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170 Cards in this Set

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Functions of endocrine system
- single gland may produce multiple hormones
- i.e. anteriori pituitary

- single hormone may be made by more than one gland
- somatostatin

- a hormone may have more than 1 target and response
- testosterone

- some organs may be exclusively hormonal
- Anterior pituitary

- Some organs produce hormones and have other functions
- testes roduce testosterone and sperm
___ endocrine system releases _________ while the ___ nervous system releases _________
Slow; hormones
Fast; neurotransmitters
Secondary endocrine organ
secretion of hormones is secondary to other tasks

include heart, liver, stomach, small intestine, kidney and skin
Examples of primary endocrine organs
hypothalamus, pituitary gland and pineal gland
Posterior pituitary secretes what two peptide hormones
- Antidiuretic hormone (ADH)
- oxytocin
Function of ADH and oxytocin
- regulates water reabsorption by kidneys
- oxytocin stimulates uterine contractions and milk letdown in breasts
Anterior pituitary secretes what type of hormones?
tropic hormones
Function of tropic hormones
regulate secretion of other hormones

inhibits and stimulates release of other hormones
Feedback loops
regulate pathways of hormone production i hypothalamus and pituitary gland
Inhibition of hypothalamus tropic hormones by the anterior pituitary gland is known as _________
short loop negative feedback
long loop negative feedback
Hormone secreted by tropic hormone feeds back to hypothalamus, inhibiting the secretion of the tropic hormone, which limits its own secretion
What hormone does the pineal gland secrete?
melatonin
Role of melatonin
Regulates circadian rhythm
Sleep-inducing agent
Enhances immune function
Exerts a suppressive effect on reproductive function by interfering with activity of hormones
Hormones secreted by thyroid gland
- tetraiodothyronine (T4)
- triiodothyronine (T3)
- calcitonin
Function of thyroid hormones
regulate body's metabolic rate and are necessary for normal growth and development
Role of calcitonin
regulate calcium levels in blood
Parathyroid gland hormone
PTH - parathyroid hormone
- regulates calcium levels in blood
Primary Endocrine organs
• Pineal gland
• Thyroid gland and parathyroid glands
• Thymus
• Adrenal glands
• Pancreas
• Gonads
• Hypothalamus
• Pituitary gland
All hormones from anterior pituitary are tropic, except ______
Prolactin
T/F
Most hormones are hydrophobic
False; hydrophilic
Where are the receptors for hydrophilic hormones located?
On the surface
Peptides and catecholamines are what type of hormones?
Hydrophilic
Steroids and thyroid hormones are what type of hormones
Hydrophobic
Growth hormone
Major stimulator for postnatal growth via stimulation cell division & protein synthesis
How does GH promote growth?
- stimulates protein synthesis
- increases cell size (hypertrophy)
- stimulates cell division, which increases cell number (hyperplasia)
Metabolic actions supporting growth include:
- Inhibit glucose uptake into adipose tissue and skeletal muscle

- Stimulate lipolysis in adipose tissue

- Stimulate gluconeogenesis in liver

- Increase uptake of amino acids into cell
factors leading to release of growth hormone releasing hormone
- Decreases in glucose
- Decreases in fatty acids
- Increases in amino acids
- Sleep
Bone growth
- Increase in width
Osteoblasts lay down new bone on outer surface

Osteoclasts resorb bone on inner cavity
Bone growth
- Increase in length
Osteoblasts lay down new bone at epiphyseal plates
What type of cells synthesize thyroid hormones?
Follicular cells
Where are thyroid hormones stored prior to secretion?
colloid
What type of cell secretes calcitonin?
Parafollicular cells of thyroid
Metabolism is regulated by what processes
• Altering rate of transcription & protein synthesis
• ↑ rate of O2 consumption at rest ↑ Basal metabolic rate (BMR)
• ↑ rate of Na+/K+ pump
• “permit” many tissues¬ to readily respond to Epi
How does T3 hormone stimulate cellular respiration
- Stimulates active transport of Na+/K+ pump
- Lower cellular ATP concentration burns off energy
What is the most important hormone in control of plasma Ca++ concentration?
Parathyroid hormone
T/F
Vitamin D is derived from cholesterol
True
How is Vitamin D transformed into a hormone?
- adding H to carbon 25 in liver
- PTH adds OH to carbon 1 in kidneys
What is the active form of vitamin D?
1,25-OH- vitamin D3
T/F
In excess, vitamin D is stored in the skin cells.
False; adipose tissue
Roles of Ca++
- Neuromuscular excitability
- Excitation and contractibility in cardiac and smooth
- Stimulus for secretion
- Maintains tight junctions bw cells
- blood clotting factor in clotting cascade
- Structural matrix in bones and teeth
- ICF Ca++ = intrecellular messenger
What primary endocrine organ secrets hormone thymosin?
Thymus
All hormones of the hypothalamus that are affected by circadian rhythm and secreted in the _______________ _______
suprachiasmatic nucleus (SCN)
How can seasonal affective disorder be treated?
Light box therapy
Adrenocorticoids
Hormones secreted by the adrenal cortex
3 types of adrenocorticoid hormones
1. aldosterone (Mineralocorticoids)
2. cortisol (Glucocorticoids)
3. androgens (Sex hormones)
3 hormones secreted by Adrenal medulla
1. 80% epinephrine
2. 20% norepinephrine
3. >1% dopamine
The secretory cells of the adrenal medulla are known as ________
Chromaffin cells
Function of mineralocorticoids
regulates sodium and potassium levels
Stress control pathway
Corticotropin releasing hormone (CRH) >>> Adrenocorticotropic hormone secretion
(ACTH) >>> Cortisol secretion
Cushing's syndrome
excess cortisol secretion, which results in not enough release of CRH and ACTH into blood

lethargy, buffalo hump, round, red cheeks, high bp
Addison's disease
autoimmune destruction of all zones

insufficient cortisol and decreased aldosterone levels
Predominant sex hormones in males
androgens, testosterone and androstenedione
Major sex hormones in females
estradiol and progesterone
Secondary endocrine organs
heart
kidneys
GI tract
Liver

(skin, liver, kidney necessary for activation of 1,25 dihydroxy vitamin D3)
hormone secreted by heart
atrial natriuretic peptide (ANP)
hormone secreted by kidneys
Erythropoietin (EPO)
hormoneS secreted by GI tract
- Cholecystokinin
- Secretin
- Gastrin
hormone secreted by liver
Insulin-like growth factors (somatomedins) (IGFs)
Insulin vs. glucagon is an example of what type of hormone interaction?
Antagonistic
Additive hormone interactions
A + B = AB

when two hormones produce the same type of response in the body
Synergistic hormone interactions
A + B = AB+

net effect is greater than the sum of individual effects

basically, they enhance each other
Permissive hormone interactions
A needs B

i.e. epinephrine binds to ß adrenergic receptors on smooth muscle cells of bronchioles, causing airway to dilate
Blood glucose levels
Normal - 70-100 g/dL
Hyperglycemia - glucose>140 mg/dL
Hypoglycemia - glucose < 60 mg/dL
T/F
Blood glucose levels are maintained only by insulin.
False; insulin and glucagon
Insulin is a hormone of _________ state, while glucagon is ___________ state
absorptive state (feasting)
post absorptive state (fasting)
Why does the liver release glucose?
bc presence of glucose 6 phosphatase
Exocrine pancreas is made up of what type of cells and what are their functions
Acinar and duct
- secrete fluid and enzymes into digestive tract
Endocrine pancreas is called _______ and is made up of what type of cells. What does each cell secrete?
Islets of Langerhans

- alpha - secretes glucagon
- beta - secretes insulin
- delta - secretes somatostatin
- f cells
What causes alpha cells of the pancreas to secret glucagon?
decrease in plasma
T/F
All cells have insulin receptors.
False; all except RBCs b/c they lack mitochondria
Actions of glucagon in liver
↑ Glycogenesis
↑ Gluconeogenesis
↑ Ketone synthesis
↑ Protein breakdown

↓ Glycogen synthesis
↓ Protein synthesis
Actions of glucagon in adipose
↑ Lipolysis

↓ Triglyceride synthesis
Type 1 Diabetes Mellitus is damage to what type of cells?
Beta cells
T/F
Type 1 Diabetes Mellitus is insulin dependent
True
3 acute effects of diabetes mellitus
- diabetic ketoacidosis
- hyperosmolar nonketotic coma
- Hypoglycemic coma
Early chronic complications of DM
Polyuria
Polydipsia
Polyphagia
What is the result of hyperglycemia in a diabetic?
Increased free radicals and oxidative stress
Pathway of Diabetes and Hyperglycemia promotion of microvascalature damage
Hyperglycemia leads to
↑ Glycosylation and ↑ in advanced glycosylation end-products which leads to microvascalature damage.
Effexts of diabetes on microvascalature
Retinopathy - damage to blood vessels of eye

Nephropathy - damage to idneys

Neuropathy - completely changes the was neurons react

Delayed wound healing
3 phases of wound healing
1. Inflammation
2. Proliferation
3. Remodeling
T/F
75% of amputations started with foot ulcers
False; 84%
T/F
Type 2 Diabetes mellitus can be cured in morbidly obese people
True
sensory/afferent
impulses from receptors to CNS
motor/effector
impulses from CNS to effector
associated/interneurons
located all throughout CNS
The axon hillock must be reached by the signal as an ______ ________
action potential
Leak channels
- always open
- throughout neuron
- responsible for Resting membrane potential
ligand gated channels
- open/close in response to ligand binding
- most densely on dendrites & cell body
- synaptic otentials
voltage-gated
- open or close in response to change in membrane potential
Na+/K+ channels
- mostly in axon hillock
- active during action potentials
Calcium channels
- located at axon terminal
- release of NT
Which of these statements about life span changes are wrong?
a. Endocrine glands decrease in size
b. Calcitonin level decrease; which decreases the risk of osteoporosis
c. Thyomyosin production declines increasing risk of infections
d. Insulin Resistance may develop
e. ADH levels increase because of slower break down in liver and kidneys
b. Calcitonin level decrease; which decreases the risk of osteoporosis
Responsible for the closing of sodium channels during the repolarization phase of an action potential
a. Activation gates
b. inactivation gates
b. inactivation gates
The most prevalent inhibitory neurotransmitter in the brain is
a. GABA
b. Glutamate
a. GABA
The preganglionic neurons in the sympathetic nervous system emerge from which part of the spinal cord?
a. Thoracic
b. Lumbar
c. Cervical
d. A and B
e. All of these
d. a and b
Writing out your notes instead of typing them would influence what part of the brain the greatest?
a.Cerebellum
b.Hippocampus
c.Thalamus
d.Medulla
b.hippocampus
Glial Cells (5)
- Astrocytes
- Ependymal Cells
- Microglia
- Oligodendrocytes
- Schwann Cells
What is the most abundant glial cell?
Astrocytes
Muliple sclerosis
myelin destroyed on motor neurons
Guillain-Barre syndrome
can't feel sensations or move muscles due to destroyed myelin on sensory and motor neurons
Resting membrane potential depends on 2 factors:
1. concentration gradients of ions across PM
2. presence of ion channels in PM
Why does resting membrane potential exist?
More negative charges inside cell
More positive outside
hyperpolarization
change to more negative value

membrane become more polarized
depolarization
change to more positive value
repolarization
membrane potential returns to resting membrane potential following depolarization
t/f
In graded potentials, the strength of stimulus affects the magnitude of the potential
True
In action potentials, rapid depolarization is the result of ___________
dramatic increase in sodium permeability , followed by and increase in movement of Na+ into cell
What causes repolarization?
rapid increase in permeability of K+ --- movement of K+ out of the cell to bring membrane potential back to resting levels
Action potential sequence
1. Rapid depolarization
2. Repolrization
3. Hyperpolarization
(leads to absolute refractory period)
What happens after threshold is triggered?
1.Rapid opening of sodium channels
2. Slow closing of Na+ channels
3. slow opening of K+ channels
- 1 msec lag time
What would happen if there was no lag time for K+ channels?
Na+ and K+ channels would negate each other's effects
⇡ Sodium flow into cell (depolarization) is an example of ___________, while ⇡ in K+ out of cell (repolarization) is an example of _____________
positive feedback

negative feedback
T/F
Action potential from supra threshold causes greater magnitude than that of simply threshold.
False; same magnitude
Absolute refractory period
immediately follows action potential

spans depolarization and most of repolarization

Na+ and K+ gates not reset
Relative refractory period
during the very end of repolarization and all of the after-hyperpolarization

action potential possible
2 types of synapses
1. electrical
2. chemical
Electrical synapses
electrical charge freely flows through gap junctions from cell to cell
Chemical synapses
NT acts as signal from presynaptic to postsynaptic cell
LEARN FIG 8.2
LEARN FIG 8.2
Examples of electrical synapses
smooth and cardiac muscle, the brain
Rapid eye movement is an example of what type of synapse?
electrical
Axodendritic synapse (location)
presynaptic neuron synapse with dendrite of postsynaptic neuron
Axosomatic syanpse (location)
presynaptic neuron synapses with cell body of postsynaptic neuron
Axoaxonic (location)
presynaptic neuron synapses with axon of postsynaptic neuron
Response of removal of NT from synaptic cleft
1. Reuptake
2. degradation
3. Diffusion
Ionotropic receptors - fast or slow
fast b/c NT binds to ion channel and it opens
Metabotropic receptors - fast or slow
slo because binding of NT is coupled with G protein which leads to opening of ion channel
2 types of metabotropic
direct coupling
secondary messenger system
In slow EPSP, what enzyme phosphorylates a protein to close K+ channel

FIG 8.4!!
protein kinase A
What type of channels are involved with IPSP
K+ or Cl- channels
Temporal summation
2 or more postsynaptic potentials are generated in rapid succession at same synapse
Spatial summation
2 or more postsynaptic potentials originating from diff synapses are generated at same time and overlap
graded potentials vs. action potentials
Graded Potentials vs Action Potentials

Magnitude varies with event All or None

Magnitude diminishes with distance Does NOT diminish along membrane

No refractory Refractory period

Can be summed No summation

Can be depolarization or hyperpolarization Always depolarized
What NT is specific to cholinergic receptors
ACh
2 types of cholinergic receptors and receptor caegorizaton
Nicotinic - ionotropic (fast)
Muscarinic - metabotropic (slow)
Receptors for epi and norepi are called __________ receptors
adrenergic
Two types of adrenergic receptors
alpha and beta
ACh enzyme of degradation
acetylcholinasterase (AChE)
__________ is the most widespread NT in the PNS
ACh
ACh is ________ in the brain and skeletal muscles but ________ in cardiac muscles
excitatory

inhibitory
Alzheimer's disease
loss of cognitive and memory function due to degeneration of basal forebrain neurons making ACh
________ is the most common NT at excitatory synapses in CNS
Glutamate
Enzymes for degrading biogenic amines
MAO (generally)
COMT
Cocaine blocks reuptake of _________
dopamine
T/F
Norepinephrine is a NT in the CNS only
False; CNS and PNS
Function of Serotonin as NT
regulate mood, behavior appetite sexual function and cerebral circulation
_______ is the most common inhibitory NT
GABA
CCK - Cholecystokinin
hormone acting as NT that promotes fullness after meals
Gray matter contains...
White matter contains...
gray: cell bodies, dendrites, axon terminals

white: axons
In the spinal cord, where are the cell bodies of afferent neurons located?
dorsal root ganglion
Left brain specializations
o Logic & Analytical abilities
o Language rules
o Stores verbal memories
o The interpreter
right brain specialization
o Creativity & Spatial perception
o Stores emotional memories
T/F
Sensory and motor pathways cross
True
Functions of limbic system
learning
emotion
behavior
four f's
Components of limbic system
amygdala
hippocampus
fornix
cingulate
parahipocampal gyri
Sensitization
response ↑ with repeated stimuli
what type of synapse is modulating?
axoaxonic
- leads to greater chance of action potential
only known monosynaptic reflex
muscle spindle stretch reflex
Organ critical to motor coordination
cerebellum
Basal nuclei function in....
feedback
selective movements
Huntington's Chorea
loss of motor coordination due to destruction of pathway from basal nuclei to thalamus
purpose of sleep
body and brain rest
enhance memory retention
enhance learning
immune system function
CNS site of induction of slow wave sleek and REM sleep
Slow wave - forebrain
REM - Pons
Organ critical to motor coordination
cerebellum
Basal nuclei function in....
feedback
selective movements
Huntington's Chorea
loss of motor coordination due to destruction of pathway from basal nuclei to thalamus
purpose of sleep
body and brain rest
enhance memory retention
enhance learning
immune system function
CNS site of induction of slow wave sleek and REM sleep
Slow wave - forebrain
REM - Pons
T/F
Most visceral organs are innervated by both sympathetic and parasympathetic fibers
True
- called dual innervation
Fight or flight reactions
Heart rate ↑
Bronchioles dilate
Glucose concentration ↑
GI tract shots down