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Questions and Answers

What is the primary mechanism by which group I hormones exert their effects?

  • By directly modifying existing enzymes in the cytoplasm
  • Through ion channels in the cell membrane
  • By forming a hormone receptor complex in the cytoplasm (correct)
  • By causing the release of other hormones from the endocrine glands

Which of the following is NOT a hormone classified as group I?

  • Insulin (correct)
  • Retinoic acids
  • Mineralocorticoids
  • Glucocorticoids

What role does the hormone receptor complex play once it is formed in group I hormones?

  • It initiates the process of cell division
  • It destroys unnecessary proteins in the cytoplasm
  • It binds to the DNA at the hormone response element (correct)
  • It transports nutrients into the cell

In group II hormones, what is the primary function of the second messenger?

<p>To initiate the action of G proteins (C)</p> Signup and view all the answers

What kind of hormones utilize cAMP as a second messenger?

<p>Hormones that bind to G protein-coupled receptors (C)</p> Signup and view all the answers

Which component is NOT part of the G protein structure?

<p>Delta subunit (C)</p> Signup and view all the answers

How does the alpha subunit of G protein get activated?

<p>When GDP is replaced by GTP (B)</p> Signup and view all the answers

What is the function of the GTPase activity of the alpha subunit?

<p>To regenerate GDP from GTP (B)</p> Signup and view all the answers

What is the primary second messenger activated by the α-subunit of Gs protein?

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

Which enzymatic action does protein kinase A (PKA) perform through phosphorylation?

<p>It phosphorylates serine or threonine residues. (A)</p> Signup and view all the answers

What is the role of phosphodiesterases in relation to cAMP?

<p>They hydrolyze cAMP to AMP. (B)</p> Signup and view all the answers

How does insulin affect the activity of phosphodiesterase?

<p>It activates phosphodiesterase. (B)</p> Signup and view all the answers

What is a consequence of cholera toxins on the Gs protein signaling pathway?

<p>Continuous activation of adenyl cyclase. (B)</p> Signup and view all the answers

Which protein do the catalytic subunits of protein kinase A phosphorylate to affect gene transcription?

<p>CRE-binding proteins (CREB) (B)</p> Signup and view all the answers

What effect does Gi protein have on adenyl cyclase?

<p>It inhibits adenyl cyclase activity. (C)</p> Signup and view all the answers

In the context of Gs protein signaling, what is primarily affected by the sustained phosphorylation of chloride channels?

<p>Decreased sodium retention. (D)</p> Signup and view all the answers

What effect do thyroid hormones have on red blood cell formation?

<p>They increase RBC formation. (C)</p> Signup and view all the answers

Which system is primarily affected by thyroid hormones to regulate heart rate?

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

How do thyroid hormones influence muscle strength?

<p>They lead to muscle weakness with high or low levels. (C)</p> Signup and view all the answers

Which of the following is a function of thyroid hormones related to the gastrointestinal tract?

<p>Increase motility and appetite. (A)</p> Signup and view all the answers

What role do thyroid hormones play in the central nervous system?

<p>They are essential for normal activity and development. (B)</p> Signup and view all the answers

What is the impact of thyroid hormones on kidney function?

<p>They cause diuresis and increase excretion of K+, Ca++, and PO4. (B)</p> Signup and view all the answers

Which statement best describes the relationship between thyroid hormones and gonadal function?

<p>They are essential for normal gonadal function. (C)</p> Signup and view all the answers

How do thyroid hormones influence blood pressure?

<p>They increase systolic blood pressure and do not affect diastolic pressure. (A)</p> Signup and view all the answers

What anatomical structure is connected to the thyroid lobe by the suspensory ligament of Berry?

<p>Cricoid cartilage (D)</p> Signup and view all the answers

Which nerve is related to the inferior surface of the thyroid gland?

<p>Recurrent laryngeal nerve (B)</p> Signup and view all the answers

During a thyroidectomy, which structure is essential to include with the thyroid gland to prevent hemorrhage?

<p>True capsule (B)</p> Signup and view all the answers

What is the orientation of the apex of each thyroid lobe?

<p>Directed upwards towards the oblique line of thyroid cartilage (C)</p> Signup and view all the answers

The posterior border of the thyroid lobe is related to which of the following?

<p>Parathyroid glands (A)</p> Signup and view all the answers

Which surfaces are present in the isthmus of the thyroid gland?

<p>Anterior and posterior (A)</p> Signup and view all the answers

Which structure is NOT related to the medial surface of the thyroid lobe?

<p>Common carotid artery (D)</p> Signup and view all the answers

What anatomical structure lies deep to the true capsule of the thyroid gland?

<p>Dense venous plexus (B)</p> Signup and view all the answers

What is the primary function of thyrotropin-releasing hormone (TRH)?

<p>Stimulates release of TSH from anterior pituitary (B)</p> Signup and view all the answers

Which feedback mechanism involves T3 and T4 levels directly suppressing TSH release?

<p>Direct Feedback (A)</p> Signup and view all the answers

What role does Long Acting Thyroid Stimulator (LATS) serve in the body?

<p>Acts as a long-term thyroid hormone stimulator (A)</p> Signup and view all the answers

What happens to a normal person when excess iodine is ingested?

<p>Is stored in the thyroid gland without raising thyroxine levels (B)</p> Signup and view all the answers

What is the effect of excess iodine on a hyperthyroid person?

<p>Inhibits biosynthesis of T4 due to inactivation of TSH (A)</p> Signup and view all the answers

What hormone is secreted by parafollicular C-cells in the thyroid gland?

<p>Thyrocalcitonin (C)</p> Signup and view all the answers

Which system predominantly stimulates thyroid secretion?

<p>Sympathetic nervous system (C)</p> Signup and view all the answers

What is the Wolff-Chaikoff effect?

<p>Inhibition of organification of iodide by excess iodine (B)</p> Signup and view all the answers

What is indicated by a fasting blood glucose level that is normal, but rises above 180 mg/dl after a glucose load and falls back to fasting level in less than 2 hours?

<p>Thyrotoxicosis (C)</p> Signup and view all the answers

Which condition is characterized by a flat glucose tolerance test where blood glucose levels fail to rise normally after glucose load?

<p>Myxedema (B)</p> Signup and view all the answers

What does an HbA1c value of greater than or equal to 6.5% indicate?

<p>Diabetes mellitus (A)</p> Signup and view all the answers

What is the normal range for fructosamine levels?

<p>2.4 - 3.4 mmol/L (A)</p> Signup and view all the answers

What is the significance of serum C-peptide levels in diabetic patients?

<p>Assess β-cell function (C)</p> Signup and view all the answers

Which of the following is NOT a method for monitoring diabetes in patients?

<p>Fasting serum insulin (A)</p> Signup and view all the answers

In which of the following conditions does fructosamine level increase?

<p>Uncontrolled diabetes (A)</p> Signup and view all the answers

What is the principle behind the formation of glycosylated hemoglobin (HbA1c)?

<p>Non-enzymatic glycosylation of hemoglobin (A)</p> Signup and view all the answers

Flashcards

Group I Hormones

Lipophilic hormones that act through intracellular receptors, entering cells to bind with receptors in the cytoplasm, forming a complex that then travels to the nucleus to activate gene expression.

Group II Hormones

Hydrophilic hormones that initiate cellular responses via cell membrane receptors and second messengers, such as cAMP, calcium/phosphatidyl inositol, or cGMP.

Intracellular Receptors

Protein receptors located inside the cell, typically in the cytoplasm or nucleus, that bind to lipophilic hormones.

Second Messenger

Molecules within a cell that relay signals from a receptor on the cell membrane to target molecules inside the cell after a hydrophilic hormone binds to the receptor triggering a cascade.

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G-protein

A protein that acts as a molecular switch, transmitting signals from a membrane receptor to intracellular effector molecules.

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Hormone-Response Element (HRE)

Specific DNA sequences where hormone-receptor complexes bind to initiate gene transcription.

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cAMP

A second messenger that activates specific enzymes leading to a cascade of cellular responses following hormone binding.

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GDP/GTP

Guanosine diphosphate and triphosphate, crucial to activate and deactivate G-protein subunits, facilitating signal transduction.

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Gs Protein Activation

The activation of a G protein (Gs) by a hormone-receptor complex leads to adenyl cyclase activation, converting ATP to cAMP.

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cAMP as Second Messenger

Cyclic AMP (cAMP) acts as an intermediary, carrying signals from hormones to their targets inside the cell.

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Protein Kinase A (PKA)

cAMP activates PKA, a key enzyme that phosphorylates other proteins, altering their activity.

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Glycogen Metabolism & PKA

PKA regulates glycogen metabolism by phosphorylating glycogen phosphorylase (activating it) and glycogen synthase (inhibiting it).

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Gene Expression & PKA

PKA's catalytic units activate CREB, influencing gene expression by binding to CREs (cAMP response elements).

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cAMP Hydrolysis

Phosphodiesterases break down cAMP to 5AMP, ending hormonal actions.

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Cholera Toxin Effect

Cholera toxin permanently activates Gs, leading to excessive cAMP production and diarrhea.

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Gi Protein Inhibition

Gi protein inhibits adenyl cyclase activity upon activation by a hormone-receptor complex, altering cAMP levels and modulating cell responses.

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False Capsule of Thyroid

The pretracheal fascia surrounding the thyroid gland, which thickens to form Berry's ligament.

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Berry's Ligament

A thickened part of the pretracheal fascia that connects the thyroid lobe to the cricoid cartilage.

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Thyroid Lobe Apex

The upper tip of the thyroid lobe, extending to the thyroid cartilage.

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Thyroid Lobe Base

The lower part of the thyroid lobe, reaching the 5th or 6th tracheal ring.

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Thyroid Lobe Lateral Surface

The outer surface of the thyroid lobe, covered by strap muscles and the sternomastoid.

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Thyroid Lobe Medial Surface

The inner surface of the thyroid lobe, related to trachea, esophagus, and other structures.

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Thyroid Lobe Posterior Surface

The back surface of the thyroid lobe, containing important blood vessels and the parathyroid glands

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Thyroid Isthmus

The horizontal band of tissue connecting the two lobes of the thyroid gland.

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Thyroid Hormone Impact on Growth

Thyroid hormones are crucial for growth, tissue maturation, and differentiation. They stimulate growth hormone release and protein synthesis.

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Thyroid Dysfunction & Tissue

Hypo- and hyperthyroidism often impair growth development and tissue maintenance.

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Thyroid Hormones & Cardiovascular

Thyroid hormones increase heart rate, cardiac output and decrease peripheral resistance, leading to higher blood pressure.

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Thyroid & Blood Cells

Thyroid hormones increase red blood cell production.

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Thyroid & Respiratory System

Thyroid hormones enhance lung function, specifically by increasing ventilation.

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Thyroid & Kidney Function

Thyroid hormones induce diuresis and increase excretion of certain minerals (K+, Ca++, Po4-) in the urine.

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Thyroid & Digestive

Thyroid hormones elevate digestive system activity, including increased motility and appetite.

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Thyroid & Gonads

Thyroid hormones affect reproductive function in appropriate levels and inhibit prolactin.

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TRH role

Hypothalamic hormone stimulating TSH release from the anterior pituitary

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TSH role

Anterior pituitary hormone stimulating thyroid hormone release

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Negative Feedback (Thyroid)

Increased T3 & T4 suppress TRH & TSH, thus reducing further thyroid hormone production.

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LATS action

Antibody-like molecule causing long-lasting thyroid stimulation

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Iodine excess (Normal)

Stored in the thyroid gland without increasing thyroxine level.

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Iodine excess (Hypothyroid)

Decreases thyroid hyperplasia, returns normal condition by inactivating TSH.

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Wolff-Chaikoff effect

Excess iodine inhibits thyroid hormone production.

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Thyrocalcitonin function

A thyroid hormone that lowers blood calcium levels.

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Lag glucose tolerance curve

Fasting blood glucose is normal, but after glucose, it spikes above 180 mg/dl, falling rapidly back to normal in under 2 hours.

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Flat glucose tolerance curve

Blood glucose levels don't rise normally after a glucose load.

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HbA1c

Hemoglobin with glucose attached, reflecting long-term blood sugar control.

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HbA1c diagnosis

Diabetes is diagnosed with an HbA1c of 6.5% or greater.

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Fructosamine

Fructose attached to protein, reflecting average blood sugar over 2-3 weeks.

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C-peptide

Secreted with insulin; better indicator of beta-cell function than insulin itself.

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Type I vs. Type II diabetes (C-peptide)

Fasting serum C-peptide levels help differentiate between Type I and Type II diabetes.

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Microalbuminuria

Used to check for early signs of diabetic kidney disease.

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Study Notes

Feedback Mechanisms in Endocrine System Control

  • A typical feedback loop involves gland A releasing hormone A, which stimulates gland B to release hormone B. Hormone B then regulates the release of hormone A.
  • Positive feedback: Hormone A stimulates hormone B, leading to more of hormone A.
  • Negative feedback: Hormone A inhibits hormone B, which decreases the release of both hormones. This maintains a stable plasma level of hormone B.

Types of Feedback Mechanisms

  • Extrinsic feedback:
    • Negative feedback:
      • Long-loop feedback:
        • Direct: hormonal/chemical communication between the target gland and the anterior pituitary.
        • Example: Thyroxine (from thyroid gland) decreases TSH (from anterior pituitary), while decreased thyroxine increases TSH.
        • Indirect: hormonal/chemical communication between the target gland (thyroid gland) and the hypothalamus.
        • Example: Increased thyroxine --> decreased TRF (from hypothalamus) --> decreased TSH (from anterior pituitary) --> decreased thyroxine.
      • Short-loop feedback: Hormonal/chemical communication between anterior pituitary and hypothalamus.
      • Ultrashort (auto-feedback): Hormonal communication within the same gland.
  • Intrinsic feedback (Intracellular): Negative feedback at the cellular level, such as the Wolff-Chaikoff effect where large quantities of iodide inhibit thyroid hormone synthesis.

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