Acid-Base Balance and Feedback Mechanisms

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Questions and Answers

What is the normal pH range for maintaining acid-base balance in the body?

  • 7.25-7.35
  • 7.50-7.60
  • 7.35-7.45 (correct)
  • 7.20-7.30

Which component is essential for the synthesis of thyroid hormones?

  • Calcium
  • Iron
  • Zinc
  • Iodine (correct)

What is a characteristic feature of negative feedback in hormonal balance?

  • Stimulus amplifies production
  • Stimulus reduces its own production (correct)
  • Stimulus creates a continuous cycle
  • Stimulus has no effect on production

Which hormone formation occurs when Monoiodotyrosine (MIT) and Diiodotyrosine (DIT) combine?

<p>Triiodothyronine (T3) (A)</p> Signup and view all the answers

What buffer ratio is considered key for maintaining acid-base balance in the body?

<p>20:1 bicarbonate to carbonic acid (B)</p> Signup and view all the answers

In primary hypothyroidism, what is a likely consequence of impaired T3 and T4 synthesis?

<p>Increased TSH levels (D)</p> Signup and view all the answers

Which of the following best describes how proteins function in acid-base balance?

<p>Can function as either acidic or basic buffers (A)</p> Signup and view all the answers

What is a potential effect of elevated reverse T3 (rT3) levels?

<p>Decrease in metabolic rate (A)</p> Signup and view all the answers

What primary mechanism does hemoglobin serve in relation to acid-base balance?

<p>Transports CO2 (A)</p> Signup and view all the answers

Which statement accurately describes the role of bicarbonate in acid-base balance?

<p>Bicarbonate and carbonic acid maintain a 20:1 ratio essential for buffering. (B)</p> Signup and view all the answers

In conditions of respiratory acidosis, which physiological change is expected in pCO2 levels?

<p>pCO2 levels exceed 45 mmHg. (A)</p> Signup and view all the answers

What is the primary function of carrier proteins for hormones in circulation?

<p>To provide controlled availability and extend the hormonal half-life. (D)</p> Signup and view all the answers

How does negative feedback influence hormonal balance?

<p>It reduces its own production in response to increasing levels of a hormone. (D)</p> Signup and view all the answers

What condition is characterized by the presence of anti-TPO antibodies?

<p>Primary Hypothyroidism caused by autoimmune processes. (C)</p> Signup and view all the answers

Which mechanism describes the process of recycling iodine in the thyroid gland?

<p>Enzymes deiodinate MIT and DIT to recover iodine. (A)</p> Signup and view all the answers

Elevated levels of which hormone are indicative of hyperthyroidism and its associated conditions?

<p>Triiodothyronine (T3) (D)</p> Signup and view all the answers

Which symptom is primarily associated with severe hypothyroidism in adults?

<p>Myxedema, characterized by severe swelling and cognitive changes. (A)</p> Signup and view all the answers

What result occurs when Diiodotyrosine (DIT) molecules combine?

<p>Formation of Thyroxine (T4). (B)</p> Signup and view all the answers

What is the role of hemoglobin in relation to CO2 transport?

<p>It binds to CO2 in tissues and releases it in the lungs. (B)</p> Signup and view all the answers

What is a significant difference between positive and negative feedback mechanisms in the body?

<p>Positive feedback amplifies a stimulus until a certain endpoint is reached, whereas negative feedback maintains hormonal balance by reducing its production. (D)</p> Signup and view all the answers

Which of the following statements regarding the binding of thyroid hormones is accurate?

<p>Both T3 and T4 have controlled availability in circulation due to binding to carrier proteins. (D)</p> Signup and view all the answers

Which factor is most likely to contribute to primary hypothyroidism aside from iodine deficiency?

<p>Antibody-mediated destruction of the thyroid gland. (C)</p> Signup and view all the answers

What role does bicarbonate play in the body's acid-base balance?

<p>It maintains a 20:1 ratio with carbonic acid to regulate pH. (B)</p> Signup and view all the answers

In the metabolic process involving thyroid hormones, what is typically the first step of T4 conversion?

<p>T4 is primarily converted to T3 in the liver. (C)</p> Signup and view all the answers

Which statement correctly identifies a common symptom associated with hyperthyroidism?

<p>Nervousness, weight loss, and increased heat sensitivity. (D)</p> Signup and view all the answers

How does reverse T3 (rT3) influence the thyroid hormone function during stress or illness?

<p>It prevents the conversion of T4 to T3. (A)</p> Signup and view all the answers

What is a characteristic feature of hemoglobin's function in acid-base balance?

<p>Hemoglobin releases more CO2 when pH levels decrease. (C)</p> Signup and view all the answers

What is the primary reason for elevated Thyroid-Stimulating Hormone (TSH) levels in primary hypothyroidism?

<p>Reduced synthesis of T3 and T4 by the thyroid gland. (C)</p> Signup and view all the answers

Which statement about reverse T3 (rT3) in thyroid hormone metabolism is accurate?

<p>rT3 serves as an inactive form of T4 that increases during stress or illness. (B)</p> Signup and view all the answers

In the context of acid-base balance, what is the role of phosphate as a buffer system?

<p>It assists in the excretion of H+ ions. (A)</p> Signup and view all the answers

Which of the following statements accurately describes the storage and release of thyroid hormones?

<p>Thyroid hormones utilize carrier proteins to enhance their half-life in circulation. (D)</p> Signup and view all the answers

In which scenario would you expect elevated levels of pCO2 to indicate respiratory acidosis?

<p>Impaired respiratory function leading to reduced ventilation. (A)</p> Signup and view all the answers

Which of the following conditions is primarily associated with Hashimoto's Thyroiditis?

<p>Elevated anti-TPO antibodies. (C)</p> Signup and view all the answers

What differentiates positive feedback from negative feedback in hormonal regulation?

<p>Positive feedback increases hormone production until a certain goal is achieved. (A)</p> Signup and view all the answers

How does the bicarbonate buffer system operate in maintaining acid-base balance?

<p>Bicarbonate plays a crucial role in neutralizing excess H+ ions in the blood. (A)</p> Signup and view all the answers

What impact does iodine deficiency have on thyroid hormone production?

<p>It impairs the synthesis of T3 and T4, increasing TSH levels. (B)</p> Signup and view all the answers

What happens during the physiological responses to an increase in carbon dioxide (CO2) levels?

<p>The kidneys increase HCO3- reabsorption and H+ excretion. (D)</p> Signup and view all the answers

Flashcards

Acid-Base Balance

Maintaining the correct hydrogen ion (H+) concentration in the body, primarily by the lungs and kidneys.

Bicarbonate Buffer System

A crucial buffer system in the body, with a 20:1 ratio of bicarbonate to carbonic acid, playing a key role in regulating pH.

Normal pH range

7.35-7.45

Respiratory Acidosis

A condition where the blood pH is lowered due to increased carbon dioxide levels, often caused by lung function issues.

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Thyroid Hormones

Hormones produced by the thyroid gland; vital for metabolism, growth, and development.

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Thyroid Hormone Formation

Involves iodine binding to tyrosine residues on thyroglobulin, producing T3 and T4 hormones.

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Negative Feedback Mechanism

A self-regulating system where a stimulus decreases its own production, maintaining balance.

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Hypothyroidism

A condition where the thyroid gland doesn't produce enough thyroid hormones.

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Hashimoto's Thyroiditis

An autoimmune disorder that attacks the thyroid gland, leading to hypothyroidism.

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Thyroxine-Binding Globulin (TBG)

A transport protein that carries thyroid hormones.

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What is the normal range for blood pH?

The normal range for blood pH is 7.35 to 7.45. Values outside this range indicate either acidosis (too acidic) or alkalosis (too basic).

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What is the role of the lungs in acid-base balance?

The lungs regulate blood pH by removing carbon dioxide (CO2), which is a major source of acid in the body. Exhaling CO2 helps maintain a healthy pH balance.

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What does 'pCO2' stand for?

pCO2 stands for partial pressure of carbon dioxide, which is a measure of the amount of CO2 in the blood.

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What is the function of a buffer system in the body?

Buffer systems resist changes in pH by absorbing or releasing hydrogen ions (H+). They act as a 'cushion' to prevent drastic pH shifts.

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What is the key buffer system in the body?

The bicarbonate buffer system is the key buffer system. It involves a 20:1 ratio of bicarbonate to carbonic acid, helping to regulate pH.

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How does Hemoglobin contribute to acid-base balance?

Hemoglobin, found in red blood cells, transports CO2 from the tissues to the lungs. This helps remove CO2 from the body, contributing to acid-base balance.

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What is the role of the kidneys in acid-base balance?

The kidneys regulate pH by adjusting the amount of H+ excreted in urine. They can either reabsorb or excrete H+ depending on the body's needs.

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What is the difference between negative and positive feedback?

Negative feedback reduces a stimulus to restore balance. Positive feedback amplifies a stimulus until a specific endpoint is reached.

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What is hypothyroidism?

Hypothyroidism is a condition where the thyroid gland doesn't produce enough thyroid hormone. It can cause symptoms like fatigue, weight gain, and sensitivity to cold.

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What is hyperthyroidism?

Hyperthyroidism is a condition where the thyroid gland produces too much thyroid hormone. It can cause symptoms like weight loss, rapid heartbeat, and anxiety.

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What is the normal pH range for blood?

The normal pH range for blood is 7.35 to 7.45. Values outside this range indicate either acidosis (too acidic) or alkalosis (too basic).

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What are buffer systems?

Buffer systems resist changes in pH by absorbing or releasing hydrogen ions (H+). They act as a 'cushion' to prevent drastic pH shifts.

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What is the difference between T3 and T4?

T3 and T4 are thyroid hormones. T3 is the active form, while T4 needs to be converted to T3 to be active.

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How does Thyroid Stimulating Hormone (TSH) work?

TSH is a hormone produced by the pituitary gland. It stimulates the thyroid gland to produce and release T3 and T4.

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pH and Acid-Base Imbalances

Normal pH range: 7.35 - 7.45. Below 7.35 is acidosis, above 7.45 is alkalosis.

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Thyroglobulin (Tg)

Primary protein in thyroid follicles, serves as the platform for making thyroid hormones (T3, T4).

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Myxedema

Severe hypothyroidism in adults, characterized by swelling of the skin.

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Study Notes

Acid-Base Balance

  • Maintenance: Lungs and kidneys maintain hydrogen ion (H+) levels.
  • Buffer Systems:
    • Bicarbonate: Key buffer, with a 20:1 ratio to carbonic acid.
    • Hemoglobin: Transports carbon dioxide (CO2).
    • Phosphate: Aids in hydrogen ion (H+) excretion.
    • Proteins: Can act as either acids or bases.
  • pH:
    • Normal Range: 7.35-7.45
    • Above 7.45: Alkalosis
  • pCO2:
    • Normal Range: 35-45 mmHg
    • Above 45 mmHg: Respiratory acidosis

Acid-Base Imbalances

Feedback Mechanisms

  • Negative Feedback:
    • Most common mechanism for hormonal balance.
    • Stimulus reduces its own production, maintaining stability.
  • Positive Feedback:
    • Less common.
    • Amplifies a stimulus until a specific endpoint is reached.

Thyroid Gland Overview

  • Location: Neck, composed of follicles filled with colloid.
  • Key Components:
    • Colloid: Contains thyroglobulin (Tg), crucial for thyroid hormone production.
    • Iodine: Essential for thyroid hormone synthesis, actively transported into the gland.

Thyroid Hormone Formation

  • Thyroglobulin (Tg): Primary protein in thyroid follicles.
  • Iodine Binding:
    • Tyrosine residues on Tg bind iodine to form:
      • Monoiodotyrosine (MIT)
      • Diiodotyrosine (DIT)
  • Hormone Formation:
    • MIT + DIT = Triiodothyronine (T3)
    • DIT + DIT = Thyroxine (T4)
  • Release: T3 and T4 are released into the bloodstream upon TSH stimulation.
  • Recycling: Enzymes deiodinate MIT and DIT to recover iodine.

Thyroid Hormone Metabolism

  • T4 Conversion: Primarily converted to the active form (T3) in the liver.
  • Reverse T3 (rT3): Inactive form of T4; increases during stress, illness, or certain medications.
  • Binding: T3 and T4 bind to TBG, TBPA, and albumin for controlled release.

Thyroid Disorders

  • Hypothyroidism:
    • Symptoms: Lethargy, fatigue, cold intolerance, myxedema (adults), cretinism (children).
    • Anti-TPO antibody: common
  • Primary Hypothyroidism:
    • Symptoms: Impaired T3/T4 synthesis, increased TSH levels.
    • Causes: Iodine deficiency, Hashimoto's Thyroiditis (autoimmune attack on thyroid tissue).
  • Hyperthyroidism (Thyrotoxicosis):
    • Symptoms: Low TSH level (opposite of primary hypothyroidism).

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