Thyroid Gland Flashcards Preview

Physiology and Neuroscience > Thyroid Gland > Flashcards

Flashcards in Thyroid Gland Deck (27):
1

What shape is the thyroid gland?

Butterfly shaped

2

Where is the thyroid gland located?

Just inferior to the larynx

3

What is the thyroid gland composed of?

Right and left lateral lobes, one on either side of the trachea

4

What are the lateral lobe connected by?

Isthmus, anterior to the trachea

5

What is the third small lobe about 50% of thyroid glands have?

Pyramidal lobe, extends superiorly from the isthmus

6

What is the normal mass of the thyroid?

About 30g

7

What makes up most of the thyroid gland?

Thyroid follicles

8

What does the wall of each follicle consist of?

Primarily of cells called follicular cells, most of which extend to the lumen of the follicle

9

What surrounds each follicle?

Basement membrane

10

What happens when follicular cells are inactive?

Their shape is low cuboidal to squamous, but under the influence of TSH they become active in secretion and range from cuboidal to low columnar in shape

11

What two hormones are produced by follicular cells?

Thyroxine (T4- longer half life)
Triiodothyronine (T3- speedy)

12

What lies between cells?

Parafollicular cells (C cells)

13

What do C cells produce?

Produce the hormone calcitonin (CT) which helps regulate calcium homeostasis

14

What are the steps of the synthesis and secretion of T3 and T4?

Iodide trapping
Synthesis of thyroglobulin
Oxidation of iodide
Iodination of tyrosine
Coupling of T1 and T2
Pinocytosis and digestion of colloid
Secretion of thyroid hormones
Transport in the blood

15

What does the parathyroid gland do?

Produces different hormones

16

What actions of thyroid hormone?

Lung maturation in utero (surfactants)- easier breathing as lung more compliant
Bone maturation in infants
Neonatal brain development (proliferation, differentiation, synapse development)
Infant growth by enhancing growth hormone
Increased BMR to achieve calorigenesis
Increased in beta-adrenergic receptor quantity dilates resistance arterioles and sensitivity
Increased skeletal muscle contractility
Increased cardiac muscle contractility directly on Ca/Na exchange, increased heart rate, cardiac output, pulse pressure

17

What is increased inotropic effect lead to?

Greater force of contraction

18

What does increased chronotropic action lead to?

Greater speed

19

What does increased lusitropic effect lead to?

Shorter diastolic relaxation time, all beta effects, diastolic pressure goes up

20

What is the parathyroid hormone?

An 84 a.a. peptide produced by the chief cells of the parathyroid gland

21

What do parathyroid hormone do?

1. Fall in plasma Ca2+ detected by receptors on the parathyroid chief cells
2. Parathyroid hormone (PTH) production increased
3. PTH increases osteoclastic activity but these have no PTH receptors. Current idea is that o-blasts with PTH receptors recruit o-clasts

22

What happens when bone is reabsorbed?

Calcium phosphate is set free. Plasma Ca2+ is therefore restored but there is a phosphate "leak". Phosphate is lost in the urine both by increased filtration loss but also by reduced phosphate reabsorption. In addition, bicarbonate reabsorption is inhibited

23

What is calcitonin?

A 32 a.a. peptide produced by the parafollicular cells of the thyroid gland: may act to increase calcium deposition in bones but maybe only during periods of physiological stress e.g. pregnancy. No diseases associated with excess or deficient production

24

What are the steps of calcitonin production?

1. Increased plasma Ca2+ detected by receptors on parafollicular cells
2. Calcitonin production increased
3. Calcitonin decreases osteoclastic activity

25

What is relevant to bone mass in post menopausal changes?

Osteoclastic bone restoration is inhibited (i.e. put on more bone)

26

What does osteoclast mean?

Breaking bone

27

What does osteoblast mean?

Making bone