thyroid Flashcards

1
Q

site of production of thyroid hormone?

A

follicles

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2
Q

where are the 4 parathyroid glands?

A

posterior part of gland

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3
Q

what cells produce there hormone and encircle the colloid in which the hormone passes into for storage line them ?

A

cuboidal epithelial cells

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4
Q

what are parafollicular cells?

A

found outside the follicles

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5
Q

what do parafollicular cells produce

A

calcitonin

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6
Q

production and releease of thyroid hormones is under the control of

A

hypothalamic pituitary axis

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7
Q

where is TRH released from ?

A

hypothalamus

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8
Q

TSH?

A

pituitary

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9
Q

what feedback does thyroid hormone exhibit on both TRH and TSH?

A

negative feedback

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10
Q

what does stress do to TRH?TSH?

A

decrese

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11
Q

what does cold do to TRH in children>

A

stimulates TRH release (to warm up)

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12
Q

when is release of TRH highest?

A

in the evening

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13
Q

90% of thyroid hormone produced is?

A

T4

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14
Q

10% of thyroid hormone produced is?

A

T3

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15
Q

which one is thyroxine?

A

T4

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16
Q

thyroid hormone is produced via uptake of _______ which is attached to _______ __________ of _________ to produce either T3 or T4?

A

iodine

tyrosine residues of thyroglobulin

17
Q

upon release, what three binding globulins does T3 and T4 bind to?

A

thyroxine binding globulin
thyroxin binding pre albumin
albumin

18
Q

what is the main binding globulin?

A

thyroid binding globulin

19
Q

when are levels of TBG increased?

A

pregnancy
COCP
tamoxifen
hepatitis

20
Q

decreased levels of TBG?

A

cushings
large dose of steroid
nephrotic syndrome

21
Q

is bound t3/t4 active

A

no, only free

22
Q

what is the most biologically active form of thyroid hormone?

A

T3

23
Q

where does T4 undergo peripheral conversion to T3?

A

in the skin, kidneys and liver upon release into circulation

24
Q

biological effects of T3?

A

increased thermogenesis
increased basal metabolic rate
increased carbohydrate and lipid breakdown, protein synthesis
causes growth
normal cognitive function
enhancement of response to sympathetic nervous system due to increased expression of receptors