Endocrine System 2 (MD203)
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Questions and Answers

Which symptom is NOT associated with hyperthyroidism?

  • Weight loss
  • Hypocalcemia (correct)
  • Heat intolerance
  • Exophthalmos
  • What effect does calcitonin have on calcium levels in the blood?

  • Increases calcium reabsorption from intestines
  • Inhibits calcium excretion by kidneys
  • Stimulates urinary calcium excretion (correct)
  • Promotes calcium absorption in bones
  • How does parathyroid hormone (PTH) primarily function to increase blood calcium levels?

  • Inhibiting bone formation
  • Stimulating calcium deposition in bones
  • Inhibiting calcium absorption in intestines
  • Stimulating osteoclasts to dissolve bones (correct)
  • What is the primary role of calcitonin?

    <p>Decrease blood calcium levels</p> Signup and view all the answers

    Which condition is characterized by high parathyroid hormone levels?

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

    What is a likely symptom of hypoparathyroidism?

    <p>Muscle cramping</p> Signup and view all the answers

    Which of the following actions contributes to the effect of PTH?

    <p>Increasing intestinal calcium absorption</p> Signup and view all the answers

    What distinguishes Grave’s Disease from other types of hyperthyroidism?

    <p>Presence of exophthalmos</p> Signup and view all the answers

    What stimulates the pineal gland to increase melatonin secretion at night?

    <p>Low light levels</p> Signup and view all the answers

    Which hormone is secreted by the testis and is vital for the development of secondary male characteristics?

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

    What role does atrial natriuretic peptide (ANP) play in the body?

    <p>Reduces blood pressure</p> Signup and view all the answers

    Which hormone does the gastrointestinal tract secrete to aid in digestion?

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

    What is the primary function of erythropoietin (EPO) secreted by the kidneys?

    <p>Maintaining red blood cell homeostasis</p> Signup and view all the answers

    Which hormone secreted by the thymus gland is essential for immune system development?

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

    What is a significant effect of estrogen on female physical development?

    <p>Increases breast development</p> Signup and view all the answers

    What two hormones does the liver secrete related to growth and metabolism?

    <p>Insulin-like growth factor and Insulin</p> Signup and view all the answers

    What effect does low blood pressure have on aldosterone secretion?

    <p>It increases aldosterone secretion.</p> Signup and view all the answers

    Which hormone is secreted by the adrenal medulla?

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

    What is a common symptom of Addison’s disease?

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

    How does cortisol affect energy usage in the body?

    <p>It decreases the use of glucose for energy.</p> Signup and view all the answers

    What condition is characterized by increased levels of cortisol and leads to rapid weight gain?

    <p>Cushing Syndrome</p> Signup and view all the answers

    What triggers the reduction of melatonin secretion in the morning?

    <p>High light levels</p> Signup and view all the answers

    Which symptom is associated with Cushing Syndrome?

    <p>Buffalo hump on the neck</p> Signup and view all the answers

    What is the primary role of aldosterone in the body?

    <p>Regulate sodium and water balance</p> Signup and view all the answers

    What is the primary function of glucagon in the body?

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

    What stimulates the secretion of insulin?

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

    Which process does insulin NOT facilitate?

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

    What is the role of glycogenolysis in relation to glucagon?

    <p>To break down glycogen into glucose</p> Signup and view all the answers

    Which statement about Type 1 diabetes is correct?

    <p>It involves the failure of insulin production</p> Signup and view all the answers

    Which hormone's secretion is primarily affected by hypoglycemia?

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

    What is the result of lipolysis in relation to glucagon action?

    <p>It converts fats into glucose precursors</p> Signup and view all the answers

    What distinguishes Type 2 diabetes from Type 1 diabetes?

    <p>Body receptors for insulin are less responsive</p> Signup and view all the answers

    What are the two primary hormones produced by the thyroid gland?

    <p>Thyroxine (T4) and Triiodothyronine (T3)</p> Signup and view all the answers

    What is the role of Calcitonin in the body?

    <p>To decrease calcium levels in the blood</p> Signup and view all the answers

    Which hormone is responsible for stimulating the thyroid gland to secrete T3 and T4?

    <p>Thyrotropin-releasing hormone (TRH)</p> Signup and view all the answers

    What characterizes hyperthyroidism?

    <p>Accelerated heart rate</p> Signup and view all the answers

    Which type of hormone feedback mechanism regulates T3 and T4 levels in the body?

    <p>Negative feedback</p> Signup and view all the answers

    What condition is characterized by swollen eyelids and cold intolerance?

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

    Which hormone requires iodine for its synthesis?

    <p>Thyroxine (T4)</p> Signup and view all the answers

    What is the primary effect of increased levels of T3 and T4 in the body?

    <p>Decreased TRH production</p> Signup and view all the answers

    Study Notes

    Endocrine System 2 (MD203)

    • Lecture Aim: Basics of endocrine system and hormone action. Functions of thyroid, adrenal, pineal, and parathyroid glands. Role of pancreas in blood glucose regulation. Hormonal regulation via feedback mechanisms. Disorders of thyroid, adrenal cortex (Addison's, Cushing's), and parathyroid glands. Impacts of hyper/hypoglycemia and diabetes types. Clinical implications: Metabolic effects of growth hormone and calcium homeostasis.

    The Thyroid Gland

    • Located in front of the trachea below the larynx.
    • Produces thyroxine (T4) and triiodothyronine (T3).
    • These hormones are essential for physical growth, mental development, and reproductive system maturation.
    • Calcitonin is released due to hypercalcemia to reduce calcium levels in the blood.

    Thyroid Hormones

    • Iodine is essential for hormone synthesis.
    • Thyroxine (T4): 4 iodine atoms, less potent, long duration.
    • Triiodothyronine (T3): 3 iodine atoms, more potent, short duration.
    • T4 and T3 secretion is regulated by TSH (thyroid-stimulating hormone) secreted by the pituitary gland, stimulated by TRH (thyrotropin-releasing hormone).
    • T3 and T4 levels are regulated by negative feedback; increasing levels decrease TSH and TRH production.

    Disorders of Thyroid Hormones

    • Hypothyroidism: Characterized by low thyroid hormone levels.

      • Cretinism (infants): Physical and mental retardation.
      • Myxedema (adults): Swollen eyelids, facial puffiness, weight gain, cold intolerance, and slow heart rate.
    • Hyperthyroidism: Characterized by high thyroid hormone levels.

      • Grave's Disease: Symptoms include exophthalmos (bulging eyes), weight loss, heat intolerance, tachycardia (fast heart rate), and CNS excitability.
      • Goiter: Enlarged thyroid gland.
      • Exophthalmos: Bulging eyes

    Role of Calcitonin in Maintaining Calcium Homeostasis

    • Calcitonin is released in response to hypercalcemia (high calcium levels).
    • Its function is to stimulate urinary calcium excretion, inhibit calcium absorption in the intestines, and stimulate osteoblasts to deposit calcium in bones.

    Parathyroid Gland

    • Four parathyroid glands located on the back of the thyroid lobes.
    • Produces parathyroid hormone (PTH).
    • PTH secretion is stimulated by hypocalcemia (low calcium levels) in the blood.
    • PTH increases blood calcium levels.
    • PTH works with calcitonin to maintain normal calcium levels in the blood.

    Role of PTH in Maintaining Calcium Homeostasis

    • PTH stimulates calcium reabsorption from the kidneys.
    • PTH stimulates calcium absorption in the intestines.
    • PTH stimulates osteoclasts to dissolve bones and release calcium into the blood.

    Disorders of Parathyroid Hormones

    • Hypoparathyroidism: Low PTH levels lead to low blood calcium, causing muscle cramping and convulsions.
    • Hyperparathyroidism: High PTH levels lead to low bone density and calcium deposits in body tissues and organs, impairing their functioning. This can also cause kidney stones.

    The Endocrine Pancreas

    • Hormone-producing cells in the pancreas are called islets of Langerhans.
    • Alpha cells produce glucagon.
    • Beta cells produce insulin.

    Glucagon

    • Secreted in response to hypoglycemia (low blood sugar).
    • Increases blood glucose levels by:
      • Glycogenolysis (breakdown of glycogen into glucose).
      • Gluconeogenesis (conversion of amino acids to glucose).
      • Lipolysis (breakdown of fats into glycerol, which is converted to glucose).

    Insulin

    • Secreted in response to hyperglycemia (high blood sugar).
    • Decreases blood glucose levels by:
      • Transporting glucose from the blood into cells.
      • Glycogenesis (conversion of glucose to glycogen for storage in liver and muscles).

    Diabetes

    • Type 1 Diabetes: The immune system attacks and destroys the insulin-producing beta cells in the pancreas (autoimmune disease), leading to an inability to produce insulin.
    • Type 2 Diabetes: The pancreas produces insulin, but the body's cells do not respond properly to it (insulin resistance).

    The Adrenal Gland

    • Hormones secreted by the adrenal cortex:
      • Aldosterone
      • Cortisol
    • Hormones secreted by the adrenal medulla:
      • Epinephrine
      • Norepinephrine

    Aldosterone

    • Secreted in response to low blood pressure (hypotension).
    • Increases sodium and water retention, increasing blood pressure.

    Cortisol

    • Increases the use of fats and amino acids for energy but decreases glucose use.
    • Has an anti-inflammatory effect.
    • High levels of cortisol suppress the immune system and make the body susceptible to infections.

    Disorders of Adrenal Cortex Hormones

    • Addison's Disease:
      • Caused by decreased levels of cortisol and aldosterone due to adrenal cortex atrophy.
      • Symptoms include hypoglycemia, low blood pressure, weight loss, and craving for salty food.
    • Cushing Syndrome:
      • Caused by increased levels of cortisol and aldosterone due to pituitary gland tumor secreting high ACTH.
      • Symptoms include moon-shaped face, buffalo hump, rapid weight gain, and hair loss.

    The Pineal Gland

    • Secretes melatonin, a sleep hormone.
    • Melatonin secretion is regulated by light levels.
      • High light (morning) inhibits melatonin secretion, promoting wakefulness.
      • Low light (night) stimulates melatonin secretion, promoting sleep.

    The Gonads (Testes and Ovaries)

    • Testes (Testosterone):
      • Important for male reproductive system development and secondary male characteristics (deepened voice, body hair, increased muscle mass).
    • Ovaries (Estrogen):
      • Important for female reproductive system development and secondary female characteristics (increased fat, breast development).

    Organs with Secondary Endocrine Functions

    • Heart (ANP): Releases atrial natriuretic peptide to reduce blood pressure.
    • Kidneys (EPO): Release erythropoietin to maintain red blood cell homeostasis.
    • Gastrointestinal tract (Gastrin): Secretes gastrin for digestion.
    • Liver (IGF-1, Angiotensinogen): Releases Insulin-like growth factor-1 for body growth, and Angiotensinogen to increase blood pressure.
    • Thymus (Thymosin): Releases thymosin to develop the immune system.

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    Description

    Explore the fundamentals of the endocrine system focusing on hormone actions, particularly thyroid functions. Understand the roles of various glands, hormonal feedback mechanisms, and clinical implications related to metabolic disorders. Dive into the specifics of thyroid hormones and their impact on growth and development.

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