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20 Cards in this Set

  • Front
  • Back

Thyroid development

1- Thyroid diverticulum develop from the floor of the primitive pharynx and descend in the neck


2- Connect to the tongue by the thyroglossal duct that disappears if persist for a thyroglossal duct cyst or pyramidal lobe of the thyroid


3- Foreamen cecum remnant of the thyroglossal duct


4- Most common ectopic thyroid tissue site tongue (lingual thyroid) removal can cause hypothyroidism if it’s the only thyroid tissue


5- Thyroglossal duct cyst present as anterior neck mass that moves with swallowing and protrusion of the tongue


6- Thyroid follicular cells develop from endoderm

What is the embryological origin of the parafollicular cells

4th pharyngeal pouch

Anterior pituitary (adenohypophysis)

1- Secretes FSH, LH, ACTH, TSH, Prolactin, Growth hormone and Beta endorphins


2- Melanotropins (MSH) are secreted from the intermediated lobe of the pituitary


3- Develop fro oral ectoderm Rathke pouch


4- Alpha subunit - Hotmail subunit of FSH, LH, TSH and HCG


5- Beta subunit - determine hormone specificity


6- Basophils 1- FSH, LH, ACTH, TSH


Acidophils - Prolactin, growth hormone


7- Proopiomelanocortin- derivative MSH, ACTH and Beta endorphins

Posterior pituitary neurohypophysis

1- Secretes and release ADH and oxytocin made by hypothalamus (supraoptic and paraventricular nucleus) and transported to posterior pituitary by neurohysins (carrier proteins)


2- Derived from neuroectoderm

Adrenal cortex and medulla

1- Adrenal cortex derived from mesoderm


2- Adrenal medulla derived from neural crest (ectoderm)


3- 3 zones of adrenal cortex


1- Zana glomerulosa- Aldosterone


2- Zona fasciculata- Cortisol


3- Zona reticularis- Androgen


4- Adrenal medulla secretes catecholamine (epinephrine and norepinephrine)

Endocrine pancreatic cell type

1- Islet of langerhan are collection of alpha, beta and gamma endocrine cell


2- Islet arises from pancreatic bud


3- 3 endocrine cells


1- Alpha- glucagon (peripheral)


2- Beta- Insulin (central)


3- Gamma- somatostain (interspersed)

Which hormone regulates aldosterone production in the Zona glomerulosa

Angiotensin II

Which hormone stimulate androgen production in the Zona reticularis

ACTH and CRH

Which hormone stimulate cortisol production in the Zona fasciculata

ACTH and CRH

ADH

1- Increase water permeability in the distal convoluted tubules and collecting ducts of the kidney to increase water reabsorption


2- Activated by increase plasma osmolality

CRH

1- Increase beta endorphin, MSH and ACTH


2- Decrease in exogenous steroid use

Dopamine

1- Decrease prolactin and TSH


2- Also called prolactin inhibiting hormone


3- Dopamine antagonist (antipsychotics) causes galactorrhea due to hyperprolactinemia

GHRH

1- Increase GH


2- Analog (tesamorelin) used to treat HIV associated lipodystrophy

GnRH

1- Increase FSH and LH


2- Suppressed by hyperprolactinemia


3- Pulsatile GnRH leads to puberty and fertility

MSH

1- Increase melanogenesis by melanocytes


2- Cause hyperpigmentation in cushion syndrome because share the same precursor molecule proopiomeanocortin

Oxytocin

1- Stimulate uterine contraction during labour and milk let down reflex response to suckling


2- Modulates fear, anxiety, social bonding, mood, and depression

Prolactin

1- Decrease GnRH stimulate lactogenesis


2- Pituitary prolactinoma - amenorrhea, osteoporosis, hypogonadism, galactorrhea


3- Increase prolactin — decrease GnRH — delay postpartum ovulation ( natural contraception)

Somatostatin

1- Decrease GH and TSH


2- Growth hormone inhibitor


3- Use to treat acromegaly

TRH

1- Increase TSH and prolactin


2- Increase TRH (2 to hypothyroidism) can cause increase prolactin secretion

Leuprolide suppresses the hypothalamic pituitary axis. Which hormone is it an analog of

Gonadotrophin releasing hormone