HPA axis
SAM axis
CNS stress response
Somatic stress response
Acute vs chronic stress
100

This hypothalamic hormone initiates the HPA axis cascade.

CRH: corticotropin-releasing hormone 

100

The SAM axis activates this branch of the autonomic nervous system.

Sympathetic 

100

This brain structure detects psychological stressors and signals the hypothalamus.

Amygdala

100

Name one cardiovascular and one respiratory symptom caused by stress.

Cardiovascular =increased HR and BP 

Respiratory = increased frequency of breathing, shallow breathing 

100

Acute stress is typically adaptive because it promotes this physiological response.

Fight or flight response 

200

The anterior pituitary releases this hormone in response to CRH.

ACTH: adrenocorticotropic hormone 

200

The main catecholamines released by the adrenal medulla are these two.

Epinephrine and norepinephrine 

200

This hypothalamic nucleus is the main control center for initiating the stress response through CRH release.

Paraventricular nucleus (PVN)

200

CRH gene expression is promoted by the presence of this reproductive hormone.

Oestrogen 

200

Give one cardiovascular disease risk associated with chronic stress.

- Hypertension 

- Artherosclerosis 

- etc 

300

The HPA axis primarily involves which three endocrine glands?

Hypothalamus, pituitary and adrenal glands 

300

Sympathetic and parasympathetic systems often work in balance. Describe briefly how the parasympathetic system can influence sympathetic activity.

Parasympathetic system opposes/ inhibits sympathetic activity when active or increases sympathetic activity when not active

300

Which brain region integrates autonomic, endocrine, and behavioral stress responses?

Hypothalamus 

300

During stress, blood flow is redistributed: vessels in the gut constrict, and flow increases to this tissue type to support action.

Flow increases to skeletal muscles 

300

Chronic stress can dysregulate which circadian hormone, affecting sleep and metabolism?

Cortisol 

400

Chronic activation of the HPA axis can lead to atrophy in this brain region, which helps regulate negative feedback.

Hippocampus 

400

The main neurotransmitter released from preganglionic sympathetic neurons is this one, while postganglionic sympathetic neurons primarily release this other one.

Preganglionic = Ach (acetylcholine), Postganglionic = NE (norepinephrine)

400

Where are the two CRH - receptors found? 

R1 (central -the brain), R2 (mostly peripheral -skeletal muscles, gastrointestinal tract, and heart, BUT also in subcortical structures of the brain)

400

Stress affects reproductive health by suppressing the release of these two hypothalamic-pituitary hormones, leading to irregular cycles or reduced fertility.

GnRH -> LH + FSH 

400

The body’s initial alarm phase of stress activates which two major physiological systems?

HPA axis + SAM axis/ sympathetic nervous system 

500

The hypothalamus communicates with the pituitary via this type of portal system.

Hypophyseal portal system 

500

Besides acetylcholine and norepinephrine, name one additional neurotransmitter or neuropeptide that helps modulate autonomic activity in the SAM system. 

NPY, nitric oxide (NO), somatostatin, dopamine, adenosine triphosphate (ATP), lipid mediators of inflammation, CRH, galanin

500

Name one long-term effect of chronic stress on the brain’s structure or function.

Atrophy of the hippocampus, hypertrophy of amygdala, hippocampal atrophy 
500

Chronic stress can impair thyroid function by decreasing the conversion of this prohormone to its active form.

thyroxine (T4) -> triiodothyronine (T3) 

500

Name 2 psychological disorders that are frequently linked to chronic stress.

Anxiety and depression 

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