Pathophysiological Concepts Chapter 9: Stress and Disease
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Questions and Answers

What term describes the body's ability to maintain stability through change in response to stress?

  • Allostasis (correct)
  • Neuroendocrine response
  • Allostatic overload
  • Homeostasis
  • What triggers the release of cortisol during the stress response?

  • Secretion of epinephrine
  • Activation of the hypothalamus (correct)
  • Increased blood pressure
  • Elevation of heart rate
  • Which of the following conditions can be linked to abnormal elevations of cortisol?

  • Increased energy levels
  • Obesity (correct)
  • Stomach ulcers
  • Enhanced immune response
  • What is the primary effect of catecholamines on the cardiovascular system during stress?

    <p>Increased heart rate</p> Signup and view all the answers

    What physiological response is primarily regulated by the sympathetic nervous system during stress?

    <p>Arousal and fight-or-flight response</p> Signup and view all the answers

    What negative health outcome can result from allostatic overload?

    <p>Increased chance of disease</p> Signup and view all the answers

    Cortisol plays a role in gluconeogenesis. What does this process involve?

    <p>Formation of glucose for energy</p> Signup and view all the answers

    During stress, which substance causes blood to be shunted to essential organs such as the heart and brain?

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

    The parasympathetic nervous system primarily functions to:

    <p>Promote relaxation and recovery</p> Signup and view all the answers

    How does increased cortisol during stress affect the immune system?

    <p>Inhibits inflammation and reduces immunity</p> Signup and view all the answers

    Study Notes

    Stress

    • Defined as a perceived or anticipated threat that disrupts an individual's well-being or homeostasis.
    • Originates from various stimuli, including psychological (fear, social rejection), physical (temperature changes, abuse), and physiological (infection, inflammation).

    Allostasis

    • Concept of "stability through change," linking stress to disease.
    • The brain constantly monitors future events and anticipates requirements from neuroendocrine and autonomic systems.
    • Allostatic overload occurs when adaptive systems are overactivated, leading to clinical pathophysiology and heightened disease risk, which varies individually.

    Hypothalamic-Pituitary-Adrenal (HPA) System

    • Key stress response pathway involving regulation by the hypothalamus.
    • Stress activates the hypothalamus to release corticotropin-releasing hormone (CRH), prompting anterior pituitary to produce adrenocorticotropic hormone (ACTH).
    • ACTH circulates to adrenal glands, triggering cortisol release.

    Cortisol

    • Secreted during stress; affects all tissues and is vital for maintaining energy through gluconeogenesis, raising blood glucose levels.
    • Influences protein metabolism and has various health implications, including links to obesity, sleep deprivation, hypertension, diabetes, and bone density loss.
    • Although it inhibits early inflammatory responses, cortisol promotes repair and resolution.
    • Elevated cortisol levels can reduce innate immunity and increase risks of autoimmune reactions.

    Sympathetic Nervous System (SNS) & Parasympathetic Nervous System (PNS)

    • SNS activation occurs alongside the HPA response during stress.
    • Increases norepinephrine and epinephrine levels, leading to enhanced blood flow to vital organs, increased heart rate, and higher blood pressure.
    • Catecholamines released during stress prepare the body for fight-or-flight responses.
    • PNS provides balance to the SNS effects, inducing relaxation and slowing heart rate through the vagus nerve.

    The Alarm Reaction

    • Initial response to a stressor activates physiological effects.
    • Catecholamines released into the bloodstream result in increased heart rate as a primary physiological effect.

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    Description

    This quiz explores the concepts of stress and allostasis, highlighting their definitions and implications for well-being. It also delves into the HPA system, a critical pathway in the stress response. Understand how various stimuli affect our physiological and psychological states.

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