Endocrine System Overview and Growth Hormone
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Questions and Answers

What is the primary consequence of glucose acting as an osmotic diuretic in diabetes mellitus?

  • Increased appetite
  • Increased thirst (correct)
  • High blood pressure
  • Decrease in urine output
  • What does the buildup of ketones in the blood primarily indicate in untreated diabetes mellitus?

  • High levels of insulin
  • Reduction in fatty acid levels
  • Insulin resistance
  • Increased lipidemia (correct)
  • Which symptom is associated with the body's inability to take up glucose in diabetes mellitus?

  • Polyphagia (correct)
  • Hypoglycemia
  • Fatigue
  • Nausea
  • What is a potential severe complication of ketoacidosis in untreated diabetes?

    <p>Coma and death</p> Signup and view all the answers

    In diabetes mellitus, excessive urination is referred to as what?

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

    What condition may result from excessive thyroid hormone levels and cause eyes to protrude?

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

    What role does insulin play in relation to glucose levels?

    <p>Lowers blood glucose by enhancing glucose transport into cells</p> Signup and view all the answers

    Which cells in the pancreas are responsible for producing glucagon?

    <p>Alpha (α) cells</p> Signup and view all the answers

    What is a primary stimulus for insulin release?

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

    How does insulin affect the breakdown of glycogen?

    <p>It inhibits the breakdown of glycogen to glucose</p> Signup and view all the answers

    Which hormone is NOT involved in the regulation of insulin release?

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

    What is the principal effect of insulin on adipose tissue?

    <p>Triggers fat synthesis from glucose</p> Signup and view all the answers

    What characterizes Type 1 Diabetes Mellitus?

    <p>Insulin is completely absent</p> Signup and view all the answers

    What triggers the release of growth hormone from the anterior pituitary gland?

    <p>Growth Hormone Releasing Hormone (GHRH)</p> Signup and view all the answers

    What are the direct actions of growth hormone on metabolism?

    <p>Stimulate liver to convert glycogen to glucose</p> Signup and view all the answers

    Insulin-like growth factors (IGFs) are produced in response to which hormone?

    <p>Growth Hormone</p> Signup and view all the answers

    Which gland is primarily responsible for the secretion of growth hormone?

    <p>Anterior pituitary gland</p> Signup and view all the answers

    One of the roles of growth hormone is to encourage protein synthesis. How does it achieve this?

    <p>Promoting cellular amino acid uptake</p> Signup and view all the answers

    How does growth hormone indirectly promote growth?

    <p>By causing the production of IGFs</p> Signup and view all the answers

    Which of the following correctly describes a function of growth hormone?

    <p>It has anti-insulin effects in metabolic processes.</p> Signup and view all the answers

    What effect does homeostatic imbalance of growth hormone lead to?

    <p>Growth disorders such as gigantism or dwarfism</p> Signup and view all the answers

    What is the primary role of Growth Hormone (GH) in the body?

    <p>Stimulates collagen formation and bone matrix deposition</p> Signup and view all the answers

    What is the condition caused by hypersecretion of Growth Hormone (GH) in children?

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

    Which of the following is a key characteristic of the thyroid gland?

    <p>It resembles a butterfly shape.</p> Signup and view all the answers

    What are the two primary forms of Thyroid Hormone (TH) produced by the thyroid follicles?

    <p>T3 and T4</p> Signup and view all the answers

    What happens to T4 at the tissue level?

    <p>It is converted to T3.</p> Signup and view all the answers

    Which cells in the thyroid gland produce calcitonin?

    <p>Parafollicular cells</p> Signup and view all the answers

    What is the consequence of hyposecretion of GH in children?

    <p>Pituitary dwarfism</p> Signup and view all the answers

    How does Thyroid Hormone (TH) enter target cells?

    <p>Like steroids, it enters easily through cell membranes</p> Signup and view all the answers

    What is the primary role of thyroid hormone (TH) in the body?

    <p>Affects virtually every cell in body</p> Signup and view all the answers

    Which process is triggered when thyroid hormone binds to its receptors in the nucleus?

    <p>Triggers transcription of metabolic genes</p> Signup and view all the answers

    What condition can arise from hypothyroidism due to iodine deficiency?

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

    How does thyroid hormone affect blood pressure?

    <p>Increases adrenergic receptors in blood vessels</p> Signup and view all the answers

    What initiates the release of thyroid stimulating hormone (TSH)?

    <p>Thyrotropin releasing hormone from hypothalamus</p> Signup and view all the answers

    Which of the following describes the calorigenic effect of thyroid hormones?

    <p>Increases metabolic rate and heat production</p> Signup and view all the answers

    What is the primary cause of hyperthyroidism commonly seen in Graves' disease?

    <p>Autoimmune antibodies mimicking TSH</p> Signup and view all the answers

    What feedback mechanism is in place to regulate thyroid hormone release?

    <p>Negative feedback loop inhibiting TRH and TSH release</p> Signup and view all the answers

    Study Notes

    Endocrine System Overview

    • The endocrine system is a collection of glands that release hormones directly into the bloodstream
    • Hormones regulate various bodily functions, including growth, metabolism, and reproduction
    • Page 16 in chapter 16 details important topics and pages for the endocrine system in the study material.

    Growth Hormone (GH)

    • Mechanisms, effects, and glands that produce growth hormone and related disorders are discussed from pages 615-616

    • GH, also known as somatotropin, is produced by somatotropic cells

    • GH has direct effects on metabolism, and indirect growth-promoting actions

    • The anterior pituitary releases GH when the hypothalamus secretes Growth Hormone-Releasing Hormone (GHRH)

    • Direct actions of GH:

      • Increase blood glucose and has anti-insulin effects
      • Increase fat breakdown and release
    • Indirect actions of GH:

      • Increase skeletal growth
      • Increase cartilage growth
      • Promotes protein synthesis and cell growth
    • GH levels cycle daily, highest during sleep; highest in adolescence, decreases in adulthood

    • Some bodybuilders inject GH to increase muscle mass, which can lead to health problems

    • Hypersecretion of GH in children leads to gigantism (height reaching 8 feet); in adults, it leads to acromegaly

    • Hyposecretion of GH in children causes pituitary dwarfism

    Thyroid Gland

    • Butterfly-shaped in the anterior neck, sitting on the trachea just inferior to the larynx

    • Consistsoflateral lobes (one per side) and an isthmus (mass connecting the lobes)

    • Follicles: hollow spheres of epithelial cells that produce thyroglobulin

    • Colloid: follicle lumen containing thyroglobulin and iodine (precursor to thyroid hormone)

    • Parafollicular cells produce calcitonin

    • Major metabolic hormone, found in two forms: T4(thyroxine), and T3(triiodothyronine)

    • Both T3 and T4 are iodine-containing amine hormones

    • T3 is more active than T4, and both are essential for normal skeletal and nervous system development and reproductive capabilities.

    • Thyroid hormone (TH) synthesis involves trapping iodide from blood and oxidation to iodine; attaching iodine to tyrosine, and linking to form T3 and T4

    • TH affects almost every cell in the body and enters target cells like steroids

    • TH increases basal metabolic rate and heat production, referred to as a calorigenic effect

    • Regulates tissue growth and development, and maintains blood pressure.

    • TSH release in response to TRH from the hypothalamus

    • Thyroid hormones inhibit TRH and TSH by negative feedback

    • Hyposecretion of TH can cause myxedema in adults

    • Hypothyroidism can result in a goiter due to lack of iodine, causing the thyroid to enlarge.

    Pancreas

    • Triangular gland behind the stomach, composed of both exocrine (acinar cells) and endocrine (islets of Langerhans) cells.
    • Acinar cells produce enzyme-rich juice for digestion
    • Islets of Langerhans contain:
      • Alpha () cells that produce glucagon (a hyperglycemic hormone)
      • Beta () cells that produce insulin (a hypoglycemic hormone)
      • Beta cells are more numerous
    • Insulin and glucagon are antagonistic.

    Insulin

    • Secreted when blood sugar increase
    • Insulin lowers blood glucose by increasing glucose transport into fat and muscle cells., inhibiting glycogen to glucose breakdown, and inhibiting amino acids or fats to glucose
    • It catalyzes oxidation of glucose to produce ATP,polymerizing glucose into glycogen, and converting glucose to fats (particularly in adipose tissue)
    • Elevated blood glucose levels, amino acids and fatty acid levels, and parasympathetic nerve stimulation trigger insulin release
    • Somatostatin and sympathetic nervous system inhibit insulin release

    Diabetes Mellitus

    • Type 1 diabetes: the body doesn't produce insulin
    • Type 2 diabetes: body produces insulin, but not effectively
    • Blood glucose remains high and not absorbed
    • Three cardinal signs of diabetes mellitus:
      • Polyuria (huge urine output)
      • Polydipsia (excessive thirst)
      • Polyphagia (excessive hunger)
    • Excessive glucose in the blood results in ketone bodies and ketoacidosis (blood acidity).

    Review Questions

    • Iodine deficiency most affects thyroid hormone production

    • Growth hormone has direct metabolic actions and indirect growth-promoting actions

    • Thyroid-stimulating hormone (TSH) and thyrotropin-releasing hormone (TRH) stimulate thyroid hormone

    • Insulin is secreted by beta cells in the pancreatic islets of Langerhans

    • High blood glucose triggers a homeostatic mechanism involving increased insulin secretion, causing cells to take up glucose, produce ATP, convert glucose to glycogen, and convert glucose to fat.

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    Description

    Explore the intricate functioning of the endocrine system and delve into the role of Growth Hormone (GH) in regulating bodily functions. This quiz covers the mechanisms, effects, and disorders related to GH, including its direct and indirect actions. Prepare to test your knowledge on this essential part of human biology.

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