reproductive 2 Flashcards

1
Q

what are androgens

A

steroid hormones that have anabolic and masculinizing effects

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2
Q

where is testosterone produced three places

A

Leydig cells of testies, ovaries, and zona reticula cells of adrenals

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3
Q

Moa of testosterone

A

alter gene transcriptom

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4
Q

what is the more bioactive form of testosterone

A

dihydrotestosterone

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5
Q

how is dihydrotestosterone made

A

5 alpha reductase enzyme,

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6
Q

what hormones metabolize testosterone

A

5 alpha reductase to dihydrotestosterone and aromatase to estrogen

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7
Q

to effects of testosterone

A

androgenic and anabolic

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8
Q

adrogenic effects

A

secondary male characteristic, sperm, fertility etc

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9
Q

anabolic effects

A

building strong bones and muscles and RBCs

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10
Q

inaequate testosteron production

A

hypogonadism

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11
Q

two reasons to supplement testosterone,

A

hypogonadism and dwarfism from pit

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12
Q

signs of hypogonadism

A

loss of 2nd sex characteristic, sexual dysfunction, osteoporosis,

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13
Q

indications for testosterone administration

A

anemia, severe osteoporosis, hormone therapy trans, anti aging

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14
Q

ratio of androgenic to anabolic activity in exogenous testosterone

A

1:01

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15
Q

are oral preparations of testosterone effective?

A

Oral is less effective because of first pass metabolism, sublingual iare thought to be effective

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16
Q

what did old oral testosteron do

A

increase risk of liver disease and hepatitis and hepatic cancer

17
Q

adverse effects of excess androgens

A

Prostatic cancer, gynecomatia, baldness, acne - Women: virilization, acne, excess body hair, clit enlargemtn, menstral irregularities - Children: short stature closure of growth plates

18
Q

high dose, unauthorized

A

roid rage, breast cysts, cystic acne, liver abnormalities

19
Q

Labs adverse effects

A

abnormal lipid levels, fluid retentin, increase RBC mass to increase viscositis, to increase ischemia

20
Q

what are anabolic steroids

A

synthetic derivative of testosterone which have anabolic effect > androgenic effect