lecture 21 and 22- thyroid and adrenal hormones Flashcards

(42 cards)

1
Q

what is the chloride-iodide counter-transporter that allows iodide to be transported across apical membrane of cell into follicle

A

pendrin

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2
Q

what creates thyroxine

A

DIT + DIT

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3
Q

what creates triiodothyronine

A

DIT + MIT

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4
Q

what catalyzes the organification of iodine

A

peroxidase

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5
Q

is T3 or T4 more active

A

T3

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6
Q

what is the most released thyroid hormone

A

thyroxine

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7
Q

what do most thyroid hormones entering blood bind to

A

plasma proteins synthesized in liver

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8
Q

where does TSH come from

A

anterior pituitary

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9
Q

where does TRH come from

A

hypothalamus

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10
Q

how does TSH act on follicular cells

A

via adenylate cyclase-cAMP mechanism

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11
Q

what are the causes of hyperthyroidism

A

graves disease and adenoma

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12
Q

what is the treatment for hyperthyroidism

A

surgical removal of most of thyroid gland or treatment with radioactive iodine

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13
Q

what are the causes of hypothyroidism

A

hashimoto disease, endemic goiter, cretinism

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14
Q

what causes cretinism

A

extreme early hypothyroidism

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15
Q

what are symptoms of hypothyroidism (besides the opposite of hyper)

A

myxedema and atherosclerosis

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16
Q

what do thiocyanate ions do

A

inhibit iodine uptake

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17
Q

what does propylthiouracil do

A

inhibits peroxidase

18
Q

what do iodides do

A

decrease thyroid activity when present in very high concentrations

19
Q

what does the medulla of the adrenal gland secrete

A

epinephrine and norepinephrine

20
Q

what is the medulla of the adrenal gland functional related to

A

sympathetic nervous system (backup for it)

21
Q

what does the cortex secrete

A

corticosteroids

22
Q

what increases the number of LDL receptors

23
Q

where is cholesterol converted to pregnenolone

A

in mitochondria

24
Q

what is the enzyme needed for conversion of cholesterol to pregnenolone

A

cholesterol desmolase

25
what factors increase the conversion of cholesterol to pregnenolone
ACTH and angiotensin II
26
what is the half life for aldosterone
20 minutes
27
what do principal cells do
increase sodium reabsorption and potassium by kidney tubules (with help of aldosterone)
28
how does hyperkalemia affect aldosterone secretion
it increases it
29
what do intercalated cells do
increase hydrogen secretion by kidneys
30
what part of the adrenal gland secretes mineralocorticoids
zona glomerulosa
31
what is the major glucocorticoid
cortisol
32
what is the secretion of cortisol controlled by
ACTH
33
what is the second messenger for CRH and ACTH
cAMP
34
what part of the adrenal gland secretes cortisol
zona fasciculata
35
what part of the adrenal gland secretes androgenic hormones
zona reticularis
36
how does increased potassium effect aldosterone secretion
it greatly increases it
37
how does increased angiotensin II effect aldosterone secretion
greatly increases it
38
what maintains vascular response to catecholamines
glucocorticoids
39
what resists/controls inflammation
glucocorticoids
40
what is the primary cause of addisons disease
injury to adrenal cortex
41
what is secondary cause of addison's disease
impaired function of pituitary gland
42
what are disturbances associated with addison's disease
due to mineralocorticoid and glucocorticoid deficiency, melanin pigmentation