L15: Calcium and Parathyroid gland Flashcards

(34 cards)

1
Q

Where is the parathyroid gland located

A

On the thyroid glands

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2
Q

What hormone does the parathyroid hormone secrete

A

PTH

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3
Q

What type of hormone is PTH

A

Peptide

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4
Q

When does PTH secrete

A

In low calcium

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5
Q

When does vitamin d come into hand

A

In low calcium

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6
Q

Where does vitamin D act on

A

The intestines:

- increases calcium and phosphate absorption

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7
Q

Where does PTH act on

A

GCPRs on the kidney

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8
Q

What hormone is secrete in high calcium

A

Calcitonin

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9
Q

Where is calcitonin produced

A

In the c-cells of thyroid glands

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10
Q

Where does calcitonin act on

A

The bones to decrease calcium absorption.

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11
Q

What hormone is released when there is high potassium

A

FGF23

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12
Q

Where is FGF23 made

A

In the bone cells

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13
Q

Where does FGF23 act on

A

The kidney to increase urinary phosphate

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14
Q

What are the levels of 1,25D3 in hypophosphataemia

A

Low so that it does not bring in phosphate from the intestine

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15
Q

What other hormone is involved in high levels of phosphate

A

PTH so urinary phosphate increases

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16
Q

Which cell crushes the bone

17
Q

Which cell builds the bone

18
Q

What is hyperparathyroidisim

A

High levels of PTH levels

19
Q

What is primary Hyperparathryoidism

A

Tumour in the parathyroid gland. It is usually a benign adenoma

20
Q

Why is primary HPT caused

A

Parathyroid gland does not react to the negative feedback

21
Q

What is secondary HPT

A

Renal disease:

- kidney stops functioning so phosphate increases and 1,25D3 decreases

22
Q

What is tertiary HPT

A

Prolonged state of tertiary HPT

23
Q

What is rickets

A

Lack of mineralisation of bone due to low VD3

24
Q

What is the treatment of rickets

A

Vitamin D replacement

25
What is osteomalacia
Same as rickets but occurs in adults
26
What group of people does rickets occur in
Children
27
What is osteoporosis
Loss of mineral and collagen component
28
What is the treatment of osteoporosis
PTH Oestrogen Denosumab Bisphosphatase
29
What causes the production of 1,25D3
PTH
30
Where is 1,25D3 made
In the kidney
31
What does secondary hyperparathyroidism lead to
Chronic kidney disease mineral and bone disorder
32
What does renal disease give for hyperparathyroidism to occur
Hypocalcemia Hyperphosphotemia These factors lead to the increase of PTH from the parathyroid gland
33
Why does osteoporosis increase in woman after menopause
Estrogen levels decline which lead to increased levels of bone remodelling and bone resorption so mineral is lost.
34
In rickets is collagen also lost from the bone
No collagen is not lost, only mineral ( phosphate and calcium) are lost