Thyroid Flashcards

1
Q

thyroid hormone is stored in

A

TGB follicular cells

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2
Q

TGB follicular cell secrete what?

A

calcitonin

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3
Q

T4 is completely active or inactive?

A

inactive, it’s a prohormone

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4
Q

T3 is biologically active or inactive?

A

active

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5
Q

T4 and T3 are all derived from what?

A

tyrosine, like the catecholamines

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6
Q

where is tyrosine taken up from?

A

the blood

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7
Q

after tyrosine is taken up from the blood what two reactions occur??

A

iodination and conjugation

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8
Q

how is thryoglobuline (TGB) formed? by synthesis of what

A

peptide chains in the ER + glycosylation in the golgi

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9
Q

iodination and conjugation occur within what?

A

TGB at apical border of the cell

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10
Q

Thyroid hormones are stored

A

within the TGB in colloid for up to 2 montsh

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11
Q

mechanism of secretion

A

endocytosis of colloid into follicular cells

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12
Q

how much T4 is secreted?

A

90ug a day

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13
Q

how much T3 is secreted?

A

4 ug a day

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14
Q

fate of T4 secreted is 35% converted into

A

T3

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15
Q

fate of T4 secreted is 45% converted to

A

reverse T3

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16
Q

fate of T4 secreted is 20% is

A

destroyed

17
Q

what is T4’s 1/2 life?

A

long ~6 days

18
Q

what is T3’s 1/2 life?

A

pretty long ~1-3 days

19
Q

what kind of receptor does T3 have?

A

nuclear receptor

binds to nucleus and alters transcription

20
Q

T3 is basically what kind of hormone?

A

a maintenance hormone

21
Q

what is T3 required for??

A

growth process!!

22
Q

if deficient in T3 you get

A

dwarfism

23
Q

if you have excess T3 you get

A

stunted growth

24
Q

T3 deficiency in children in the nervous system causes what?

A

cretinism, mental retardation

25
Q

when must T3 be present or else cretinism is permanent?

A

during the 1st 3 months of life

26
Q

T3 deficiency in adults causes

A

listless, sleepy, weak

27
Q

T3 excess in the nervous system causes

A

hyper excitability

28
Q

in terms of protein metabolism, excess T3 causes

A

increased gluconeogenesis, protein loss

29
Q

in terms of protein metabolism, deficiency in T3 causes

A

myxedema, accumulation of mucopoly, a saccharide in skin

30
Q

T3 is needed for normal function in many things… like:

A
lactation
digestion
kidney function
cardiovascular function
reproduction
heat production
31
Q

graves ideas is what type of thyroid state?

A

hyperthyroid state

associated with protrusion of eyes

32
Q

hypothyroidism symptoms include:

A
sluggishness
mental retardation
reduced growth rate
thick/dry skin
sensitive to cold
increased sleep
33
Q

causes of hypothyroidism include:

A

poor development of thyroid
thyroid insensitive to TSH
or hashimoto’s disease