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PhysioEx Exercise 4 Activity 4 - Balamad, Maria Karla M.

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5/10/22, 8:57 AM PhysioEx Exercise 4 Activity 4

PhysioEx Lab Report


Exercise 4: Endocrine System Physiology
Activity 4: Measuring Cortisol and Adrenocorticotropic Hormone
Name: Maria Karla M. Balamad
Date: 10 May 2022
Session ID: session-f8519787-9ff7-9ebf-f4fd-7cf4b513da53

Pre-lab Quiz Results


You scored 100% by answering 5 out of 5 questions correctly.

1 Cortisol

You correctly answered: is a hormone important in the body's response to stress.

2 ACTH

You correctly answered: is a tropic hormone that stimulates cortisol release.

3 CRH

You correctly answered: has a tropic effect on the anterior pituitary gland.

4 Cushing's syndrome refers to

You correctly answered: a hypercortisolism, which could be iatrogenic.

5 A condition of hypocortisolism

You correctly answered: refers to low levels of cortisol in the blood.

Experiment Results
Predict Questions
No Predict Questions
Stop & Think Questions
1 Normally high levels of cortisol would inhibit release of

You correctly answered: both ACTH and CRH.

2 Which hormone(s) stimulate(s) the pituitary gland to release ACTH?

You correctly answered: CRH.

Experiment Data
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5/10/22, 8:57 AM PhysioEx Exercise 4 Activity 4

Patient Cortisol High or low ACTH (pg/ml) High or low


(mcg/dl)
1 3.17 Low 19.20 Low
2 30.73 High 11.41 Low
3 47.10 High 82.50 High
4 2.89 Low 100.14 High
5 51.36 High 17.10 Low

Table 4.1 Cortisol and ACTH Disorders


Cortisol Level ACTH Level
Cushing's syndrome (primary
High Low
hypercortisolism)
latrogenic Cushing's
High Low
syndrome
Cushing's disease (secondary
High High
hypercortisolism)
Addision's disease (primary
Low High
adrenal insufficiency)
Secondary adrenal
Low Low
insufficiency (hypopituitarism)

Post-lab Quiz Results


You scored 100% by answering 6 out of 6 questions correctly.

1 Under normal conditions, if the amount of secreted CRH increases, then

You correctly answered: the amount of secreted ACTH will increase.

2 Under normal conditions, if the amount of secreted ACTH increases, then

You correctly answered: the amount of secreted CRH will likely decrease.

3 Under normal conditions, if the amount of secreted cortisol increases, then

You correctly answered: the amount of secreted ACTH will likely decrease.

4 If a hypersecreting pituitary tumor develops, then an expected outcome is

You correctly answered: a diagnosis of Cushing's disease.

5 If a hypersecreting adrenal cortex tumor develops, then an expected outcome is

You correctly answered: abnormally low levels of CRH due to negative feedback.

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5/10/22, 8:57 AM PhysioEx Exercise 4 Activity 4

6 A patient's chart lists the diagnosis of Addison's disease. Therefore, you expect

You correctly answered: abnormally high levels of ACTH.

Review Sheet Results


1 Which patient would most likely be diagnosed with Cushing's disease (view Table 4.1 in
Experiment Results)? Why?

Your answer:

Patient 3 would likely be diagnosed with Cushing's disease because they exhibit high cortisol
and ACTH levels in the bloodstream.

2 Which two patients have hormone levels characteristic of Cushing's syndrome (view Table
4.1 in Experiment Results)?

Your answer:

Patient 2 and 5 exhibit signs of Cushing's syndrome.

3 Patient 2 is being treated for rheumatoid arthritis with prednisone. How does this
information change the diagnosis (view Table 4.1 in Experiment Results)?

Your answer:

Prednisone reduces the levels of cortisol in the blood by suppressing the function of the
adrenal gland. Therefore, this would decrease the ability for cortisol to be released when
stimulated by ACTH that confirms the experimental result.

4 Which patient would most likely be diagnosed with Addison's disease (view Table 4.1 in
Experiment Results)? Why?

Your answer:

Patient 4 because of the low level of cortisol and the ACTH is high. This shows signs of
primary adrenal insufficiency because the low level of cortisol caused by damage to the
anterior pituitary and ACTH is elevated to compensate.

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