Chemical Coordination and Integration – CBSE NCERT Study Resources

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11th - Biology

Chemical Coordination and Integration

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Chapter Overview: Chemical Coordination and Integration

This chapter explores the endocrine system and its role in chemical coordination within the human body. It covers the major endocrine glands, their hormones, and how these hormones regulate various physiological processes to maintain homeostasis.

Endocrine Glands and Hormones

The endocrine system consists of glands that secrete hormones directly into the bloodstream. These hormones act as chemical messengers, regulating growth, metabolism, reproduction, and other vital functions.

Major Endocrine Glands and Their Functions

  • Hypothalamus: Produces releasing and inhibiting hormones that control the pituitary gland.
  • Pituitary Gland: Often called the "master gland," it secretes hormones that regulate other endocrine glands.
  • Thyroid Gland: Produces thyroxine (T4) and triiodothyronine (T3), which regulate metabolism.
  • Parathyroid Glands: Secrete parathyroid hormone (PTH), which regulates calcium levels in the blood.
  • Adrenal Glands: Produce adrenaline (epinephrine), cortisol, and aldosterone, involved in stress response and electrolyte balance.
  • Pancreas: Secretes insulin and glucagon to regulate blood glucose levels.
  • Gonads (Testes and Ovaries): Produce sex hormones like testosterone and estrogen, which regulate reproductive functions.

Hormone Action and Regulation

Hormones bind to specific receptors on target cells, triggering physiological responses. Feedback mechanisms (positive or negative) help maintain hormonal balance.

Disorders Related to Hormonal Imbalance

  • Diabetes Mellitus: Caused by insulin deficiency or resistance, leading to high blood sugar levels.
  • Goiter: Enlargement of the thyroid gland due to iodine deficiency.
  • Addison's Disease: Results from adrenal cortex dysfunction, causing fatigue and low blood pressure.
  • Cushing's Syndrome: Excess cortisol production, leading to weight gain and high blood pressure.

Comparison Between Neural and Hormonal Control

Neural ControlHormonal Control
Fast responseSlow but prolonged response
Acts via electrical impulsesActs via chemical messengers
Short-lived effectsLong-lasting effects

All Question Types with Solutions – CBSE Exam Pattern

Explore a complete set of CBSE-style questions with detailed solutions, categorized by marks and question types. Ideal for exam preparation, revision and practice.

Very Short Answer (1 Mark) – with Solutions (CBSE Pattern)

These are 1-mark questions requiring direct, concise answers. Ideal for quick recall and concept clarity.

Question 1:
Define hormones.
Answer:
Definition: Chemical messengers secreted by endocrine glands.
Question 2:
Name the gland that secretes insulin.
Answer:

Pancreas (β-cells of islets of Langerhans).

Question 3:
What is the function of thyroxine?
Answer:

Regulates metabolism, growth, and development.

Question 4:
Which hormone controls calcium homeostasis?
Answer:

Parathyroid hormone (PTH).

Question 5:
What is the role of adrenaline?
Answer:

Prepares body for 'fight or flight' response.

Question 6:
Name the master gland of the endocrine system.
Answer:

Pituitary gland.

Question 7:
Which hormone regulates sleep-wake cycle?
Answer:

Melatonin.

Question 8:
What is the source of estrogen?
Answer:

Ovaries (in females).

Question 9:
Define negative feedback mechanism.
Answer:
Definition: Process where hormone secretion is inhibited by its own effects.
Question 10:
Name the disorder caused by hyposecretion of insulin.
Answer:

Diabetes mellitus.

Question 11:
Which hormone stimulates red blood cell production?
Answer:

Erythropoietin (EPO).

Question 12:
What is the function of glucagon?
Answer:

Increases blood glucose levels.

Question 13:
Name the hormone secreted by the pineal gland.
Answer:

Melatonin.

Question 14:
What is Addison's disease caused by?
Answer:

Hyposecretion of adrenal cortex hormones.

Question 15:
Name the gland that secretes thyroxine.
Answer:
The thyroid gland secretes thyroxine, a hormone regulating metabolism.
Question 16:
What is the role of insulin in the human body?
Answer:
Insulin helps regulate blood glucose levels by promoting glucose uptake in cells and its storage as glycogen in the liver.
Question 17:
Which hormone is responsible for the 'fight or flight' response?
Answer:
Adrenaline (epinephrine) is responsible for the fight or flight response, increasing heart rate and energy supply.
Question 18:
Name the disorder caused by the deficiency of iodine.
Answer:
Goiter is caused by iodine deficiency, leading to an enlarged thyroid gland.
Question 19:
What is the function of parathyroid hormone (PTH)?
Answer:
PTH regulates calcium levels in the blood by increasing calcium absorption in the intestines and bones.
Question 20:
Which gland is known as the 'master gland' and why?
Answer:
The pituitary gland is called the master gland because it controls other endocrine glands by secreting regulatory hormones.
Question 21:
Name the hormone that stimulates milk production in mammary glands.
Answer:
Prolactin stimulates milk production in the mammary glands.
Question 22:
What is the role of glucagon in blood sugar regulation?
Answer:
Glucagon increases blood sugar levels by breaking down glycogen into glucose in the liver.
Question 23:
Which hormone is secreted by the pineal gland and regulates sleep cycles?
Answer:
Melatonin is secreted by the pineal gland and regulates sleep-wake cycles (circadian rhythm).
Question 24:
Name the disorder caused by excessive production of growth hormone in adults.
Answer:
Acromegaly is caused by excessive growth hormone in adults, leading to enlarged bones and tissues.
Question 25:
What is the function of aldosterone?
Answer:
Aldosterone regulates sodium and potassium balance in the blood, maintaining blood pressure and electrolyte levels.
Question 26:
Which hormone is produced by the adrenal cortex and helps in stress response?
Answer:
Cortisol is produced by the adrenal cortex and helps in stress response by increasing glucose availability.

Very Short Answer (2 Marks) – with Solutions (CBSE Pattern)

These 2-mark questions test key concepts in a brief format. Answers are expected to be accurate and slightly descriptive.

Question 1:
Name the endocrine gland that is both exocrine and endocrine in function.
Answer:

The pancreas is the endocrine gland that functions as both exocrine (secretes digestive enzymes) and endocrine (secretes hormones like insulin and glucagon).

Question 2:
What is the role of thyroxine in the human body?
Answer:

Thyroxine regulates metabolism, growth, and development. It maintains basal metabolic rate (BMR) and influences protein synthesis.

Question 3:
Define hormones and give one example.
Answer:

Hormones are chemical messengers secreted by endocrine glands that regulate physiological processes. Example: Insulin (regulates blood glucose).

Question 4:
Which hormone is secreted by the adrenal medulla during stress?
Answer:

The adrenal medulla secretes adrenaline (epinephrine) during stress, which prepares the body for a fight-or-flight response.

Question 5:
What is the function of parathyroid hormone (PTH)?
Answer:

PTH increases calcium levels in blood by:
1. Stimulating bone resorption.
2. Enhancing calcium reabsorption in kidneys.
3. Activating vitamin D for intestinal calcium absorption.

Question 6:
Name the hormone responsible for the reabsorption of water in kidneys.
Answer:

Antidiuretic hormone (ADH) or vasopressin promotes water reabsorption in kidneys, reducing urine output.

Question 7:
How does insulin help in lowering blood glucose levels?
Answer:

Insulin lowers blood glucose by:
1. Promoting glucose uptake by cells.
2. Enhancing glycogen synthesis in liver and muscles.
3. Inhibiting gluconeogenesis.

Question 8:
What is the consequence of hyposecretion of growth hormone in childhood?
Answer:

Hyposecretion of growth hormone (GH) in childhood leads to dwarfism, characterized by stunted growth and short stature.

Question 9:
Which gland is known as the master gland and why?
Answer:

The pituitary gland is called the master gland because it secretes hormones that regulate other endocrine glands (e.g., TSH, ACTH).

Question 10:
Differentiate between steroid and peptide hormones with an example of each.
Answer:

  • Steroid hormones: Lipid-soluble, derived from cholesterol (e.g., cortisol).
  • Peptide hormones: Water-soluble, made of amino acids (e.g., insulin).

Question 11:
What is the role of melatonin in the body?
Answer:

Melatonin, secreted by the pineal gland, regulates sleep-wake cycles (circadian rhythm) and influences reproductive functions.

Short Answer (3 Marks) – with Solutions (CBSE Pattern)

These 3-mark questions require brief explanations and help assess understanding and application of concepts.

Question 1:
Explain the role of insulin and glucagon in maintaining blood glucose levels.
Answer:

Insulin and glucagon are hormones secreted by the pancreas to regulate blood glucose levels.

Insulin is released when blood glucose levels are high (e.g., after a meal). It promotes glucose uptake by cells, converts excess glucose into glycogen (glycogenesis), and inhibits glucose production in the liver.

Glucagon is secreted when blood glucose levels are low (e.g., fasting). It stimulates the liver to break down glycogen into glucose (glycogenolysis) and promotes gluconeogenesis (glucose synthesis from non-carbohydrates).

Together, they maintain homeostasis of blood glucose.

Question 2:
Describe the functions of thyroid hormones (T3 and T4) in the human body.
Answer:

Thyroid hormones (Triiodothyronine (T3) and Thyroxine (T4)) play crucial roles in:

  • Metabolism: Regulate basal metabolic rate (BMR) by increasing oxygen consumption and ATP production.
  • Growth & Development: Essential for normal brain development in children and bone growth.
  • Thermoregulation: Maintain body temperature by stimulating heat production.
  • Cardiovascular System: Increase heart rate and cardiac output.

Deficiency or excess of these hormones can lead to disorders like hypothyroidism or hyperthyroidism.

Question 3:
How does adrenaline prepare the body for a 'fight or flight' response?
Answer:

Adrenaline (epinephrine), secreted by the adrenal medulla, triggers physiological changes to handle stress:

  • Increased Heart Rate: Enhances blood flow to muscles.
  • Pupil Dilation: Improves vision in low light.
  • Bronchodilation: Expands airways for more oxygen intake.
  • Glycogen Breakdown: Releases glucose for instant energy.
  • Suppressed Digestion: Diverts energy to critical functions.

These changes collectively prepare the body for rapid action during emergencies.

Question 4:
Differentiate between endocrine and exocrine glands with examples.
Answer:

Endocrine glands and exocrine glands differ in their secretion methods:

  • Endocrine Glands: Ductless; secrete hormones directly into the bloodstream. Example: Pituitary gland (secretes growth hormone).
  • Exocrine Glands: Have ducts; secrete enzymes or other substances to external surfaces or cavities. Example: Salivary glands (secrete saliva into the mouth).

Hormones from endocrine glands act as chemical messengers, while exocrine secretions have localized effects.

Question 5:
What is the significance of negative feedback mechanism in hormone regulation?
Answer:

The negative feedback mechanism maintains hormone balance by counteracting changes:

  • Process: A hormone's elevated level inhibits its further secretion (or its stimulator). Example: High thyroxine levels suppress TSH release from the pituitary.
  • Importance: Prevents overproduction, ensuring stable internal conditions (homeostasis).

This mechanism is vital for regulating hormones like insulin, cortisol, and thyroid hormones.

Question 6:
Explain the role of the hypothalamus as a neuroendocrine organ.
Answer:

The hypothalamus bridges the nervous and endocrine systems:

  • Hormone Production: Secretes releasing/inhibiting hormones (e.g., GnRH) to control the pituitary gland.
  • Autonomic Regulation: Links emotions (stress, fear) to hormonal responses via the adrenal medulla.
  • Homeostasis: Monitors body temperature, hunger, and thirst, adjusting hormone release accordingly.

Its dual role ensures coordinated responses between the brain and endocrine glands.

Question 7:
Describe the function of thyroid hormones (T3 and T4) in the human body.
Answer:

Thyroid hormones (triiodothyronine (T3) and thyroxine (T4)) regulate:

  • Metabolism: They increase basal metabolic rate (BMR) by stimulating oxygen consumption and ATP production.
  • Growth & Development: Essential for normal brain development in children and bone growth.
  • Cardiovascular System: Increase heart rate and cardiac output.

Deficiency causes hypothyroidism, while excess leads to hyperthyroidism.

Question 8:
Explain the role of the hypothalamus in connecting the nervous and endocrine systems.
Answer:

The hypothalamus acts as a bridge between the nervous and endocrine systems by:

  • Releasing Hormones: Controls the pituitary gland via releasing/inhibiting hormones (e.g., GnRH).
  • Regulating Homeostasis: Monitors body temperature, hunger, and thirst, triggering hormonal responses.
  • Stress Response: Stimulates adrenal glands to release cortisol during stress.

It ensures coordinated responses to internal and external stimuli.

Long Answer (5 Marks) – with Solutions (CBSE Pattern)

These 5-mark questions are descriptive and require detailed, structured answers with proper explanation and examples.

Question 1:
Explain the role of insulin and glucagon in maintaining blood glucose homeostasis. How does their imbalance lead to diabetes?
Answer:
Theoretical Framework

We studied that insulin (from pancreatic β-cells) lowers blood glucose by promoting glycogen synthesis, while glucagon (from α-cells) raises it via glycogenolysis.

Evidence Analysis
  • Insulin deficiency causes Type 1 diabetes (autoimmune β-cell destruction).
  • Glucagon excess in Type 2 diabetes worsens hyperglycemia (NCERT Fig. 22.4).
Critical Evaluation

Our textbook shows that 8.7% of Indian adults have diabetes (ICMR 2019), proving hormonal regulation's clinical significance.

Question 2:
Compare the mechanisms of action of steroid hormones vs. peptide hormones with two examples each.
Answer:
Theoretical Framework

Steroid hormones (e.g., cortisol) diffuse into cells and bind nuclear receptors, while peptide hormones (e.g., insulin) use membrane receptors.

Evidence Analysis
  • Cortisol alters gene transcription (slow action).
  • Insulin triggers rapid GLUT4 translocation (NCERT Pg. 331).
Critical Evaluation

This explains why steroid treatments take days but insulin injections work within minutes, crucial for therapy design.

Question 3:
Analyze how hypothalamic hormones regulate the anterior pituitary with a labeled diagram of the portal system.
Answer:
Theoretical Framework

Hypothalamus secretes releasing/inhibiting hormones (TRH, GHRH) into hypophyseal portal veins controlling pituitary tropic hormones.

Evidence Analysis
[Diagram: Hypothalamo-hypophyseal portal system]
  • TRH stimulates TSH release (NCERT Fig. 22.2).
  • Dopamine inhibits prolactin.
Critical Evaluation

Disruptions here cause disorders like gigantism, showing the system's precision.

Question 4:
Describe the stress response pathway involving adrenal hormones. How does chronic stress affect health?
Answer:
Theoretical Framework

Stress activates the HPA axis: Hypothalamus (CRH) → Pituitary (ACTH) → Adrenal cortex (cortisol).

Evidence Analysis
  • Cortisol increases blood glucose (adaptive).
  • Chronic stress causes hypertension (NCERT Pg. 336).
Critical Evaluation

WHO reports stress-related illnesses rose 25% post-pandemic, validating this pathway's clinical relevance.

Question 5:
Explain the feedback loops controlling thyroid hormone secretion with reference to Graves' disease.
Answer:
Theoretical Framework

Thyroid regulation involves negative feedback: High T3/T4 inhibits TRH and TSH (NCERT Fig. 22.3).

Evidence Analysis
  • Graves' disease has autoantibodies mimicking TSH, causing hyperthyroidism.
  • Patients show exophthalmos and weight loss.
Critical Evaluation

This explains why 1.2% Indians have thyroid disorders (ICMR 2021), emphasizing feedback importance.

Question 6:
Discuss the role of melatonin in circadian rhythms. How do modern lifestyles disrupt its function?
Answer:
Theoretical Framework

Melatonin from pineal gland regulates sleep-wake cycles via light-dark signals through the SCN.

Evidence Analysis
  • Peaks at night (9 PM-3 AM).
  • Blue light from screens suppresses secretion (NCERT Pg. 338).
Critical Evaluation

Studies show 68% teens have delayed sleep phase due to gadgets, proving melatonin's sensitivity to environmental cues.

Question 7:
Explain the role of insulin and glucagon in maintaining blood glucose levels. How does their imbalance lead to diabetes?
Answer:
Theoretical Framework

We studied that insulin (from pancreatic β-cells) lowers blood glucose by promoting glycogen synthesis, while glucagon (from α-cells) raises it via glycogenolysis.

Evidence Analysis
  • Insulin deficiency causes hyperglycemia, as seen in Type 1 diabetes.
  • Glucagon excess exacerbates high glucose, worsening diabetes symptoms.
Critical Evaluation

Our textbook shows that autoimmune destruction of β-cells (Type 1) or insulin resistance (Type 2) disrupts this balance.

Future Implications

Research focuses on artificial pancreas systems to mimic hormonal regulation.

Question 8:
Describe the hypothalamic-pituitary-thyroid axis with a focus on feedback mechanisms. Provide examples of disorders linked to its dysfunction.
Answer:
Theoretical Framework

The hypothalamus releases TRH, stimulating pituitary TSH, which triggers thyroid hormone (T3/T4) secretion. High T3/T4 inhibits TRH/TSH via negative feedback.

Evidence Analysis
  • Hypothyroidism (low T3/T4) causes weight gain, as seen in Hashimoto’s disease.
  • Hyperthyroidism (excess T3/T4) leads to Graves’ disease with weight loss.
Critical Evaluation

Our textbook highlights iodine deficiency as a major disruptor of this axis.

Future Implications

Gene therapy is being explored to correct thyroid dysregulation.

Question 9:
Compare the actions of steroid hormones and peptide hormones with examples. Why do their mechanisms differ?
Answer:
Theoretical Framework

Steroid hormones (e.g., cortisol) are lipid-soluble and act via intracellular receptors, while peptide hormones (e.g., insulin) bind surface receptors triggering secondary messengers.

Evidence Analysis
  • Cortisol alters gene transcription directly, whereas insulin activates tyrosine kinase cascades.
  • Steroids have slower but longer-lasting effects compared to peptides.
Critical Evaluation

Our textbook shows solubility differences dictate their pathways.

Future Implications

Hybrid drugs combining both mechanisms are under trial for metabolic disorders.

Question 10:
Analyze the physiological effects of adrenaline during the 'fight or flight' response. How does it prepare the body for stress?
Answer:
Theoretical Framework

Adrenaline, secreted by adrenal medulla, activates sympathetic responses like increased heart rate and pupil dilation via β-adrenergic receptors.

Evidence Analysis
  • It redirects blood to muscles (vasodilation) and away from digestion (vasoconstriction).
  • Liver glycogenolysis provides instant glucose, as shown in NCERT diagrams.
Critical Evaluation

Chronic stress can deplete adrenal reserves, leading to fatigue.

Future Implications

Beta-blockers are used to counteract excessive adrenaline effects.

Question 11:
Discuss the role of melatonin in regulating circadian rhythms. What happens when its secretion is disrupted?
Answer:
Theoretical Framework

Melatonin, from the pineal gland, regulates sleep-wake cycles by responding to light-dark signals via the hypothalamus.

Evidence Analysis
  • Jet lag occurs due to mismatched melatonin secretion across time zones.
  • Blue light from screens suppresses melatonin, delaying sleep onset.
Critical Evaluation

Our textbook links low melatonin to insomnia and seasonal affective disorder.

Future Implications

Research explores melatonin analogs for shift workers.

Question 12:
Explain how parathyroid hormone (PTH) and calcitonin maintain calcium homeostasis. Provide clinical examples of their imbalance.
Answer:
Theoretical Framework

PTH raises blood calcium by stimulating osteoclasts and renal reabsorption, while calcitonin (from thyroid) lowers it by inhibiting osteoclasts.

Evidence Analysis
  • Hyperparathyroidism causes brittle bones (osteoporosis).
  • Calcitonin deficiency is linked to Paget’s disease.
Critical Evaluation

NCERT highlights vitamin D’s role in aiding PTH function.

Future Implications

Bisphosphonates are used to mimic calcitonin’s effects.

Question 13:
Explain the role of hormones secreted by the thyroid gland in maintaining metabolic activities in the human body. Discuss the disorders associated with its malfunctioning.
Answer:

The thyroid gland secretes two primary hormones: thyroxine (T4) and triiodothyronine (T3), which play a crucial role in regulating the body's metabolic rate. These hormones influence almost every cell in the body by:

  • Enhancing oxygen consumption and heat production (calorigenic effect).
  • Promoting growth and development, especially in the nervous system and bones.
  • Regulating carbohydrate, protein, and fat metabolism to maintain energy balance.

Disorders due to thyroid malfunction include:

  • Hypothyroidism: Caused by insufficient hormone secretion, leading to weight gain, fatigue, and cold intolerance. Severe cases in children cause cretinism (stunted growth).
  • Hyperthyroidism: Excessive hormone production causes weight loss, anxiety, and increased heart rate (e.g., Graves' disease).
  • Goiter: Enlargement of the thyroid gland due to iodine deficiency, impairing hormone synthesis.

A balanced diet with iodine (e.g., iodized salt) is essential for proper thyroid function.

Question 14:
Explain the role of hormones secreted by the pancreas in maintaining blood glucose levels. Include the mechanism of action and the importance of this regulation in the human body.
Answer:

The pancreas plays a crucial role in maintaining blood glucose levels through the secretion of two key hormones: insulin and glucagon. These hormones work antagonistically to ensure glucose homeostasis.


Insulin is secreted by the beta cells of the pancreatic islets when blood glucose levels are high (e.g., after a meal). Its mechanism of action includes:
1. Promoting glucose uptake by cells, especially in the liver, muscles, and adipose tissue.
2. Stimulating glycogenesis (conversion of glucose to glycogen for storage in the liver and muscles).
3. Inhibiting gluconeogenesis (production of glucose from non-carbohydrate sources).


Glucagon is secreted by the alpha cells of the pancreatic islets when blood glucose levels are low (e.g., during fasting). Its mechanism of action includes:
1. Stimulating glycogenolysis (breakdown of glycogen into glucose in the liver).
2. Promoting gluconeogenesis to increase glucose production.


The regulation of blood glucose is vital because:
1. It ensures a constant energy supply to the brain and other organs.
2. Prevents hyperglycemia (high blood sugar), which can damage tissues, or hypoglycemia (low blood sugar), which can cause seizures or unconsciousness.
3. Maintains metabolic balance, supporting overall health and preventing diseases like diabetes mellitus.

Question 15:
Explain the role of hormones secreted by the thyroid gland in maintaining metabolic activities in the human body. Discuss the consequences of hypothyroidism and hyperthyroidism with suitable examples.
Answer:

The thyroid gland secretes two primary hormones: thyroxine (T4) and triiodothyronine (T3), which play a crucial role in regulating the body's metabolic rate. These hormones influence almost every cell in the body by:

  • Enhancing oxygen consumption and heat production (calorigenic effect).
  • Promoting growth and development, especially in the nervous system and bones.
  • Regulating carbohydrate, protein, and fat metabolism to maintain energy balance.

Hypothyroidism occurs when the thyroid gland is underactive, leading to insufficient hormone production. Symptoms include:

  • Weight gain, fatigue, and cold intolerance due to slowed metabolism.
  • Goiter (enlarged thyroid) caused by iodine deficiency, as seen in endemic goiter.
  • Cretinism in children, characterized by stunted growth and mental retardation.

Hyperthyroidism results from excessive hormone secretion, as in Graves' disease. Symptoms include:

  • Weight loss, increased heart rate, and nervousness due to heightened metabolism.
  • Exophthalmos (bulging eyes) caused by autoimmune attacks on eye muscles.

Both conditions highlight the importance of thyroid hormones in maintaining homeostasis. Proper diagnosis and treatment (e.g., hormone replacement for hypothyroidism or antithyroid drugs for hyperthyroidism) are essential for health.

Question 16:
Explain the role of hormones secreted by the thyroid gland in maintaining metabolic activities in the human body. Discuss the consequences of their hypo- and hypersecretion with suitable examples.
Answer:

The thyroid gland secretes two primary hormones: thyroxine (T4) and triiodothyronine (T3), which play a crucial role in regulating the body's metabolic activities. These hormones influence the basal metabolic rate (BMR), growth, development, and energy production.


Functions of Thyroid Hormones:
1. Metabolism Regulation: T3 and T4 increase the metabolic rate of cells, enhancing oxygen consumption and energy production.
2. Growth and Development: They are essential for normal growth, especially of the nervous system and skeletal muscles.
3. Maintenance of Body Temperature: They help in thermoregulation by stimulating heat production.


Hyposecretion (Hypothyroidism):
- Cretinism: In children, it leads to stunted growth, mental retardation, and delayed puberty.
- Myxedema: In adults, it causes weight gain, fatigue, and cold intolerance.
- Goiter: Enlargement of the thyroid gland due to iodine deficiency.


Hypersecretion (Hyperthyroidism):
- Graves' Disease: An autoimmune disorder causing weight loss, increased heart rate, and bulging eyes (exophthalmos).
- High BMR: Leads to excessive sweating, nervousness, and heat intolerance.


Thus, the thyroid hormones are vital for maintaining homeostasis, and their imbalance can lead to severe disorders.

Question 17:
Explain the role of hormones secreted by the thyroid gland in maintaining metabolic activities in the human body. Discuss the consequences of hypothyroidism and hyperthyroidism.
Answer:

The thyroid gland secretes two primary hormones: thyroxine (T4) and triiodothyronine (T3), which play a crucial role in regulating the body's metabolic rate. These hormones influence various physiological processes, including:

  • Basal Metabolic Rate (BMR): They increase oxygen consumption and energy production in cells, ensuring optimal metabolic activity.
  • Growth and Development: Essential for normal growth, especially of the nervous system and bones in children.
  • Carbohydrate, Protein, and Fat Metabolism: They enhance the breakdown of nutrients to release energy.
  • Maintenance of Body Temperature: By stimulating heat production in tissues.

Hypothyroidism occurs due to insufficient thyroid hormone secretion, leading to symptoms like weight gain, fatigue, cold intolerance, and slowed mental functions (e.g., cretinism in children).

Hyperthyroidism results from excessive hormone secretion, causing weight loss, increased heart rate, nervousness, and heat intolerance (e.g., Graves' disease).

Both conditions highlight the importance of thyroid hormones in maintaining homeostasis. Regular iodine intake is vital for thyroid function, as iodine is a key component of T3 and T4.

Question 18:
Explain the role of hormones secreted by the thyroid gland in maintaining metabolic activities in the human body. Discuss the consequences of their hypo- and hypersecretion.
Answer:

The thyroid gland secretes two primary hormones: thyroxine (T4) and triiodothyronine (T3), which play a crucial role in regulating the body's metabolic rate. These hormones influence almost every cell in the body by increasing basal metabolic rate (BMR), enhancing protein synthesis, and promoting growth and development, especially in the nervous system.


Functions of Thyroid Hormones:

  • Regulate carbohydrate, protein, and fat metabolism to maintain energy balance.
  • Stimulate oxygen consumption by tissues, increasing heat production.
  • Essential for normal brain development and bone growth in children.
  • Maintain cardiac output and digestive functions.


Hyposecretion (Hypothyroidism): A deficiency of thyroid hormones leads to conditions like cretinism in children (stunted growth, mental retardation) and myxedema in adults (weight gain, lethargy, cold intolerance). It can also cause goiter due to lack of iodine, which is essential for hormone synthesis.


Hypersecretion (Hyperthyroidism): Excess secretion results in Graves' disease, characterized by weight loss, increased heart rate, sweating, and protruding eyeballs (exophthalmos). The metabolic rate becomes excessively high, leading to nervousness and muscle weakness.


Thus, thyroid hormones are vital for maintaining homeostasis, and their imbalance can severely disrupt bodily functions.

Question 19:
Explain the role of thyroid hormones in the human body. Discuss the consequences of their hypo-secretion and hyper-secretion with suitable examples.
Answer:

The thyroid hormones, primarily thyroxine (T4) and triiodothyronine (T3), play a crucial role in regulating metabolism, growth, and development in the human body. These hormones are secreted by the thyroid gland and influence almost every cell.

Functions of Thyroid Hormones:
1. Metabolic Regulation: They increase the basal metabolic rate (BMR) by stimulating oxygen consumption and energy production.
2. Growth and Development: Essential for normal physical and mental development, especially in children.
3. Cardiovascular Effects: Enhance heart rate and cardiac output.
4. Digestive System: Stimulate gut motility and digestive enzyme secretion.
5. Central Nervous System: Crucial for brain development and function.

Hypo-secretion (Hypothyroidism):
Deficiency of thyroid hormones can lead to:
- Goiter: Enlargement of the thyroid gland due to iodine deficiency.
- Cretinism: Stunted growth and mental retardation in children.
- Myxedema: Swelling of skin, lethargy, and weight gain in adults.

Hyper-secretion (Hyperthyroidism):
Excess thyroid hormones cause:
- Graves' Disease: Autoimmune disorder leading to bulging eyes, weight loss, and rapid heartbeat.
- Exophthalmos: Protrusion of eyeballs due to swelling behind the eyes.
- Increased BMR: Leads to excessive sweating, nervousness, and heat intolerance.

Example: Iodine deficiency in diet can cause hypothyroidism, leading to goiter, while an overactive thyroid gland can result in hyperthyroidism, as seen in Graves' disease.

Question 20:
Explain the role of hormones secreted by the adrenal gland in the human body. How do they help in maintaining homeostasis during stress?
Answer:

The adrenal gland, located above each kidney, consists of two parts: the adrenal cortex and the adrenal medulla. Each part secretes different hormones that play crucial roles in maintaining homeostasis, especially during stress.


Adrenal Cortex Hormones:
1. Glucocorticoids (e.g., cortisol): These regulate metabolism by increasing blood glucose levels through gluconeogenesis. They also suppress the immune response and reduce inflammation.
2. Mineralocorticoids (e.g., aldosterone): These maintain electrolyte balance by promoting sodium reabsorption and potassium excretion in the kidneys.
3. Androgens: These are sex hormones that contribute to secondary sexual characteristics, though in smaller quantities compared to gonads.


Adrenal Medulla Hormones:
1. Adrenaline (epinephrine) and noradrenaline (norepinephrine): These are released during the fight-or-flight response. They increase heart rate, dilate airways, and redirect blood flow to muscles and the brain, preparing the body to handle stress.


Role in Homeostasis During Stress:
During stress, the hypothalamus activates the adrenal glands via the sympathetic nervous system and the HPA axis (Hypothalamus-Pituitary-Adrenal axis).

  • Short-term stress: Adrenaline and noradrenaline provide immediate energy by breaking down glycogen and fats.
  • Long-term stress: Cortisol ensures sustained energy by promoting protein and fat metabolism while suppressing non-essential functions like digestion and reproduction.

Thus, adrenal hormones collectively ensure the body adapts to stress while maintaining internal balance.

Question 21:
Explain the role of thyroid hormones in the human body. Discuss the effects of hypothyroidism and hyperthyroidism with suitable examples.
Answer:

The thyroid hormones, primarily thyroxine (T4) and triiodothyronine (T3), play a crucial role in regulating metabolism, growth, and development. These hormones influence:

  • Basal Metabolic Rate (BMR): They increase oxygen consumption and energy production in cells.
  • Growth and Development: Essential for normal skeletal and nervous system development, especially in children.
  • Cardiovascular System: Enhance heart rate and cardiac output.
  • Protein Synthesis: Promote anabolic processes in cells.

Hypothyroidism occurs due to insufficient thyroid hormone production. Symptoms include:

  • Weight gain, fatigue, and cold intolerance due to slowed metabolism.
  • Myxedema in adults, characterized by swelling of skin and tissues.
  • Cretinism in children, leading to stunted growth and mental retardation.

Hyperthyroidism results from excessive thyroid hormone secretion. Symptoms include:

  • Weight loss, tremors, and heat intolerance due to increased metabolism.
  • Graves' disease, an autoimmune disorder causing bulging eyes (exophthalmos).

For example, iodine deficiency can cause hypothyroidism, while overactive thyroid nodules may lead to hyperthyroidism.

Question 22:
Describe the mechanism of action of insulin and glucagon in maintaining blood glucose levels. How does their imbalance lead to diabetes mellitus?
Answer:

Insulin and glucagon are pancreatic hormones that regulate blood glucose levels through antagonistic actions:

Insulin:

  • Secreted by beta cells of the pancreas in response to high blood glucose.
  • Promotes glycogenesis (glucose to glycogen) in liver and muscle cells.
  • Enhances glucose uptake by cells, reducing blood sugar levels.
  • Inhibits gluconeogenesis (glucose synthesis from non-carbohydrates).

Glucagon:

  • Secreted by alpha cells of the pancreas during low blood glucose.
  • Stimulates glycogenolysis (glycogen breakdown) in the liver.
  • Activates gluconeogenesis to produce glucose from amino acids and fats.

In diabetes mellitus, this balance is disrupted:

  • Type 1 Diabetes: Autoimmune destruction of beta cells leads to insulin deficiency, causing hyperglycemia.
  • Type 2 Diabetes: Cells become insulin resistant, impairing glucose uptake despite normal/high insulin levels.

Uncontrolled diabetes results in symptoms like polyuria (excessive urination), polydipsia (increased thirst), and weight loss due to alternative energy sources like fats and proteins.

Case-based Questions (4 Marks) – with Solutions (CBSE Pattern)

These 4-mark case-based questions assess analytical skills through real-life scenarios. Answers must be based on the case study provided.

Question 1:
A patient exhibits symptoms like exophthalmos, weight loss, and increased heart rate. Tests reveal high thyroxine levels.
Case Deconstruction: Identify the disorder and its cause.
Theoretical Application: Explain how negative feedback regulates thyroid hormones.
Critical Evaluation: Why might this condition persist despite normal TSH levels?
Answer:
Case Deconstruction: The disorder is hyperthyroidism, caused by excessive thyroxine secretion, often due to Graves' disease.
Theoretical Application: Negative feedback involves hypothalamus (TRH) and pituitary (TSH) regulating thyroid activity. High thyroxine inhibits TRH/TSH.
Critical Evaluation: Autoantibodies in Graves' disease mimic TSH, overriding feedback. Our textbook shows this as an exception to normal regulation.
Question 2:
A diabetic patient’s blood glucose remains high despite insulin injections.
Case Deconstruction: Differentiate Type 1 and Type 2 diabetes.
Theoretical Application: How does insulin lower blood glucose?
Critical Evaluation: Why might injected insulin fail in Type 2 diabetes?
Answer:
Case Deconstruction: Type 1 results from autoimmune destruction of beta cells; Type 2 arises from insulin resistance.
Theoretical Application: Insulin promotes glucose uptake in muscles/liver and inhibits gluconeogenesis.
Critical Evaluation: In Type 2, receptors may not respond to insulin. We studied that lifestyle changes are prioritized over injections.
Question 3:
A child shows stunted growth and mental retardation. Tests confirm low growth hormone and thyroxine.
Case Deconstruction: Link hormones to symptoms.
Theoretical Application: Describe GH’s role in bone growth.
Critical Evaluation: Why is early diagnosis crucial here?
Answer:
Case Deconstruction: Thyroxine deficiency affects brain development; GH deficiency impairs bone elongation.
Theoretical Application: GH stimulates epiphyseal plates via IGF-1, promoting longitudinal growth.
Critical Evaluation: Delayed treatment causes irreversible damage. Our textbook emphasizes hormone replacement before puberty.
Question 4:
An athlete abuses anabolic steroids for muscle growth but develops testicular atrophy.
Case Deconstruction: How do steroids cause atrophy?
Theoretical Application: Explain negative feedback in the HPG axis.
Critical Evaluation: Are steroids safer for females? Justify.
Answer:
Case Deconstruction: Excess steroids inhibit LH/FSH, reducing natural testosterone production.
Theoretical Application: HPG axis involves hypothalamus (GnRH) → pituitary (LH/FSH) → gonads. High steroids suppress this loop.
Critical Evaluation: No—females face virilization and menstrual irregularities. We studied similar risks in both genders.
Question 5:
A person experiences chronic stress with elevated cortisol.
Case Deconstruction: List two physiological effects of cortisol.
Theoretical Application: How does ACTH regulate cortisol release?
Critical Evaluation: Why is prolonged cortisol exposure harmful?
Answer:
Case Deconstruction: Cortisol increases blood glucose and suppresses immunity.
Theoretical Application: ACTH from the pituitary stimulates adrenal cortex to secrete cortisol.
Critical Evaluation: Chronic exposure causes hypertension and muscle wasting. Our textbook links it to Cushing’s syndrome.
Question 6:
A patient exhibits symptoms like weight gain, fatigue, and cold intolerance. Blood tests reveal low thyroxine (T4) levels. Analyze the case and explain the role of the hypothalamus-pituitary-thyroid axis in this condition.
Answer:
Case Deconstruction

The symptoms suggest hypothyroidism, likely due to insufficient thyroxine secretion. Low T4 disrupts metabolism, causing weight gain and fatigue.

Theoretical Application
  • The hypothalamus releases TRH, stimulating the pituitary to secrete TSH.
  • TSH prompts the thyroid to produce T4. Disruption at any level (e.g., autoimmune destruction) causes deficiency.
Critical Evaluation

Our textbook shows similar cases where Hashimoto’s thyroiditis (autoimmune) is a common cause. Treatment involves synthetic T4 (levothyroxine).

Question 7:
A diabetic patient’s blood glucose remains high despite insulin injections. Compare Type 1 and Type 2 diabetes and hypothesize why insulin therapy might fail in some cases.
Answer:
Case Deconstruction

Persistent hyperglycemia indicates insulin inefficiency, common in Type 2 diabetes due to insulin resistance.

Theoretical Application
  • Type 1: Autoimmune destruction of pancreatic β-cells, requiring insulin.
  • Type 2: Target cells resist insulin; therapy may fail if lifestyle changes (diet/exercise) are ignored.
Critical Evaluation

Our textbook highlights that obesity exacerbates resistance. Combining insulin with metformin (improves sensitivity) often helps.

Question 8:
An athlete abuses anabolic steroids to enhance performance. Explain how this disrupts the endocrine system, focusing on the testes and negative feedback mechanism.
Answer:
Case Deconstruction

Exogenous steroids mimic testosterone, suppressing natural hormone production via negative feedback.

Theoretical Application
  • High steroid levels inhibit hypothalamic GnRH and pituitary LH/FSH secretion.
  • Testes atrophy due to lack of stimulation, reducing sperm production.
Critical Evaluation

We studied how prolonged use causes infertility (e.g., bodybuilders). Recovery requires stopping steroids, but effects may persist.

Question 9:
A study links chronic stress to elevated cortisol and memory impairment. Describe the HPA axis involvement and cortisol’s impact on the hippocampus.
Answer:
Case Deconstruction

Stress activates the HPA axis, releasing excess cortisol, which damages the hippocampus (memory center).

Theoretical Application
  • Hypothalamus secretes CRH → pituitary releases ACTH → adrenal cortex produces cortisol.
  • Cortisol reduces hippocampal neurogenesis, impairing memory.
Critical Evaluation

Our textbook cites studies where stressed individuals (e.g., students during exams) show reversible shrinkage in hippocampal volume.

Question 10:
A patient exhibits symptoms like weight gain, cold intolerance, and lethargy. Blood tests reveal low thyroxine (T4) levels. Analyze the case and explain the role of the hypothalamus-pituitary-thyroid axis in this condition.
Answer:
Case Deconstruction

The symptoms suggest hypothyroidism, likely due to insufficient thyroxine secretion. The hypothalamus releases TRH, stimulating the pituitary to secrete TSH, which regulates thyroid hormone production.

Theoretical Application
  • Low T4 indicates impaired thyroid function, disrupting metabolism.
  • Feedback inhibition fails, causing elevated TSH if the issue is thyroid-specific.
Critical Evaluation

Our textbook shows that Hashimoto’s thyroiditis or iodine deficiency could cause this. Treatment involves levothyroxine to restore T4 levels.

Question 11:
A diabetic patient has high blood glucose despite normal insulin levels. Discuss how insulin resistance develops and its link to Type 2 diabetes using cellular mechanisms.
Answer:
Case Deconstruction

The patient likely has Type 2 diabetes, where cells fail to respond to insulin due to insulin resistance.

Theoretical Application
  • GLUT4 transporters in muscle/fat cells don’t translocate, impairing glucose uptake.
  • Excess lipids and inflammation disrupt insulin signaling pathways.
Critical Evaluation

We studied that obesity and sedentary lifestyles exacerbate resistance. Drugs like metformin improve insulin sensitivity by activating AMPK.

Question 12:
An athlete abuses anabolic steroids to enhance performance. Explain how this disrupts the hypothalamus-pituitary-gonadal axis and leads to testicular atrophy.
Answer:
Case Deconstruction

Exogenous steroids mimic testosterone, suppressing natural hormone production via negative feedback.

Theoretical Application
  • The hypothalamus reduces GnRH, lowering LH/FSH from the pituitary.
  • Without LH, Leydig cells stop producing testosterone, causing atrophy.
Critical Evaluation

Our textbook shows prolonged use may cause infertility. Natural recovery is slow as the axis resets.

Question 13:
A child with stunted growth has low IGF-1 but normal growth hormone (GH). Analyze how GH signaling might be impaired and its impact on bone growth.
Answer:
Case Deconstruction

Low IGF-1 despite normal GH suggests GH receptor dysfunction or liver issues, as IGF-1 is synthesized there.

Theoretical Application
  • GH binds receptors in liver to release IGF-1, which stimulates chondrocyte proliferation in epiphyseal plates.
  • Mutations in GHR or STAT5B genes can disrupt this pathway.
Critical Evaluation

We studied Laron syndrome as an example. Treatment involves recombinant IGF-1 injections.

Question 14:
A patient exhibits symptoms like weight gain, fatigue, and cold intolerance. Blood tests reveal low thyroxine (T4) and elevated TSH. Analyze the condition and explain the feedback mechanism involved.
Answer:
Case Deconstruction

The patient likely has hypothyroidism, where the thyroid gland underproduces T4. Elevated TSH indicates the pituitary's attempt to stimulate the thyroid.

Theoretical Application
  • Negative feedback: Low T4 triggers the hypothalamus to release TRH, stimulating TSH secretion.
  • Example: Chronic iodine deficiency disrupts T4 synthesis, perpetuating this loop.
Critical Evaluation

Our textbook shows that untreated hypothyroidism can lead to myxedema. Diagnosis relies on hormone assays, emphasizing the role of endocrine regulation.

Question 15:
Compare the actions of insulin and glucagon in maintaining blood glucose homeostasis. Use a tabular format for differentiation.
Answer:
Case Deconstruction

We studied that insulin (from pancreatic β-cells) lowers blood glucose, while glucagon (from α-cells) raises it.

Theoretical Application
HormoneAction
InsulinPromotes glucose uptake, glycogenesis
GlucagonStimulates glycogenolysis, gluconeogenesis
Critical Evaluation

Example: Post-meal, insulin peaks, while fasting activates glucagon. Dysregulation causes diabetes, proving their antagonistic roles.

Question 16:
A research study links prolonged cortisol secretion to memory impairment. Discuss how adrenal hormones influence stress response and cognitive function.
Answer:
Case Deconstruction

Cortisol, released by adrenal cortex, modulates stress but chronic exposure damages hippocampal neurons.

Theoretical Application
  • Short-term: Cortisol enhances alertness via glucose mobilization.
  • Long-term: It suppresses BDNF, impairing neurogenesis.
Critical Evaluation

Example: Students under exam stress show elevated cortisol. Our textbook highlights feedback inhibition via ACTH to prevent excess secretion.

Question 17:
Explain why parathyroid hormone (PTH) and calcitonin are considered antagonistic. Include their roles in calcium homeostasis.
Answer:
Case Deconstruction

PTH (from parathyroid) increases blood calcium, while calcitonin (from thyroid) lowers it.

Theoretical Application
  • PTH: Stimulates osteoclasts, renal calcium reabsorption.
  • Calcitonin: Inhibits osteoclasts, promotes calcium excretion.
Critical Evaluation

Example: During growth, PTH dominates; post-meal, calcitonin prevents hypercalcemia. This balance is vital for nerve/muscle function.

Question 18:

A 45-year-old patient visits a doctor complaining of constant fatigue, weight gain, and sensitivity to cold. Upon examination, the doctor suspects a hormonal imbalance.

(a) Which gland is likely malfunctioning in this patient?
(b) Name the hormone responsible for these symptoms.
(c) Explain how this hormone regulates metabolism in the body.
(d) Suggest one dietary measure to help manage this condition.

Answer:

(a) The thyroid gland is likely malfunctioning in this patient.

(b) The hormone responsible is thyroxine (T4) or triiodothyronine (T3).

(c) Thyroxine regulates metabolism by:
1. Increasing the basal metabolic rate (BMR), which enhances energy production.
2. Stimulating protein synthesis for tissue growth and repair.
3. Promoting carbohydrate metabolism to maintain blood glucose levels.
4. Enhancing fat breakdown to release energy.

(d) A dietary measure includes consuming iodine-rich foods like seafood or iodized salt, as iodine is essential for thyroxine synthesis.

Question 19:

A student is studying the effects of hormones on blood glucose regulation. The teacher provides the following case: 'A person with uncontrolled diabetes has high blood sugar levels despite fasting.'

(a) Which hormone is deficient in this condition?
(b) Name the cells that secrete this hormone.
(c) Explain how this hormone lowers blood glucose levels.
(d) How does the hormone glucagon oppose its action?

Answer:

(a) The deficient hormone is insulin.

(b) Insulin is secreted by the beta cells (β-cells) of the pancreatic islets (Islets of Langerhans).

(c) Insulin lowers blood glucose by:
1. Promoting cellular uptake of glucose in muscles and adipose tissue.
2. Enhancing glycogenesis (conversion of glucose to glycogen) in the liver.
3. Inhibiting gluconeogenesis (glucose production from non-carbohydrates).
4. Stimulating lipogenesis (fat storage) to reduce free fatty acids.

(d) Glucagon opposes insulin by:
1. Stimulating glycogenolysis (breakdown of glycogen to glucose).
2. Activating gluconeogenesis in the liver.
3. Increasing blood glucose levels during fasting or stress.

Question 20:

Rahul, a 16-year-old boy, experienced sudden weight gain, fatigue, and increased thirst. Upon medical examination, his blood sugar levels were found to be abnormally high. His doctor suspected a hormonal imbalance.

a) Identify the gland and hormone likely responsible for Rahul's condition.

b) Explain how this hormone regulates blood sugar levels in a healthy individual.

Answer:

a) The gland involved is the pancreas, specifically the Islets of Langerhans. The hormone responsible is insulin, which is produced by the beta cells of the pancreas.

b) Insulin helps regulate blood sugar levels by:
1. Promoting the uptake of glucose by cells for energy production.
2. Stimulating the liver and muscles to convert excess glucose into glycogen (glycogenesis).
3. Inhibiting the breakdown of glycogen into glucose (glycogenolysis).
4. Reducing the production of glucose from non-carbohydrate sources (gluconeogenesis).
In Rahul's case, insufficient insulin leads to high blood sugar levels, causing symptoms like fatigue and thirst.

Question 21:

Priya noticed her younger brother growing unusually tall for his age, with enlarged hands and feet. The doctor diagnosed it as a hormonal disorder.

a) Name the hormone and gland involved in this condition.

b) What is the normal function of this hormone, and how does its excess lead to the observed symptoms?

Answer:

a) The hormone involved is growth hormone (GH) or somatotropin, secreted by the anterior pituitary gland.

b) The normal functions of GH include:
1. Stimulating bone and muscle growth during childhood and adolescence.
2. Promoting protein synthesis and cell division.
3. Regulating metabolism by breaking down fats (lipolysis) and inhibiting glucose uptake.

Excess GH before puberty causes gigantism, leading to abnormal growth in height, hands, and feet due to overstimulation of bone growth plates. If untreated, it can also affect organ size and metabolism.

Question 22:
A 45-year-old patient reports persistent fatigue, weight gain, and sensitivity to cold. Laboratory tests reveal low levels of T3 and T4 hormones, but elevated TSH. Based on this case, answer the following:

a) Identify the likely endocrine disorder and explain its cause.
b) How does the feedback mechanism between the thyroid gland and pituitary gland function in this condition?
Answer:

a) The patient is likely suffering from hypothyroidism, specifically primary hypothyroidism, where the thyroid gland fails to produce sufficient T3 and T4 hormones. The elevated TSH indicates the pituitary gland is attempting to stimulate the thyroid, but the gland is unresponsive. Common causes include iodine deficiency, Hashimoto's thyroiditis (an autoimmune disorder), or thyroid gland damage.


b) The feedback mechanism involves:
1. Low T3/T4 levels are detected by the hypothalamus, which releases TRH (Thyrotropin-Releasing Hormone).
2. TRH stimulates the pituitary gland to secrete TSH.
3. TSH normally prompts the thyroid gland to produce T3/T4, but in this case, the thyroid is dysfunctional, leading to persistently high TSH.

Question 23:
A diabetic patient accidentally administers an excess dose of insulin, leading to symptoms like dizziness, sweating, and confusion. Analyze this situation and answer:

a) What is the immediate physiological cause of these symptoms?
b) How would the pancreas and liver respond to counteract this condition?
Answer:

a) The symptoms indicate hypoglycemia (low blood glucose). Excess insulin causes rapid uptake of glucose by cells, depriving the brain of its primary energy source, leading to dizziness and confusion. Sweating is a stress response triggered by the adrenal medulla.


b) The body's counter-regulatory response involves:
1. Pancreas: Alpha cells detect low glucose and secrete glucagon.
2. Liver: Glucagon stimulates glycogenolysis (breakdown of glycogen into glucose) and gluconeogenesis (synthesis of glucose from non-carbohydrates).
3. Adrenal glands: Release epinephrine to further mobilize glucose reserves and increase alertness.

Question 24:
A patient visits an endocrinologist with symptoms like excessive thirst, frequent urination, and unexplained weight loss. Blood tests reveal high blood glucose levels. The doctor suspects a malfunction in the pancreas.

Based on the case, answer the following:

  • Which hormone is likely deficient in this patient?
  • Explain how this hormone regulates blood glucose levels.
Answer:

The hormone likely deficient in this patient is insulin, produced by the beta cells of the pancreatic islets.

Regulation of blood glucose by insulin:
1. Insulin promotes the uptake of glucose by body cells, especially hepatocytes (liver cells) and adipocytes (fat cells).
2. It stimulates the conversion of glucose into glycogen (glycogenesis) in the liver and muscles.
3. Insulin inhibits the breakdown of glycogen (glycogenolysis) and gluconeogenesis (glucose synthesis from non-carbohydrates).
4. It enhances cellular respiration and storage of glucose as fat in adipose tissue.

Without sufficient insulin, blood glucose remains elevated, leading to hyperglycemia and the observed symptoms.

Question 25:
A 14-year-old boy exhibits stunted growth, delayed puberty, and low energy levels. Medical tests indicate reduced secretion of growth hormone and thyroid hormones.

Address the following:

  • Identify the gland responsible for this condition.
  • How do these hormones collectively influence growth and development?
Answer:

The gland responsible for this condition is the pituitary gland (master gland), located at the base of the brain.

Role of hormones in growth and development:
1. Growth Hormone (GH): Stimulates growth of bones and muscles by promoting protein synthesis and cell division.
2. Thyroid Hormones (T3 and T4): Regulate metabolism, brain development, and bone growth. They also support the action of GH.

Together, these hormones ensure:
- Proper physical growth (height, muscle mass)
- Timely sexual maturation
- Energy production and metabolic balance
- Neural development and cognitive function

Deficiency leads to dwarfism, delayed puberty, and fatigue due to impaired metabolic activity.

Question 26:
A 45-year-old patient complains of persistent fatigue, weight gain, and sensitivity to cold. Laboratory tests reveal low levels of thyroxine (T4) and elevated thyroid-stimulating hormone (TSH). Based on this case, answer the following:

(a) Identify the likely disorder and explain its cause.
(b) How does the feedback mechanism between TSH and T4 regulate thyroid function?
Answer:

(a) The patient is likely suffering from hypothyroidism, specifically primary hypothyroidism, where the thyroid gland fails to produce sufficient thyroxine (T4). The elevated TSH indicates the pituitary gland is attempting to stimulate the thyroid, but the gland is unresponsive. Common causes include autoimmune destruction (Hashimoto's thyroiditis), iodine deficiency, or congenital defects.


(b) The feedback mechanism involves:

  • TSH from the pituitary stimulates the thyroid to secrete T4.
  • When T4 levels drop (as in this case), the pituitary increases TSH secretion to compensate.
  • Normally, high T4 inhibits TSH release (negative feedback), but here, the thyroid cannot respond.

This imbalance highlights the hypothalamus-pituitary-thyroid axis dysfunction.

Question 27:
A diabetic patient accidentally administers an excess dose of insulin, leading to dizziness and confusion. Upon testing, blood glucose levels are critically low (<40 mg/dL). Answer:

(a) What is this condition called, and how does excess insulin cause it?
(b) Describe the role of glucagon in counteracting this situation.
Answer:

(a) The condition is hypoglycemia (low blood glucose). Excess insulin accelerates glucose uptake by cells and inhibits gluconeogenesis, depleting blood glucose. The brain, reliant on glucose, malfunctions, causing symptoms like dizziness.


(b) Glucagon, secreted by pancreatic alpha cells, counteracts hypoglycemia by:

  • Stimulating glycogenolysis (breakdown of liver glycogen into glucose).
  • Promoting gluconeogenesis (synthesis of glucose from non-carbohydrates).
  • Inhibiting glucose uptake by muscles, prioritizing supply to the brain.

This insulin-glucagon antagonism maintains glucose homeostasis, but in this case, insulin overdose overwhelms the balance.

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