Endocrine System: Hormones and Regulation

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Questions and Answers

A patient presents with chronically elevated levels of cortisol. Further investigation reveals normal levels of ACTH and CRH. Where is the most likely location of the primary pathology?

  • Hypothalamus
  • Adrenal Cortex (correct)
  • Anterior Pituitary
  • Liver

Which of the following statements correctly differentiates between the actions of peptide and steroid hormones?

  • Steroid hormones are transported in the blood dissolved in plasma, whereas peptide hormones require carrier proteins.
  • Steroid hormones are synthesized on ribosomes; peptide hormones are derived from cholesterol.
  • Peptide hormones typically bind to intracellular receptors, whereas steroid hormones bind to cell surface receptors.
  • Peptide hormones are generally faster acting due to signal amplification via second messenger systems, while steroid hormones typically alter gene transcription directly. (correct)

A researcher is investigating the effects of a novel drug on thyroid hormone synthesis. The drug significantly reduces the activity of thyroperoxidase. Which of the following would be the expected outcome?

  • Increased levels of thyroid-stimulating hormone (TSH) due to direct stimulation of the anterior pituitary.
  • Decreased levels of T3 and T4 due to impaired iodination of thyroglobulin. (correct)
  • Increased levels of T3 and T4 due to enhanced hormone release from the thyroid gland.
  • Decreased levels of thyroglobulin due to reduced protein synthesis in the thyroid follicular cells.

A patient with chronic hypocalcemia is suspected of having a hormonal imbalance. Which of the following scenarios would best explain this patient's condition?

<p>Hyposecretion of parathyroid hormone (PTH), leading to reduced calcium reabsorption in the kidneys. (C)</p> Signup and view all the answers

During the plateau phase of a cardiac muscle action potential, which ionic movement is primarily responsible for maintaining the prolonged depolarization?

<p>Sustained influx of calcium ions ($Ca^{2+}$) balanced by potassium efflux ($K^+$) (D)</p> Signup and view all the answers

What would be the consequences of a tumor in the anterior pituitary that secretes excessive amounts of ACTH?

<p>Increased cortisol secretion, potentially leading to Cushing's syndrome. (B)</p> Signup and view all the answers

Which of the following statements correctly describes the role and interaction of the hypothalamus and the anterior pituitary gland?

<p>The hypothalamus secretes hormones that travel through the hypothalamic-hypophyseal portal system to regulate anterior pituitary hormone release. (C)</p> Signup and view all the answers

Which of the following best describes the unique property of the SA node that allows it to function as the heart's primary pacemaker?

<p>The presence of If (funny) channels that allow a slow, steady influx of sodium ions, causing spontaneous depolarization. (A)</p> Signup and view all the answers

A cardiologist is examining a patient with a history of heart failure. An echocardiogram reveals that the left ventricle is significantly enlarged (hypertrophied). Which of the following is the most likely compensatory mechanism that initially contributed to this hypertrophy?

<p>Elevated sympathetic nervous system activity and RAAS activation, leading to increased contractility and blood volume. (B)</p> Signup and view all the answers

What changes in the electrocardiogram (ECG) would you expect to see in a patient experiencing hyperkalemia (elevated extracellular potassium)?

<p>Peaked T waves and a shortened QT interval. (A)</p> Signup and view all the answers

A patient's end-diastolic volume (EDV) is 150 mL, and their end-systolic volume (ESV) is 50 mL. If their heart rate is 70 beats per minute, what is their cardiac output?

<p>7.0 L/min (A)</p> Signup and view all the answers

A patient is admitted to the emergency room with severe chest pain. An ECG shows ST elevation in leads V1-V4. Which coronary artery is most likely occluded?

<p>Left anterior descending artery. (B)</p> Signup and view all the answers

If the atrioventricular (AV) node were to fail, what compensatory mechanism would likely take over, and what would be the resulting heart rate?

<p>The bundle of His or Purkinje fibers would act as a backup pacemaker, resulting in a slower heart rate of 20-40 bpm. (C)</p> Signup and view all the answers

Which of the following scenarios would result in an increased stroke volume due to the Frank-Starling mechanism?

<p>Increased preload, causing greater stretch of the ventricular muscle fibers. (D)</p> Signup and view all the answers

A patient is diagnosed with mitral valve stenosis. Which of the following hemodynamic changes would initially occur as a direct result of this condition?

<p>Increased pulmonary venous pressure. (B)</p> Signup and view all the answers

How does stimulation of the vagus nerve affect the heart rate at the cellular level in the sinoatrial (SA) node?

<p>Hyperpolarizes the cell membrane by increasing potassium efflux, reducing the rate of spontaneous depolarization. (C)</p> Signup and view all the answers

During which phase of the cardiac cycle is the mitral valve open, and the aortic valve closed?

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

You are given the following data: mean aortic pressure = 90 mmHg, mean right atrial pressure = 2 mmHg, and cardiac output = 5 L/min. Calculate the systemic vascular resistance (SVR).

<p>17.6 mmHg·min/L (A)</p> Signup and view all the answers

Which of the following capillary types is characterized by the presence of both fenestrations and a discontinuous basement membrane, and is commonly found in the liver and spleen?

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

What is the primary mechanism by which the baroreceptor reflex maintains blood pressure homeostasis in response to a sudden decrease in arterial blood pressure?

<p>Increased sympathetic activity, leading to vasoconstriction and increased heart rate and contractility. (A)</p> Signup and view all the answers

Flashcards

Endocrine System

Glands that secrete hormones into the bloodstream to regulate various bodily functions.

Peptide Hormones

Hormones that bind to receptors on the cell surface and activate signaling pathways involving second messengers.

Steroid Hormones

Hormones that can diffuse through the cell membrane and bind to intracellular receptors.

Negative Feedback

A regulatory mechanism where the output of a system inhibits its own production.

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Pituitary Gland

A small gland in the brain that produces hormones that control other endocrine glands and various bodily functions.

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Releasing/Inhibiting Hormones

Hormones released by the hypothalamus to control the anterior pituitary gland.

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Tropic Hormones

Hormones that stimulate other endocrine glands to release their hormones.

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Trophic Hormones

Hormones that promote growth and development of target tissues.

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Thyroid Gland

Located in the neck; produces hormones T3 and T4, which regulate metabolism.

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Adrenal Glands

Located above the kidneys; consists of the medulla (epinephrine) and cortex (corticosteroids).

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Cardiac Conduction System Sequence

SA node, AV node, Bundle of His, left and right bundle branches, Purkinje fibers.

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Cardiac Muscle Action Potential Phases

Rapid depolarization (Na+ influx), plateau (Ca2+ influx), repolarization (K+ efflux).

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Cardiac vs. SA Node Potentials

Cardiac muscle has a plateau phase due to Ca2+ influx, SA node has a spontaneous depolarization due to funny current.

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ECG Components

Components: P wave (atrial depolarization), QRS complex (ventricular depolarization), T wave (ventricular repolarization).

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Cardiac Output (CO)

Heart Rate (HR) x Stroke Volume (SV).

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Stroke Volume Determinants

Preload, afterload, and contractility.

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Frank-Starling Mechanism

Increased venous return stretches the heart muscle, leading to a more forceful contraction.

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Systole vs Diastole

Systole: Contraction & ejection. Diastole: Relaxation & filling.

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ANS Control of Heart Rate

Parasympathetic decreases HR (acetylcholine), Sympathetic increases HR (norepinephrine).

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Capillary Network Features

Area of capillaries is large while the velocity of blood flow is slow.

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Study Notes

The Endocrine System

  • Major organs of the endocrine system distribute endocrine functions.
  • The endocrine and nervous systems are different, but the both use negative feedback regulation in maintenance of homeostasis.
  • Peptide and steroid hormones differ in structure, transport, and mechanisms of action.
  • Hormones influence second messenger activation
  • The hypothalamus and pituitary gland have structural and functional relationships.
  • Hypothalamic hormones regulate anterior pituitary hormones.
  • Anterior and posterior pituitary hormones have primary targets and actions.
  • Anterior pituitary hormone release is affected by various factors.
  • "Tropic" and "trophic" effects are different, know examples of tropic cascades.
  • Hormone release is regulated by negative feedback on the hypothalamic-pituitary gland-effector axis.
  • The thyroid gland's anatomy and organization into follicles are important.
  • Thyroid hormones (T3 and T4) are synthesized, transported, act, and regulated differently
  • The adrenal medulla and cortex produce different hormones.
  • Glucocorticoids, mineralocorticoids, and androgens from the adrenal cortex affect the body.

The Circulatory System: Heart

  • Location and anatomical features of the heart.
  • The two major circulatory systems in the human body are different.
  • It is important to understand blood flow through the heart and lungs, and to be able to diagram this.
  • Major blood vessels, chambers, and valves of the heart should be identified.
  • Coronary arteries supply different parts of the heart muscle.
  • The components of the cardiac conduction system should be understood..
  • There is a sequence of excitation of the cardiac conduction system.
  • Features of the cardiac muscle action potential, including the ionic basis of the potential changes should be discussed,.
  • Cardiac muscle and SA node potentials are different.
  • The generation of the cardiac muscle action potential is important.
  • The components of a normal ECG have physiological relevance.
  • HR can be measured from the ECG.
  • There is a relationship between pressure and volume in heart chambers during systole and diastole.
  • Cardiac output should be defined, and values should be able to be calculated using heart rate and stroke volume.
  • Determinants of stroke volume and their mechanisms are important.
  • The Frank-Starling mechanism.
  • Systole, diastole, and contractility should be defined.
  • The autonomic nervous system (ANS) controls heart rate.
  • Activation of the ANS changes neurotransmitter release, which leads to changes in HR.
  • Oxygen and hormones influence HR and contractility.

The Circulatory System: Blood Vessels & Circulation

  • General features of a capillary network should be described.
  • There are anatomical and physiological differences between each type of capillary.
  • Fluid and solutes go through the capillary wall in specific ways.
  • Movement of fluid in and out of capillaries
  • The relation between cross sectional area of the vascular system, and blood flow velocity should be understood
  • Systolic, diastolic, and mean blood pressures differ in the systemic and pulmonary circulations.
  • Vascular resistance has principal components, vessel diameter significantly affects resistance.
  • Systemic vascular resistance can be calculated using cardiac output, mean aortic pressure, and mean right atrial pressure.
  • The baroreceptor and chemoreceptor reflex pathways, starting with the stimulus and ending with the physiological result can be diagrammed.
  • Hormones can either decrease or increase blood pressure. Neural, humoral and local regulation of blood vessel diameter and blood flow are different..

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