, .., and blood flow to ... and ... norepinephrine influences ... and ...
bronchial dilation; skeletal muscles; heart; peripheral vasoconstriction; blood pressure
58
``` (adrenal medulla) hypersecretion: ... increased ... rapid ... and ... ... intense ... ... ```
``` hyperglycemia; metabolic rate; heartbeat; palpitations; hypertension; nervousness; sweating ```
59
(adrenal medulla) hyposecretion: not ... adrenal ... not essential to life
problematic; | catecholamines
60
(pineal gland) small gland hanging from roof of ... | ... secrete ..., derived from ...
third ventricle; | pinealocytes; melatonin; serotonin
61
(pineal gland) melatonin may affect: timing of ... and ... ... cycles
sexual maturation; puberty; | day/night;
62
(pineal gland) melatonin may affect: physiological processes that show rhythmic variations (..., ..., ...) production of ... and ... molecules in cells
body temperature; sleep; appetite; | antioxidant; detoxification
63
(pancreas) triangular gland partially behind stomach | has both ... and ... cells
exocrine; endocrine
64
(pancreas) ... cells (exocrine) produce enzyme-rich juice for digestion ... (...) contain endocrine cells
acinar; | pancreatic islets; islets of langerhans
65
(pancreas) in islets: ... cells produce ... (hyperglycemic hormone) ... cells produce ... (hypoglycemic hormone)
alpha; glucagon; | beta; insulin
66
(glucagon) major target- ... | causes ...
liver; | increased blood glucose levels
67
(glucagon) effects: ... - breakdown of glycogen to glucose ... - synthesis of glucose from lactic acid and noncarbs release of ... to blood
glycogenolysis; gluconeogenesis; glucose
68
(insulin) effects of insulin: ... blood glucose levels enhances membrane transport of glucose into ... and ... cells
lowers; | fats; muscle
69
(insulin) effects of insulin: inhibits ... and ... participates in ... development and ... and ...
glycogenolysis; gluconeogenesis; neuronal; learning; memory
70
(insulin) non needed for glucose uptake in ..., ..., or ...
liver; kidney; brain
71
(insulin) action on cells: activates ... receptor cascade --> increased ...
tyrosine kinase enzyme; | glucose uptake
72
(insulin) action on cells: triggers enzymes to: catalyze ... of glucose for ... production - first priority polymerize glucose to form ... convert glucose to ... (particularly in ... tissue)
oxidation; ATP; glycogen; fat; adipose
73
normal blood glucose level (about ... mg/... mL)
90; 100
74
(factors that influence insulin release) elevated ... levels - primary stimulus rising blood levels of ... and ...
blood glucose; | amino acids; fatty acids
75
(factors that influence insulin release) release of ...by parasympathetic nerve fibers ...; ... nervous system
acetylcholine; | somatostatin; sympathetic
76
(factors that influence insulin release) hormones ..., ..., ..., ..., ...
glucagon; epinephrine; growth hormone; thyroxine; glucocorticoids
77
(homeostatic imbalances of insulin) diabetes mellitus (DM): | due to ... (type ...) or ... (type ...) of insulin
hyposecretion; 1; | hypoactivity; 2
78
``` (homeostatic imbalances of insulin) diabetes mellitus (DM): blood glucose levels remain high --> nausea --> higher blood glucose levels due to ... response ``` ...- glucose spilled into urine
fight or flight; | glycosuria
79
``` (homeostatic imbalances of insulin) diabetes mellitus (DM): fats used for cellular fuel --> ...; if severe --> ... (...) from fatty acid metabolism --> ... and ... ```
lipidemia; ketones; ketone bodies; ketonuria; ketoacidosis
80
``` (homeostatic imbalances of insulin) diabetes mellitus (DM): untreated ketoacidosis--> ...; disrupted ... activity and ... transport; depression of nervous system --> ... and ... possible ```
hyperpnea; heart; O2; coma; death
81
(diabetes mellitus: signs) three cardinal signs of DM: ...- huge urine output --> glucose acts as ... ...- excessive thirst --> from water loss due to ... ...-excessive hunger and food consumption --> bc cells cannot take up glucose; are "starving"
polyuria; osmotic diuretic; polydipsia; polyuria; polyphagia;
82
(homeostatic imbalances of insulin) ...: excessive insulin secretion causes ... --> low blood glucose levels
hyperinsulinism; | hypoglycemia
83
(homeostatic imbalances of insulin) hypoglycemia leads to ..., ..., ..., ..., even ... treated by sugar ingestion
``` anxiety; nervousness; disorientation; unconsciousness;' death ```
84
(ovaries and placenta) gonads produce ... hormones -- same as those of adrenal cortex
steroid sex
85
(ovaries and placenta) ovaries produce ... and ...
estrogens; progesterone
86
(ovaries and placenta) estrogen: maturation of reproductive organs appearance of ... characteristics with progesterone, causes ... development and cyclic changes in ...
secondary sexual; | breast; uterine mucosa
87
(ovaries and placenta) placenta secretes ..., ..., and ...
estrogens; progesterone; human chorionic gonadotropin (hCG)
88
(testes): testes produce ... --> initiates maturation of male reproductive organs causes appearance of male ... and .... necessary for normal ... production maintains reproductive organs in functional state
testosterone; secondary sexual characteristics; sex drive; sperm
89
(other hormone-producing structures) adipose: .... - appetite control; stimulates increased energy expenditure ... - insulin antagonist ... - enhances sensitivity to insulin
leptin; resistin; adiponectin