Iodine Metabolism and Thyroid Hormones Flashcards

1
Q

What is the RDI for iodine?

A

150 micro grams

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2
Q

Why is iodine used as an antiseptic?

A

because it inactivates proton pumps in bacteria because it is a strong oxidiser and therefore is an antimicrobial

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3
Q

What are the symptoms of iodine deficiency?

A

underactive thyroid gland, goitre, mental and physical retardation in infants

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4
Q

What are the symptoms of iodine toxicity?

A

underactive thyroid gland, goitre

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5
Q

What foods are goitrogens and what do they do?

A

vegetables like cabbage, kale, brussel sprouts and broccoli - inhibit iodide uptake in the thyroid

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6
Q

Why do inland populations have more iodine deficiency than coastal populations?

A

because the ocean is the world’s major source of iodine

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7
Q

What is the world’s most common and most preventable cause of mental retardation?

A

cretinism (iodine deficiency)

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8
Q

What is the action of thyroid hormones?

A

determine basal metabolic rate, act as a sympathomimetic, stimulate brown fat to generate heat

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9
Q

What stimulates the production of thyroid hormones?

A

TSH from the anterior pituitary

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10
Q

Under what condition is thyroid hormone output greatly depressed?

A

starvation

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11
Q

What percentage of thyroid hormones released by the thyroid is T4?

A

80%

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12
Q

How much more active is T3 than T4?

A

four times more active

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13
Q

Where does the tyrosine required for thyroid hormone production come from?

A

the protein thyroglobulin

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14
Q

What is the action of thyroperoxidase?

A

condenses iodinated tyrosines on thyroglobulin and oxidises iodide to a chemically reactive form (iodine)

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15
Q

What causes iodine uptake into follicular cells?

A

a symport with sodium which is driven by a sodium gradient created by a sodium potassium ATPase

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16
Q

Which plasma proteins transport thyroid hormones?

A

thyroid binding globulin, transthyretin and albumin

17
Q

What converts T4 to T3?

A

type I deiodinase in the liver and kidney and type II deiodinase in the brain, brown adipose and the pituitary

18
Q

What is the result of thyroid hormone binding its receptor?

A

conformational change in the nuclear receptor causes it to act as a transcriptional activator