Pituitary Function and Failure Flashcards

1
Q

What is the hypothalamic hypophyseal portal system?

A

the vascular link between the hypothalamus and the anterior pituitary

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2
Q

What is the advantage of the hypothalamic hypophyseal portal system?

A

less hormone secretion is required and the hormones are transported directly

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3
Q

What is the difference between the anterior and posterior pituitary?

A

the posterior pituitary is nervous tissue with a neural link to the hypothalamus, the anterior pituitary is glandular epithelial tissue with a vascular link to the hypothalamus

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4
Q

What is the infundibulum?

A

the stalk which connects the pituitary to the brain

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5
Q

What are the anterior pituitary hormones?

A

ACTH, prolactin, GH, TSH, LH and FSH

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6
Q

What are the posterior pituitary hormones?

A

vasopressin and oxytocin

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7
Q

Which nuclei in the hypothalamus control posterior pituitary?

A

supraoptic and paraventricular

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8
Q

Which nuclei in the hypothalamus control anterior pituitary?

A

arcuate and other

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9
Q

Which hypothalamic hormone stimulates release of prolactin?

A

PRFs

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10
Q

Which hypothalamic hormone stimulates release of TSH?

A

TRH

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11
Q

Which hypothalmic hormone stimulates release of ACTH?

A

CRH

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12
Q

Which hypothalamic hormone stimulates release of GH?

A

GHRH

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13
Q

Which hypothalmic hormone stimulates release of FSH and LH?

A

GnRH

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14
Q

What is the target tissue of ACTH?

A

adrenal cortex to release cortisol

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15
Q

What is the target tissue of TSH?

A

thyroid gland to release thyroid hormones

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16
Q

What is the target tissue of LH and FSH?

A

gonads to release sex steroids

17
Q

What is the target tissue of prolactin?

A

breasts for growth and milk secretion

18
Q

What is the target tissue of GH?

A

the liver to produce IGF

19
Q

What alters hypothalamic control?

A

senses, stress, growth, emotion, diurnal and circardian rhythm

20
Q

What is growth?

A

the lengthening of long bones, net synthesis of protein and increase in size and number of cells in soft tissue

21
Q

What are the requirements for growth?

A

growth hormone, genetic determination, diet, absence of chronic stress and disease, growth influencing hormones

22
Q

Where is growth hormone from?

A

the anterior pituitary

23
Q

What is the chemical structure of growth hormone?

24
Q

How is growth hormone transported in circulation?

A

half free half bound to a plasma protein

25
What is the action of growth hormone?
bone and cartilage growth, soft tissue growth, increase in plasma glucose
26
What are somatomedins?
insulin like growth factors I and II
27
What is somatostatin?
growth hormone inhibiting hormone produced by the hypothalamus
28
What is somatotropin?
growth hormone
29
Which hormone plays a permissive role in growth?
thyroid hormone
30
Which hormone closes epiphyseal plates of long bones?
oestrogen
31
What is Laron dwarfism?
growth hormone insensitivity
32
What is acromegaly?
overproduction of growth hormone as an adult