endocringe and metabolic system 1 Flashcards

1
Q

5 functions of the endocrine system are

A
  1. coordination of female and male reproductive system
  2. sequential growth during childhood and adolescence
  3. maintain optimal internal environment during lifespan
  4. initiation of corrective responses in emergency moments
  5. differentiation of CNS and endocrine system and as a fetus
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2
Q

endocrine system and CNS maintain

A

homeostasis by sending hormonal messages via bloodstream

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3
Q

hypothalumus

A

controls function through neural controls, hormonal pathways, & negative feedback systems

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4
Q

GH [ant. lobe]

A

stimulates growth and cell reproduction

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5
Q

TSH [ant lobe]

A

stimulates T3 & T4 secretion activity

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6
Q

FSH

A

promotes ovarian follicle growth
secrete estrogen
maturation of sperm

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7
Q

Luteinizing hormone

A

PROMOTES ovulation and formation of corpus luteum, progesterone, testosterone

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8
Q

prolactin

A

MAINTAINS corpus luteum and progesterone secretion
-stimulates milk production

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9
Q

ACTH

A

stimulates secretory activity
- synthesis of corticosteroids

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10
Q

is adipose tissue and endocrine gland

A

yes, its an endocrine gland
controls metabolism, hunger, vasoconstriction
ex. leptin, adiponectin

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11
Q

lipotropin

A

breaks down fat
stimulates melanin production

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12
Q

melanocyte

A

produces melanin in skin

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13
Q

ADH

A

water retention in kidney tubules, releases ACTH

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14
Q

oxytocin

A

stimulates contraction
regulates circadian rhythm

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15
Q

neurocrine theory of aging

A

suggest that cells are only supposed to live for a period of time [menopause]

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16
Q

musculoskeletal signs of endocrine

A

muscle [atrophy, weakness, myalgia]
rheumatoid

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17
Q

common finding in people with endocrine disease

A

carpal tunnel, bilateral

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18
Q

hyperpituitarism [ant lobe disorder]

A

acromegaly: excessive secretion of growth hormone

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19
Q

thyroid gland primary hormones secreted

A

t3 + t4
calcitonin

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20
Q

t3 + t4 do:

calcitonin does

A

increase protein synthesis and regulate metabolic rate
calcitonin: weak Ca2+ effect, keeps phosphorus balance in body

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21
Q

thyroid gland is regulated by

A

hypothalumus and pituitary intrinsic controls

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22
Q

hyperthyroidism

A

an elevation in body metabolism

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23
Q

graves disease

A
  • increased T4 production
  • antibodies react against thyroid membrane, resulting in thyroid gland enlargement & excess of TSH
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24
Q

graves disease clinical manifestations

A
  • goiter, expalthamos
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25
hypothyroidism types
slowed body metabolism type 1: hormone deficient type 2: hormone resistant
26
type I hypothyroidism
- hormone T4 deficiency - elevated TSH level - results in increase of serum cholesterol
27
type II hypothyroidism
- hormone resistant - pituitary gland cannot synthesize TSH
28
hypothyroidism clinical manifestations
myxedema: boggy edema - more prone to skin breakdown, needs careful monitoring of skin breakdown
29
anatomical abnormalities
- goiter: hyperthyroidism - thyroiditis: hypothyroidism -
30
parathyroid glands
two glands @ each of posterior surface of thyroids, these glands secrete PTH
31
PTH regulates
calcium and phosphorus
32
parathyroid hormone
essential for Ca2+ and phosphorus metabolism and calcification of bone - bone demineralization - absorption from kidney for Ca2+ - absorption of Ca 2+ from GI tract
33
how does PTH regulate phosphorus and calcium?
- resorption of calcium and phosphate from the bone - absorption of Ca 2+ and excretion of phosphorus of kidneys - absorption of Ca2+ from kidney s
34
hyperparathyroidism
- increase bone resorption - elevated calcium levels - decrease in phosphate levels
35
hypoparathyroidism
- decrease bone resorption - decrease calcium levels - increase phosphorus levels -
36
primary hyperparathyroidism
- one or more parathyroid enlarge - relationship between Ca2+ and PTH secretion
37
secondary hyperparathyroidism
- glands are hyperplastic - renal failures
38
tertiary hyperparathyroidism
- exclusively in dialysis - becomes unresponsive to serum calcium levels
39
PTH
maintain normal calcium levels by increasing bone resorption and absorption of calcium in GI **not regulated by pit gland and hypothalomus
40
adrenal glands located @ 2 parts:
upper part of each kidney 2 parts: inner medulla & outer cortex
41
outer cortex hormones
- mineralcorticoids [aldosterone]: regulate fluid and mineral balance -glucocorticoids [cortisol]: metabolism of glucose - androgen: sex hormone
42
adrenal medulla
epinephrine + norepinephrine vasoconstriction in both
43
disorders of adrenal glands
1. primary adrenal insufficiency [addison disease] 2. secondary adrenal insufficiency 3. adrenocortical hyperfunction [cushing and cons]
44
addisons
decreased production of corticoid and aldosterone * decreased serum cortisol
45
hallmark of addisons disease
decreased serum cortisol
46
insufficient cortisol release leads to [primary adrenal insufficiency]
hypoglycemia and liver glycogen deficiency
47
secondary adrenal insufficiency
only corticoid deficiency as a results of suppression of ACTH
48
adrenocortical hyperfunction types
cushing and conn syndrome
49
cushing syndrome
glucocorticoid syndrome - excess of cortisol in body happens bc of hyperfunction of adrenal gland, excess of ACTH and corticosteroid
50
Conn syndrome
primary cause: aldosteronoma, sodium resorption by kidneys
51
cushing syndrome
hypercortisolism from adrenal gland oversecretion
52
cushing disease
hypercortisolism from ACTH
53
pseudo-cushing syndrome
occurs when conditions such as depression, alcoholism
54
Which region of the brain is the main integrative center for the endocrine and autonomic nervous systems, controls the function of endocrine organs by neural and hormonal pathways?
hypothalumus
55
Which of the following tissues can be classified as an endocrine gland?
adipose tissue
56
In response to the hypothalamus, the posterior pituitary secretes
oxytocin and ADH
57
What is the basic action of adrenocorticotropic hormone (ACTH)?
Stimulates secretory activity and synthesis of corticosteroids in adrenal cortex
58
The primary hormones produced by the thyroid are
thyroxine, triiodothyronine, and calcitonin
59
Which of the following hormone’s basic action is calcium and phosphorus metabolism, construct bone, and reduce serum calcium?
calcitonin
60
Which of the following disorders creates a generalized elevation of body metabolism, the effects of which are manifested in almost every system?
hyperthyroidism
61
Myxedema is the clinical manifestation of
hypothyroidism
62
Hyperparathyroidism is a disorder caused by overactivity of one or more of the four parathyroid glands that
disrupts calcium, phosphate, and bone metabolism
63
Which of the following medical diagnosis occurs because of a disorder within the adrenal gland itself, with insufficient cortisol release from the adrenal glands causing a wide range of problems?
Addison disease
64
Hypercortisolism resulting from adrenal gland oversecretion or from hyperphysiologic doses of corticosteroid medications is called .
Cushing syndrome
65
Which of the following medical diagnosis occurs when an adrenal lesion results in hypersecretion of aldosterone, the most powerful of the mineralocorticoids?
Conn syndrome
66
Which of the following is the characteristic of hypoparathyroidism?
Decreased bone resorption
67
Which of the following hormones is essential to norepinephrine-induced vasoconstriction and other physiologic phenomena necessary for survival under stress?
cortisol
68
What is the hallmark of Addison disease?
decreased serum cortisol levels