Pituitary and Hypothalamic Hormones PDF

Summary

These lecture notes cover pituitary and hypothalamic hormones, including their functions, mechanisms, and clinical uses. Topics include growth hormone, oxytocin, vasopressin, and their associated disorders.

Full Transcript

Pituitary and Hypothalamic\ Hormones \#\#\# \*\*Slide 1: Overview of Pituitary and Hypothalamic Hormones\*\* 1\. \*\*Which part of the pituitary gland is responsible for secreting growth hormone (GH)?\*\* \- A. Posterior pituitary \- B. Anterior pituitary \- C. Hypothalamus \- D. Adrenal gland...

Pituitary and Hypothalamic\ Hormones \#\#\# \*\*Slide 1: Overview of Pituitary and Hypothalamic Hormones\*\* 1\. \*\*Which part of the pituitary gland is responsible for secreting growth hormone (GH)?\*\* \- A. Posterior pituitary \- B. Anterior pituitary \- C. Hypothalamus \- D. Adrenal gland \*\*Answer:\*\* B. Anterior pituitary【128†source】 2\. \*\*Which hormone is involved in inducing labor and controlling uterine bleeding?\*\* \- A. Prolactin \- B. Oxytocin \- C. Vasopressin \- D. Growth hormone \*\*Answer:\*\* B. Oxytocin【128†source】 3\. \*\*Vasopressin acts through which receptors to increase water reabsorption in the kidneys?\*\* \- A. V1 receptors \- B. V2 receptors \- C. Alpha receptors \- D. Beta receptors \*\*Answer:\*\* B. V2 receptors【128†source】 \-\-- \#\#\# \*\*Slide 2: Pituitary Hormones\*\* 1\. \*\*The adenohypophysis is another term for which part of the pituitary gland?\*\* \- A. Posterior pituitary \- B. Anterior pituitary \- C. Hypothalamus \- D. Thyroid gland \*\*Answer:\*\* B. Anterior pituitary【128†source】 2\. \*\*Which hormone is secreted by the neurohypophysis (posterior pituitary)?\*\* \- A. Growth hormone \- B. Prolactin \- C. Oxytocin \- D. Thyroid-stimulating hormone \*\*Answer:\*\* C. Oxytocin【128†source】 3\. \*\*Which hormone promotes tissue growth and regulates protein and carbohydrate metabolism?\*\* \- A. Prolactin \- B. Vasopressin \- C. Growth hormone \- D. ACTH \*\*Answer:\*\* C. Growth hormone【128†source】 \-\-- \#\#\# \*\*Slide 3: Growth Hormone - Function and Deficiency\*\* 1\. \*\*Which condition results from growth hormone deficiency in childhood?\*\* \- A. Acromegaly \- B. Dwarfism \- C. Gigantism \- D. Hyperthyroidism \*\*Answer:\*\* B. Dwarfism【128†source】 2\. \*\*In adults, growth hormone deficiency can lead to which of the following symptoms?\*\* \- A. Muscle wasting and fatigue \- B. Weight gain and lethargy \- C. Hypertension and hyperglycemia \- D. Bradycardia and constipation \*\*Answer:\*\* A. Muscle wasting and fatigue【128†source】 3\. \*\*Growth hormone primarily exerts its effects through which mediator?\*\* \- A. Cortisol \- B. Insulin-like growth factor-1 (IGF-1) \- C. Epinephrine \- D. Thyroid hormone \*\*Answer:\*\* B. Insulin-like growth factor-1 (IGF-1)【128†source】 \-\-- \#\#\# \*\*Slide 4: Synthetic Growth Hormone - Somatotropin\*\* 1\. \*\*Which of the following is a medical use for synthetic growth hormone (somatotropin) in children?\*\* \- A. Treatment of acromegaly \- B. Management of hyperthyroidism \- C. Treatment of pituitary dwarfism and growth failure \- D. Weight loss in obesity \*\*Answer:\*\* C. Treatment of pituitary dwarfism and growth failure【128†source】 2\. \*\*Which serious side effect is associated with somatotropin use in children?\*\* \- A. Hypoglycemia \- B. Pseudotumor cerebri \- C. Hypocalcemia \- D. Hypertension \*\*Answer:\*\* B. Pseudotumor cerebri【128†source】 3\. \*\*In adults, synthetic growth hormone is used to manage which condition?\*\* \- A. AIDS-related wasting syndrome \- B. Cushing's disease \- C. Diabetes insipidus \- D. Hypothyroidism \*\*Answer:\*\* A. AIDS-related wasting syndrome【128†source】 \-\-- \#\#\# \*\*Slide 5: Growth Hormone Inhibitors\*\* 1\. \*\*Somatostatin (Octreotide) is used to inhibit the release of which hormone?\*\* \- A. Thyroid hormone \- B. Growth hormone \- C. Cortisol \- D. Insulin \*\*Answer:\*\* B. Growth hormone【128†source】 2\. \*\*Octreotide is used in the treatment of which of the following conditions?\*\* \- A. Diabetes mellitus \- B. Dwarfism \- C. Acromegaly \- D. Hyperthyroidism \*\*Answer:\*\* C. Acromegaly【128†source】 3\. \*\*What is a common side effect of somatostatin analogs like Octreotide?\*\* \- A. Diarrhea and gallstones \- B. Hyperglycemia \- C. Tachycardia \- D. Hypertension \*\*Answer:\*\* A. Diarrhea and gallstones【128†source】 \-\-- \#\#\# \*\*Slide 6: Growth Hormone Inhibitors - Pegvisomant\*\* 1\. \*\*Pegvisomant (Somavert) is used to treat which condition?\*\* \- A. Growth hormone deficiency \- B. Acromegaly \- C. Dwarfism \- D. Hyperthyroidism \*\*Answer:\*\* B. Acromegaly【128†source】 2\. \*\*What is the mechanism of action of Pegvisomant?\*\* \- A. It inhibits growth hormone release \- B. It is a growth hormone receptor antagonist \- C. It stimulates growth hormone release \- D. It enhances IGF-1 production \*\*Answer:\*\* B. It is a growth hormone receptor antagonist【128†source】 3\. \*\*Pegvisomant is administered via which route?\*\* \- A. Oral \- B. Subcutaneous injection \- C. Intravenous injection \- D. Intramuscular injection \*\*Answer:\*\* B. Subcutaneous injection【128†source】 \-\-- \#\#\# \*\*Slide 7: Dopamine Agonists - Bromocriptine\*\* 1\. \*\*Bromocriptine is used to reduce the secretion of which hormones?\*\* \- A. Thyroid hormone and ACTH \- B. Growth hormone and prolactin \- C. Cortisol and insulin \- D. Glucagon and aldosterone \*\*Answer:\*\* B. Growth hormone and prolactin【128†source】 2\. \*\*Which receptor does Bromocriptine bind to reduce hormone secretion?\*\* \- A. D1 receptor \- B. D2 receptor \- C. Beta-2 receptor \- D. Alpha receptor \*\*Answer:\*\* B. D2 receptor【128†source】 3\. \*\*Bromocriptine is primarily used in the treatment of which pituitary tumor?\*\* \- A. Prolactinoma \- B. Somatotroph adenoma \- C. Thyrotroph adenoma \- D. Corticotroph adenoma \*\*Answer:\*\* A. Prolactinoma【128†source】 \-\-- \#\#\# \*\*Slide 8: Oxytocin - Mechanism and Use\*\* 1\. \*\*Oxytocin is primarily used to induce what physiological effect in pregnancy?\*\* \- A. Increase blood pressure \- B. Induce uterine contractions \- C. Increase insulin secretion \- D. Reduce cortisol levels \*\*Answer:\*\* B. Induce uterine contractions【128†source】 2\. \*\*Which of the following is a clinical use of oxytocin post-delivery?\*\* \- A. Stimulate milk ejection \- B. Control postpartum hemorrhage \- C. Reduce postpartum depression \- D. Lower blood sugar \*\*Answer:\*\* B. Control postpartum hemorrhage【128†source】 3\. \*\*How is oxytocin administered for labor induction?\*\* \- A. Intravenously \- B. Orally \- C. Subcutaneously \- D. Intranasally \*\*Answer:\*\* A. Intravenously【128†source】 \-\-- \#\#\# \*\*Slide 9: Vasopressin - Mechanism of Action\*\* 1\. \*\*Vasopressin acts on which receptors to increase water reabsorption in the kidneys?\*\* \- A. V1 receptors \- B. V2 receptors \- C. Alpha receptors \- D. Beta receptors \*\*Answer:\*\* B. V2 receptors【128†source】 2\. \*\*What is vasopressin used to treat in patients with central diabetes insipidus?\*\* \- A. Hypotension \- B. Excessive water loss \- C. Hyperglycemia \- D. Hypercalcemia \*\*Answer:\*\* B. Excessive water loss【128†source】 3\. \*\*Which condition can be treated by stimulating vasopressin's V1 receptors in vascular smooth muscle?\*\* \- A. Esophageal varices \- B. Hypertension \- C. Hypothyroidism \- D. Osteoporosis \*\*Answer:\*\* A. Esophageal varices【128†source】 \#\#\# \*\*Slide 10: Vasopressin Analog - Desmopressin (DDAVP)\*\* 1\. \*\*Desmopressin (DDAVP) primarily acts on which receptor to reduce urine output in diabetes insipidus?\*\* \- A. V1 receptors \- B. V2 receptors \- C. Alpha receptors \- D. Beta receptors \*\*Answer:\*\* B. V2 receptors【128†source】 2\. \*\*What is the primary clinical use of desmopressin?\*\* \- A. Induce labor \- B. Treat central diabetes insipidus and nocturnal enuresis \- C. Increase blood pressure \- D. Reduce postpartum hemorrhage \*\*Answer:\*\* B. Treat central diabetes insipidus and nocturnal enuresis【128†source】 3\. \*\*Which of the following is a side effect associated with desmopressin therapy?\*\* \- A. Hyponatremia \- B. Hyperkalemia \- C. Hypercalcemia \- D. Hypertension \*\*Answer:\*\* A. Hyponatremia【128†source】 \-\-- \#\#\# \*\*Slide 11: Vasopressin and Desmopressin - Clinical Applications\*\* 1\. \*\*In addition to diabetes insipidus, desmopressin is used to treat which bleeding disorder?\*\* \- A. Hemophilia A \- B. Von Willebrand disease \- C. Disseminated intravascular coagulation \- D. Idiopathic thrombocytopenic purpura \*\*Answer:\*\* B. Von Willebrand disease【128†source】 2\. \*\*Which of the following is a contraindication to desmopressin use?\*\* \- A. Hyponatremia \- B. Hyperkalemia \- C. Hypertension \- D. Diabetes mellitus \*\*Answer:\*\* A. Hyponatremia【128†source】 3\. \*\*What is a key difference between vasopressin and desmopressin regarding receptor selectivity?\*\* \- A. Desmopressin has greater selectivity for V2 receptors, reducing vasoconstriction effects \- B. Vasopressin is more selective for V2 receptors \- C. Desmopressin increases both V1 and V2 receptor activity \- D. Vasopressin only acts on alpha receptors \*\*Answer:\*\* A. Desmopressin has greater selectivity for V2 receptors, reducing vasoconstriction effects【128†source】

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