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

Which condition is characterized by high parathyroid hormone levels?

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

What is a likely symptom of hypoparathyroidism?

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

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

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

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

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

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

<p>Low light levels (C)</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 (D)</p> Signup and view all the answers

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

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

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

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

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

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

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

<p>Increases breast development (C)</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 (D)</p> Signup and view all the answers

What effect does low blood pressure have on aldosterone secretion?

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

Which hormone is secreted by the adrenal medulla?

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

What is a common symptom of Addison’s disease?

<p>Hypoglycemia (A)</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. (C)</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 (D)</p> Signup and view all the answers

What triggers the reduction of melatonin secretion in the morning?

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

Which symptom is associated with Cushing Syndrome?

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

What is the primary role of aldosterone in the body?

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

What is the primary function of glucagon in the body?

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

What stimulates the secretion of insulin?

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

Which process does insulin NOT facilitate?

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

What is the role of glycogenolysis in relation to glucagon?

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

Which statement about Type 1 diabetes is correct?

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

Which hormone's secretion is primarily affected by hypoglycemia?

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

What distinguishes Type 2 diabetes from Type 1 diabetes?

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

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

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

What is the role of Calcitonin in the body?

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

What characterizes hyperthyroidism?

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

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

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

What condition is characterized by swollen eyelids and cold intolerance?

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

Which hormone requires iodine for its synthesis?

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

Flashcards

Where is the thyroid gland located?

The thyroid gland is located in the neck, below the larynx and in front of the trachea.

What hormones does the thyroid gland produce?

The thyroid gland produces two key hormones: thyroxine (T4) and triiodothyronine (T3). These hormones are essential for growth, development, and the reproductive system.

Hyperthyroidism

A condition characterized by an overactive thyroid gland, resulting in excessive thyroid hormone production.

What is calcitonin and what is its function?

Calcitonin is released by the thyroid gland in response to high blood calcium levels. Its role is to decrease calcium levels in the blood.

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Grave's Disease

A common cause of hyperthyroidism, characterized by an enlarged thyroid, bulging eyes (exophthalmos), weight loss, increased heart rate (tachycardia), and nervous system excitability.

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What is the role of iodine in thyroid hormone production?

Iodine is a vital component in the synthesis of thyroid hormones. Thyroxine (T4) has four iodine atoms, while triiodothyronine (T3) has three.

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Calcitonin

A hormone produced by the thyroid gland, regulating calcium levels in the blood. It lowers calcium levels by promoting calcium excretion in the urine, reducing intestinal absorption, and stimulating osteoblasts to deposit calcium.

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Compare the duration and potency of T4 and T3.

Thyroxine (T4) is produced by the thyroid gland, has a longer duration of action, and is less potent compared to triiodothyronine (T3).

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Hypercalcemia

A condition where blood calcium levels are abnormally high.

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How is the secretion of T4 and T3 regulated?

The production and release of T4 and T3 are regulated by TSH (thyroid-stimulating hormone) from the pituitary gland. TSH itself is stimulated by TRH (thyrotropin-releasing hormone).

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Explain the negative feedback mechanism in thyroid hormone regulation.

The levels of T3 and T4 are regulated through a negative feedback loop. High levels of T3 and T4 suppress the production of TSH and TRH.

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Parathyroid Hormone (PTH)

A hormone produced by the parathyroid glands, regulating calcium levels in the blood. It increases calcium levels by stimulating calcium reabsorption from kidneys, promoting calcium absorption in the intestines, and activating osteoclasts to release calcium from bones.

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Hypoparathyroidism

A condition caused by low PTH levels, leading to abnormally low blood calcium levels, and symptoms like muscle cramps and convulsions.

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What is hypothyroidism?

Hypothyroidism refers to a condition where the thyroid gland doesn't produce enough thyroid hormones. Myxedema is a severe form of hypothyroidism occurring in adults, characterized by swelling, weight gain, and slowed heart rate. Cretinism is a severe form of hypothyroidism in infants, resulting in physical and mental retardation.

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Hyperparathyroidism

A condition caused by excessive PTH secretion, leading to weak and brittle bones due to increased bone breakdown.

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Hypocalcemia

A condition characterized by low blood calcium levels.

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Calcium Deposition

The process of calcium depositing within body tissues and organs, hindering their proper functioning.

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Islets of Langerhans

Special groups of cells found in the pancreas responsible for producing hormones like insulin and glucagon.

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Glucagon

A hormone produced in the pancreas that helps to increase blood glucose levels by breaking down stored sugars, converting proteins, and utilizing fats.

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Glycogenolysis

The process by which the body converts glycogen (stored sugar) into glucose to raise blood sugar levels.

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Gluconeogenesis

The process of producing glucose from non-carbohydrate sources like amino acids or fats to raise blood sugar levels.

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Lipolysis

The process of breaking down fats into glycerol and fatty acids, which can be converted into glucose.

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Insulin

A hormone produced by the pancreas that lowers blood glucose levels by promoting glucose uptake by cells and converting excess glucose into glycogen.

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Glycogenesis

The process of converting glucose into glycogen (stored sugar) to lower blood glucose levels.

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What is melatonin's role in sleep?

Melatonin is a hormone produced by the pineal gland and helps regulate sleep-wake cycles. When light levels are low, the pineal gland releases more melatonin, making you feel sleepy.

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What is testosterone's function ?

Testosterone is a male sex hormone responsible for the development of male characteristics like increased muscle mass, deeper voice, and body hair growth.

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What's the key function of estrogen?

Estrogen is a female sex hormone that plays a crucial role in the development of female reproductive organs and secondary sexual characteristics, including breast growth and increased fat deposition.

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What is the role of ANP in the body?

Atrial natriuretic peptide (ANP) is a hormone secreted by the heart. It helps regulate blood pressure by reducing sodium reabsorption and inhibiting the Renin-Angiotensin-Aldosterone System (RAAS).

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How do kidneys contribute to blood cell production?

The kidneys produce erythropoietin (EPO), a hormone that regulates red blood cell production. EPO ensures the body has enough red blood cells to carry oxygen.

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What is the function of the thymus gland?

The thymus gland, located in the chest, produces the hormone thymosin. Thymosin plays a vital role in developing and strengthening the immune system.

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How does the liver contribute to growth?

Insulin-like growth factor (IGF-1), secreted by the liver, promotes growth and development throughout the body. It's crucial for muscle and bone growth.

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What is the role of gastrin?

Gastrin is a hormone produced by the stomach lining that helps stimulate the production of gastric juices, which are essential for digestion.

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What does aldosterone do?

Aldosterone is a hormone produced by the adrenal cortex. When blood pressure is low, aldosterone is released, causing the body to retain sodium and water. This increases blood volume, ultimately raising blood pressure.

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What is cortisol's role?

Cortisol is a hormone secreted by the adrenal cortex that has various effects on the body. It promotes the use of fats and amino acids for energy, reducing glucose use. It also has anti-inflammatory properties, suppressing the actions of inflammatory substances.

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What is Addison's disease?

Addison's disease occurs when the adrenal cortex is damaged, leading to low levels of cortisol and aldosterone. This causes symptoms such as low blood sugar, low blood pressure, weight loss, and a craving for salty foods.

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What is Cushing Syndrome?

Cushing syndrome is caused by high levels of cortisol due to a tumor in the pituitary gland that overproduces ACTH. This leads to physical changes like a moon-shaped face, a fat deposit on the upper back, weight gain, and hair loss.

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What is melatonin's role?

Melatonin, secreted by the pineal gland, is often called the 'sleep hormone'. Its production is sensitive to light levels. In the morning, bright light reduces melatonin secretion, making you feel awake.

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What is the adrenal gland?

The adrenal gland is a pair of small glands located on top of the kidneys. The outer part, called the adrenal cortex, produces hormones such as aldosterone and cortisol. The inner part, called the adrenal medulla, secretes epinephrine and norepinephrine.

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How does diabetes develop?

When the pancreas cannot produce enough insulin, or the body becomes resistant to its effects, individuals develop diabetes. This disrupts blood sugar regulation, leading to high blood sugar levels.

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What are epinephrine and norepinephrine?

Epinephrine and norepinephrine, released from the adrenal medulla, are key in the 'fight-or-flight' response. They prepare the body to deal with stressful situations by increasing heart rate, blood pressure, and energy.

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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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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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