Endocrinology Flashcards

(31 cards)

1
Q

What is endocrinology?

A

The study of the endocrine system and hormones involved in regulating various physiological processes.

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2
Q

Why do animals and humans need an endocrine system?

A

To enable communication between cells, coordinate homeostasis, regulate growth, reproduction, and adapt to environmental changes.

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3
Q

What are hormones?

A

Chemical messengers secreted by endocrine glands that travel in the bloodstream to target cells with specific receptors.

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4
Q

Name the three classes of hormones.

A

1) Proteins/Peptides (e.g. growth hormone), 2) Steroids (e.g. cortisol), 3) Modified amino acids (e.g. adrenaline, thyroid hormones).

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5
Q

What is the difference between hydrophilic and hydrophobic hormones?

A

Hydrophilic hormones bind to cell surface receptors; hydrophobic hormones pass through the membrane to bind intracellular receptors.

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6
Q

How do peptide hormones work?

A

They bind to extracellular receptors and activate intracellular signaling via second messengers.

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7
Q

How do steroid hormones work?

A

They diffuse through membranes and bind to intracellular receptors, often altering gene expression.

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8
Q

What factors influence circulating hormone levels?

A

Rate of secretion, metabolism by tissues, presence of serum binding proteins.

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9
Q

What are the three mechanisms regulating hormone secretion?

A

1) Physiological changes (e.g. glucose for insulin), 2) Endogenous rhythms (ultradian, circadian, infradian), 3) Feedback mechanisms.

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10
Q

What is negative feedback in the endocrine system?

A

A control mechanism where the output reduces the original stimulus, maintaining homeostasis.

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11
Q

What are the main types of endocrine dysfunction?

A

Hyposecretion, hypersecretion, ectopic hormone secretion.

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12
Q

What are common causes of hyposecretion?

A

Genetic, dietary, auto-immune, cancer, iatrogenic, idiopathic.

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13
Q

How is hyposecretion treated?

A

Hormone replacement—steroids orally, protein hormones via injection.

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14
Q

What are causes of hypersecretion?

A

Tumors, ectopic secretion, immune-related issues, substance abuse.

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15
Q

How is hypersecretion treated?

A

Surgery, irradiation, hormone-blocking drugs.

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16
Q

What is the role of the pituitary gland?

A

It is the ‘conductor’ of the endocrine system, connecting the brain with peripheral hormone targets.

17
Q

What does the hypothalamus/pituitary system regulate?

A

Growth, metabolism, stress, reproduction, lactation, water/salt balance, feeding, and birth.

18
Q

What are the hormones of the adrenal gland?

A

Adrenaline (medulla), cortisol (glucocorticoid), aldosterone (mineralocorticoid).

19
Q

What are effects of cortisol?

A

Stress adaptation, glucose mobilization, anti-inflammatory actions.

20
Q

What does the HPT axis regulate?

A

Thyroid hormones which influence metabolic rate, heart rate, CNS activity, and growth.

21
Q

What does insulin do?

A

Promotes glucose uptake and storage; an anabolic hormone.

22
Q

What does glucagon do?

A

Mobilizes fuels, increases glucose via glycogenolysis and gluconeogenesis.

23
Q

How do insulin and glucagon interact?

A

Insulin dominates in fed state, glucagon in fasting; they act reciprocally.

24
Q

What is diabetes mellitus?

A

A disorder with impaired insulin production or action, causing elevated blood glucose.

25
What is Type 1 diabetes?
An autoimmune condition causing insulin deficiency, treated with insulin.
26
What is Type 2 diabetes?
Characterized by insulin resistance and relative deficiency, often linked to obesity.
27
What treatments are used for Type 1 diabetes?
Soluble insulin, isophane insulin, insulin analogues.
28
How is Type 2 diabetes managed?
Diet, exercise, weight loss, oral drugs, and insulin as needed.
29
What is the historical significance of insulin?
Discovered in 1921; revolutionized diabetes treatment and management.
30
What causes insulin resistance in Type 2 diabetes?
Impaired receptor function, reduced receptor number, defective signal transduction.
31