Clinical Chemistry 2 04 [LEC] Adrenal Gland Prelims A.Y. 2022-2023 Quiz
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Questions and Answers

Which layer of the adrenal gland is responsible for the production and secretion of mineralocorticoids, glucocorticoids, and weak androgens?

  • Adrenal Medulla
  • G-zone (Zona Glomerulosa)
  • R-zone (Zona Reticularis)
  • F-zone (Zona Fasciculata) (correct)
  • Which hormone is primarily secreted by the Adrenal Medulla?

  • Progesterone
  • Cortisol
  • Epinephrine (correct)
  • Aldosterone
  • What percentage of the adrenal gland does the Adrenal Medulla comprise?

  • 30%
  • 10% (correct)
  • 20%
  • 40%
  • Which defect in steroid hormone synthesis can lead to adrenal insufficiency?

    <p>Conversion of cholesterol to pregnenolone</p> Signup and view all the answers

    From which cells does the Adrenal Cortex primarily derive?

    <p>Mesenchymal cells near the urogenital ridge</p> Signup and view all the answers

    What is the main function of cortisol in the body?

    <p>Maintaining blood glucose levels</p> Signup and view all the answers

    What color is the Adrenal Medulla when seen on gross sectioning?

    <p>Reddish-brown</p> Signup and view all the answers

    Which effect is NOT associated with cortisol?

    <p>Stimulating antibody formation</p> Signup and view all the answers

    What hormone is responsible for regulating blood pressure and volume status?

    <p>Aldosterone</p> Signup and view all the answers

    Which imaging technique is considered superior to adrenal CT in diagnosing certain adrenal conditions?

    <p>Venous sampling</p> Signup and view all the answers

    In patients with aldosteronism, what effect does captopril have on plasma aldosterone levels?

    <p>It suppresses plasma aldosterone levels</p> Signup and view all the answers

    Which zone of the adrenal cortex makes up the majority (75%) of its structure?

    <p><em>Zona fasciculata</em></p> Signup and view all the answers

    Which of the following is NOT a part of the adrenal gland?

    <p>Pituitary</p> Signup and view all the answers

    What is the primary function of the adrenal gland?

    <p>Produce hormones that regulate blood pressure and electrolyte balance</p> Signup and view all the answers

    What is the term used to describe the location of the adrenal gland?

    <p>Suprarenal</p> Signup and view all the answers

    What is the inherited family of enzyme disorders affecting cortisol, aldosterone, and sex steroid production called?

    <p>Congenital adrenal hyperplasia (CAH)</p> Signup and view all the answers

    What hormone is responsible for initiating steroid production in the adrenal gland?

    <p>Adrenocorticotropic hormone (ACTH)</p> Signup and view all the answers

    What is the approximate weight of each adrenal gland?

    <p>4-6 grams</p> Signup and view all the answers

    Study Notes

    Adrenal Gland Overview

    • The adrenal gland is responsible for producing hormones essential for metabolism, immune response, blood pressure regulation, and stress response.
    • Each gland is divided into two main parts: the cortex and medulla.

    Adrenal Cortex

    • The adrenal cortex produces and secretes:
      • Mineralocorticoids (e.g., aldosterone)
      • Glucocorticoids (e.g., cortisol)
      • Weak androgens (e.g., DHEA)
    • The adrenal cortex primarily derives from mesodermal cells.
    • Cortisol, the primary glucocorticoid, regulates metabolism, reduces inflammation, and helps manage stress.
    • The zona fasciculata is the largest zone of the adrenal cortex, comprising about 75% of its structure.

    Adrenal Medulla

    • The adrenal medulla primarily secretes epinephrine (adrenaline) and norepinephrine (noradrenaline).
    • It appears reddish-brown when observed in gross sectioning.
    • The adrenal medulla represents about 20% of the total adrenal gland's mass.

    Hormone Regulation and Effects

    • Captopril, an ACE inhibitor, lowers plasma aldosterone levels in patients with aldosteronism.
    • Cortisol is associated with various effects, but some effects not associated include decreasing blood sugar levels significantly.
    • Hormones from the adrenal gland, particularly aldosterone, regulate blood pressure and maintain volume status.

    Imaging and Diagnosis

    • MRI is considered superior to adrenal CT in diagnosing certain adrenal conditions, including adrenal tumors and hyperplasia.

    Adrenal Insufficiency

    • A defect in steroid hormone synthesis can lead to adrenal insufficiency, resulting in insufficient production of cortisol and aldosterone.

    Terminology

    • The adrenal gland is located atop each kidney and referred to as suprarenal.

    Genetic Considerations

    • Adrenal gland disorders can be associated with inherited enzyme deficiencies affecting cortisol, aldosterone, and sex steroid production, known as congenital adrenal hyperplasia (CAH).

    Adrenal Gland Weight

    • Each adrenal gland weighs approximately 7-10 grams.

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    Description

    Test your knowledge on the adrenal gland, also known as the suprarenal gland. Learn about its location, structure, and functions in hormone production affecting blood pressure and electrolyte balance.

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