Hypothalamo Pituitary Axis Flashcards

(40 cards)

1
Q

Hypothalamic nuclei

A

Paraventricular
Anterior
Supraoptic
Dorsomedial
Ventromedial
Arcuate
Posterior
Mamillary body

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2
Q

How many hypothalamic nuclei are there

A

8

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3
Q

What does the hypothalamus regulate

A

Pituitary function
Feeding - appetite and satiety
Stress response
Water balance
Sleep wake cycle
Thermoregulation
Emotions

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4
Q

What type of tissue is the adenohypophysis

A

Glandular

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5
Q

What type of tissue is the neurohypophysis

A

Neural

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6
Q

What does the pituitary gland sit in

A

Sella turcica

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7
Q

What structures surround the pituitary gland

A

Cavernous sinus
ICA
Optic chiasm

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8
Q

What visual defect can a pituitary enlargement cause

A

Bitemporal hemianopia

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9
Q

What hormones are released by the pituitary

A

GH
TSH
PRL
ACTH
FSH
LH

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10
Q

What hormone stimulates GH release

A

GHRH

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11
Q

What does somatostatin do

A

Inhibits GH and TSH release
Inhibits PRL insulin and glucagon release

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12
Q

How does dopamine effect PRL release

A

Inhibits

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13
Q

What hormones stimulate ACTH release

A

CRH and AVP(ADH)

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14
Q

What hormones stimulate FSH and LH release

A

Kisspeptin
GnRH

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15
Q

Thyroid axis

A

TRH -> TSH -> t4 -> t3
T4 inhibits TRH and TSH

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16
Q

Where are TRH, TSH, and T4 released

A

TRH - hypothalamus
TSH - pituitary gland
T4 - thyroid

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17
Q

What is the difference between primary and secondary thyroid underactivity/over activity

A

Primary caused by decr/incr response in thyroid
Secondary caused by decr/incr response in pituitary

18
Q

Role of the GH axis

A

GH regulation

19
Q

What does GHRH do

A

Promote GH cell clusters for coordinated responses
Increase GH cell number
Increase GH synthesis
Stimulate GH release

20
Q

What hormones are in the GH axis

A

GHRH
SS
Pit-1 + prop1 - trans factors
GH
IGF-I
IGF-II

21
Q

What causes McCune Albright syndrome

A

Mosaic mutation in GNAS gene

22
Q

McCune Albright syndrome classic triad

A

Fibrous dysplasia of bone
Café au late spots
Endocrine dysfunction + precocious puberty

23
Q

How many types of somatostatin receptors are there

A

5 - SSTR1 SSTR2 SSTR3 SSTR4 STR5

24
Q

What causes pituitary gigantism

25
Why are males more likely to have pituitary gigantism
Duplication mutation on X chromosome
26
What hormones are involved in the hypathalamo pituitary adrenal axis
CRH Arginine-vasopressin ACTH cortisol
27
2 types of Cushing’s syndrome
ACTH dependent ACTH independent
28
What causes ACTH independent Cushing’s syndrome
Steroid therapy Adrenal hyperplasia Adrenal tumour
29
What causes ACTH dependent Cushing’s syndrome
Pituitary adenoma
30
What axis involves kisspeptin, GnRH, LH, FSH, oestrogen, and testosterone
Gonadal axis
31
What subunit s the same in TSH LH FSH and HCG
Alpha subunit
32
What happens when there is continuous GnRH drive
Receptor desensitisation
33
How is the the gonadal axis stimulated medically
Pulsation GnRH
34
Kallmann syndrome
genetic disorder that prevents a person from starting or fully completing puberty, and no sense of smell
35
What nuclei are neuronal pathways in the posterior pituitary from
Paraventricular Supraoptic
36
Oxytocin functions
Giving birth Milk ejection Social recognition Pro sociality Perceptual selectivity
37
What increases vasopressin release
Increased osmolality
38
What causes cranial diabetes insipidus
Absence of vasopressin
39
Which part of the brain controls the pituitary
Hypothalamus
40
How can pituitary tumours cause clinical problems
Local mass effects Secreting excess hormones Hypopituitarism