Nursing Pharmacology: Gonadal
Pharmacology
Mechanism responsible for onset of ovarian function of the time of puberty:
- maturation of neural centers (e.g.,amygdala)
- maturation of the gonad
- responsiveness of the pituitary to hypothalamic gonadotropin-releasing hormones
Early consequence(s) of follicle-stimulating hormone and luteinizing hormone release inducing limited estrogen secretion in response:
- initiation of growth spurt
- changes in fat distribution
- breast development
- A & B
- A, B & C
At the beginning of each cycle, some vesicular follicles enlarge in response to:
- human menopausal gonadotropin (hMG)
- follicle-stimulating hormone (FSH)
- adrenocorticotropic hormone (ACTH)
- sex hormone-binding globulin (SHBG)
- dehydroepiandrosterone (DAG a)
Granulosa cells in the one of several vesicular follicles that begins to develop more rapidly than the others do so under the influence of:
- sex hormone-binding globulin
- luteinizing hormone
- follicle-stimulating hormone
- corticosteroid-binding globulin (transcortin)
- aspartate aminotransferase
Estrogen effects on FSH release (at this stage of the cycle):
- inhibition
- stimulation
Composition of the ovarian follicle:
- fluid-filled antrum
- granulosa cells
- theca cells
- all of the above
Peak time of estrogen secretion:
- early cycle
- just before midcycle
- late in cycle
Following follicle rupture, luteinized theca and granulosa cells proliferate, replacing blood in the ruptured follicle, and forming the corpus luteum.
- true
- false
have relatively common cause(s) of persistent, chronic ovulatory disturbances:
- emotional changes
- environmental changes
- pituitary prolactinomas
- A & B
- A, B & C
Major ovarian secretory product:
- estrone
- estriol
- estradiol
- all of the above in equal amounts
Produces estrogen during the first part of the menstrual cycle, before ovulation:
- theca cells in the ovarian follicle
- granulosa cells in the corpus luteum
- both
- neither
Most prolific natural source of estrogenic substances:
- pregnant mare
- stallion
- pregnant woman
Estradiol precursor(s):
- estrone
- testosterone
- both
- neither
Immediate estrone and testosterone precursor:
- estriol
- androstenedione
- progesterone
- dehydroepiandrosterone
- pregnenolone
Example of a steroidal, synthetic compound with estrogenic activity
- diethylstilbestrol
- estrone
- estradiol
- ethinyl estradiol
- methallenestril
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