Thyroid Gland Flashcards

1
Q

Outline some functions of the thyroid hormones;

A

•increase heat production

•increase oxygen consumption

•promote normal growth

•increase metabolism of proteins,fats and carbohydrates

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2
Q

Between T3 & T4 which plasma thyroid hormone is more active than the other?

A

T3 is metabolically more active than T4

T4 can readily be converted to T3 in most tissues, particularly liver

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3
Q

Describe regulation or thyroid hormone;

A

-> negative feedback control of T4 and T3

->free and not total T4/T3 determine feedback

->thyroid stimulating hormone (TSH) and thyroid releasing hormone involved in feedback

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4
Q

What is the first stage of thyroid hormone synthesis;(9)

A

Dietary iodide (fish,eggs) absorbed rapidly by small intestine

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5
Q

What happens after milk and eggs is absorbed into the small intestine of thyroid hormone synthesis;(9)

A

Around 1/3 of this iodide is concentrated in thyroid gland and 2/3 is excreted by kidneys

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6
Q

What happens after the kidney excretes the solution in thyroid hormone synthesis;(9)

A

Iodide oxidised to iodine in thyroid follicular cells

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7
Q

What happens after iodide is oxidised to iodine in thyroid hormone synthesis;(9)

A

Iodisation of thyroglobulin forms monoiodotyrosine and diiodotyrosine

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8
Q

What happens after DIT and MIT is formed in thyroid hormone synthesis;(9)

A

Coupling forms T4 (DIT&DIT) and T3(DIT&MIT)

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9
Q

What happens after T4 and T3 are formed thyroid hormone synthesis;(9)

A

Thyroid hormones stored and attached to colloid thyroglobulin

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10
Q

What happens after hormones are stored and attached in thyroid hormone synthesis;(9)

A

They are taking up by follicular cells via pintocytosis

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11
Q

What happens after thyroid is taken up by follicular cells in thyroid hormone synthesis;(9)

A

Lysosomes use with this droplet and proteases digest thyroglobulin to release thyroid hormones

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12
Q

What happens after
Thyroid hormones are released in thyroid hormone synthesis;(9)

A

Released thyroid hormones transported in blood bound to thyroxine-binding globulin (TBG)

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13
Q

What age of people is hypothyroidism most common in?

A

50-60 year olds

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14
Q

How does hypothyroidism occur?

A

-not enough T4&T3 produced

-under active thyroid gland

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15
Q

Primary cause of hypothyroidism?

A

Iodine deficiency, anti-thyroid drugs, congenital deficiency

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16
Q

Secondary cause of hyperthyroidism ?

A

Pituitary/hypothalamic defect

17
Q

Why do people use replacement therapy with T4?

A

-readily available
-safe
-inexpensive

18
Q

How does hyperthyroidism occur?

A

Too much T4&T3 produced

19
Q

What is the most common cause of hyperthyroidism?

A

Graves’ disease, toxic nodules, thyroid hormone intake

20
Q

What are rare causes of hyperthyroidism?

A

Ectopic thyroid tissue

TSH secreting tumours

21
Q

How do individuals manage hyperthyroidism?

A
  • anti-thyroid drugs

-radioiodine therapy

-thyroidectomy (surgically removed)