CHAPTER 4 ENDOCRINE PHYSIOLOGY
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,Q&As 3
EXAM NOTES 15
Feedback Mechanisms 15
Classification of Hormones 15
Anatomical Link 15
Pituitary Gland 15
Structure 16
Thyroid Hormone Synthesis 17
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Endocrine Pancreas 17
Insulin Actions 18
Diabetes Mellitus 18
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Secretion 18
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GH Actions 18
Disorders 19
What are Hormones? 19
1. Peptide/Protein Hormones 20
2. Steroid Hormones
3. Amino Acid Derivatives
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Negative Feedback 21
Positive Feedback 21
Hormones: 22
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Mechanism: 22
Hormone Regulation via Hypothalamus 23
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GH: Structure and Role 24
Excess GH 25
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(A) Before puberty – Gigantism 25
(B) After puberty – Acromegaly 25
(A) Childhood-Onset GHD 25
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(B) Adult-Onset GHD 26
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Structure & Secretion 27
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Two-Phase Insulin Secretion (after glucose load) 27
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Secretion & Regulation 28
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Action 28
Type 1 Diabetes 29
Type 2 Diabetes 29
Long-term complications (in both types): 29
Structure 29
Synthesis 30
Iodine Requirements (WHO) 30
Hyperthyroidism (e.g. Graves’ Disease) 31
Hypothyroidism (e.g. Hashimoto’s Thyroiditis) 31
Special Cases 32
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Local Signaling 32
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Q1: What is a hormone? 33
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Q2: What is a hormone gland? 33
Q3: How does the human endocrine system function? (2, 3, 8 mark formats) 33
MCQs 35
Growth Hormone (GH) 35
Glucose Metabolism & Pancreas 35
Thyroid Hormones 36
Endocrine Signaling and General Concepts 37
Mixed Application & Extra Review 38
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3 Essay Qs with Model Answers 39
Essay Question 1 39
Essay Question 2 40
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Essay Question 3 41
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