endocrine 4 - thyroid Flashcards

(76 cards)

1
Q

what do the thyroid follicles secrete

A

T3 and T4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what do the parafollicular cells secrete

A

calcitonin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the difference with the resting and the active follicle

A

active is enlarged and more plump, the central area is smaller but still filled with colloid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what amino acid and element are needed to make thyroid hormones

A

tyrosine and iodine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are the intermediates to thyroid hormones

A

MIT and DIT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how is iodide taken into the cell

A

active transport by Na I pump

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is thyroglobulin

A

glycoprotein that contains tyrosine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what makes MIT

A

tyr + 1 iodine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what makes DIT

A

tyr + 2 iodine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what makes T3

A

MIT + DIT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what makes T4

A

DIT + DIT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how does TSH enhance thyroid hormone synthesis

A

increase Na I pump and increase thyroglobulin synthesis (first 2 steps)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what happens to T4 and T3 once they are made in the colloid

A

they are endocyzed from the lumen back into the cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

how are T3 and T4 released from thyroglobulin

A

lysosomal enzymes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what happens once T3 and T4 are released from thyroglobulin

A

they are secreted into the blood, I- and amino acids recycles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

which thyroid hormone is secreted more into the blood

A

T4>T3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

how is T3 and T4 transported in the blood

A

bound to thyroid binding protein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

which T is more potent

A

T3

T4 is a prohormone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what happens to T4

A

it is converted into T3 in peripheral cells and liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

where does T3 bind

A

nuclear receptors (fat soluble)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what percent is T4 and T3 made

A

90% T4

10% T3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

which thyroid hormone is a prohormone

A

T4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what stimulates TSH

A

TRH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

where is TRH from

A

hypothalamus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
where is TSH from
pituitary
26
what stimulates T3 and T4 production
TSH
27
what negatively inhibits TSH
T4 and T3
28
what negatively inhibits TRH
T4 and T3
29
how do thyroid hormones act on most tissues
change transcription and translation
30
what do thyroid hormones do to metabolism
increase
31
what is thyroid hormone role in growth
it is required for growth and development
32
what does thyroid hormone do to basal metabolic rate
increase
33
what does thyroid hormone do to 02 consumption
increase
34
what does thyroid hormone do to heat production
increase
35
what does thyroid hormone do to catabolism and what causes this
increase (too much T3)
36
what does thyroid hormone do to anabolism and what causes this
increase (some T3)
37
what does thyroid hormone do to carbohydrate absorption
increase
38
what does thyroid hormone do to carbohydrate utilization
increase
39
what does thyroid hormone do to protein breakdown
increase
40
what does thyroid hormone do to fat breakdown (lipolysis)?
increase
41
what does thyroid hormone do to cholesterol metabolism
increase
42
what does thyroid hormone do to serum cholesterol
decrease
43
how much thyroid hormone do to protein synthesis
small amounts
44
how do thyroid hormones act as for growth and development
as tissue growth factors
45
what does thyroid hormone do to GH/IGF1 production
increase (GH causes IGF1 production in liver)
46
what does thyroid hormone do to CNS maturation in fetus
essential, increase
47
what happens with maternal hypothyroidism to the fetus
poor fetal CNS development and mental retardation
48
what does thyroid hormone do to heart rate
increase
49
what does thyroid hormone do to heart contractility
increase
50
what does thyroid hormone do to BP
increase
51
what does thyroid hormone do to sympathetic nervous system
potentiate beta2 adrenergic receptors
52
what does thyroid hormone do to women reproduction system
necessary for normal function and fertility
53
what is Graves disease (simple definition)
overactivity of the thyroid gland
54
what kind of disorder causes graves disease
autoimmune
55
explain how graves disease works
antibodies to the TSH receptor stimulates thyroid hormone preoduction
56
what happens to basal metabolic rate in graves disease
increase
57
what is exophthalmos
eyes popping out
58
what disease causes exothalmos
graves disease
59
what is hashimotos thyroiditis (simple definition)
underactive thyroid gland
60
what kind of disorder causes hashimotos thyroiditis
autoimmune
61
how does Hashimotos thyroiditis work
thyroid peroxidase (TPO) antibodies destroy thyroid gland to block hormone synthesis
62
what is cretinism
growth delay, small body, mental retardation in children
63
which disease causes cretinism in children
Hashimoto's thyroiditis
64
what is myxedema
lethargy, like depression
65
which disease causes myxedema
Hashimoto's thyroiditis
66
which disease causes goitre
Hashimoto's thyroiditis and graves disease
67
which disease causes cold intolerance
hypothyroidism / Hashimoto's thyroiditis
68
which disease causes weight gain
hypothyroidism / Hashimoto's thyroiditis
69
which disease causes menorrhagia
hypothyroidism / Hashimoto's thyroiditis
70
what is menorrhagia
profuse menstrual flow
71
how is goitre made in hyperthyroidism
thyroid stimulating immunoglobulins stimulate the thyroid gland to make the goitre
72
how is goitre made in hypothyroidism
low iodine in diet lowers T3 and T4 causing an increase in TSH which causes goitre (no iodine in diet, T4 and T3 remains low)
73
what is the best way to measure thyroid function
test TSH levels in blood
74
what is the most common cause of hypothyroidism, goitre, mental retardation and preventible brain damage?
iodine deficiency
75
is there low or high TSH in blood in hyperthyroidism
low
76
is there low or high TSH in blood in hypothyroidism
high