Lecture 17 2/16/24 Flashcards

1
Q

What is a closed loop control system?

A

target glands secrete hormones that inhibit their own secretion

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2
Q

What is an open loop control system?

A

hormones do not control their own production; no direct feedback regulation

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3
Q

What are the characteristics of on/off control?

A

-full on, full off
-different set-points in different species
-set-points can change throughout day

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4
Q

What are the advantage and disadvantage of on/off control?

A

advantage: simplicity
disadvantage: cycling leads to less accuracy

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5
Q

What are the characteristics of on/off control with hysteresis?

A

-system has increased tolerance
-decreased frequency of cycles
-increased excursion of cycles

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6
Q

How does half-life play into negative feedback?

A

hormones with a longer half-life have a more important role in suppressing hormone production

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7
Q

What are the characteristics of proportional control?

A

-output is adjusted to be proportional to demand
-returns blood conc. of hormone to set-point value without cycling or overshooting

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8
Q

When is a large corrective action vs. a small corrective action needed in proportional control?

A

large: when hormone levels are significantly below set-point
small: when deviation from set-point is minimal

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9
Q

What is an offset in proportional control?

A

a deviation from set-point caused by a change in load

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10
Q

What are the characteristics of derivative/anticipatory control?

A

-measures rate of change of error signal
-anticipates magnitude of future error

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11
Q

What are the characteristics of the biphasic pattern of insulin secretion?

A

-acute phase involves the release of formed insulin
-chronic phase involves release of newly synthesized insulin
-anticipatory mechanism saves 80% of insulin and prevents large glucose fluctuations

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12
Q

What are the characteristics of integral control?

A

-prevents offset, but is slow acting
-small corrective actions
-measures error signal many times

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13
Q

Where can feedback failure occur?

A

-primary gland
-secondary gland
-tertiary gland
-ectopic secretion
-first messenger
-abnormal receptor
-non-functional second messenger

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14
Q

What happens when a cortical adenoma/carcinoma is present in the adrenal gland?

A

-increased cortisol
-decreased ACTH
-one large gland, one shrunken gland

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15
Q

What happens when a pituitary adenoma is present?

A

-lots of ACTH release
-both adrenal glands hyperplastic
-lots of cortisol, but no feedback

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16
Q

What happens when neoplasia of the hypothalamus occurs?

A

-increased ACTH
-hypertrophied adrenals
-increased cortisol
-can measure CRH or do MRI to diagnose

17
Q

What happens when there is ectopic ACTH secretion?

A

-tumor located somewhere other than hypothalamus/pituitary/adrenals produces ACTH
-ACTH from pituitary is minimal
-x-ray to locate tumor

18
Q

What happens with iatrogenic feedback failure?

A

prolonged administration of glucocorticoid and neg. feedback leads to pituitary and adrenal gland atrophy