Lecture 68 Flashcards

1
Q

_______ controls thyroid hormone secretion?

A

Negative feedback

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2
Q

Negative feedback exerted predominantly at _______ to decrease TSH

A

anterior pituitary

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3
Q

_______ provides feedback

A

T3

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4
Q

TSh is tonically inhibited by _______ and _______ from hypothalamus

A

Dopamine and somatostatin

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5
Q

TSH can also be inhibited by?

A

cortisol and GH

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6
Q

Thyroid hormones decrease the sensitivity of the anterior pituitary to TRH thereby decreasing _______?

A

TSH secretion

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7
Q

Hypothalamic nuclei secrete TRH into

A

portal vessels

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8
Q

Negative feedback: Slightly pulsible TSH and fairly

A

steady T3 and T4

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9
Q

during fasting TSH response to TRH will

A

diminish and T3 falls (decrease metabolic rate)

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10
Q

TRH stimulates

A

TSH

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11
Q

Meal or cold exposure increases _______

A

T3 availability

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12
Q

T4 deiodinated equally to active T3 and rT3 within

A

tissues

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13
Q

if more thyroid hormone action needed, get more T3 relative to

A

rT3 and vise versa

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14
Q

_______ converts T4 to T3

A

5’ deiodinase

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15
Q

_______ converts T4 to rT3

A

5 deiodinase

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16
Q

starvation effects on conversion: inhibition of 5’ deiodinase

A

lower metabolism rate and O2 consumption

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17
Q

during starvation effects does the brain 5’ deiodinase get effected?

A

NO

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18
Q

during starvation effects the brain 5’ deiodinase does not get effected: more T3 if _______, less T3 if critically ill

A

cold

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19
Q

_______ are major sites of degradation of thyroid hormones

A

Liver, kidneys, skeletal muscle

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20
Q

some T4 excreted in

A

bile

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21
Q

How does T4 enter cells?

A

Facilitated diffusion

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22
Q

T4 is deiodinated to T3 where?

A

Inside cells

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23
Q

How is T4 deiodinated to T3 inside cells?

A

5’ deiodinase

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24
Q

T3 binds receptors within

A

nucleus of cell

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25
T3- receptor complex binds to _______ on DNA to stimulate transcription of genes
Thyroid-regulatory element
26
Translation and new synthesis of proteins tend to be tissue
specific depending on effect
27
how can thyroid hormones enter cells?
* Na/ K ATPase * Transport proteins * B1 adrenergic receptors * proteolytic enzymes
28
Increased oxygen consumption and increased Na/ K ATPase is associated with
increased cell activity
29
thyroid hormones increase cardiac output and pulse pressure (increased synthesis of
B-1 adrenergic receptors (Increase HR)
30
effect of thyroid hormones on BMP: Increase
thermogenesis
31
thyroid hormones increase supply of substrates for production of energy. Need substrates for oxidation. Increase _______?
* Mobilize glucose * Gluconeogenesis * absorption of glucose from GIT * lipolysis * FFA oxidation
32
how does thyroid hormones affect appetite, gut absorption and motility
Increases
33
Thyroid hormones also increases mobilization of
carbs and fat
34
Protein synthesis vs degradation dependent on thyroid hormone levels: If thyroid hormone levels are normal
protein synthesis predominates
35
Protein synthesis vs degradation dependent on thyroid hormone levels: If thyroid hormone levels are high
protein degradation predominates AA for energy
36
_______ is required for normal growth
Thyroid hormones
37
Thyroid hormones act with GH and IGFs to promote?
Growth of bone, cartilage, teeth, epidermis and hair
38
Thyroid hormones are essential for normal maturation of
CNS
39
Thyroid hormones increase blood flow and glucose metabolism in the
brain
40
Thyroid hormones enhance
peripheral nerve reflexes (activates skeletal muscles and deep tendon reflexes)
41
Thyroid hormones interact with SNS to have similar effects on increasing
cardiac output and heat production etc.
42
Thyroid hormones in the ANS activate
Smooth and cardiac muscle
43
_______ is it when there is an overactive thyroid, excess thyroxine
Hyperthyroidism
44
_______ are the clinical signs of hyperthyroidism
Increased metabolic rate, food intake, heat production, heart rate, weight loss, muscle weakness and atrophy
45
Hyperthyroidism is common in?
Cats
46
Hyperthyroidism is common in cats due to adenoma, adenocarcinoma and thyroid disruptors including
Flame retardants (thyroid disruptors)
47
Hyperthyroidism is seen in horses and dogs usually do to?
Thyroid adenocarcinoma
48
_______ is high in hyperthyroidism?
T3 and t4
49
If hyper disorder is in thyroid gland, TSH is
LOW
50
Over producing thyroid hormones lots of T3 for negative feedback so
TSH is inhibited
51
If hyperthyroidism disorder is in hypothalamus or pituitary, TSH is
HIGH
52
When hyper disorder in in hypothalamus or pituitary, TSH is high, over producing TSH constantly
stimulates thyroid hormones
53
Typical blood for hyper tests show low _______ and high _______
TSH, T4
54
underactive thyroid, low thyroid hormones
Hypothyroidism
55
decrease metabolic rate, cardiac output, cold intolerance, decrease sweating, weight gain are signs of
Hypothyroidism
56
Lacking enzymes to make thyroid hormones
Congenital cretinism - thyroid dwarf
57
Acquired hypothyroidism is common id dogs, rare in cats or horses
Usually immune mediated or idiopathic ( destruction of gland or blocking hormone synthesis)
58
T3 and T4 is _______ in hypothyroidism
low
59
If issue is in hypothalamus or pituitary gland for central hypothyroidism (TSH is Low) Not producing TSH as normal so no stimulus for
T4/T3
60
If issue is in thyroid gland, TSH is high (most common; overt primary hypothyroidism)
not producing thyroid hormones so pituitary constantly stimulating to produce TSH
61
typical blood test for hypothyroidism shows
high TSH and low t4
62
Only "healthy" animals should be tested for thyroid function, as overt illness can
alter circulating thyroid hormone concentration