Thyroid gland Flashcards

(29 cards)

1
Q

describe the structure of the thyroid gland

A

2 lobes joined by the isthmus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

describe the embryological development of thyroid gland

A
  • originates from foramen caecum
  • thyroid diverticulum grows down > thyroglossal duct
  • as thyroid descends the thyroglossal duct breaks down
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

describe the microscopic structure of thyroid glands

A
  • thyroid follicles - follicular cells in spheres
  • filled with colloid - deposition of thyroglobin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what do thyroid follicular cells produce?

A

thyroid hormone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what do parafollicular cells produce?

A

calcitonin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are the principal cells of the parathyroid gland?
what do they produce?

A

chief cells
parathyroid hormone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

how are thyroid hormones formed?

A

2 iodinated tyrosine molecules are linked together with iodine at 3 or 4 positions on aromatic rings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is needed to make T3?

A

monoiodotyrosine + diiodotyrosine > triiodotyrosine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is needed to make T4?

A

diiodotyrosine + diiodotyrosine > tetraiodotyrosine/thyroxine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the role of thyroglobulin in thyroid hormone formation?

A

acts as a scaffold on which thyroid hormones are produced

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is thyroid peroxidase?

A

membrane bound enzyme that regulates thyroid hormone synthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what does thyroid peroxidase regulate to thyroid hormone synthesis?

A
  • oxidation of iodide to iodine
  • addition of iodine to tyrosine acceptor residues on thyroglobulin
  • coupling of MIT/DIT to generate thyroid hormones
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

outline the absorption of dietary iodine in the thyroid gland

A
  • dietary iodine reduced to iodide
  • iodide absorbed by small intestines
  • iodide taken up from blood by thyroid epithelial cells via Na/I- symport
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

sources of iodine

A

dairy products
meat
vegetables
eggs
grains

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

where is T4 converted to T3?

A

liver + kidneys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how are thyroid hormones transported in the blood?

A

lipid soluble
bound to thyroxine-binding globulin

17
Q

what thyroid hormone is more biologically active?

18
Q

Actions of thyroid hormones

A
  • increased BMR
  • affects growth in children (bone + CNS development)
  • increased HR + CO
  • increase thermogenesis
  • important for normal reproductive function
19
Q

describe the structure of TSH

A

glycoprotein hormone
composed of 2 non-covalently bound subunits aB

20
Q

what does TSH stimulate?

A
  • iodide uptake
  • oxidation of iodide to iodine
  • thyroglobulin synthesis
  • thyroglobulin iodination
  • colloid pinocytosis into cells
  • proteolysis of thyroglobulin
  • cell metabolism + growth
21
Q

how do thyroid hormones increase BMR + heat production?

A
  • increase number + size of mitochondria
  • stimulate synthesis of enzymes in respiratory chain
22
Q

what metabolic pathways are stimulated by thyroid hormone?

A
  • lipid metabolism - lipolysis + B-oxidation
  • carb metabolism - gluconeogenesis, glycogenolysis, insulin dependent entry of glucose into cells
23
Q

effect of thyroid hormones on CVS

A
  • increases hearts responsiveness to catecholamines:
  • increase CO (HR and force of contraction) + peripheral vasodilation
24
Q

effect of thyroid hormones on nervous system

A
  • increased development of neurones
  • increased myelination of nerves
25
What affect would lack of dietary iodine have on? - T3+4 - TSH - goitre present?
- decreased T3+4 - increased TSH - yes, goitre present
26
Blood supply to the thyroid
Superior + inferior thyroid artery
27
Venous drainage of the thyroid
- **superior + middle thyroid veins** drain into internal jugular vein - **inferior thyroid vein**: drains into left brachiocephalic vein
28
Origin of the superior thyroid artery
Branches from external carotid artery
29
Origin of the inferior thyroid artery
subclavian artery > thyrocervical trunk > inferior thyroid artery