Chapter 20 |Adrenal Gland
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Questions and Answers

Which zone of the adrenal cortex is responsible for aldosterone biosynthesis?

  • Zona Fasciculata
  • Zona Glomerulosa (correct)
  • Zona Medulla
  • Zona Reticularis

What type of hormones are synthesized by the adrenal medulla?

  • Catecholamines (correct)
  • Corticosteroids
  • Androgens
  • Mineralocorticoids

What is the half-life of catecholamines in the circulation?

  • 10 minutes
  • 5 minutes
  • 1 minute
  • 2 minutes (correct)

What are the metabolic effects of norepinephrine and epinephrine?

<p>Mobilization of free fatty acids (D)</p> Signup and view all the answers

What is the precursor of all steroids?

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

Where is cholesterol transported for conversion to pregnenolone?

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

What is the name of the α globulin that binds cortisol in the circulation?

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

Which hormone activates adenylyl cyclase via Gs receptors in adrenocortical cells?

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

Which hormones of the adrenal cortex are derivatives of cholesterol?

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

During sleep, which catecholamines are reduced in secretion?

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

What is the 'emergency function of the sympathoadrenal system' according to Cannon?

<p>Increased adrenal medullary secretion (B)</p> Signup and view all the answers

Which steroids are normally secreted in physiologically significant amounts from adrenal tissue?

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

What are the two classes of receptors that norepinephrine and epinephrine act on?

<p>α- and β-adrenergic receptors (D)</p> Signup and view all the answers

Which hormone is an important source of estrogens in men and postmenopausal women?

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

What stimulates glucocorticoid secretion from the adrenal cortex?

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

Which hormone increases the excretion of Na+ and K+?

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

Which adrenal cortical zone is responsible for aldosterone biosynthesis?

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

What is the primary function of the adrenal medulla?

<p>Synthesis of catecholamines (D)</p> Signup and view all the answers

Which hormones are conjugated to sulfate in plasma?

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

What are the metabolic effects of norepinephrine and epinephrine?

<p>Mobilization of free fatty acids (B)</p> Signup and view all the answers

Which hormones of the adrenal cortex are involved in glucose and protein metabolism?

<p>Cortisol and corticosterone (D)</p> Signup and view all the answers

What is the precursor of estrogens in men and postmenopausal women?

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

Which hormone increases the excretion of sodium (Na+) and potassium (K+)?

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

What stimulates the secretion of glucocorticoids from the adrenal cortex?

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

What is the effect of glucocorticoids on ACTH secretion?

<p>Inhibit ACTH secretion (A)</p> Signup and view all the answers

In patients with adrenal insufficiency who have not received glucocorticoids, what reaction may glucose infusion cause?

<p>High fever ('glucose fever') followed by collapse and death (D)</p> Signup and view all the answers

What personality changes are associated with adrenal insufficiency that are reversed by glucocorticoids?

<p>Irritability, apprehension, and inability to concentrate (D)</p> Signup and view all the answers

How do glucocorticoids affect water metabolism in adrenal insufficiency?

<p>Cause water intoxication (C)</p> Signup and view all the answers

What is the primary action of mineralocorticoids like aldosterone on Na+ reabsorption?

<p>Increase Na+ reabsorption from urine and other bodily fluids (A)</p> Signup and view all the answers

What happens when aldosterone binds to its cytoplasmic receptor in the cell?

<p>It increases the synthesis of ENaCs (C)</p> Signup and view all the answers

How do mineralocorticoids affect potassium (K+) excretion in the renal tubules?

<p>Produce a K+ diuresis (B)</p> Signup and view all the answers

What is the mechanism through which aldosterone-stimulated proteins affect sodium reabsorption?

<p>Enhance the synthesis of ENaCs (A)</p> Signup and view all the answers

Which type of adrenergic receptors mediate the vasoconstriction produced by norepinephrine?

<p>α1-receptors (C)</p> Signup and view all the answers

What is the effect of dopamine on renal vasculature?

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

Which adrenergic receptor mediates the positive inotropic effect of dopamine on the heart?

<p>β1-receptors (D)</p> Signup and view all the answers

What is the physiological function of dopamine in the circulation?

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

During emergency situations, which part of the adrenal gland secretes increased amounts of hormones like epinephrine and norepinephrine?

<p>Adrenal Medulla (D)</p> Signup and view all the answers

Which hormone is NOT normally secreted in physiologically significant amounts from adrenal tissue?

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

Which nucleus is found in the structure of hormones derived from the adrenal cortex?

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

What is the primary function of the mineralocorticoid aldosterone?

<p>Regulating Sodium and Potassium Levels (B)</p> Signup and view all the answers

Which hormone is the most active androgen secreted from the testes?

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

What controls the acute secretion of adrenal androgens?

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

What happens when adrenal androgens are secreted in excessive amounts in males?

<p>They cause masculinization effects (B)</p> Signup and view all the answers

How do glucocorticoids affect glucose metabolism?

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

What effect does free glucocorticoids have on ACTH secretion?

<p>Inhibits ACTH secretion (A)</p> Signup and view all the answers

Why can administering steroids not produce the effects of high levels of circulating glucocorticoids?

<p>Steroids result in other manifestations of glucocorticoid excess (D)</p> Signup and view all the answers

Which hormone is responsible for increasing the sensitivity of the adrenal to subsequent doses of ACTH?

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

When does most of the daily production of cortisol occur in humans?

<p>Between 4:00 AM and 10:00 AM (C)</p> Signup and view all the answers

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