Term
True or False:
Paracrine hormones are locally acting. |
|
Definition
|
|
Term
What brings about the desired result in a chemically gated receptor channel |
|
Definition
|
|
Term
Describe how a receptor enzyme works. |
|
Definition
Extracellular messenger binds which activates protein kinase and protein kinase activates designated protein bringing about the desired response. |
|
|
Term
G-proteins activate ___________ |
|
Definition
|
|
Term
Effector proteins produce _____ |
|
Definition
|
|
Term
What is the role of second messengers in g-protein coupled receptors? |
|
Definition
To activate protein kinase |
|
|
Term
What are the two types of lipophilic (fat soluble) hormones? |
|
Definition
Thyroid and Steroid hormones |
|
|
Term
True or False:
Thyroid hormone is hydrophilic |
|
Definition
|
|
Term
What category of hormones does FSH and LH fall under? |
|
Definition
|
|
Term
True or False:
Oxytocin and Growth hormone both are peptides and hydrophilic |
|
Definition
|
|
Term
Where is tyrosine secreted from? Tryptophan? |
|
Definition
Tyrosine - adrenal medulla
Tryptophan - Pineal gland |
|
|
Term
True or False:
Tryptophan is a catecholamine |
|
Definition
|
|
Term
True or False:
Tyrosine is a catecholamine |
|
Definition
|
|
Term
Describe the synthesis of hydrophilic peptide hormones (3 basic steps). |
|
Definition
1) DNA is transcribe to RNA 2) RNA is translated to protein 3) Protein is stored or released |
|
|
Term
Where does RNA translation occur during hormonal synthesis? |
|
Definition
|
|
Term
During hormonal synthesis, where are proteins stored until they are released? What is the process called which releases these proteins? |
|
Definition
Stored in secretory vesicles until released by exocytosis |
|
|
Term
Describe the synthesis of lipophilic steroid hormones. |
|
Definition
A common precursor is used followed by a series of enzymatic steps |
|
|
Term
Where are lipophilic hormones stored? |
|
Definition
Trick question, they are NOT |
|
|
Term
True or False:
Steroid hormone secretion depends upon the rate of synthesis. |
|
Definition
|
|
Term
True of False:
All hydrophilic hormones are dissolved in the blood |
|
Definition
False
All except for catecholamines which 50% are bound to albumin |
|
|
Term
True or False:
Lipophilic hormones are reversibly bound to plasma proteins |
|
Definition
|
|
Term
How is it possible for fat soluble hormones to evoke non-gene-activating activities? |
|
Definition
By binding to membrane-bound receptors.
This is only possible with some sex steroids |
|
|
Term
How do the majority of fat soluble hormones act? |
|
Definition
|
|
Term
Once a lipophilic hormone diffuses through the plasma membrane and binds with its receptor, what occurs? |
|
Definition
The hormone-receptor complex will bind with DNA's hormone response element. |
|
|
Term
Once the hormone-receptor complex binds at its respective location, describe the steps leading up to the desired response. |
|
Definition
1) Binding activates gene 2) Activated gene transcribes mRNA 3) mRNA leaves nucleus 4) Ribosomes read mRNA to synthesize new proteins 5) New protein is released from ribosome and processed into final folded form 6) New protein brings about desired response |
|
|
Term
True or False:
Endocrine glands are those which contain ducts. |
|
Definition
|
|
Term
What is a hormonal stimulation? |
|
Definition
A hormone stimulates release of another hormone |
|
|
Term
What is a humoral stimulation? |
|
Definition
A substance in body fluid stimulates release of hormone |
|
|
Term
True or False:
The pituitary constantly secretes hormones |
|
Definition
False
Secretion rates vary |
|
|
Term
What type of control system regulates blood glucose? |
|
Definition
Negative-feedback control |
|
|
Term
The hypothalamic-anterior pituitary-gonadal axis is regulated by what control system |
|
Definition
Negative-feedback control |
|
|
Term
Increasing oxytocin will have what effect on prostglandin? |
|
Definition
It will increase prostaglandin production |
|
|
Term
What effect will increasing oxytocin and prostaglandin have in regards to child birth? |
|
Definition
It will increase uterine contractions |
|
|
Term
What effect will increasing uterine contractions have in regards to child birth? |
|
Definition
It will increase oxytocin secretion |
|
|
Term
What type of reflex is an adrenaline rush? |
|
Definition
|
|
Term
What is another name for circadian rhythms? |
|
Definition
|
|
Term
Over a 24 hour span, when is a hormonal response at its highest peak? |
|
Definition
During the first few hours |
|
|
Term
Why does a primary hyposecretion occur? |
|
Definition
|
|
Term
Why does a secondary hyposecretion occur? |
|
Definition
Lack of stimulus by tropic hormone |
|
|
Term
What are the two functions of tropic hormones? |
|
Definition
Stimulate an endocrine organ to grow and secrete its hormone |
|
|
Term
What are the two main reasons for an abnormal target-cell response? |
|
Definition
1) Lack of receptors 2) Lack of cellular component in the response pathway |
|
|
Term
Why does a chronic increase in insulin lead to a lower number of receptors and thus increased blood glucose? |
|
Definition
Because insulin will bind to an insulin receptor which is then internalized within a cell. This process occurs much quicker than an empty receptor can be replaced. |
|
|
Term
|
Definition
One hormone must be present for the full effect of another hormone |
|
|
Term
What effect will epinepherine have by itself compared to epinepherine and thyroid hormone together? |
|
Definition
Epinephrine alone will have a small increase in glucose and fatty acids within the blood where as epinephrine and thyroid hormone together will show a large increase in glucose and fatty acids in the blood.
This is a prime example of permissiveness |
|
|
Term
|
Definition
Several hormones combine to produce a greater effect than one alone. |
|
|
Term
What part of the brain is known as the integration center? |
|
Definition
|
|
Term
What are the potential effects of the hypothalamus on the anterior pituitary? |
|
Definition
The hypothalamus can stimulate or inhibit the anterior pituitary hormone secretion via releasing and inhibiting hormones. |
|
|
Term
True or False:
The posterior pituitary synthesizes its own hormones. |
|
Definition
False
The hypothalamus does |
|
|
Term
What is the suprachiasmatic nucleus? What is its function? |
|
Definition
Cluster of neuron cell bodies above optic chiasm
Functions to establish inherent daily rhythms |
|
|
Term
Where does the suprachiasmatic nucleus receive information from? |
|
Definition
|
|
Term
What synthesizes clock proteins? |
|
Definition
Self-starting genes of SCN neurons |
|
|
Term
What is responsible for synchronizing the biological clock with the environment |
|
Definition
Melatonin released from the pineal gland |
|
|
Term
When does melatonin secretion occur? |
|
Definition
During periods of darkness |
|
|
Term
What is another name for the pituitary gland? |
|
Definition
|
|
Term
The adenohypophysis is another name for what part of the body? |
|
Definition
|
|
Term
The neurohypophysis is another name for what part of the body? |
|
Definition
|
|
Term
What are the two types of neurosecretory neurons? |
|
Definition
Supraoptic nucleus (SON)
Paraventricular nucleus (PVN) |
|
|
Term
Specifically, what cell bodies produce oxytocin and vasopressin? |
|
Definition
Neurosecretory neuronal cell bodies of the hypothalamus |
|
|
Term
Specifically, where is oxytocin and vasopression released into systemic blood at? |
|
Definition
Neuronal terminals of the posterior pituitary gland |
|
|
Term
True or False:
Supraoptic nuclei and Paraventricular nuclei can both produce vasopressin and oxytocin |
|
Definition
|
|
Term
What is the major factor in the release of ADH? |
|
Definition
Hypothalamic osmoreceptors |
|
|
Term
What effect does ADH have on arteriolar smooth muscle? |
|
Definition
|
|
Term
What are the two ways in which oxytocin is released? |
|
Definition
Stimulation of cervical mechanoreceptors
Stimulation of nipple mechanoreceptors |
|
|
Term
Why role does oxytocin have at the breasts? |
|
Definition
Increases myoepithelial tone |
|
|
Term
What role does oxytocin have at the uterus? |
|
Definition
lowers threshold potential |
|
|
Term
What are the two categories of hypophysiotropic hormones? Functions? |
|
Definition
Hypothalamic releasing hormone - stimulates release of hormone from anterior pituitary cells
Hypothalamic inhibiting hormones - inhibits release of hormone from anterior pituitary cells |
|
|
Term
What is the name for the direct link from the hypothalamus to the pituitary? |
|
Definition
Hypothalamic-hypophyseal portal system |
|
|
Term
What is the location where the neurosecretory neurons terminate? |
|
Definition
Capillaries of the hypothalamic-hypophyseal portal system |
|
|
Term
True or False:
The hypothalamus is protected by the blood brain barrier |
|
Definition
|
|
Term
What effect does prolactin have on men? |
|
Definition
Production of luetenizing hormone receptors |
|
|
Term
What are the three major effects of growth hormone? |
|
Definition
Net synthesis of proteins Increase length of long bones Increase number of cells in soft tissues |
|
|
Term
True or False:
Growth hormone is continuously secreted |
|
Definition
|
|
Term
What influences fetal growth? |
|
Definition
|
|
Term
What two hormones contribute to the cessation of bone growth at the end of puberty? |
|
Definition
|
|
Term
What is the most abundant anterior pituitary hormone secreted? |
|
Definition
|
|
Term
Describe the binding of growth hormone. |
|
Definition
G.H. binds directly to target tissue |
|
|
Term
What effect does G.H. have on adipose tissue? |
|
Definition
Breaks down triglycerides to increase blood fatty acids |
|
|
Term
True or False:
Growth hormone plays a role in increasing blood glucose |
|
Definition
|
|
Term
True or False:
Growth hormone directly exerts growth-related effects |
|
Definition
False
Growth-related effects are mediated by insulin-like growth factors |
|
|
Term
What is the function of IGF-1? |
|
Definition
Mediate growth hormone's growth-promoting actions |
|
|
Term
Where does IGF-1 come from? |
|
Definition
|
|
Term
What affect can malnutrition have of IGF-1? |
|
Definition
lowers IGF-1 but increases G.H. |
|
|
Term
True or False:
FSH/LH and sex steroids all stimulate IGF-1 secretion |
|
Definition
|
|
Term
True or False:
IGF-II is influenced by G.H. just like IGF-I |
|
Definition
False
IGF-II is not influenced by G.H. |
|
|
Term
What is the role of IGF-II during adulthood? |
|
Definition
Unknown, but it is secreted |
|
|
Term
What is the primary role of IGF-II? |
|
Definition
Stimulate placental growth and pre/post implantation embryonic growth |
|
|
Term
What two ways does growth hormone, through IGF-1, stimulate growth in soft tissues? |
|
Definition
Hyperplasia - increases cell division, reduces apoptosis
Hypertrophy - increases protein synthesis, reduced protein degradation |
|
|
Term
What do osteoblasts need to form bones? |
|
Definition
|
|
Term
What is responsible for the tensile strength of bone? |
|
Definition
|
|
Term
|
Definition
Extracellular matrix composed of collagen and semisolid gel |
|
|
Term
What is responsible for the resistance to compression in bones? |
|
Definition
CaPO4 precipitation and bone hardening |
|
|
Term
What is the connective tissue surrounding bone? |
|
Definition
|
|
Term
|
Definition
|
|
Term
Bone marrow is contained within what part of the bone? |
|
Definition
|
|
Term
What part of the bone is known as the knobs at either end where articulations form? |
|
Definition
|
|
Term
What is the epiphyseal plate of the bone? |
|
Definition
cartilaginous growth region between diaphysis and epiphysis |
|
|
Term
What is the role of osteoclasts during intramembraneous ossification and appositional growth? |
|
Definition
remove bone to enlarge marrow cavity |
|
|
Term
What type of ossification is responsible for thickness? |
|
Definition
intramembraneous ossification |
|
|
Term
Endochondral ossification is responsible for ______ |
|
Definition
|
|
Term
During endochondral ossification, what happens to the hyaline cartilage? |
|
Definition
replaced with bone tissue |
|
|
Term
What role do chondrocytes play in the widening of epiphyseal plates? |
|
Definition
Chrondrocytes along epiphyseal plate multiply
Chrondrocytes next to diaphysis hypertrophy |
|
|
Term
What is the function of chrondrocytes, osteoclasts, and osteoblasts during the calcification of hypertophied cartilage? |
|
Definition
Chrondrocytes - either burst or lack access to nutrients
Osteoclasts - clear away dead cells and calcified matrix
Osteoblasts - move in and build bone tissue |
|
|
Term
When osteoblasts become entrapped by secreted matrix, what do they turn into? How do the trapped osteoblasts receive nutrients? |
|
Definition
Turn into osteocytes
Nutrients delivered via canaliculi (tiny canals) |
|
|
Term
How do osteocytes exchange calcium between bone and blood? |
|
Definition
Under the control of parathyroid hormone |
|
|
Term
What affect does growth hormone/IGF-1 have on osteoblast activity? |
|
Definition
|
|
Term
GH/IGF-1 increases proliferation of __________________________ |
|
Definition
epiphyseal articular cartilage |
|
|
Term
What has the ability to cause complete ossification of bones? |
|
Definition
|
|
Term
Exercise, stress, and decreased glucose have what effect on GH secretion? |
|
Definition
They increase GH secretion |
|
|
Term
What affect does a high protein meal play with growth hormone? |
|
Definition
It will increase growth hormone with the goal of protein synthesis |
|
|
Term
If blood fatty acid level fall, how does GH eventually stabilize it? |
|
Definition
GH will be stimulated which will mobilize fats and stabilize blood fatty acid levels |
|
|
Term
True or False:
Growth hormone level s are similar during periods of accelerated growth as in normal adults |
|
Definition
|
|
Term
What causes a primary growth defect? |
|
Definition
|
|
Term
What causes a secondary growth defect? |
|
Definition
Hypothalamic dysfunction by lacking GHRH |
|
|
Term
The primary cause of growth hormone excess is... |
|
Definition
Pituitary tumor of somatotropes |
|
|
Term
If a pituitary tumor were to occur duirng childhood, what would occur? |
|
Definition
Rapid growh in height without distortion of body proportions |
|
|
Term
Acromegaly can only occur after what event? |
|
Definition
Closure of epiphyseal plate |
|
|
Term
What role does insulin play in growth? |
|
Definition
Promotes protein synthesis |
|
|
Term
True or False:
Androgens involved in growth are permissive. |
|
Definition
False
Androgens are synergistic |
|
|
Term
How do androgens help to stop growth? |
|
Definition
By promoting the closure of epiphyseal plates |
|
|
Term
What role doe estrogens play in the stunting of growth? |
|
Definition
Same as androgens, by promoting the closure of epiphyseal plates |
|
|
Term
What programs the brain for masculine GH secretion patterns? |
|
Definition
|
|
Term
Describe the anatomy of the thyroid? Location? |
|
Definition
Bilateral lobes connected by isthmus
Anterior to trachea, inferior to larynx |
|
|
Term
What are the two major types of cells of the thyroid? |
|
Definition
1) Follicular cells 2) C Cells (parafollicular cells) |
|
|
Term
Follicular cells form _________ which are filled with ________. |
|
Definition
|
|
Term
Which type of thyroid cells are responsible for the formation of thyroid hormone? |
|
Definition
|
|
Term
What type of cells produces the glycoprotein, thyroglobulin? |
|
Definition
|
|
Term
What type of cell secretes calcitonin? |
|
Definition
|
|
Term
What is the function of C cells? |
|
Definition
calcium homeostasis NOT metabolism |
|
|
Term
True or False:
C cells play an important role in metabolism. |
|
Definition
|
|
Term
What are the 4 requirements for thyroid hormone synthesis? |
|
Definition
Iodide, tyrosine, thyroglobulin, and thyroperoxidase (TPO) |
|
|
Term
Describe the one requirement of ALL reactions used to synthesize thyroid hormones? |
|
Definition
All reactions occur with tyrosine molecules that are incorporated into thyroglobulin by peptide bonds. |
|
|
Term
What two things need to occur during the secretion of thyroid hormone? |
|
Definition
1) Separate t3 and t4 from Tg 2) Move t3 and t4 from the lumen to the blood |
|
|
Term
True or False:
T4 is the main form of thyroid hormone released from the thyroid |
|
Definition
|
|
Term
The primary locations where t4 converts to t3 are? |
|
Definition
|
|
Term
T4 and T3 are bound to what during circulation? |
|
Definition
Thyroxine-binding globulin (TBG) |
|
|
Term
True or False:
T4 is 10x more potent than T3 |
|
Definition
|
|
Term
True or False:
Every cell has thyroid hormone receptors. Therefore thyroid hormones effect all tissues of the body. |
|
Definition
|
|
Term
True or False:
Thyroid hormones effects occur relatively quickly. |
|
Definition
False
Effects occur slowly, over several days |
|
|
Term
What is the biologically active form of thyroid hormone? |
|
Definition
|
|
Term
What effect does thyroid hormone have in respect to catecholamines? |
|
Definition
Thyroid hormone raises target cell responsiveness to catecholamines |
|
|
Term
What metabolic processes are present when T3 is high? Low? |
|
Definition
Glycogenolysis, lipolysis
Glycogenesis, lipogenesis |
|
|
Term
True or False:
An increase in Thyroid hormone decreases basal metabolic rate |
|
Definition
|
|
Term
What is the calorigenic effect? |
|
Definition
Increased metabolism leads to an increased heat production |
|
|
Term
What is the relationship between thyroid hormone and neonates? |
|
Definition
T3 levels are critical for development and effects of low t3 are irreversible |
|
|
Term
What is the primary site for negative feedback of the thyroid gland? |
|
Definition
|
|
Term
What effect does thyrotropin-releasing hormone have on the anterior pituitary? |
|
Definition
|
|
Term
What effect does physical stress, starvation, and infection play on the hypothalamus? What about the cold? |
|
Definition
Inhibits hypothalamus
Stimulates hypothalamus |
|
|
Term
|
Definition
Hypothyroidism from birth resulting in mental retardation and dwarfism.
Mental retardation can be prevented with immediate replacement therapy |
|
|
Term
What are the causes of secondary hypothyroidism? |
|
Definition
Deficiency of TRH, TSH, or both |
|
|
Term
What term refers to carbohydrate infiltration in the skin? |
|
Definition
|
|
Term
|
Definition
Edema caused by carbohydrate buildup behind eyes
Specific to graves disease |
|
|
Term
An example of an interconversion is gluco_______ |
|
Definition
|
|
Term
How long can adipose provide the body with energy? |
|
Definition
|
|
Term
What are excess amino acids converted into? |
|
Definition
Glucose then to triglycerides |
|
|
Term
If fasting, how long does it take to break down the livers glycogen store? |
|
Definition
|
|
Term
What does the term glucose sparing refer to? |
|
Definition
ensuring there is enough glucose to supply the brain |
|
|
Term
True or False:
During the absorptive state, fats and amino acids are a large source for fuel |
|
Definition
False:
Very little fat and amino acids used for fuel |
|
|
Term
Which functional metabolic state does gluconeogenesis occur? Glucose sparing? |
|
Definition
Both during postabsorptive phase |
|
|
Term
What happens to glucose during the absorptive phase? Postabsorptive phase? |
|
Definition
Absorptive - converted and stored as triglyceride
Post - production of new glucose through gluconeogenesis |
|
|
Term
What organ functions as the primary blood glucose controller? |
|
Definition
|
|
Term
What organ converts glycerol to glucose? |
|
Definition
|
|
Term
Lactic acid is converted into ______ by the ___________ |
|
Definition
|
|
Term
What is the major reason for death as a result of starvation? |
|
Definition
|
|
Term
Which cells of the pancreas secrete pancreatic polypeptide? |
|
Definition
|
|
Term
True or False:
One function of insulin is to inhibit glycogenolysis |
|
Definition
True
This helps favor the storage of glycogen effectively lowering blood glucose and keeping it lower |
|
|
Term
How does insulin inhibit gluconeogenesis? |
|
Definition
By decreasing the amino acid concentration within the blood and inhibiting certain enzymes |
|
|
Term
What are the two functions of glucose phosphorylation? |
|
Definition
Keeps glucose trapped inside cells Keeps intracellular glucose concentrations low |
|
|
Term
Which glucose transporter is sensitive to insulin? |
|
Definition
|
|
Term
What areas of the body does GLUT-2 work within? |
|
Definition
B-islet, kidney, liver, and intestinal cells |
|
|
Term
True or False:
GLUT-1 is responsible for the blood brain barrier. |
|
Definition
|
|
Term
When GLUT-4 is not needed, what occurs? |
|
Definition
Endocytosis of GLUT-4 which returns GLUT-4 vesicle to the intracellular pool |
|
|
Term
Describe the dependency of insulin in regards to skeletal muscle cells. |
|
Definition
At rest, skeletal muscle cells are dependent upon insulin.
During exercise, skeletal muscle cells are not dependent upon insulin because muscular contractions trigger insertion of GLUT-4 |
|
|
Term
Describe the brain's dependency on insulin. |
|
Definition
The brain is not dependent upon insulin since it is freely permeable to glucose as a result of GLUT-1 and GLUT-3 |
|
|
Term
Describe the liver's dependency upon insulin. |
|
Definition
The liver is not dependent upon insulin because it does NOT use GLUT-4. However, the presence of insulin does enhance carbohydrate metabolism, effectively stimulating glucose phosphorylation |
|
|
Term
True or False:
Insulin has a catabolic effect on proteins. |
|
Definition
|
|
Term
When exciting insulin secretion, glucose enters the B-islet via which GLUT? |
|
Definition
|
|
Term
Once glucose enters B-islet, what occurs? |
|
Definition
Phosphorylation by glucokinase which is ATP dependent |
|
|
Term
When G6P is oxidized within the B-islet, what is produced? What is the function of this product? |
|
Definition
ATP which functions to close K+ channels leading to an increase in intracellular K+ |
|
|
Term
During insulin secretion, how does membrane depolarization occur? |
|
Definition
Volatage gated Ca++ channels open leading to an influx of Ca++ |
|
|
Term
What function does Ca++ play during insulin secretion? |
|
Definition
Ca++ mobilizes insulin vesicles and allows them to fuse to the membrane allowing insulin to secrete into the bloodstream via exocytosis |
|
|
Term
What effect does autonomic stimulation play in regards to the secretion of insulin? |
|
Definition
Stimulates insulin secretion be innervation the B-islets |
|
|
Term
What is another name for G.I. hormones? |
|
Definition
|
|
Term
What is the correlation between glucagon and glucose levels? |
|
Definition
|
|
Term
True or False:
Increase amino acids will increase a-islet and decrease b-islet activity |
|
Definition
|
|
Term
An increase in growth hormone will have what effect on blood glucose? |
|
Definition
Antagonize glucose uptake by muscles leading to glucose sparing |
|
|
Term
True or False:
Cortisol decreases glucose uptake by tissues other than the brain |
|
Definition
|
|
Term
What is the effect of epinephrine on amino acids and muscle protein? |
|
Definition
|
|
Term
Insulin dependent diabetes is also known as... |
|
Definition
|
|
Term
True or False:
Gestational diabetes correlates with Type II diabetes later in life. |
|
Definition
|
|
Term
T-lymphocyte destruction of B-cells correlates with which form of diabetes? |
|
Definition
|
|
Term
What effect do fatty acids have on B-cells? |
|
Definition
|
|
Term
What is the effect of incretin mimetics? |
|
Definition
Enhances feed-forward effect |
|
|
Term
What type of hormones are secreted from the adrenal cortex? What are the three specific ones? |
|
Definition
Steroids
Mineralcorticoids Glucocorticoids Sex Steroids |
|
|
Term
What is the outer layer of the adrenal cortex referred to as? Which hormones are secreted from this location |
|
Definition
Zona glomerulosa
Secretes mineralcorticoids specifically aldosterone |
|
|
Term
What is the middle layer of the adrenal cortex referred to as? What hormones are secreted from this location? |
|
Definition
Zone fasciculata
Secretes glucocorticoids specifically cortisol |
|
|
Term
The inner layer of the adrenal cortex is referred to as ______________? This area secretes which hormones? |
|
Definition
Zona reticularis
Secretes sex steroids specifically DHEA and some cortisol |
|
|
Term
Which hormone is the most abundant adrenal androgen? |
|
Definition
|
|
Term
What are the three functions of DHEA? |
|
Definition
Growth of pubic/auxillary hair Pubertal growth spurt Female sex drive |
|
|
Term
What hormone is effected by the negative control of DHEA? |
|
Definition
|
|
Term
Describe the output of cortisol versus DHEA? |
|
Definition
|
|
Term
What is the physiological significance of aldosterone? |
|
Definition
Important for controlling blood volume and pressure |
|
|
Term
What is the function of aldosterone? |
|
Definition
Promotes Na+ retention and K+ excretion during hypovolemia |
|
|
Term
What is the effect of high aldosterone? |
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Definition
High blood volume leading to HBP leading to increased potassium loss leading to paralysis/muscle weakness |
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Term
Describe the renin-angiotensin system pathway. |
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Definition
Angiotensinogen + Renin leads to angiotensin I. ATI plus ACE leads to angiotensin II. Angiotensin II tells the adrenal cortex to make aldosterone. |
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Term
Which hormone is of most importance during prolonged fasting? |
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Definition
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Term
True or False:
Cortisol decreases the muscle and liver response to insulin |
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Definition
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Term
How is the negative feedback control of cortisol overridden? |
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Definition
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Term
What disorder is known as primary hyperaldosteronism? |
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Definition
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Term
What is the major cause for secondary hyperaldosteronism? |
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Definition
High activity of the renin-angiotensin system |
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Term
Epinephrine and norepinephrine is secreted from... |
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Definition
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Term
True or False:
The adrenal medulla is a modified component of the parasympathetic nervous system. |
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Definition
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Term
In regards to the adrenal medulla, how could one describe the nerve tract leading to the medulla. |
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Definition
Consists of preganglionic fibers which terminate on chromaffin cells |
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Term
What type of cells within the adrenal medulla release catecholamines? |
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Definition
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Term
Where are catecholamines produces within the adrenal medulla? |
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Definition
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Term
What are the names/functions of the 4 adrenergic receptors? |
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Definition
a1 - constrict blood vessels a2 - dilate pupils, inhibit insulin b1 - increase heart rate b2 - dilate blood vessels, bronchodilation |
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Term
True or False:
The binding of NE to B2 promotes the breakdown of glycogen in muscle. |
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Definition
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Term
What is the general effect of epinephrine only versus epinephrine and the sns? |
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Definition
E only - decreases resistance to ventilation
E and SNS - mobilizes body resources to support peak physical exertion |
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Term
Approximately what percent of Ca++ is in the skeleton/teeth? ICF? ECF? |
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Definition
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Term
What % of PO43- is in the skeleton/teeth? ICF? ECF? |
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Definition
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Term
What is the relationship between calcium permeability/concentration and exocytosis? |
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Definition
Directly proportional relationship |
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Term
What role does calcium play with blood clotting? |
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Definition
Cofactor in clotting cascade |
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Term
An increased in ECF Ca++ leads to... while an increase in cytosolic Ca++ leads to... |
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Definition
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Term
What is the principal regulator of Ca++ and PO43-? |
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Definition
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Term
True or False:
Calcium balance is an immediate, minute-to-minute adjustment. |
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Definition
False
This described Ca++ homeostasis |
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Term
What does the secretion of parathyroid hormone prevent? |
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Definition
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Term
What would happen if no parathyroid hormone was present? |
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Definition
Spasm of respiratory hormone leading to asphyxiation |
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Term
Where are osteoblasts differentiated from? Osteoclasts? |
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Definition
Bone marrow stromal cells
Macrophages |
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Term
How do osteoclasts bring about resorption? |
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Definition
Secrete HCl that dissolves precipitate and secretes an enzyme that digests matrix |
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Term
What determines bone density? |
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Definition
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Term
Ostesprotegerin (OPG) binds with _________ and prevents __________________ |
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Definition
RANKL, resorption by promoting apoptosis in osteoclasts |
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Term
True or False:
Mechanical stress favors the increase in bone mass and strength. |
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Definition
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Term
What role does PTH play in reference to Ca++? |
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Definition
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Term
How does Vitamin D work to increase Ca++ absorption? |
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Definition
Just like a protein would elicit an effect. By doing so it increases the responsiveness of bone to PTH |
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Term
What is the main difference between fast and slow movement of Ca++? |
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Definition
Fast - no PO43-
Slow - PO43- moves with Ca++ |
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Term
What are the two effects of calcitonin on bone? |
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Definition
Decreases Ca++ movement from bone fluid to plasma
Decreases bone resorption |
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Term
How does Calcitonin inhibit osteoclasts? |
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Definition
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Term
What occurs as a result of an increase in vitamin D and an increase in urinary excretion of Ca++? |
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Definition
The effects counteract each other resulting in No change in plasma Ca++ |
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Term
How does the body maintain Ca++ levels if there is a vitamin D deficiency? |
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Definition
By using the bones Ca++ (Not good) |
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