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Endo Part 4

Total questions: 50

Worksheet time: 40mins

Name
Class
Date
1.

Any situation that upsets homeostasis causes

a)

stress

b)

abdominal pain

c)

neck pain

d)

anxiety

2.

•A stressor can be good (______) which is productive or bad stress (_______) which is destructive, and causes decreased resistance to dis-ease

–Can increase colds, infections and allergies

a)

eustress ; distress

b)

distress ; eustress

3.

look at the categories

4 lines
4.

•Hans Selye is the father of stress, he described the stages of the body response to stress as: GAS= General Adaptive Syndrome

•Stress effects the adrenal glands

•Unlike regular homeostasis GAS doesn’t maintain the normal homeostasis, it re-sets the level higher

–for example it increases blood pressure and blood sugar

•Frog in the boiling water

4 lines
5.

What are the three stages of General Adaptive Syndrome?

a)

Alarm

b)

Resistance

c)

Exhaustion

d)

Sleep

6.

•GAS has three progressive phases:

–Alarm

•This is a fast response so it is ______ ______ mediated initially then it is hormonal.

a)

nerve impulse

b)

hormonal

c)

water

7.

•GAS has three progressive phases:

After Alarm,

–Resistance

•This is a prolonged response so it is ______ mediated.

a)

nerve impulse

b)

hormone

8.

Name the stage of General Adaptive Syndrome?

•Stress that continues and causes hypoadrenia

•Loss of glucose homeostasis

•Hypoadrenia symptoms are chronic disease such as increased blood pressure, ulcers, infections, chronic fatigue

a)

Exhaustion

b)

Resistance

c)

Alarm

9.

Location of the pancreas?

a)

Retroperitoneal, inferior and dorsal to stomach in central abdomen

b)

Retroperitoneal, superior and anterior to stomach in lower abdomen

10.

This gland has endocrine and exocrine functions

a)

pancreas

b)

thymus

c)

thyroid

11.
4 lines
12.

The Acini Cells of the pancreas release what>

a)

Digestive Enzymes

b)

Glucagon

c)

Insulin

13.

The Alpha Cells of the pancreas release what>

a)

Digestive Enzymes

b)

Glucagon

c)

Insulin

14.

The Beta Cells of the pancreas release what>

a)

Digestive Enzymes

b)

Glucagon

c)

Insulin

15.

Alpha Cells and Beta Cells are located where in the pancreas?

a)

Principal cells

b)

Islet Of Langherhans

c)

Thyroid

16.

Label 1

(a)  

17.

Label 2

(a)  

18.

Label 3

(a)  

19.

Label 4

(a)  

20.

Label 5

(a)  

21.

Label 7

(a)  

22.

Label 8

(a)  

23.

•98% of this organ produces digestive enzymes (exocrine)

2% of the Isle of Langerhans (endocrine)

a)

pancreas

b)

adrenals

c)

thyroid

24.

Name the hormone

•lowers glucose blood levels

•antagonizes glucagon

a)

Insulin

b)

Glucagon

c)

Calcitonin

25.

Name the hormone

•secreted in diets low in carbohydrate or fasting,

•Secreted if there is low blood sugar

a)

Insulin

b)

Glucagon

c)

Calcitonin

26.

•As glucose in the blood increases the pancreas inhibits alpha cells this decreases _________

a)

Glucose

b)

Calcium

c)

Insulin

27.

•If there is decreased glucose in the blood then the pancreas _______ glucagon from the _____ cells (Glucagon makes glucose gone from the liver and muscles, where it is stored as glycogen)

a)

Increases ; alpha

b)

Decreases ; Alpha

c)

Increases ; beta

28.

•_______ from the beta cells allows for transport of glucose from the blood into the cells by facilitated diffusion.

a)

Insulin

b)

Glucagon

c)

Calcitonin

d)

Calcitriol

29.

Pancreas Abnormality

•_________= overflow as in diarrhea in the urine mellitus = melon sweetened urine

• Fourth leading cause of death today, in 1900 few cases reported.

a)

Diabetes

b)

Addison

c)

Cushings

30.

What type of diabetes is this:

•= insulin dependent 10%

•-some cases have autoimmune destruction of beta cells, diagnosed about age 12

•Treated with diet, exercise, monitoring of blood glucose and periodic injections of insulin or insulin pump

a)

Type 1 Diabetes Mellitus

b)

Type 2 Diabetes Mellitus

c)

Nephrogenic Diabetes Insipidus

d)

Neurogenic Diabetes Insipidus

31.

What type of diabetes is this:

•= Non-Insulin dependent 90%

–tissue is insulin resistance

• Failure of target cells to respond to insulin

–3 major risk factors are heredity, age (40+) and obesity

Treated with weight loss program of diet and exercise

- Bitter melon and vitamins with minerals improve insulin secretion or target cell sensitivity

May need drugs to inhibit glucose fascinated transport in intestines

a)

Type 1 Diabetes Mellitus

b)

Type 2 Diabetes Mellitus

c)

Nephrogenic Diabetes Insipidus

d)

Neurogenic Diabetes Insipidus

32.

•Remember that insulin from the pancreas effects ALL cells

•Chronic pathology

–chronic hyperglycemia leads to neuropathy (commonly of the lower extremities), eye changes (vessel problems), kidney problems (vessel problems) and cardiovascular damage from atherosclerosis (local ischemia and systemic high blood pressure)

•What the reason this tissues suffer from hyperglycemia?

a)

Glycation End Products

b)

XX

33.
4 lines
34.

•From excess insulin injection or pancreatic islet tumor

•Causes hypoglycemia, weakness and hunger

– triggers secretion of epinephrine, GH and glucagon

•side effects: anxiety, sweating and ­ HR

a)

Hyperinsulinemia

b)

Hypoinsulinemia

c)

Hypothyroidism

35.

–uncorrected hyperinsulinism with disorientation, convulsions or unconsciousness

a)

Insulin Shock

b)

Hypervolemic Shock

36.

FEMALE: Two Ovaries. They produce hormones:

a)

Estrogen/Progesterone

b)

FSH/LH

c)

Oxytocin/ADH

37.

–hormone created in the last months of pregnancy causes ligaments to relax, especially symphyis pubis,

•frequent cause for lower back pain of pregnancy

a)

Relaxin

b)

Estrogen

c)

Progesterone

d)

Prolactin

38.

MALE: Two Testes. They produces

a)

Testosterone

b)

Progesterone

c)

Prolactin

d)

ADH

39.

Name the hormone that promotes:

–Spermatogenesis and secondary sex characteristics in males

a)

Testosterone

b)

Estrogen

c)

Progesterone

d)

Oxytocin

40.

Name the hormones that promote:

–Secondary sex characteristics in females , regulates reproductive cycle, pregnancy, lactation, oogenesis

a)

Testosterone

b)

Estrogen

c)

Progesterone

d)

Oxytocin

41.

label 1

(a)  

42.

label 2

(a)  

43.

_________ hormones can not pass through the membrane so must bind to receptors in the plasma membrane

a)

Hydrophilic

b)

Hydrophobic

44.

___________ hormones penetrate plasma membrane – enter nucleus so no receptor is needed

a)

Hydrophilic

b)

Hydrophobic

45.

•Decreased hormone can increase receptors this is called ______________

–This makes the target cells more sensitive to a hormone

a)

UP-REGULATION

b)

Down -REGULATION

46.

•Increased hormone can decrease receptors this is called _________________

–This makes the target cells less sensitive to a hormone

•Possible mechanism of drug addiction

a)

UP-REGULATION

b)

Down -REGULATION

47.

•Two hormones working together have a greater effect then if they worked alone.

–Both estrogen and Follicle Stimulating Hormone (FSH) are needed for normal production of eggs by the ovary

a)

Synergistic Interaction

b)

Permissive Interaction

c)

Antagonistic Interaction

48.

•One hormone primes the target organ’s response to a second hormone that is secreted later.

– Ex. Estrogen has a permissive effect on the uterus by up-regulation of progesterone receptors so progesterone will have a great effect on the uterus

a)

Synergistic Interaction

b)

Permissive Interaction

c)

Antagonistic Interaction

49.

•One hormone opposes the action of another

– Insulin promotes glycogen formation, glucagon breaks down glycogen

a)

Synergistic Interaction

b)

Permissive Interaction

c)

Antagonistic Interaction

50.

•Chemical messengers that diffuse short distances and stimulate nearby cells

–unlike hormones not transported in blood

•Examples and their functions

–histamine from mast cells in connective tissue causes relaxation of blood vessel smooth muscle

Hives

a)

Paracrine Secretions

b)

Endocrine Secretions