Thryroid 1 Flashcards

1
Q

Where is the thyroid situated in the neck

A

in front of the larynx and trachea at the level of the 5th, 6th and 7th cervical and 1st thoracic vertebrae

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2
Q

Anatomic vatiation of thyroid

A

Lingual thyroid

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3
Q

What is seen with lingual thyroid

A

Thyroid is embedded in the tongue

And there is no thyroid gland in the neck

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4
Q

Arterial blood supply to thyroid

A

Superior and inferior thyroid arteries

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5
Q

superior thyroid artery is branch of

A

branch of the external carotid artery

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6
Q

inferior thyroid artery is branch of

A

subclavian artery

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7
Q

venous return of the thyroid gald is ____ and they drain into ______

A

thyroid veins and they drain into internal jugular veins

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8
Q

where do the parathyroid glands lie

A

in the posterior thyroid tissue

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9
Q

______ passes upward close to the lobes of the gland

A

recurrent laryngeal nerve

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10
Q

recurrent laryngeal nerve on right side lies near the ______

A

inferior thyroid artery

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11
Q

________ is essential for the formation of the thyroid hormones T3 and T4

A

iodine

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12
Q

main dietary source of iodine in western culture

A

iodinated table salt

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13
Q

what is iodine trapping

A

the thyroid gland selectively takes up iodine from the blood

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14
Q

what stimulates release of T3 and T4 into the blood

A

thyroid stimulating hormone (TSH)

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15
Q

TSH is secreted by

A

pituitary

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16
Q

secretion of TSH is stimulated by

A

thyrotrophin releasing hormone (TRH) from the hypothalamus

17
Q

T3 + T4 and TSH secretion work in a ______ mechanism

A

negative feeback

18
Q

how do T3 and T4 cells affect the body?

A

increase metabolic rate and heat production

metabolism of carbs, proteins and fats

19
Q

other organ/systems affected by thyroid hormone

A

heart, skeletal muscle, skin, digestive and reproductive system

20
Q

increased T3 and T4 secretion=

A

hyperthyroidism

21
Q

decreased T3 and T4 secretion =

A

hypothyroidism

22
Q

3 thyroid function tests

A

TSH, T4 and anti-TPO Ab

23
Q

first line test for assessment of thyroid function

24
Q

high levels of TSH indicate

A

hypothyroidism

25
low levels of TSH indicate
hyperthyroidism
26
elevated levels of anti-TPO Ab indicate
Hashimotos thyroiditis or graves disease
27
What is thyroid peroxidase (TPO)?
enzyme in thyroid gland that converts T4 to T3
28
what is antibodies thyroid peroxidase (TBOAb)
presence in blood reflects a prior attack on the thyroid tissue by the body immune system