Adrenal Glands and Hormones Quiz

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Questions and Answers

What is primarily secreted by the zona glomerulosa of the adrenal cortex?

  • Cortisol
  • Aldosterone (correct)
  • Dopamine
  • Corticosterone

Which component of the adrenal glands is responsible for releasing catecholamines?

  • Zona reticularis
  • Cortex
  • Zona fasciculata
  • Medulla (correct)

What is the main function of glucocorticoids?

  • Stimulate mineral absorption
  • Secrete adrenaline and noradrenaline
  • Maintain electrolyte balance
  • Influence carbohydrate and protein metabolism (correct)

Which steroid hormone is synthesized from pregnenolone?

<p>Cortisol (B)</p> Signup and view all the answers

Which hormone is NOT classified as a mineralocorticoid?

<p>Cortisol (D)</p> Signup and view all the answers

What regulates the biosynthesis of glucocorticoids and mineralocorticoids?

<p>Hypothalamic-pituitary independent mechanisms (B)</p> Signup and view all the answers

Which of the following is a glucocorticoid secreted by the zona fasciculata?

<p>Cortisol (B)</p> Signup and view all the answers

Which adrenal hormone is primarily involved in stress response?

<p>Cortisol (A)</p> Signup and view all the answers

What changes occur in the musculoskeletal system due to glucocorticoid actions?

<p>Decreased osteoblast activity and increased osteoclast activity (A)</p> Signup and view all the answers

What is a key characteristic of Addison's disease regarding hormone production?

<p>Insufficient production of cortisol and aldosterone (D)</p> Signup and view all the answers

Which condition is NOT typically treated with glucocorticoids?

<p>Hypothyroidism (A)</p> Signup and view all the answers

How do glucocorticoids affect sodium and potassium in the cardiovascular system?

<p>Increase Na+ reabsorption and promote K+ excretion (D)</p> Signup and view all the answers

What is a potential consequence of elevated glucocorticoids in the skin?

<p>Decreased proliferation of keratinocytes and fibroblasts (A)</p> Signup and view all the answers

In which of the following scenarios would glucocorticoids be administered intravenously?

<p>Management of acute adrenal insufficiency (B)</p> Signup and view all the answers

Which formulation of glucocorticoids is preferred for treating conditions in areas with thinner skin?

<p>Low-potency drugs (C)</p> Signup and view all the answers

Which of the following diseases with autoimmune components is a common indication for glucocorticoid therapy?

<p>Lupus erythematosus (B)</p> Signup and view all the answers

What triggers the synthesis of mineralocorticoids?

<p>Angiotensin II (C)</p> Signup and view all the answers

Which process is primarily induced by glucocorticoids related to carbohydrates?

<p>Increased gluconeogenesis (B)</p> Signup and view all the answers

What is the primary action of glucocorticoids on protein metabolism?

<p>Increased protein catabolism (A)</p> Signup and view all the answers

What is one physiological effect of glucocorticoids on inflammation and immunity?

<p>Decreased inflammation (B)</p> Signup and view all the answers

How does cortisol exert its actions in the body?

<p>Binding to intercellular receptors and modifying gene transcription (A)</p> Signup and view all the answers

Which of the following is a consequence of excessive glucocorticoid levels?

<p>Abnormal fat distribution (D)</p> Signup and view all the answers

What role does the hypothalamo-pituitary-adrenal (HPA) axis play in glucocorticoid synthesis?

<p>Stimulates the adrenal cortex through ACTH (C)</p> Signup and view all the answers

What is the effect of glucocorticoids on lipid metabolism?

<p>Lipolytic effects (A)</p> Signup and view all the answers

Which glucocorticoid is specifically noted for promoting fetal lung maturation in premature newborns?

<p>Betamethasone (B)</p> Signup and view all the answers

What is one of the effects of glucocorticoids on the immune system?

<p>Inhibit activity of T lymphocytes (B)</p> Signup and view all the answers

In the treatment of hypercalcemia, glucocorticoids help normalize calcium levels by which mechanism?

<p>Decreasing production of active vitamin D (D)</p> Signup and view all the answers

Prolonged use of supraphysiologic doses of glucocorticoids can lead to which syndrome?

<p>Cushing syndrome (B)</p> Signup and view all the answers

What is a common dermatological adverse effect associated with glucocorticoid therapy?

<p>Steroid acne (B)</p> Signup and view all the answers

What happens to adrenal cortex function after discontinuing glucocorticoid therapy?

<p>It may take months to return to normal (B)</p> Signup and view all the answers

What metabolic alteration can occur with the use of glucocorticoids?

<p>Glucose intolerance (C)</p> Signup and view all the answers

What is one of the consequences of glucocorticoids stimulating gastric acid production?

<p>Exacerbation of peptic ulcers (A)</p> Signup and view all the answers

Flashcards

Adrenal Cortex

The outer layer of the adrenal glands, responsible for producing steroid hormones like cortisol and aldosterone.

Mineralocorticoids

Steroid hormones produced by the adrenal cortex, crucial for managing mineral balance, especially sodium and potassium.

Aldosterone

A key mineralocorticoid produced by the adrenal cortex, primarily responsible for regulating sodium and potassium levels in the body.

Glucocorticoids

Steroid hormones produced by the adrenal cortex, primarily responsible for regulating blood sugar and immune responses.

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Cortisol

The main glucocorticoid produced by the adrenal cortex, crucial for regulating blood sugar, inflammation, and immune responses.

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Steroidogenesis

The process of synthesizing steroid hormones, starting from cholesterol and involving a series of enzymatic steps.

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Hypothalamic-Pituitary-Adrenal (HPA) Axis

The regulation of steroid hormone production, involving feedback loops between the hypothalamus, pituitary gland, and adrenal glands.

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ACTH (Adrenocorticotropic Hormone)

The hormone that stimulates the production of cortisol from the adrenal cortex.

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Negative Feedback Action of Glucocorticoids

Glucocorticoids primarily suppress the release of endogenous glucocorticoids through negative feedback in the hypothalamus and anterior pituitary.

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Cardiovascular Effects of Glucocorticoids

Glucocorticoids have a vasopressor effect, meaning they increase blood pressure. They also act as mineralocorticoids, promoting sodium reabsorption and potassium excretion.

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Glucocorticoids and Mood

Glucocorticoids can alter mood and induce feelings of euphoria.

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Glucocorticoid Effect on Bone Health

Glucocorticoids decrease the synthesis of collagen type II, important for bone formation. This leads to increased bone breakdown and can contribute to osteoporosis.

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Immunosuppressive Effects of Glucocorticoids

Glucocorticoids can suppress the immune system by inhibiting inflammation and immune cell activity.

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What is the HPA axis?

The HPA axis stands for Hypothalamo-Pituitary-Adrenal axis. It's a complex hormonal system that controls the body's stress response and regulates many vital functions, including metabolism and immune function.

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What is cortisol?

Cortisol is a glucocorticoid hormone with a wide range of physiological effects, including regulating metabolism, controlling inflammation, and influencing blood sugar levels. It plays a crucial role in the body's stress response.

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Glucocorticoids in Addison's Disease

Glucocorticoids are used to replace cortisol in Addison's disease, a condition where the adrenal glands don't produce enough cortisol.

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Topical Glucocorticoids for Inflammation

Glucocorticoids are used topically for skin conditions like eczema, psoriasis, and dermatitis. They are also used in the eyes to treat inflammation.

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What are the metabolic actions of glucocorticoids?

The metabolic action of glucocorticoids refers to their influence on how the body processes carbohydrates, proteins, and fats. They can increase blood sugar levels, promote protein breakdown, and influence fat distribution.

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Glucocorticoid Potency

High-potency glucocorticoids like betamethasone are used for severe skin conditions, while low-potency glucocorticoids like hydrocortisone are used for milder ones.

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What are the anti-inflammatory actions of glucocorticoids?

Glucocorticoids have a powerful anti-inflammatory effect. They suppress the immune response by reducing the activity of immune cells and decreasing the production of inflammatory mediators.

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How do glucocorticoids work at the cellular level?

The way glucocorticoids exert their numerous effects is through their interaction with specific receptors inside cells. This interaction modifies gene expression, leading to various physiological outcomes.

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How do glucocorticoid and mineralocorticoid receptors differ?

The mineralocorticoid receptor binds to both aldosterone and cortisol, while the glucocorticoid receptor has a higher affinity for cortisol. This allows cortisol to exert both glucocorticoid and mineralocorticoid effects.

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What is a common use of dexamethasone in cancer treatment?

Glucocorticoids are used in combination with other drugs to prevent nausea and vomiting during cancer chemotherapy.

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How do glucocorticoids help premature babies?

Glucocorticoids promote fetal lung maturation, preventing respiratory distress syndrome in premature infants.

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How do glucocorticoids treat hypercalcemia in sarcoidosis?

Glucocorticoids reduce granuloma formation in sarcoidosis, lowering the production of active vitamin D and helping normalize calcium levels.

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How do glucocorticoids work in preventing organ graft rejection?

Glucocorticoids prevent organ graft rejection by decreasing the production of pro-inflammatory cytokines and inhibiting the activity of immune cells like T lymphocytes.

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What are the potential side effects of long-term glucocorticoid use?

Prolonged use of high-dose glucocorticoids can lead to a condition resembling Cushing syndrome, characterized by "moon face", buffalo hump, weight gain, and muscle weakness.

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How do glucocorticoids affect the adrenal cortex?

Glucocorticoids can cause atrophy of the adrenal cortex by suppressing endogenous cortisol production, potentially leading to delayed recovery of normal adrenal function.

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What are some other potential adverse effects of glucocorticoids?

Glucocorticoids can cause hyperglycemia, glucose intolerance, hypertension, osteoporosis, mood changes, and exacerbate peptic ulcers.

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What are glucocorticoids?

Glucocorticoids are steroids produced by the adrenal cortex that regulate blood sugar, immune responses, and inflammation.

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Study Notes

Glucocorticoids

  • Glucocorticoids are steroid hormones secreted by the adrenal cortex.
  • They influence carbohydrate and protein metabolism and regulate defense mechanisms.
  • Their synthesis is regulated by the hypothalamic-pituitary axis, specifically by ACTH from the anterior pituitary.
  • Cortisol, a major glucocorticoid, is released in a circadian rhythm, with peak levels in the morning.
  • Glucocorticoids play a role in regulating water and electrolyte balance via mineralocorticoid receptors.

Adrenal Glands

  • Adrenal glands are located on top of the kidneys.
  • They are composed of two parts: medulla and cortex.
  • The medulla (inner part) produces catecholamines (epinephrine, norepinephrine, and dopamine).
  • The cortex (outer part) secretes steroid hormones, including glucocorticoids and mineralocorticoids.

Types of Cortical Steroids

  • Mineralocorticoids: Regulate water and electrolyte balance. Aldosterone is a key example.
  • Glucocorticoids: Influence carbohydrate metabolism. Cortisol is a primary example.
  • Gonadocorticoids: Influence reproductive function.

Mechanism of Action

  • Glucocorticoids interact with intracellular receptors.
  • The receptor-steroid complex affects DNA and gene transcription.
  • This leads to the altered production of proteins.

Metabolic Actions

  • Influence carbohydrate metabolism: Increased gluconeogenesis and decreased glucose uptake, leading to hyperglycemia.
  • Increased glycogen storage
  • Effect on proteins: Increased protein catabolism (tissue wasting).
  • Effect on lipids: Increased lipolysis.

Regulatory Actions

  • Immune function: Decreased inflammatory response and immune cell activity.
  • Effect on lymphoid tissues: Decreased clonal expansion of T and B cells.
  • Bone density: Decreased osteoblast activity and increased osteoclast activity, leading to osteoporosis.
  • Cardiovascular effects: Increase blood pressure.
  • Psychological effect: Mood alterations.
  • Other: Affect the hypothalamic-pituitary-adrenal (HPA) axis by negative feedback, and influence the anterior pituitary to reduce the release of endogenous glucocorticoids.

Clinical Uses

  • Replacement therapy: For Addison's Disease (adrenal insufficiency), chronic adrenal insufficiency.
  • Anti-inflammatory and immunosuppressant therapy: Asthma, inflammatory skin conditions, allergic reactions, autoimmune diseases, transplant rejection, and some cancers.

Adverse Effects

  • Cushing Syndrome: Characteristic features include "moon face," buffalo hump, central obesity, skin thinning, and muscle wasting.
  • Atrophy of the Adrenal Cortex: Prolonged use can cause atrophy of the adrenal cortex, and reduced natural production of cortisol.
  • Other: Hyperglycemia, hypertension, alterations in mood, peptic ulcers, growth retardation in children, osteoporosis.

Contraindications

  • Patients with severe conditions such as psychosis, peptic ulcers, heart disease, hypertension, diabetes mellitus, osteoporosis, and certain infections.

Types of Glucocorticoid Drugs

  • Different drugs have varying durations of action, mineralocorticoid potency, and anti-inflammatory potency.

  • Hydrocortisone, Cortisone, Deflazacort, Prednisolone, Prednisone, Methylprednisolone, Triamcinolone, Dexamethasone, Betamethasone are all examples of glucocorticoid drugs.

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