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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?
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?
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?
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?
A patient with chronic hypocalcemia is suspected of having a hormonal imbalance. Which of the following scenarios would best explain this patient's condition?
During the plateau phase of a cardiac muscle action potential, which ionic movement is primarily responsible for maintaining the prolonged depolarization?
During the plateau phase of a cardiac muscle action potential, which ionic movement is primarily responsible for maintaining the prolonged depolarization?
What would be the consequences of a tumor in the anterior pituitary that secretes excessive amounts of ACTH?
What would be the consequences of a tumor in the anterior pituitary that secretes excessive amounts of ACTH?
Which of the following statements correctly describes the role and interaction of the hypothalamus and the anterior pituitary gland?
Which of the following statements correctly describes the role and interaction of the hypothalamus and the anterior pituitary gland?
Which of the following best describes the unique property of the SA node that allows it to function as the heart's primary pacemaker?
Which of the following best describes the unique property of the SA node that allows it to function as the heart's primary pacemaker?
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?
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?
What changes in the electrocardiogram (ECG) would you expect to see in a patient experiencing hyperkalemia (elevated extracellular potassium)?
What changes in the electrocardiogram (ECG) would you expect to see in a patient experiencing hyperkalemia (elevated extracellular potassium)?
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?
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?
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?
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?
If the atrioventricular (AV) node were to fail, what compensatory mechanism would likely take over, and what would be the resulting heart rate?
If the atrioventricular (AV) node were to fail, what compensatory mechanism would likely take over, and what would be the resulting heart rate?
Which of the following scenarios would result in an increased stroke volume due to the Frank-Starling mechanism?
Which of the following scenarios would result in an increased stroke volume due to the Frank-Starling mechanism?
A patient is diagnosed with mitral valve stenosis. Which of the following hemodynamic changes would initially occur as a direct result of this condition?
A patient is diagnosed with mitral valve stenosis. Which of the following hemodynamic changes would initially occur as a direct result of this condition?
How does stimulation of the vagus nerve affect the heart rate at the cellular level in the sinoatrial (SA) node?
How does stimulation of the vagus nerve affect the heart rate at the cellular level in the sinoatrial (SA) node?
During which phase of the cardiac cycle is the mitral valve open, and the aortic valve closed?
During which phase of the cardiac cycle is the mitral valve open, and the aortic valve closed?
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).
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).
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?
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?
What is the primary mechanism by which the baroreceptor reflex maintains blood pressure homeostasis in response to a sudden decrease in arterial blood pressure?
What is the primary mechanism by which the baroreceptor reflex maintains blood pressure homeostasis in response to a sudden decrease in arterial blood pressure?
Flashcards
Endocrine System
Endocrine System
Glands that secrete hormones into the bloodstream to regulate various bodily functions.
Peptide Hormones
Peptide Hormones
Hormones that bind to receptors on the cell surface and activate signaling pathways involving second messengers.
Steroid Hormones
Steroid Hormones
Hormones that can diffuse through the cell membrane and bind to intracellular receptors.
Negative Feedback
Negative Feedback
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Pituitary Gland
Pituitary Gland
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Releasing/Inhibiting Hormones
Releasing/Inhibiting Hormones
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Tropic Hormones
Tropic Hormones
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Trophic Hormones
Trophic Hormones
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Thyroid Gland
Thyroid Gland
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Adrenal Glands
Adrenal Glands
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Cardiac Conduction System Sequence
Cardiac Conduction System Sequence
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Cardiac Muscle Action Potential Phases
Cardiac Muscle Action Potential Phases
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Cardiac vs. SA Node Potentials
Cardiac vs. SA Node Potentials
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ECG Components
ECG Components
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Cardiac Output (CO)
Cardiac Output (CO)
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Stroke Volume Determinants
Stroke Volume Determinants
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Frank-Starling Mechanism
Frank-Starling Mechanism
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Systole vs Diastole
Systole vs Diastole
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ANS Control of Heart Rate
ANS Control of Heart Rate
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Capillary Network Features
Capillary Network Features
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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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