SEELEY'S ANATOMY+PHYSIOLOGY
12th Edition
ISBN: 9781260172195
Author: VanPutte
Publisher: RENT MCG
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Chapter 18, Problem 4CT
Summary Introduction
To design:
A method of determining whether hyperthyroidism in a patient results from a pituitary abnormality or the production of a nonpituitary thyroid stimulatory substance.
Introduction:
The secretion of parathyroid hormone (PTH) is triggered by a decrease in blood calcium ions levels, and inhibition of PTH secretion is triggered by an elevation in blood calcium ions levels. In this way, blood calcium levels are maintained within a normal range.
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Most laboratories are able to determine blood levels of TSH, T3,and T4. Given that ability, design a method of determining whetherhyperthyroidism in a patient results from a pituitary abnormality or from the production of a nonpituitary thyroid stimulatorysubstance.
1) Hormone pathologies often manifest with elevated or lower hormones. The underlying cause may differ. What symptoms would be associated with hyperthyroidism?
2) Autoimmune disease in which auto-antibodies stimulate the TSH receptor (TSHR) on the thyroid gland. How would this affect levels of TRH, TSH, and TH? Draw out the H-P-T axis to illustrate changes in each hormone.
3) What symptoms would be associated with hypothyroidism?
4) How could this disease be treated? When the thyroid cells are destroyed, they cannot make hormones anymore and TH replacement needs to be given.
Consider the communication between the hypothalamus, pituitary and various target organs when answering this question. For each condition discussed, state the change you would expect to find for each hormone/compound addressed - INCREASED, DECREASED, UNAFFECTED, CAN'T INTERPRET:
A patient suffering from untreated Graves disease:
A) TSH B) Calcitonin C) Thyroxine(T4/T3) D) TRH
A patient suffering from untreated goiter:
A) TSH B) Calcitonin C) Thyroxine(T4/T3) D) TRH
A patient suffering from pituitary tumor secreting ACTH:
A) CRH B) ACTH C) Cortisol D) Plasma potassium level
Now, let's consider calcium metabolism and balance. For each condition discussed, state the change you would expect to find for hormone/calcium levels - INCREASED, DECREASED, UNAFFECTED, CAN'T INTERPRET:
A patient with…
Chapter 18 Solutions
SEELEY'S ANATOMY+PHYSIOLOGY
Ch. 18.1 - Prob. 1AYPCh. 18.1 - Prob. 2AYPCh. 18.2 - Prob. 3AYPCh. 18.2 - Prob. 4AYPCh. 18.2 - How does the hypothalamus regulate the secretion...Ch. 18.2 - Prob. 6AYPCh. 18.2 - Prob. 7AYPCh. 18.2 - Prob. 8AYPCh. 18.2 - Prob. 9AYPCh. 18.2 - Prob. 10AYP
Ch. 18.2 - Prob. 11AYPCh. 18.2 - Prob. 12AYPCh. 18.2 - Prob. 13AYPCh. 18.2 - What effects do stress, blood amino acid levels,...Ch. 18.2 - Describe the effects of GH on its target tissues.Ch. 18.2 - Prob. 16AYPCh. 18.2 - Prob. 17AYPCh. 18.2 - Prob. 18AYPCh. 18.2 - For each of the following hormones secreted by the...Ch. 18.2 - Prob. 20AYPCh. 18.2 - What is a gonadotropin? Name two...Ch. 18.3 - Prob. 22AYPCh. 18.3 - Prob. 23AYPCh. 18.3 - How are the thyroid hormones transported in the...Ch. 18.3 - Prob. 25AYPCh. 18.3 - Starting in the hypothalamus, explain how chronic...Ch. 18.3 - Prob. 27AYPCh. 18.3 - Prob. 28AYPCh. 18.3 - Prob. 29AYPCh. 18.3 - What conditions cause hyperthyroidism? Describe...Ch. 18.3 - Prob. 31AYPCh. 18.4 - Prob. 32AYPCh. 18.4 - Prob. 33AYPCh. 18.4 - Prob. 34AYPCh. 18.4 - Prob. 35AYPCh. 18.4 - What can cause hypoparathyroidism?Describe the...Ch. 18.4 - Prob. 37AYPCh. 18.5 - Where are the adrenal glands located? Describe the...Ch. 18.5 - Name two hormones secreted by the adrenal medulla,...Ch. 18.5 - Prob. 40AYPCh. 18.5 - Prob. 41AYPCh. 18.5 - Name the target tissue ofaldosterone, and list...Ch. 18.5 - Prob. 43AYPCh. 18.5 - Prob. 44AYPCh. 18.5 - List the possible causes of hypersecretion of...Ch. 18.5 - Prob. 46AYPCh. 18.6 - Prob. 47AYPCh. 18.6 - Prob. 48AYPCh. 18.6 - How does insulin affect the satiety center of the...Ch. 18.6 - Prob. 50AYPCh. 18.6 - Prob. 51AYPCh. 18.7 - Prob. 52AYPCh. 18.7 - Prob. 53AYPCh. 18.7 - Prob. 54AYPCh. 18.8 - Prob. 55AYPCh. 18.8 - List the hormones secreted by the ovaries, and...Ch. 18.8 - What hormones from the anterior pituitary gland...Ch. 18.8 - Prob. 58AYPCh. 18.9 - Prob. 59AYPCh. 18.9 - Prob. 60AYPCh. 18.10 - What hormone is secreted by the thymus? What is...Ch. 18.10 - Prob. 62AYPCh. 18.10 - Prob. 63AYPCh. 18.10 - Prob. 64AYPCh. 18.10 - List examples of paracrine chemical messengers...Ch. 18.10 - Prob. 66AYPCh. 18.11 - Prob. 67AYPCh. 18.11 - Prob. 68AYPCh. 18 - The pituitary gland a. develops from the floor of...Ch. 18 - The hypothalamohypophysial portal system a....Ch. 18 - Prob. 3RACCh. 18 - Prob. 4RACCh. 18 - Prob. 5RACCh. 18 - Prob. 6RACCh. 18 - Prob. 7RACCh. 18 - Hypersecretion of growth hormone a.results in...Ch. 18 - Prob. 9RACCh. 18 - Prob. 10RACCh. 18 - Prob. 11RACCh. 18 - Prob. 12RACCh. 18 - Prob. 13RACCh. 18 - Parathyroid hormone secretion increases in...Ch. 18 - Prob. 15RACCh. 18 - Prob. 16RACCh. 18 - In the condition in which a benign tumor results...Ch. 18 - Which of these is nor a hormone secreted by the...Ch. 18 - Prob. 19RACCh. 18 - Prob. 20RACCh. 18 - Prob. 21RACCh. 18 - Within the pancreas, the pancreatic islets produce...Ch. 18 - Insulin increases a. the uptake of glucose by its...Ch. 18 - Prob. 24RACCh. 18 - Prob. 25RACCh. 18 - Prob. 26RACCh. 18 - Prob. 27RACCh. 18 - Prob. 28RACCh. 18 - Prob. 29RACCh. 18 - Prob. 30RACCh. 18 - Prob. 1CTCh. 18 - Prob. 2CTCh. 18 - A patient complains of headaches and visual...Ch. 18 - Prob. 4CTCh. 18 - Prob. 5CTCh. 18 - Prob. 6CTCh. 18 - Prob. 7CTCh. 18 - Predict some of the consequences of exposure to...Ch. 18 - Katie was getting nervous. At 16, she was the only...
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Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, biology and related others by exploring similar questions and additional content below.Similar questions
- Match the endocrine control concepts.arrow_forwardWhich hormones produced in the posterior and anterior lobes of the pituitary gland have the targets indicated? Below, fill in the blanks using the abbreviations noted in Section 15.3.arrow_forwardFigure 37.14 Hyperthyroidism is a condition in which the thyroid gland is overactive. Hypothyroidism is a condition in which the thyroid gland is underactive. Which of the conditions are the following two patients most likely to have? Patient A has symptoms including weight gain, cold sensitivity, low heart rate, and fatigue. Patient B has symptoms including weight loss, profuse sweating, increased heart rate, and difficulty sleeping.arrow_forward
- Which one of the following statements about T3 is FALSE? 1) It is thought to be the most active thyroid hormone. 2) It may be elevated to a greater extent than T4 in hyperthyroidism. 3) It is not bound to serum proteins. 4) It is commonly decreased in patients with nonthyroidal illness. no references, just homework.arrow_forwardThe endocrine system is composed of glands that secrete hormones that regulate the activity of different body cells. The pituitary gland is often called the "master gland" because it controls the activities of other glands. Discuss a disorder associated with either hypo or hypersecretion of a specific hormone secreted by the pituitary gland. Include in your discussion the answer to the following: What effect will an increase or decrease in production have on the target organs?What signs and symptoms are associated with this condition and how is it treated?arrow_forwardThyroid medications are contraindicated in all of the following circumstances, except:A. Chronic heart failureB. Untreated hyperthyroidismC. Untreated adrenal insufficiencyD. Acute coronary syndromeE. Decompensated tachyarrhythmiaarrow_forward
- Identify a true statement about hyperthyroidism. Multiple Choice Hyperthyroidism, from any cause, is associated with an increased secretion and circulation of T3 and T4- Decreased cell metabolism,bradycardia, and weight gain are characteristic symptoms of hyperthyroidism. The clinical symptoms of hyperthyroidism resemble excessive stimulation of the parasympathetic nervous system. Hyperthyroidism is generally caused by glandular destruction of the thyroid gland.arrow_forwardMatch the class of hormone with each of the following hormones or characteristic. cortisol binds to an intracellular receptor 1. peptide insulin 2. amino acid derivative thyroid hormone 3. steroid requires a carrier protein to be carried in the blood >arrow_forwardMatch the following endocrine structures with the hormone it secretes. Endocrine Structures Hormones Hypothalamus blank Anterior Pituitary Gland blank Posterior Pituitary Gland blank Thyroid Gland blank Parathyroid Gland blank Adrenal Gland blank Pancreatic Islet blank Uterus blank Releasing Hormones Prostaglandin Epinephrine Glucagon Parathyroid Hormone Adrenocorticotropic Hormone Calcitonin Antidiuretic Hormonearrow_forward
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