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WorksheetsEndo Part 4
Total questions: 50
Worksheet time: 40mins
Any situation that upsets homeostasis causes
stress
abdominal pain
neck pain
anxiety
•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
eustress ; distress
distress ; eustress
look at the categories
•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
What are the three stages of General Adaptive Syndrome?
Alarm
Resistance
Exhaustion
Sleep
•GAS has three progressive phases:
–Alarm
•This is a fast response so it is ______ ______ mediated initially then it is hormonal.
nerve impulse
hormonal
water
•GAS has three progressive phases:
After Alarm,
–Resistance
•This is a prolonged response so it is ______ mediated.
nerve impulse
hormone
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
Exhaustion
Resistance
Alarm
Location of the pancreas?
Retroperitoneal, inferior and dorsal to stomach in central abdomen
Retroperitoneal, superior and anterior to stomach in lower abdomen
This gland has endocrine and exocrine functions
pancreas
thymus
thyroid
The Acini Cells of the pancreas release what>
Digestive Enzymes
Glucagon
Insulin
The Alpha Cells of the pancreas release what>
Digestive Enzymes
Glucagon
Insulin
The Beta Cells of the pancreas release what>
Digestive Enzymes
Glucagon
Insulin
Alpha Cells and Beta Cells are located where in the pancreas?
Principal cells
Islet Of Langherhans
Thyroid
Label 1
(a)
Label 2
(a)
Label 3
(a)
Label 4
(a)
Label 5
(a)
Label 7
(a)
Label 8
(a)
•98% of this organ produces digestive enzymes (exocrine)
2% of the Isle of Langerhans (endocrine)
pancreas
adrenals
thyroid
Name the hormone
•lowers glucose blood levels
•antagonizes glucagon
Insulin
Glucagon
Calcitonin
Name the hormone
•secreted in diets low in carbohydrate or fasting,
•Secreted if there is low blood sugar
Insulin
Glucagon
Calcitonin
•As glucose in the blood increases the pancreas inhibits alpha cells this decreases _________
Glucose
Calcium
Insulin
•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)
Increases ; alpha
Decreases ; Alpha
Increases ; beta
•_______ from the beta cells allows for transport of glucose from the blood into the cells by facilitated diffusion.
Insulin
Glucagon
Calcitonin
Calcitriol
Pancreas Abnormality
•_________= overflow as in diarrhea in the urine mellitus = melon sweetened urine
• Fourth leading cause of death today, in 1900 few cases reported.
Diabetes
Addison
Cushings
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
Type 1 Diabetes Mellitus
Type 2 Diabetes Mellitus
Nephrogenic Diabetes Insipidus
Neurogenic Diabetes Insipidus
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
Type 1 Diabetes Mellitus
Type 2 Diabetes Mellitus
Nephrogenic Diabetes Insipidus
Neurogenic Diabetes Insipidus
•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?
Glycation End Products
XX
•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
Hyperinsulinemia
Hypoinsulinemia
Hypothyroidism
–uncorrected hyperinsulinism with disorientation, convulsions or unconsciousness
Insulin Shock
Hypervolemic Shock
FEMALE: Two Ovaries. They produce hormones:
Estrogen/Progesterone
FSH/LH
Oxytocin/ADH
–hormone created in the last months of pregnancy causes ligaments to relax, especially symphyis pubis,
•frequent cause for lower back pain of pregnancy
Relaxin
Estrogen
Progesterone
Prolactin
MALE: Two Testes. They produces
Testosterone
Progesterone
Prolactin
ADH
Name the hormone that promotes:
–Spermatogenesis and secondary sex characteristics in males
Testosterone
Estrogen
Progesterone
Oxytocin
Name the hormones that promote:
–Secondary sex characteristics in females , regulates reproductive cycle, pregnancy, lactation, oogenesis
Testosterone
Estrogen
Progesterone
Oxytocin
label 1
(a)
label 2
(a)
•_________ hormones can not pass through the membrane so must bind to receptors in the plasma membrane
Hydrophilic
Hydrophobic
•___________ hormones penetrate plasma membrane – enter nucleus so no receptor is needed
Hydrophilic
Hydrophobic
•Decreased hormone can increase receptors this is called ______________
–This makes the target cells more sensitive to a hormone
UP-REGULATION
Down -REGULATION
•Increased hormone can decrease receptors this is called _________________
–This makes the target cells less sensitive to a hormone
•Possible mechanism of drug addiction
UP-REGULATION
Down -REGULATION
•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
Synergistic Interaction
Permissive Interaction
Antagonistic Interaction
•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
Synergistic Interaction
Permissive Interaction
Antagonistic Interaction
•One hormone opposes the action of another
– Insulin promotes glycogen formation, glucagon breaks down glycogen
Synergistic Interaction
Permissive Interaction
Antagonistic Interaction
•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
Paracrine Secretions
Endocrine Secretions
