Chapter 23 Mastering A&P

Endocrine pathologies can occur through excess secretion, inadequate secretion, and which other mechanism?

abnormal target cell response

Which of the following hormones is a part of the rapid response (rather than the prolonged response) to stress?

epinephrine
Yes, epinephrine is part of the immediate or rapid response to stress. Epinephrine is released from the adrenal medulla as a result of the increase in the sympathetic nervous system. In fact, the chromaffin cells in the adrenal medulla act lik

In response to stress, which of the following changes would happen?

decreased insulin secretion
Yes, insulin decreases plasma glucose and during stress we need an increase in plasma glucose as well as other body fuels. Therefore, insulin secretion would be decreased, in turn increasing plasma glucose.

Which of the following are symptom(s) of pheochromocytoma?

heart palpitations
Yes, due to the increase in epinephrine, heart rate would be increased and you would feel like your heart was pounding or racing.

Choose which condition has all of the following symptoms: hypertension, hyperglycemia, and a "moon face.

Cushing's disease

What hormone also aids the stress response by promoting water retention and acting as a vasoconstrictor?

ADH (vasopressin)
Yes, ADH increases water reabsorption in the distal tubule and collecting duct of the nephron and its secondary function is to act as a vasoconstrictor.

How is iodide brought into follicular cells from the bloodstream in the thyroid gland?

sodium/iodide symporter

How is the hypothalamic control of growth hormone (GH) release different from the control of TSH and ACTH?

The hypothalamus releases both stimulatory and inhibitory tropic hormones for GH, whereas it only releases stimulatory hormones for TSH and ACTH.

How does growth hormone most contribute to the final length of long bones?

It stimulates cartilage growth in the epiphyseal plate, delaying closure of the plate.

How does growth hormone most contribute to the final length of long bones?

It stimulates bone growth in the epiphyseal plate, delaying closure of the plate.

What is the most important hormone causing an increase in serum Ca2+?

PTH

Which precursor molecule can be converted to either testosterone or aldosterone?

progesterone

The common precursor for all steroid hormones is ________.

cholesterol

What is the strongest negative feedback signal inhibiting corticotropin-releasing hormone release?

cortisol

C cells of the thyroid gland secrete ________.

calcitonin

Which is associated with hyperthyroidism?

irritability and weight loss

Which protein is produced in the follicular cells to initiate thyroid hormone production?

thyroglobulin

What is the effect of deiodinases on thyroid hormone function?

They convert T4 to the more active T3 in target cells.

Which of the following is a sign or symptom of hyperthyroidism?

exophthalmos

Acromegaly is associated with ________.

excess growth hormone

Which organ secretes insulin-like growth factors as a result of growth hormone?

liver

Which is NOT a hormone directly required for growth of soft tissue?
growth hormone
glucagon
insulin
thyroid hormone

glucagon

Adults do not increase in height. This suggests that adult bones ________ .

lack open cartilaginous epiphyseal plates

Vitamin D is a precursor in the synthesis pathway of ________.

calcitriol

Which hormone is permissive for growth and important for normal neural development?

thyroid hormone

The endocrine gland that is a modified sympathetic ganglion is the

adrenal medulla.

Crossover effects are sometimes seen among

steroid hormones.

The precursor chemical for ACTH synthesis is

POMC.

The adrenal medulla produces

catecholamines.

Which of the following could describe the function of 11 Beta-hydroxysteroid dehydrogenase?
It converts cortisol to a form with a lower specificity for mineralocorticoid receptors there.
An enzyme located in renal tubules that acts on cortisol .
It aids i

All of these answers are correct.

Without cortisol's permissive effect on ________, an animal would die.

glucagon

Melanocortins includes one or more of the following:

ACTH and MSH

Thyroid hormone contains the mineral

iodine.

Pendrin is an anion transporter important in the production of

thyroid hormone.

Iodine accumulation in thyroid cells involves symport with

sodium.

Thyroid hormones

are lipophilic and must bind to plasma proteins for transport to target cells.

The pituitary hormone that triggers the release of thyroid hormone from the thyroid gland is

TSH.

GH

is secreted by the anterior pituitary and binds to a plasma protein.

Somatostatin is another name for

growth hormone-inhibiting hormone.

Excess growth hormone prior to puberty would result in

giantism.

Mature, less active bone cells are termed

osteocytes.

Parathyroid hormone
increases the rate of calcium absorption.
raises the level of calcium ion in the blood.
stimulates osteoclast activity.
decreases the rate of calcium excretion.

All of these answers are correct.

Elevated levels of calcium ion in the blood stimulate the secretion of the hormone

calcitonin.

Calcium reabsorption at the kidneys is promoted by the hormone

calcitriol.

A hormone that can lower blood levels of calcium ion is

calcitonin.

Match the disease with the description.
A. Addison's disease
B. Cushing's disease
C. Graves' disease
D. Paget's disease
hypercortisolism

Cushing's disease

Match the disease with the description.
A. Addison's disease
B. Cushing's disease
C. Graves' disease
D. Paget's disease
hyperthyroidism

Graves' disease

Match the disease with the description.
A. Addison's disease
B. Cushing's disease
C. Graves' disease
D. Paget's disease
Some symptoms mimic diabetes mellitus.

Cushing's disease

Match the disease with the description.
A. Addison's disease
B. Cushing's disease
C. Graves' disease
D. Paget's disease
associated with overactive osteoclasts

Paget's disease

Match the disease with the description.
A. Addison's disease
B. Cushing's disease
C. Graves' disease
D. Paget's disease
Calcitonin may be an appropriate treatment.

Paget's disease

Match the disease with the description.
A. Addison's disease
B. Cushing's disease
C. Graves' disease
D. Paget's disease
may result from adrenal tumor

Cushing's disease

Match the condition with the description.
A. acromegaly
B. adrenogenital syndrome
C. cretinism
D. dwarfism
E. exophthalmus
mental retardation associated with infantile hypothyroidism

cretinism

Match the condition with the description.
A. acromegaly
B. adrenogenital syndrome
C. cretinism
D. dwarfism
E. exophthalmus
This condition results from excess androgens in females.

adrenogenital syndrome

Match the condition with its description.
A. giantism
B. kyphosis
C. moon face
D. myxedema
E. goiter
easily observable symptom of hypercortisolism

moon face

Match the condition with its description.
A. giantism
B. kyphosis
C. moon face
D. myxedema
E. goiter
caused by elevation of TSH

goiter

The most important metabolic effect of ________ is protection against ________, crucial to surviving significant stress.

cortisol, hypoglycemia

Thyroid hormones are structural derivatives of the amino acid

tyrosine.

ACTH is synthesized from a large glycoprotein called ________, which also produces ________ in the pituitary.

pro-opiomelanocortin, beta endorphin

Which of the following correctly pairs the two distinct endocrine cell types that comprise the thyroid gland with their respective secretion?

C cells secrete calcitonin; follicle cells secrete thyroid hormones.

In bone, the calcium phosphate forms crystals of

hydroxyapatite.

A rise in cortisol would cause each of the following except one. Identify the exception.

increased ACTH levels

Increased blood calcium levels result in increased

secretion of calcitonin.