Physiology Flashcards

(47 cards)

1
Q

What three things does thyroid gland tissue secrete?

A

T3, T4 and calcitonin

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2
Q

What is required for the synthesis of thyroid hormones?

A

Iodine

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3
Q

What will happen if you live in an area where there is not enough iodine?

A

You won’t make enough thyroid hormones and hence will be hypothyroid

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4
Q

What is the difference, chemically, between T3 and T4?

A

1 iodine

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5
Q

Iodine is taken up by which cells?

A

Follicular cells

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6
Q

What does iodine attach to once it has been taken up? What does this form?

A

Iodine attaches to tyrosine units on thyroglobulin to form MIT and DIT units

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7
Q

How do carbimazole and PTU work?

A

They prevent iodination of tyrosine

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8
Q

What units need to be combined to form T3?

A

1 MIT and 1 DIT

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9
Q

What units need to be combined to form T4?

A

2 DITs

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10
Q

What happens to T3 and T4 molecules once they have been synthesised?

A

They are stored in colloid thyroglobulin until they are required

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11
Q

Which is the major biologically active thyroid hormone?

A

T3

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12
Q

Which thyroid hormone is produced in greater amounts?

A

T4

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13
Q

What happens to the majority of T4 produced?

A

It is converted to T3 in peripheral tissues

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14
Q

What chemical process changes T4 to T3?

A

5-monodeiodination (removal of 1 iodine)

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15
Q

What does 3-monodeiodination of T4 form?

A

rT3

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16
Q

Which family of enzymes regulates the conversion of T4 to T3?

A

Deiodinase enzymes

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17
Q

Where is deiodinase 1 found?

A

Liver and kidney

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18
Q

Which deiosinase enzyme is the major determinant of generating T3 from T4?

A

D2

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19
Q

Where is deiodinase 3 found?

A

Foetal tissue ad brain (except the pituitary gland)

20
Q

What is the first step in releasing thyroid hormones?

A

TSH binds to its receptor on the surface of thyroid epithelial cells

21
Q

What type of receptor is the TSH receptor?

22
Q

What happens when TSH has bound to its receptor?

A

GTP is converted to GDP and cAMP is produced

23
Q

What allows T3 and T4 to be released from cells?

A

Increased cAMP

24
Q

Where is most T3 and T4 found in the plasma? Why?

A

Bound to hormone binding proteins, since they are hydrophobic and lipophilic

25
What hormone binding protein is most of T3 and T4 bound to in the plasma?
Thyroxine binding globulin
26
What are the less used hormone binding proteins?
Thyroid-binding pre-albumin | Albumin
27
Which thyroid hormone is bound less avidly to TBG?
T3
28
What type of T3 and T4 should be measured in a thyroid function test?
Free
29
What type of receptor is the T3 receptor?
Nuclear
30
How are thyroid hormones taken into cells?
A transmembrane transporter
31
What is the thyroid hormone receptor bound to?
Thyroid response element
32
Where are TRalpha thyroid receptors found?
Peripheral tissues
33
Where are TRbeta thyroid receptors found?
In the feedback loop
34
Resistance to which type of thyroid receptor causes the biggest problem?
TRbeta
35
What effect do thyroid hormones have on the basal metabolic rate?
Increase it
36
What are 3 ways that thyroid hormones increase basal metabolic rate?
- Increase the number of mitochondria - Increase oxygen use and rate of ATP hydrolysis - Increase synthesis of respiratory chain enzymes
37
What effect do thyroid hormones have on thermogenesis?
Increase it
38
Name two effects that thyroid hormones have on carbohydrate metabolism?
- Increase plasma glucose due to stimulation of glycogenolysis and gluconeogenesis - Increase insulin dependent glucose uptake into cells
39
Name two effects that thyroid hormones have on lipid metabolism?
- Mobilise fats from adipose tissue | - Increase fatty acid oxidation in tissues
40
What two effects do thyroid hormones have on protein metabolism?
- Increased protein synthesis | - Decreased plasma amino acids
41
What hormones relating to growth require thyroid hormones for their action?
GHRH and GH
42
How do thyroid hormones help to develop the foetal and neonatal brain?
They allow myelinogenesis and axonal growth
43
What can inadequately treated hypothyroidism in pregnancy cause?
Problems with cognitive development
44
What effect do thyroid hormones have on the sympathetic nervous system? What effect does this have on the CV system?
They increase responsiveness to adrenaline and noradrenaline by increasing the number of receptors. This increases cardiac rate and force of contraction.
45
What effect do low temperatures have on thyroid function in babies and young children?
Stimulate TRH release, hence TSH release, hence T3/4 release
46
What effect does stress have on thyroid function?
Inhibits TRH and TSH release
47
Describe the circadian rhythm of thyroid hormones?
Thyroid hormone levels are high at night and low in the morning