endocrine 2

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Questions and Answers

The pituitary gland is located within which structure?

  • The sella turcica of the sphenoid bone (correct)
  • The ethmoid plate
  • The foramen magnum of the occipital bone
  • The frontal sinus

What initiates the release of oxytocin during parturition through neural pathways?

  • Reflexes originating in the cervix and uterus. (correct)
  • The fetus pushing against the uterine wall.
  • A decrease in the hormone prolactin.
  • Increased levels of estrogen in the plasma.

What demonstrates the concept of a conditioned response related to oxytocin?

  • The release of oxytocin following the delivery of a fetus.
  • The release of oxytocin stimulated by cues associated with suckling. (correct)
  • Oxytocin production initiated by stimulation of the nipple area.
  • An increased release of oxytocin due to uterine contractions.

Which of the following describes the origin of the neurohypophysis?

<p>Neuroepithelium of the diencephalon (D)</p> Signup and view all the answers

Which of the following best describes the role of oxytocin during parturition?

<p>It promotes uterine smooth muscle contractions for fetal delivery. (D)</p> Signup and view all the answers

The anterior pituitary is also known as the:

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

What is the primary function of the posterior pituitary?

<p>Storing and secreting hormones received from the hypothalamus (A)</p> Signup and view all the answers

During positive feedback, what is the biological response that results in increased hormone release, specifically for oxytocin?

<p>Cervical dilation due to uterine contractions. (C)</p> Signup and view all the answers

What mechanism is responsible for the amplification of oxytocin release during childbirth?

<p>A positive feedback loop involving uterine contractions and oxytocin release. (D)</p> Signup and view all the answers

What type of tissue is the anterior pituitary mainly composed of?

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

Which of the following describes the primary relationship between the hypothalamus and the posterior pituitary?

<p>Hypothalamic neurons directly project into the posterior pituitary to release hormones. (C)</p> Signup and view all the answers

Hormone release from the anterior pituitary is controlled by:

<p>The hypothalamic-portal system. (A)</p> Signup and view all the answers

Which of the following hormones is primarily associated with the posterior pituitary?

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

What did Dale's experiments with pituitary extract demonstrate?

<p>It caused uterine contractions and promoted milk release. (B)</p> Signup and view all the answers

By 1911, what was the primary medical application of pituitary extracts?

<p>To induce contractions during labor. (A)</p> Signup and view all the answers

Which part of the brain is primarily involved in stimulating the release of oxytocin during lactation?

<p>The hypothalamus. (A)</p> Signup and view all the answers

Which of the following is the major stimulus for the release of oxytocin?

<p>The sucking of an infant. (C)</p> Signup and view all the answers

What is the primary function of myoepithelial cells in the mammary gland during lactation?

<p>To contract and promote milk ejection. (C)</p> Signup and view all the answers

What is the direct effect of oxytocin on the mammary gland?

<p>It promotes milk ejection. (B)</p> Signup and view all the answers

Sensory receptors in the nipple connect to nerve fibers that directly relay impulses to which location?

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

Besides milk ejection, what other function is associated with pituitary extracts?

<p>Regulation of sodium excretion. (D)</p> Signup and view all the answers

Which of these is a hormone that is NOT secreted directly by the pituitary gland, but rather stimulates another gland?

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

Disruption of the pituitary gland can lead to secondary Addison's disease. Which of the following sequences describes the pathway of hormones involved in this disorder?

<p>Pituitary gland -&gt; ACTH -&gt; Adrenal Cortex -&gt; Cortisol (B)</p> Signup and view all the answers

If a patient is diagnosed with Central Diabetes Insipidus, which of the following hormones is most likely to be deficient or improperly regulated?

<p>Antidiuretic Hormone (ADH) (A)</p> Signup and view all the answers

Which of the following best describes the hypothalamic-pituitary axis?

<p>A hormonal cascade where the hypothalamus controls hormone release from the pituitary gland, which in turn regulates other endocrine glands. (D)</p> Signup and view all the answers

What type of feedback loop primarily regulates hormone secretion within the hypothalamic-pituitary axis?

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

Which of the following hormones are secreted by the posterior pituitary?

<p>Oxytocin and Anti-diuretic Hormone (ADH) (A)</p> Signup and view all the answers

Which of the following pituitary hormones is essential for normal growth and development?

<p>Growth hormone (GH) (A)</p> Signup and view all the answers

A patient presents with symptoms of acromegaly, an endocrine disorder characterized by abnormal bone growth. Dysfunction of which of the following hormones is most likely to cause this condition?

<p>Growth Hormone (GH) (D)</p> Signup and view all the answers

In the context of milk ejection, what type of feedback system is formed by oxytocin secretion in response to suckling?

<p>Open loop feedback system (C)</p> Signup and view all the answers

What is the primary function of ADH in relation to water balance?

<p>To increase water permeability in the distal tubules and collecting ducts. (C)</p> Signup and view all the answers

What is the direct consequence of ADH promoting vasoconstriction?

<p>Increased blood pressure (A)</p> Signup and view all the answers

What are the key factors that stimulate the secretion of ADH?

<p>Low blood volume and high plasma osmolarity. (A)</p> Signup and view all the answers

Compared to the pig hormone, what amino acid difference defines human Arginine Vasopressin (AVP)?

<p>Arginine instead of lysine at position 8. (A)</p> Signup and view all the answers

How does ADH affect urine concentration when acting on the kidneys?

<p>It increases urine osmolality and decreases urine volume. (D)</p> Signup and view all the answers

During labor, what causes increased oxytocin secretion?

<p>Increased cervical stretch. (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of ADH (Vasopressin)?

<p>It is identical to Oxytocin. (D)</p> Signup and view all the answers

Which of these receptor subtypes, when activated, leads to an increase in intracellular cAMP levels?

<p>AVPR2 (C)</p> Signup and view all the answers

Where is the AVPR2 receptor primarily located, according to the text?

<p>Kidney tubules and collecting duct (A)</p> Signup and view all the answers

What is the primary function of aquaporin-2 channels in kidney cells, as described in the text?

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

Which of the following accurately describes the mechanism by which ADH increases water reabsorption in the kidney?

<p>ADH activates adenylate cyclase, increasing cAMP, leading to aquaporin-2 insertion. (B)</p> Signup and view all the answers

What effect does an increased blood osmolality have on ADH secretion?

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

How would a decrease in blood volume affect ADH secretion?

<p>Increase ADH secretion (A)</p> Signup and view all the answers

What is the main effect of ADH on the kidney?

<p>Increase water reabsorption (A)</p> Signup and view all the answers

All ADH receptors are coupled to which type of protein?

<p>G-coupled receptors (B)</p> Signup and view all the answers

Flashcards

What is the pituitary gland's role?

Pituitary gland is a crucial part of the endocrine system, producing essential hormones that regulate various bodily functions.

Describe the posterior pituitary's function.

The posterior pituitary stores and releases two vital hormones: Antidiuretic hormone (ADH) and Oxytocin.

What are the anterior pituitary's main hormone productions?

The anterior pituitary produces six key hormones: Growth hormone (GH), Prolactin (PRL), Thyroid-stimulating hormone (TSH), Adrenocorticotropic hormone (ACTH), Follicle-stimulating hormone (FSH) and Luteinizing hormone (LH).

What is the hypothalamic-pituitary axis?

The hypothalamic-pituitary axis, also known as the HPA, is a complex communication system involving the hypothalamus, pituitary gland, and target glands.

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Explain the role of the hypothalamic-pituitary vascular portal system.

The hypothalamus releases neurohormones that travel to the anterior pituitary via the hypothalamic-pituitary vascular portal system, regulating hormone production.

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How do negative feedback loops work in hormone regulation?

Negative feedback loops ensure hormone levels are maintained within a specific range. This involves signaling back to the pituitary to reduce or stop hormone production when specific levels are reached.

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What happens when the pituitary gland malfunctions?

Pituitary gland disorders, such as diabetes insipidus, hyperthyroidism, or acromegaly, arise due to disruptions in the normal function of the pituitary gland and its hormone regulation.

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What are the targets of pituitary hormones?

Hormones produced by the pituitary gland target various organs and tissues throughout the body, influencing growth, metabolism, reproduction, and other vital functions.

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Conditioned response of oxytocin release

The release of oxytocin in response to stimuli associated with suckling, such as the sound of a baby crying or the feel of a baby's touch.

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Oxytocin release during parturition

Reflexes in the cervix and uterus trigger the release of oxytocin.

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Role of oxytocin in uterine contractions

Oxytocin promotes contractions of the uterine smooth muscle, leading to the delivery of the fetus.

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Positive feedback

The process where a biological response amplifies its own stimulus, leading to a greater response. It's like a snowball effect!

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Positive feedback regulation of oxytocin

The release of oxytocin during labor is regulated by a positive feedback loop.

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What is the pituitary gland?

The pituitary gland, a small endocrine gland located at the base of the brain, is responsible for regulating various bodily functions through hormone secretion.

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What is the sella turcica?

The sella turcica is a saddle-shaped depression in the sphenoid bone of the skull that safely houses the pituitary gland.

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What is the anterior pituitary?

The anterior lobe of the pituitary gland, also known as the adenohypophysis, is responsible for producing and releasing hormones that regulate various bodily functions.

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What is the posterior pituitary?

The posterior lobe of the pituitary gland, also known as the neurohypophysis, stores and releases hormones produced by the hypothalamus.

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How does the pituitary gland develop?

The pituitary gland develops from two sources during embryonic development: the diencephalon (for the posterior lobe) and Rathke’s pouch (for the anterior lobe).

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What is the anterior pituitary's function?

The anterior pituitary, being an endocrine gland, produces and releases hormones directly into the bloodstream.

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What is the posterior pituitary's function?

The posterior pituitary, being a neural structure, stores and releases hormones produced by the hypothalamus, which are transported to the pituitary via nerve fibers.

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How does the hypothalamus communicate with the pituitary?

The hypothalamus, a brain region, communicates with the pituitary gland using both neural signals (for the posterior lobe) and the hypothalamic-portal system (for the anterior lobe).

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Oxytocin

A hormone produced by the posterior pituitary gland, primarily responsible for triggering milk release from the mammary glands.

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Myoepithelial cells

Specialized cells surrounding milk-producing alveoli in the breast. They contract to squeeze out milk.

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Milk Ejection

The process of milk being forced out of the mammary gland.

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Suckling's role in milk ejection

The act of suckling stimulates sensory receptors in the nipple, leading to the release of oxytocin.

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Hypothalamus

The brain region that controls the release of oxytocin.

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Alveolus of Mammary Gland

Tiny sacs in the breast where milk is produced.

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Milk Synthesis

The process of milk production in the breast.

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Pituitary gland

The pituitary gland, a small gland located at the base of the brain, responsible for releasing numerous hormones.

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How does Oxytocin work during labor?

A positive feedback loop where oxytocin release triggers uterine contractions, which in turn stimulates more oxytocin release, leading to increasingly strong contractions.

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Oxytocin and Milk Ejection

A hormone released from the posterior pituitary gland that stimulates milk ejection from the mammary glands.

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Anti-Diuretic Hormone (ADH) or Vasopressin

A hormone secreted by the posterior pituitary gland that helps regulate water balance in the body.

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Anti-Diuretic Hormone and Dehydration

ADH is released when the body is dehydrated, promoting increased water reabsorption in the kidneys.

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Anti-Diuretic Hormone and Vasoconstriction

ADH promotes vasoconstriction, leading to increased blood pressure.

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Factors that Promote ADH Secretion: Plasma Osmolarity

High plasma osmolarity, which is the concentration of solutes in the blood, triggers ADH secretion.

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Factors that Promote ADH Secretion: Blood Volume and Pressure

Low blood volume and pressure stimulate ADH secretion, especially in severe situations like hemorrhage.

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What are ADH receptor subtypes (AVPR) and their roles in signaling?

ADH receptor subtypes (AVPR) are G-protein coupled receptors involved in various cellular signaling pathways. These receptors activate different secondary messengers, leading to diverse physiological effects.

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Where are AVPR1A receptors located, and what is their primary function?

AVPR1A receptors are mainly found in vascular smooth muscle, where they mediate vasoconstriction, leading to increased blood pressure.

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What is the primary location and function of AVPR1B receptors?

AVPR1B receptors are primarily expressed in the brain, where they play a crucial role in neural signaling and neurotransmission.

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Where are AVPR2 receptors predominantly found, and what is their primary function?

AVPR2 receptors are highly expressed in the kidney tubules, specifically the distal tubule and collecting duct, facilitating water reabsorption.

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How does ADH binding to V2 receptors influence water transport?

ADH binding to V2 receptors stimulates adenylate cyclase, leading to elevated cAMP levels. This, in turn, promotes the insertion of aquaporin-2 water channels into the cell membrane and increases transcription of the aquaporin-2 gene.

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What stimulates ADH secretion?

Increased blood osmolality or decreased blood volume triggers ADH secretion from the pituitary gland.

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What is the main physiological effect of ADH on the body?

ADH acts primarily on the kidneys to increase water reabsorption, restoring the body's osmolality and volume back to normal.

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What is ADH, and what is its primary role in the body?

ADH, also known as vasopressin, is a hormone that plays a crucial role in regulating water balance by increasing water reabsorption in the kidneys.

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Study Notes

Pituitary Gland Overview

  • The pituitary gland is a small gland located at the base of the brain.
  • It has two major components: the anterior lobe (adenohypophysis) and the posterior lobe (neurohypophysis).
  • The pituitary is part of the hypothalamic-pituitary axis (HPA), a critical component regulating hormone secretion from various endocrine glands.
  • Pituitary gland function disruption can trigger various endocrine disorders.

Pituitary Gland Anatomy

  • The gland is located within the sella turcica of the sphenoid bone.
  • The infundibulum (stalk) connects the pituitary to the brain.
  • The posterior lobe is an extension of the neural tissue.
  • The anterior lobe is an epithelial gland of true endocrine origin.
  • The graphic displays the pars tuberalis, neurohypophysis, infundibular stalk, median eminence, adenohypophysis, pars distalis, pars nervosa, and pars intermedia.

Pituitary Gland Development

  • The pituitary gland emerges from two embryonic sources.
  • The posterior lobe arises from the diencephalon's neuroepithelium.
  • The anterior lobe (and intermediate lobe) arises from an out-pocketing of epithelial cells called Rathke's pouch in the oral cavity.

Pituitary Gland Hormones (Posterior Pituitary)

  • The posterior pituitary (PN2) stores and secretes two hormones: oxytocin and antidiuretic hormone (ADH, also called vasopressin).
  • Oxytocin:
    • Targets uterine muscles and mammary glands.
    • Plays a role in labor contractions and milk ejection.
  • Antidiuretic Hormone (ADH):
    • Targets kidney tubules.
    • Regulates water balance by controlling the kidneys' water reabsorption.
    • Elevates in response to dehydration and reduced blood volume/pressure.

Pituitary Gland Hormones (Posterior Pituitary) Production

  • Oxytocin and ADH are synthesized in the hypothalamus.
  • These hormones are stored in axon terminals (Herring bodies) within the posterior pituitary.
  • Release is triggered by action potentials, which then enter circulation.

Pituitary Gland Hormone Release Stimulation

  • Sensory input from neural receptors stimulates hormone release.
  • For example, suckling in the mammary glands triggers oxytocin release.
  • Cervical and uterine reflexes stimulate oxytocin release during childbirth.

Positive Feedback Control of Oxytocin

  • Positive feedback mechanisms amplify oxytocin release during childbirth, vital for uterus contractions.

Antidiuretic Hormone (ADH) - Function

  • ADH regulates water balance by influencing kidney function.
  • ADH increases water permeability in the kidney tubules and collection ducts.
  • This effect conserves water in the body and concentrates urine.
  • Higher concentrations of ADH stimulate vasoconstriction to raise blood pressure.

Factors Promoting ADH Secretion

  • Higher plasma osmolarity triggers ADH release, while lower blood volume/pressure also stimulates ADH release.

ADH Receptors

  • ADH has different receptor subtypes (e.g., V2 receptors).
  • These receptors influence water reabsorption by targeting kidney tubules and initiate water retention and concentrated urine output.

Diabetes Insipidus (DI)

  • DI involves disruptions in either ADH levels or response to ADH, causing problems with water balance.
  • There are three main types:
    • Pituitary/Central DI: insufficient ADH production.
    • Nephrogenic DI: kidneys unresponsive to ADH.
    • Dipsogenic DI: excessive fluid intake.
    • Major symptoms include excessive thirst and excretion of large volumes of dilute urine.

Diagnostic Analysis for DI

  • Blood tests evaluate glucose and electrolyte levels (e.g., hypernatremia).
  • Urine tests assess osmolarity and specific gravity (low, dilute).
  • A fluid deprivation test helps distinguish the causes of DI.

Causes of DI

  • Pituitary DI: deficiencies in ADH production, pituitary tumor, head injury, infection.
  • Nephorgenic DI: genetic defects, certain drugs (e.g., lithium), kidney diseases (e.g., polycystic).
  • Dipsogenic DI: excessive fluid intake, defect in thirst regulation.

Learning Objectives

  • Key differences between posterior and anterior pituitary, and the related tissues.
  • Understanding of hypothalamic/pituitary regulation of hormone synthesis/secretion.
  • Hormone secretion feedback control.
  • Posterior pituitary gland hormones and their functions.
  • Effects of disruptions in pituitary function leading to specific endocrine disorders (e.g., DI).

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