Homeostasis Principles and Feedback Loops
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Questions and Answers

What is defined as the process of maintaining an internal environment to ensure functional integrity?

  • Metabolism
  • Homeostasis (correct)
  • Homeostatic imbalance
  • Physiological adaptation
  • Which of the following statements accurately describes a negative feedback loop?

  • It enhances the output of a system which leads to more production.
  • It amplifies the original stimulus to drive a process to completion.
  • It maintains a constant increase in system output.
  • It counteracts a change, reducing the output of the system. (correct)
  • Which factor is NOT typically under homeostatic control?

  • Personal preferences (correct)
  • Body temperature
  • Waste products
  • Gases
  • How do behavioral activities affect physiological responses?

    <p>They can trigger compensatory regulatory responses. (B)</p> Signup and view all the answers

    Which of the following examples illustrates a positive feedback loop?

    <p>Release of oxytocin during childbirth. (B)</p> Signup and view all the answers

    What component is part of a physiological feedback loop?

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

    What is the effect of a system's output acting to reduce the processes that lead to that output?

    <p>It stabilizes the system towards equilibrium. (A)</p> Signup and view all the answers

    Which homeostatic control mechanism best describes the role of central chemoreceptors in response to pCO2?

    <p>They adjust respiratory rate. (C)</p> Signup and view all the answers

    What is the main function of antidiuretic hormone (ADH) in the body?

    <p>Regulates water content by increasing permeability in kidney tubules (C)</p> Signup and view all the answers

    Where are the cell bodies of the neurons that produce oxytocin located?

    <p>In the supraoptic and paraventricular nuclei of the hypothalamus (C)</p> Signup and view all the answers

    How does an increase in plasma osmolality affect ADH secretion?

    <p>It stimulates increased ADH secretion (A)</p> Signup and view all the answers

    What is the effect of ADH binding to V1 receptors?

    <p>Stimulates vasoconstriction in arterioles (D)</p> Signup and view all the answers

    What triggers the secretion of oxytocin during breastfeeding?

    <p>Mechanical stimulation from suckling (B)</p> Signup and view all the answers

    What condition results from abnormally low levels of ADH?

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

    What is the primary role of V2 receptors in the kidneys?

    <p>To promote the insertion of water channels in nephron membranes (C)</p> Signup and view all the answers

    Which hormone acts as a neuromodulator and promotes the release of ACTH?

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

    What causes the release of ADH during stress?

    <p>Decreased blood volume (D)</p> Signup and view all the answers

    Which of the following is a consequence of elevated ADH levels?

    <p>High urine osmolality (C)</p> Signup and view all the answers

    Which receptors are primarily responsible for physiological actions of ADH in the kidneys?

    <p>V2 receptors (B)</p> Signup and view all the answers

    What effect does ADH have on the smooth muscle of blood vessels when in high concentrations?

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

    In addition to its role in osmoregulation, ADH can also affect which other physiological aspect?

    <p>Promotes platelet aggregation (B)</p> Signup and view all the answers

    Which of the following correctly describes the secretion of oxytocin during childbirth?

    <p>It promotes contractions of the uterus (D)</p> Signup and view all the answers

    What is the primary role of central chemoreceptors in regulating breathing?

    <p>To monitor pCO2 levels (C)</p> Signup and view all the answers

    What physiological response occurs when body temperature drops?

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

    Which feedback loop mechanism typically amplifies a response?

    <p>Positive feedback (D)</p> Signup and view all the answers

    What initiates the physiological responses when body temperature rises?

    <p>Increased sweat production (C)</p> Signup and view all the answers

    What is a characteristic of positive feedback loops?

    <p>They often lead to unstable systems (A)</p> Signup and view all the answers

    What role do peripheral chemoreceptors primarily play?

    <p>Monitoring pCO2, pO2, and H+ levels (A)</p> Signup and view all the answers

    How does the hypothalamus respond to a decrease in body temperature?

    <p>Increases muscle activity through shivering (B)</p> Signup and view all the answers

    What initiates the positive feedback loop during childbirth?

    <p>Stretching of the cervix (A)</p> Signup and view all the answers

    What is the first step in the feedback loop process?

    <p>Detection by the sensor (B)</p> Signup and view all the answers

    Which type of pathway regulates physiological responses through internal mechanisms without external influence?

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

    In a negative feedback loop, what happens when the variable returns to set points?

    <p>The effector no longer receives signals to change (D)</p> Signup and view all the answers

    During which physiological condition might the body engage feedforward mechanisms?

    <p>Anticipation of physical activity (A)</p> Signup and view all the answers

    Which hormone is released by the pituitary gland to facilitate milk ejection during nursing?

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

    What best describes the relationship between a comparator and an effector in feedback loops?

    <p>The comparator only detects changes, while the effector initiates a response. (D)</p> Signup and view all the answers

    What is the main consequence of chronic glucocorticoid administration on adrenal cortical cells?

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

    What effect does cortisol have on adrenal cortex growth?

    <p>Promotes growth and structural maintenance of adrenal cortex cells (B)</p> Signup and view all the answers

    Which hormone inhibits the secretion of growth hormone?

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

    What is a primary physiological effect of growth hormone (GH)?

    <p>Stimulates growth and anabolic functions (D)</p> Signup and view all the answers

    What condition is characterized by excessive growth hormone production in adults?

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

    What triggers increased secretion of prolactin during lactation?

    <p>Neural reflexes from suckling (C)</p> Signup and view all the answers

    What effect do estrogen levels have on prolactin secretion?

    <p>Stimulate prolactin release (D)</p> Signup and view all the answers

    Which hormone is responsible for regulating thyroid function through stimulation of the TSH receptor?

    <p>Thyroid stimulating hormone (TSH) (C)</p> Signup and view all the answers

    What is a common side effect of bromocriptine, a dopamine receptor stimulant?

    <p>Nausea and vomiting (D)</p> Signup and view all the answers

    What is the primary role of T3 in the secretion regulation of TSH?

    <p>Inhibits secretion of TSH (D)</p> Signup and view all the answers

    Which factor leads to the secretion of FSH and LH from the anterior pituitary?

    <p>Gonadotropin-releasing hormone (GnRH) (A)</p> Signup and view all the answers

    Which substance acts as the main inhibitory mediator for prolactin secretion?

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

    How does FSH affect ovarian follicle development?

    <p>Stimulates growth and maturation of follicles (D)</p> Signup and view all the answers

    What is the result of IGF-1's action on growth hormone production?

    <p>Inhibits GH release through somatostatin (D)</p> Signup and view all the answers

    What is the effect of cortisol on ACTH secretion?

    <p>Cortisol negatively feeds back to inhibit ACTH secretion (C)</p> Signup and view all the answers

    Which hormone is primarily involved in the regulation of mineralocorticoid production?

    <p>Renin-angiotensin system (D)</p> Signup and view all the answers

    How does inhibin specifically affect hormone production?

    <p>Inhibits only FSH production (C)</p> Signup and view all the answers

    Which of the following actions of ACTH is a primary physiological response?

    <p>Stimulation of synthesis and release of glucocorticoids (D)</p> Signup and view all the answers

    What is the primary role of MSH in the body?

    <p>Promotes formation of melanin (B)</p> Signup and view all the answers

    What physiological effect does an increase in aldosterone primarily have?

    <p>Increases potassium excretion (B)</p> Signup and view all the answers

    Which cells in the ovary are primarily stimulated by LH?

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

    What general physiological pattern do ACTH levels follow during the day?

    <p>Shows a diurnal pattern (A)</p> Signup and view all the answers

    In hyperthyroidism, what happens to the production of T3 and T4 levels?

    <p>Increased due to low TSH levels (A)</p> Signup and view all the answers

    What is the primary physiological feedback mechanism for controlling TSH secretion?

    <p>Negative feedback from thyroid hormones (A)</p> Signup and view all the answers

    What is the effect of anticipatory increases in breathing frequency during exercise-induced hypoxia?

    <p>It reduces the time course of the response (D)</p> Signup and view all the answers

    Which response helps the body maintain homeostasis during a body temperature increase?

    <p>Increased sweating and vasodilation (B)</p> Signup and view all the answers

    What is the role of hormones in compensatory regulatory responses?

    <p>They act as messengers to facilitate long-term response changes. (D)</p> Signup and view all the answers

    What does the term 'gain of control system' refer to?

    <p>The degree of effectiveness of a control system in maintaining homeostasis. (B)</p> Signup and view all the answers

    In the context of homeostasis, what condition is associated with COPD?

    <p>Persistent hypoxaemia and modified set points (C)</p> Signup and view all the answers

    What triggers the fever response in the body?

    <p>Prostaglandin E2 acting on the thermoregulatory center (D)</p> Signup and view all the answers

    What is the primary function of melanocyte-stimulating hormone (MSH)?

    <p>Stimulates production of melanin (D)</p> Signup and view all the answers

    What differentiates the anterior pituitary from the posterior pituitary?

    <p>It is composed of neural tissue in contrast to glandular tissue in the anterior pituitary. (A)</p> Signup and view all the answers

    What is a consequence of excessive alpha-MSH production?

    <p>Increased risk of melanoma (A)</p> Signup and view all the answers

    What is the primary function of the hormones produced by the anterior pituitary?

    <p>To control the functions of other endocrine glands (D)</p> Signup and view all the answers

    Which hormones are secreted by the adenohypophysis?

    <p>Thyroid-stimulating hormone and growth hormone (A)</p> Signup and view all the answers

    What is the role of the hypothalamus regarding the pituitary gland?

    <p>It controls the release of hormones from both anterior and posterior glands. (D)</p> Signup and view all the answers

    What is a significant role of the thyroid gland?

    <p>Regulates metabolism and growth (A)</p> Signup and view all the answers

    What is the effect of thyroid hormones on metabolic control?

    <p>Regulates gene expression for energy metabolism (B)</p> Signup and view all the answers

    What is the result of the body adapting to a high altitude over time?

    <p>Improved efficiency in oxygen transport through increased RBC production (B)</p> Signup and view all the answers

    How does the body react to excess caloric intake?

    <p>It enhances fat storage for energy reserves. (C)</p> Signup and view all the answers

    Which cells in the thyroid gland synthesize and release T3 and T4?

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

    What can result from pituitary tumours affecting the optic chiasm?

    <p>Visual field defects (C)</p> Signup and view all the answers

    How does the hypothalamic-pituitary axis contribute to stress response regulation?

    <p>By regulating multiple endocrine functions related to stress (C)</p> Signup and view all the answers

    What does steady-state gain indicate in a control system?

    <p>Constant effectiveness in maintaining homeostasis without variation. (D)</p> Signup and view all the answers

    How are T3 and T4 levels primarily regulated in the body?

    <p>Through negative feedback by thyroid-stimulating hormone (B)</p> Signup and view all the answers

    What is rT3 and its relationship to T3?

    <p>It is an inactive form of T3 produced in peripheral tissues. (C)</p> Signup and view all the answers

    What effect do antipyretic drugs have during a fever?

    <p>They inhibit cyclo-oxygenase 2 (COX-2), limiting the fever response. (B)</p> Signup and view all the answers

    What is the primary structural component of thyroid follicles?

    <p>Follicular cells (D)</p> Signup and view all the answers

    What primary role does oxytocin play during childbirth?

    <p>Induces regular uterine contractions (A)</p> Signup and view all the answers

    Which hormone is primarily responsible for stimulating the production of breast milk?

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

    What does dopamine inhibit in relation to lactotrophs in the anterior pituitary?

    <p>Release of prolactin (B)</p> Signup and view all the answers

    What is the function of Folliculostellate cells in the anterior pituitary?

    <p>Regulate hormone-secreting endocrine cells (C)</p> Signup and view all the answers

    Which hypothalamic hormone stimulates the secretion of growth hormone?

    <p>Growth hormone-releasing factor (A)</p> Signup and view all the answers

    Which of the following hormone pathways is indicated as a long negative feedback mechanism?

    <p>Adrenal corticotropic hormone influencing the hypothalamus (A)</p> Signup and view all the answers

    What primarily stimulates the release of oxytocin from the posterior pituitary during breastfeeding?

    <p>Nipple stimulation by the infant's latch (A)</p> Signup and view all the answers

    What effect does somatostatin have on growth hormone?

    <p>Inhibits its release (D)</p> Signup and view all the answers

    What role does the primary plexus play in the hormone regulation system?

    <p>It facilitates hormone transport from hypothalamus to anterior pituitary (B)</p> Signup and view all the answers

    Which hormone is responsible for regulating the integrity of the thyroid gland?

    <p>Thyroid-stimulating hormone (D)</p> Signup and view all the answers

    What is the primary role of the adenohypophysis?

    <p>To secrete hormones that regulate various physiological processes (C)</p> Signup and view all the answers

    What initiates the physiological response leading to oxytocin release during childbirth?

    <p>Vaginal distention and cervical stimulation (C)</p> Signup and view all the answers

    What is the effect of prolactin during the postpartum period?

    <p>It promotes development of mammary tissue (A)</p> Signup and view all the answers

    What pathway is responsible for transporting hormones from the hypothalamus to the anterior pituitary?

    <p>Hypophyseal portal system (C)</p> Signup and view all the answers

    Which hormone is primarily responsible for regulating the metabolism of carbohydrates, fats, and proteins?

    <p>Thyroid hormones (T3 and T4) (C)</p> Signup and view all the answers

    What is one significant effect of T3 and T4 on carbohydrate metabolism?

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

    How do T3 and T4 influence fat metabolism?

    <p>They stimulate fat breakdown and oxidation. (B)</p> Signup and view all the answers

    What is the primary function of the thyroid-stimulating hormone (TSH)?

    <p>To stimulate growth and activity of the thyroid gland (A)</p> Signup and view all the answers

    Which type of goitre is uniformly enlarged without changes in hormone levels?

    <p>Non-toxic goitre (D)</p> Signup and view all the answers

    What role do thyroid hormones play during development and growth?

    <p>They are essential for normal neurogenesis and maturation of the CNS. (D)</p> Signup and view all the answers

    What is a common consequence of mutations in the MCT8 gene?

    <p>Impaired T3 transport into brain cells (D)</p> Signup and view all the answers

    In what way do thyroid hormones affect the basal metabolic rate (BMR)?

    <p>They enhance ATP consumption and energy expenditure. (C)</p> Signup and view all the answers

    What is the initial treatment option for hypothyroidism?

    <p>Synthetic T4 oral tablets (B)</p> Signup and view all the answers

    What effect do thyroid hormones have on the autonomic nervous system (ANS)?

    <p>They increase the number of adrenergic receptors. (A)</p> Signup and view all the answers

    Which of the following statements is true about T3 and T4 during early development?

    <p>They are crucial for synaptic plasticity and neurotransmitter regulation. (A)</p> Signup and view all the answers

    What defines a toxic goitre?

    <p>Linked to increased thyroid hormone production (B)</p> Signup and view all the answers

    What are the effects of administering too high a dose of thyroid hormones?

    <p>Cardiac dysfunction (D)</p> Signup and view all the answers

    What triggers the process of thermoregulation in relation to thyroid hormones?

    <p>Enhanced Na/K ATPase activity. (C)</p> Signup and view all the answers

    Which physiological aspect is influenced by thyroid hormones during starvation?

    <p>Accelerated response to starvation. (C)</p> Signup and view all the answers

    In which condition is T3 typically used as a treatment option?

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

    How do thyroid hormones affect growth plate activity in long bones?

    <p>They stimulate proliferation of osteoblasts and maturation of chondrocytes. (A)</p> Signup and view all the answers

    What condition results in severe neurodevelopmental defects due to impaired T3 transport?

    <p>Allan-Herndon-Dudley syndrome (D)</p> Signup and view all the answers

    What factor often contributes to the development of multinodular goitre?

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

    What role does the MCT10 transporter play in the context of thyroid hormones?

    <p>Facilitates entry of T3 and rT3 into brain (A)</p> Signup and view all the answers

    What is the primary role of T3 and T4 in the body?

    <p>To increase metabolism in peripheral tissue (D)</p> Signup and view all the answers

    What triggers the release of TSH from the anterior pituitary?

    <p>Increased TRH from hypothalamus (D)</p> Signup and view all the answers

    Which condition can result from iodine deficiency?

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

    In which condition is the thyroid gland continuously stimulated to produce hormones?

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

    What is a characteristic symptom of hyperthyroidism?

    <p>Increased heat production and sweating (B)</p> Signup and view all the answers

    How does the feedback loop function in regulating thyroid hormone secretion?

    <p>Low levels of T3 increase TRH and TSH secretion (A)</p> Signup and view all the answers

    What mechanism does TSH use to act on thyroid follicle cells?

    <p>Activation of second messengers (D)</p> Signup and view all the answers

    Which of the following hypothesized connections contributes to the pathophysiology of Graves disease?

    <p>Immune system producing thyroid-stimulating immunoglobulin (B)</p> Signup and view all the answers

    What is a common side effect of antithyroid medication?

    <p>Potential for relapse after cessation (C)</p> Signup and view all the answers

    Which of the following is a possible treatment for hyperthyroidism?

    <p>Surgical removal of the thyroid gland (D)</p> Signup and view all the answers

    What role does iodine play in thyroid hormone synthesis?

    <p>It is essential for the synthesis of T3 and T4 (C)</p> Signup and view all the answers

    Which hormone has a regulatory role in the TRH-TSH pathway?

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

    Which physiological effect is due to hyperthyroidism?

    <p>Weight loss despite high appetite (B)</p> Signup and view all the answers

    What factors contribute to the regulation of TH secretion?

    <p>Feedback loops among endocrine glands (B)</p> Signup and view all the answers

    What role does reverse T3 (rT3) serve in the body?

    <p>It has no physiological role and is cleared from circulation. (D)</p> Signup and view all the answers

    Which deiodinase type is primarily responsible for converting T4 to T3 in the liver and kidneys?

    <p>Type 1 deiodinase (D)</p> Signup and view all the answers

    What is the primary function of calcitonin?

    <p>To inhibit bone resorption and decrease blood calcium levels. (C)</p> Signup and view all the answers

    What is the main role of type 3 deiodinase?

    <p>Inactivation of thyroid hormones. (D)</p> Signup and view all the answers

    What is synthesized by thyroid epithelial cells and serves as a scaffold for thyroid hormone synthesis?

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

    How does thyroid hormone (TH) affect gene expression?

    <p>By activating or repressing gene transcription through nuclear receptors. (C)</p> Signup and view all the answers

    Which type of deiodinase is expressed primarily in the CNS and provides T3 during low T4 levels?

    <p>Type 2 deiodinase (D)</p> Signup and view all the answers

    What stimulates all aspects of thyroid hormone synthesis and release?

    <p>Thyroid-stimulating hormone (TSH) (D)</p> Signup and view all the answers

    What is a consequence of altered deiodinase activity in thyroid disorders?

    <p>Development of hypothyroidism or hyperthyroidism (A)</p> Signup and view all the answers

    Which thyroid hormones remain stored within thyroglobulin in the colloid until needed?

    <p>Both T3 and T4 (C)</p> Signup and view all the answers

    Which enzyme catalyzes the production of thyroid hormones by oxidizing iodide to iodine?

    <p>Thyroid peroxidase (D)</p> Signup and view all the answers

    What is a therapeutic implication of deiodinase inhibitors?

    <p>Manage thyroid hormone-related disorders (B)</p> Signup and view all the answers

    What is the primary mechanism of action for type 1 deiodinase?

    <p>Activating T4 to T3 by removing outer ring iodine (D)</p> Signup and view all the answers

    What is the minor carrier protein that is important for thyroid hormone delivery to the CNS?

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

    What is the primary role of thyroglobulin in the thyroid gland?

    <p>To serve as a scaffold for the synthesis of thyroid hormones (B)</p> Signup and view all the answers

    Which of the following best describes the energy dependency of iodine uptake in the thyroid gland?

    <p>Iodine uptake requires energy to move against a concentration gradient (C)</p> Signup and view all the answers

    What is the primary function of thyroid peroxidase in thyroid hormone synthesis?

    <p>To oxidize iodine and iodinate tyrosine residues (B)</p> Signup and view all the answers

    Which thyroid hormone is produced when two diiodotyrosine (DIT) molecules are coupled?

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

    Which thyroid hormone receptor isoform is primarily involved in regulating metabolism in the heart?

    <p>TRa1 (D)</p> Signup and view all the answers

    What triggers the release of co-activator complexes during transcription regulation by thyroid receptors?

    <p>Binding of thyroid hormones (A)</p> Signup and view all the answers

    What is the minimum daily requirement of iodine for adults?

    <p>150 ug (C)</p> Signup and view all the answers

    Which of the following accurately describes the structural domain organization of thyroid receptors?

    <p>It consists of four domains including N-terminal, DNA-binding, and ligand-binding domains (D)</p> Signup and view all the answers

    How does thyroid hormone receptor (TR) interact with retinoid acid X receptor (RXR)?

    <p>They form a heterodimer that binds to thyroid response elements (D)</p> Signup and view all the answers

    Which physiological effect is primarily associated with thyroid hormones on cellular development?

    <p>Enhanced differentiation of nerve cells (A)</p> Signup and view all the answers

    What is the role of the Na+/I- symporter (NIS) in the thyroid gland?

    <p>To enable iodine uptake into thyroid follicular cells (A)</p> Signup and view all the answers

    Which component of the thyroid hormone synthesis process requires hydrogen peroxide?

    <p>Oxidation of iodine and iodination (A)</p> Signup and view all the answers

    Which thyroid hormone is formed through the coupling of monoiodotyrosine (MIT) and diiodotyrosine (DIT)?

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

    What is the primary mechanism by which thioureylenes inhibit thyroid hormone synthesis?

    <p>They prevent iodination of tyrosine residues. (B)</p> Signup and view all the answers

    Which of the following describes the main action of propylthiouracil in the treatment of hyperthyroidism?

    <p>It inhibits the deiodinase enzyme converting T4 to T3. (C)</p> Signup and view all the answers

    What is a significant side effect of carbimazole/methimazole that often leads patients to switch medications?

    <p>Skin rash. (A)</p> Signup and view all the answers

    What is the function of radioiodine (I-131) in treating hyperthyroidism?

    <p>It selectively destroys thyroid follicular cells. (C)</p> Signup and view all the answers

    What occurs when iodine intake exceeds 2 mg/day concerning thyroid hormone synthesis?

    <p>NADPH oxidase activity and TPO gene expressions are suppressed. (D)</p> Signup and view all the answers

    What is the Wolff-Chaikoff effect related to high concentrations of iodine?

    <p>Inhibits thyroid hormone synthesis acutely. (D)</p> Signup and view all the answers

    How do beta-blockers like propranolol work in the context of hyperthyroidism?

    <p>They competitively inhibit beta-adrenergic receptors. (A)</p> Signup and view all the answers

    What is a potential effect of using I-131 for hyperthyroidism treatment?

    <p>It may require thyroid hormone replacement therapy. (A)</p> Signup and view all the answers

    What is the most common cause of hypothyroidism?

    <p>Inflammatory/autoimmune disease like Hashimoto's disease. (A)</p> Signup and view all the answers

    What symptom is most commonly associated with hyperthyroidism?

    <p>Anxiety and tremors. (A)</p> Signup and view all the answers

    In hypothyroidism, what happens to TSH levels due to decreased levels of thyroid hormones?

    <p>TSH levels increase above normal levels. (D)</p> Signup and view all the answers

    What characterizes myxedema coma?

    <p>Severe form of hypothyroidism. (D)</p> Signup and view all the answers

    What is a primary metabolic consequence of inadequate thyroid hormone production?

    <p>Generalized slowing of metabolic processes. (B)</p> Signup and view all the answers

    Flashcards

    Homeostasis

    Maintaining a stable internal environment for normal body function

    Physiological Feedback Loop

    Mechanism that monitors and adjusts physiological variables to maintain homeostasis

    Negative Feedback Loop

    A system's response counteracts the initial change, stabilizing the system.

    Positive Feedback Loop

    System's response amplifies the initial change, potentially pushing it further.

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    Set Point

    Optimal value for a specific physiological parameter (like body temp)

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    Homeostatic Control Factors

    Variables like nutrients, gases, wastes, pH, electrolytes, and temperature, that need to be regulated.

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    Compensatory Regulatory Response

    Body's reaction to maintain homeostasis after a change or stress.

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    Extracellular Fluid

    Fluid outside of cells, containing sodium, chloride, and nutrients.

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    Feedback Loop

    A system that regulates a variable by using the output to control the input.

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    Sensor

    Detects changes in a variable.

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    Comparator

    Compares the sensor's input to a set point.

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    Effector

    Produces a response to bring the variable back to the set point.

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    pCO2

    Partial pressure of carbon dioxide in the blood.

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    pO2

    Partial pressure of oxygen in the blood.

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    Central Chemoreceptors

    Detect changes in pCO2 and H+ in the brain.

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    Peripheral Chemoreceptors

    Detect changes in O2, CO2, and H+ in the blood.

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    Vasodilation

    Widening of blood vessels to increase blood flow.

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    Vasconstriction

    Narrowing of blood vessels to decrease blood flow.

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    Feedforward

    Anticipatory response to a changing variable.

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    Neuronal response

    Quick response to environmental or internal changes using nerve impulses.

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    Hormonal response

    Longer-term responses mediated by hormones as messengers.

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    Metabolic adjustments

    Responses that adjust energy balance (deficit/surplus).

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    Behavioural response

    Changes in behaviour to cope with environmental changes.

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    Adaptive responses

    Long-term changes enhancing the organism's ability to cope with stress.

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    Gain of control system

    Effectiveness of a control system in maintaining homeostasis.

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    Steady-state gain

    Consistent effectiveness of a control system.

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    Hypoxia

    Low oxygen levels in the body.

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    Modification of set points

    Adjusting reference values to maintain tolerance of specific conditions.

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    Pyrexia (fever)

    Regulated hyperthermia, a normal response to infection.

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    Hypothalamic-pituitary axis

    Control center of the endocrine system, regulating various bodily functions.

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    Anterior pituitary

    Part of the pituitary gland producing hormones.

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    Posterior pituitary

    Part of the pituitary gland storing and releasing hormones.

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    Secondary Plexus

    A network of neurons that connects the anterior and posterior pituitary glands, serving as a critical synapse point for posterior pituitary neurons.

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    Magnocellular Neurons

    Large neurons with cell bodies in the hypothalamus, whose axons extend to the posterior pituitary, releasing hormones like oxytocin and ADH.

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    Parvicellular Neurons

    Small neurons in the hypothalamus, responsible for regulating the anterior pituitary gland through hormone release.

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    Hypothalamic-Hypophyseal Tract

    Bundle of axons extending from the hypothalamus to the posterior pituitary, carrying hormones for release.

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    ADH (Antidiuretic Hormone)

    A hormone produced by the hypothalamus and released by the posterior pituitary, regulating water balance in the body.

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    ADH Receptors (V1, V2, V3)

    Specific protein molecules on target cells that bind to ADH, initiating different responses based on receptor type.

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    Plasma Osmolality

    Concentration of dissolved substances in the blood, a key factor regulating ADH secretion.

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    Baroreceptors

    Pressure sensors in the cardiovascular system, detecting changes in blood pressure and influencing ADH release.

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    Oxytocin

    A hormone produced by the hypothalamus and released by the posterior pituitary, playing a role in childbirth, breastfeeding, and social bonding.

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    Myoepithelial Cells

    Muscle-like cells surrounding mammary glands, responsible for contracting to expel milk during breastfeeding.

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    Diabetes Insipidus

    A condition caused by insufficient ADH production or reduced kidney sensitivity to ADH, leading to excessive urination and dehydration.

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    Central Diabetes Insipidus

    A type of diabetes insipidus caused by a deficiency in ADH production by the hypothalamus.

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    ADH Analogs

    Synthetic versions of ADH, used clinically to treat diabetes insipidus and sometimes to control bleeding.

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    Milk Expression

    The process of releasing milk from the breasts, triggered by oxytocin, which causes contractions of myoepithelial cells surrounding milk ducts.

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    Oxytocin in Labour

    During labor, the stretching of the cervix and vagina releases estrogen, which increases oxytocin sensitivity in the uterus. Oxytocin then causes coordinated contractions, leading to the delivery of the baby. The contractions further stimulate oxytocin release, creating a positive feedback loop.

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    Crying and Oxytocin

    Crying, particularly in infants, can stimulate the release of oxytocin. While the exact mechanism is not fully understood, this suggests a potential role of oxytocin in social bonding and stress response.

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    Suckling and Oxytocin

    A baby latches onto the nipple, sending signals to the hypothalamus via afferent neurons, which triggers the release of oxytocin from the posterior pituitary gland.

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    Prolactin's Role

    Prolactin, released from the anterior pituitary gland, is responsible for the production of breast milk.

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    Adenohypophysis

    The anterior pituitary gland, a true endocrine organ responsible for producing and releasing crucial hormones that regulate various bodily functions.

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    Hypophysiotropic Neurons

    Specialized neurons located in the hypothalamus that produce and release hormones that influence the function of the anterior pituitary.

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    Primary Plexus

    A network of capillaries in the hypothalamus where hypothalamic hormones are secreted.

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    Folliculostellate Cells

    Specialized non-endocrine cells in the anterior pituitary that support the function of hormone-secreting cells and regulate their activity.

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    Peptidergic Neurons

    Neurons in the hypothalamus that release peptide hormones, such as releasing and inhibiting factors, which control the secretion of hormones from the anterior pituitary.

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    Tuberohypophyseal Dopaminergic Pathway

    A neural pathway that transports dopamine from the hypothalamus to the anterior pituitary, where it inhibits prolactin secretion.

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    Negative Feedback in Endocrine System

    A mechanism where the hormones released from the pituitary gland or peripheral organs regulate the release of stimulatory hormones from the hypothalamus, creating a balance in the endocrine system.

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    Long Negative Feedback

    Hormones secreted from peripheral endocrine glands act on both the hypothalamus and the anterior pituitary to regulate the release of stimulatory hormones.

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    Short Negative Feedback

    Anterior pituitary hormones exert a direct regulatory effect on the hypothalamus.

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    T3 and T4

    Thyroid hormones produced by the thyroid gland, essential for metabolism and growth.

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    Negative Feedback of TSH

    High levels of T3 and T4 in the blood inhibit TSH secretion, preventing overproduction of thyroid hormones.

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    Hyperthyroidism

    Overactive thyroid gland, produces excessive T3 and T4, leading to symptoms like weight loss and rapid heartbeat.

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    Hypothyroidism

    Underactive thyroid gland, produces insufficient T3 and T4, leading to symptoms like fatigue and weight gain.

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    FSH and LH

    Follicle Stimulating Hormone and Luteinizing Hormone, released by the anterior pituitary, regulate gonadal function in both males and females.

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    GnRH

    Gonadotropin Releasing Hormone, released by the hypothalamus, stimulates FSH and LH release from the anterior pituitary.

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    Ovarian Follicle Development

    FSH stimulates follicle growth, while LH triggers ovulation and corpus luteum formation.

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    Oestrogen and Progesterone

    Hormones produced by ovaries, involved in regulating menstrual cycles and pregnancy.

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    Cortisol

    Stress hormone produced by the adrenal cortex, helps regulate blood sugar and reduce inflammation.

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    Negative Feedback of ACTH

    High levels of cortisol in the blood inhibit ACTH secretion, preventing overproduction of cortisol.

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    Tetracosactide

    Synthetic ACTH, used to diagnose adrenal insufficiency by stimulating cortisol production.

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    ACTH's role in adrenal cortex

    ACTH stimulates cortisol synthesis by activating melanocortin receptors and the cAMP pathway, contributing to adrenal cortex growth and maintenance.

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    Chronic glucocorticoid administration effect

    Chronic administration of glucocorticoids suppresses ACTH secretion, leading to adrenal atrophy due to the loss of ACTH's trophic action.

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    Growth hormone's function

    Growth hormone stimulates growth by promoting IGF-1 production, which mediates anabolic functions. It also regulates metabolism.

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    GH regulation

    GH secretion is stimulated by GHRH and inhibited by somatostatin. IGF-1 and somatostatin provide negative feedback on GH production.

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    GH deficiency

    Lack of GH leads to pituitary dwarfism. It can be treated with GH therapy.

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    Excess GH

    Excess GH results in gigantism in children and acromegaly in adults.

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    Prolactin function

    Prolactin controls milk production by stimulating breast milk manufacture. It also plays a role in breast development during pregnancy.

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    Prolactin regulation

    Prolactin secretion is normally inhibited by dopamine. Suckling, estrogen and dopamine antagonists stimulate prolactin release.

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    Prolactin in pregnancy

    Prolactin levels increase during pregnancy due to estrogen's effect, preparing for lactation after birth.

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    Bromocriptine use

    Bromocriptine, a dopamine agonist, is used to reduce excessive prolactin secretion.

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    Melanin production

    The process of creating melanin, a pigment responsible for skin, hair, and eye color, stimulated by melanocyte-stimulating hormone (MSH).

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    Melanocortin receptors

    G-protein coupled receptors on melanocytes that bind to MSH and activate cAMP synthesis, leading to melanin production.

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    Tropic hormone feedback

    A mechanism where hormones produced by target organs influence the production of tropic hormones by the pituitary gland and hypothalamus, regulating hormone levels.

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    Short loop feedback

    A feedback loop where the target organ's hormone inhibits the anterior pituitary's production of the tropic hormone.

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    Long loop feedback

    Feedback loop where the target organ's hormone inhibits both the anterior pituitary and hypothalamus.

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    Neurohypophysis

    The posterior pituitary composed of neural tissue, storing and releasing hormones produced by the hypothalamus.

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    Thyroid structure

    A butterfly-shaped organ in the neck consisting of two lobes connected by an isthmus. Its basic unit is the thyroid follicle, a spherical structure with follicular cells surrounding a colloid-filled lumen.

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    Thyroid hormone synthesis

    Thyroid follicular cells synthesise and iodinate thyroglobulin, the precursor to thyroid hormones T3 and T4, within the follicle lumen.

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    Reverse T3 (rT3)

    An inactive form of thyroid hormone, produced in small amounts by the thyroid and during peripheral T4 metabolism. It has no physiological role and is cleared from circulation.

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    T4 to T3 Conversion

    The process where the inactive thyroid hormone T4 is converted to the active form T3 by deiodinase enzymes in peripheral tissues.

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    Deiodinase Enzymes

    Enzymes that regulate thyroid hormone activity by removing iodine atoms from T3 and T4, leading to activation or inactivation.

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    Type 1 Deiodinase (DIO1)

    A low-affinity deiodinase found in tissues with high blood flow. It converts T4 to T3 (activation) and T4 to rT3 (deactivation).

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    Type 2 Deiodinase (DIO2)

    A high-affinity deiodinase found in the brain and pituitary gland. It converts T4 to T3 (activation) to maintain local T3 levels.

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    Type 3 Deiodinase (DIO3)

    A deiodinase that inactivates thyroid hormones, converting T4 to rT3 and T3 to T2, both inactive forms.

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    Thyroglobulin (TG)

    A large glycoprotein produced by follicular cells, serving as a scaffold for thyroid hormone synthesis. It contains tyrosine residues that are iodinated and coupled to form T4 and T3.

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    Iodine Trap

    A mechanism by which thyroid epithelial cells actively take up iodide (I-) from the blood. This ensures a sufficient supply of iodine for thyroid hormone synthesis.

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    Thyroid Peroxidase (TPO)

    An enzyme on the apical membrane of follicular cells. It catalyzes the iodination of tyrosine residues in thyroglobulin to form thyroid hormones.

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    Colloid

    A gel-like substance within the thyroid follicles, where thyroid hormones are synthesized and stored in thyroglobulin. It's taken up by follicular cells through endocytosis.

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    Thyroxine-Binding Globulin (TBG)

    The primary carrier protein in the blood for transporting thyroid hormones. It binds mainly to T4 but also to T3.

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    TSH Stimulation of Thyroid HormoneSynthesis

    Thyroid-stimulating hormone (TSH) released from the anterior pituitary stimulates all aspects of thyroid hormone synthesis and release, including iodine uptake, thyroglobulin production, and thyroid hormone release.

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    Deiodinase Inhibitor

    Therapeutic substances that block the activity of deiodinase enzymes, potentially used for managing thyroid hormone-related disorders.

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    Low T3 Syndrome

    A clinical condition characterized by low levels of active T3, often in critical illness or cancer. It can result from increased DIO3 activity.

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    T3 and T4's Role in Metabolism

    T3 and T4 increase the speed of energy use in the body by influencing carbohydrate, fat, and protein metabolism. They increase the activity of enzymes involved in cellular respiration and energy production, leading to higher caloric burn.

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    T3 and T4's Effect on Carbohydrate Metabolism

    T3 and T4 increase the uptake and utilization of glucose by enhancing the expression of glucose transporters (GLUT1 and GLUT4), allowing cells to absorb more glucose. They also stimulate glycogenolysis and gluconeogenesis, increasing blood glucose levels for energy.

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    T3 and T4's Effect on Fat Metabolism

    T3 and T4 stimulate the breakdown of fats (lipids) by increasing the expression of lipases. This releases fatty acids and glycerol into the bloodstream for energy production.

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    T3 and T4's Effect on Protein Metabolism

    T3 and T4 influence protein synthesis and breakdown. They can enhance protein synthesis in tissues like muscle, but also increase protein breakdown in some contexts, leading to balanced protein turnover.

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    T3 and T4's Role in Development

    T3 and T4 are crucial for brain development, growth, and maturation. They promote growth hormone and stimulate maturation of the CNS, including the formation of myelin.

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    T3 and T4's Impact on Bone Growth

    T3 and T4 promote bone growth by regulating the activity of growth plates, stimulating osteoblast proliferation, and facilitating chondrocyte maturation. They also enhance the effects of growth hormone on bone and cartilage.

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    T3 and T4's Sympathomimetic Action

    T3 and T4 increase the responsiveness to catecholamines, such as adrenaline and noradrenaline, by increasing the number of receptors.

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    T3 and T4's Effect on Basal Metabolic Rate (BMR)

    Increased levels of T3 and T4 increase the BMR, leading to higher oxygen consumption, heat production, and energy expenditure.

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    T3 and T4's Cardiovascular and Respiratory Effects

    T3 and T4 influence the cardiovascular and respiratory system by altering the expression of calcium channels in the sarcoplasmic reticulum and enhancing the sensitivity of adrenoreceptors.

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    T3 and T4's Influence on the ANS and Catecholamine Action

    T3 and T4 increase the number of adrenergic receptors, enhancing the effects of catecholamines within the autonomic nervous system.

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    Thioureylene antithyroid drugs

    Medicines that block the synthesis of thyroid hormones (T3 and T4) in the thyroid gland.

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    Carbimazole/Methimazole

    Commonly used thioureylene drugs for hyperthyroidism, often used first due to their effectiveness.

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    Propylthiouracil

    Another thioureylene drug used for hyperthyroidism, often switched to when patients experience skin rash from Carbimazole/Methimazole.

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    Wolff-Chaikoff effect

    The phenomenon where high iodine concentrations temporarily inhibit thyroid hormone production and release.

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    Radioiodine (I-131)

    A radioactive isotope of iodine used to treat hyperthyroidism by selectively destroying thyroid cells.

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    Potassium iodide (KI)

    A compound that can temporarily block thyroid hormone release, often given alongside iodine.

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    Beta-blockers

    Drugs that block beta-adrenergic receptors, reducing the effects of adrenaline and noradrenaline.

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    Propranolol

    A commonly used beta-blocker for hyperthyroidism, helping to manage symptoms like rapid heartbeat and tremors.

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    Hashimoto's disease

    An autoimmune disorder where the immune system attacks the thyroid gland, causing hypothyroidism.

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    Goitre

    An enlarged thyroid gland, often associated with iodine deficiency.

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    Argunulocytosis

    A condition characterized by a low number of granulocytes (white blood cells that fight infection), which can be a side effect of some medications.

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    Hepatotoxicity

    Damage to the liver, which can be a potential side effect of some medications.

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    Thyroglobulin

    A large protein found in the thyroid follicular colloid, serving as a scaffold for thyroid hormone (TH) synthesis. It contains tyrosine residues that are iodinated to form MIT and DIT, essential intermediates in TH production.

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    Thyroid Peroxidase

    An enzyme located at the interface of thyroid follicular cells and colloid, responsible for oxidizing iodine and attaching it to tyrosine residues within thyroglobulin.

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    Monoiodotyrosine (MIT)

    A tyrosine residue in thyroglobulin iodinated at position 3 on its ring.

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    Diiodotyrosine (DIT)

    A tyrosine residue in thyroglobulin iodinated at positions 3 and 5 on its ring.

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    Na+/I- Symporter (NIS)

    A protein located on the basalateral surface of thyroid follicular cells, transporting iodine into the cell against its concentration gradient, using energy provided by the Na+/K+ ATPase pump.

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    Pendrin (PDS)

    An ion exchanger located on the apical membrane of thyroid follicular cells, moving iodine from the cell into the follicular lumen in exchange for chloride ions.

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    Thyroid Receptor (TR)

    A nuclear receptor protein that binds to thyroid hormone (T3 or T4), triggering a cascade of transcriptional events to regulate gene expression.

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    TRa1 (Thyroid Hormone Receptor Alpha 1)

    The major isoform of the THRa receptor, expressed in various tissues like the heart, skeletal muscle, and brain. It plays a crucial role in regulating metabolism, cardiac function, and muscle development.

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    TRB1 (Thyroid Hormone Receptor Beta 1)

    An isoform of the TRB receptor, expressed in tissues like the liver, brain, and kidneys. It's essential in regulating TH action in the liver and central nervous system.

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    Thyroid Response Element (TRE)

    A specific DNA sequence in the promoter region of target genes recognized by the TR-RXR heterodimer. This binding triggers either activation or repression of gene transcription.

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    Co-repressor Complex

    Proteins bound to TR-RXR in the absence of thyroid hormone, repressing gene expression through interactions with histone deacetylases (HDACs).

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    Co-activator Complex

    Proteins recruited to TR-RXR in the presence of thyroid hormone, promoting gene expression through interactions with histone acetyltransferases (HATs).

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    Retinoid X Receptor (RXR)

    A nuclear receptor that heterodimerizes with TR, creating the active form of the receptor that binds to TREs. Retinoic acid, a vitamin A derivative, binds to RXR.

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    Physiological Effects of Thyroid Hormone

    The wide-ranging effects of thyroid hormone on various metabolic processes, including cellular differentiation, development, metabolism, heart function, and brain function.

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    B-adrenergic receptors in heart muscle

    These receptors are located in heart muscle and are activated by epinephrine and norepinephrine. This activation leads to an increase in intracellular cAMP, a second messenger that triggers a cascade of events ultimately increasing heart rate and contractility.

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    TH (Thyroid Hormone) Secretion

    The production and release of thyroid hormones (T3 and T4) is tightly regulated by a feedback loop involving the hypothalamus, pituitary gland, and thyroid gland. This ensures optimal levels of thyroid hormones are maintained for metabolism, growth, and development.

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    TRH (Thyrotropic Releasing Hormone)

    This hormone is released from the hypothalamus and stimulates the pituitary gland to release TSH (thyroid-stimulating hormone).

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    TSH (Thyroid-Stimulating Hormone)

    Released from the anterior pituitary gland, TSH acts on the thyroid gland to stimulate the production and release of T3 and T4.

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    Negative Feedback Loop (TH)

    High levels of T3 and T4 in the blood inhibit the release of TRH from the hypothalamus and TSH from the pituitary gland, preventing overproduction of thyroid hormones.

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    Iodine and Thyroid Hormone Production

    Iodine is essential for the synthesis of T3 and T4. The thyroid gland uses iodine from the bloodstream to produce these hormones. A deficiency in iodine can lead to hypothyroidism.

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    Graves Disease

    The most common cause of hyperthyroidism. It is an autoimmune disorder where the body's immune system attacks the thyroid gland, causing it to produce excessive thyroid hormones.

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    Treatment of Hyperthyroidism

    Treatment involves reducing the activity of the thyroid gland. Treatment options include surgery (partial/complete removal of the gland), medications (antithyroid drugs), and radioactive iodine therapy.

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    Thiourea (Thionamide) Compounds

    These are antithyroid drugs that inhibit the synthesis of thyroid hormones by blocking the enzyme thyroid peroxidase, which is crucial for the iodination of tyrosine in thyroglobulin.

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    Iodine-Containing Preparations

    These medications are sometimes used in the treatment of hyperthyroidism, but they are not effective for all patients. They can work by interfering with the uptake of iodine by the thyroid gland.

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    B-adrenergic Receptor Antagonists

    These medications block the effects of epinephrine and norepinephrine on the heart and other tissues, helping to alleviate some of the symptoms of hyperthyroidism.

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    Tropic Hormone

    A hormone that stimulates the growth, development, and activity of its target gland.

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    What causes goitre?

    Goitre can be caused by various factors, including iodine deficiency, Graves disease, Hashimoto's thyroiditis, and thyroid nodules.

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    TSH's Role in Goitre

    Thyroid Stimulating Hormone (TSH) promotes thyroid hormone production. In iodine deficiency, TSH levels rise due to lack of negative feedback from T3, leading to goitre.

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    Diffuse Goitre

    A type of goitre where the entire thyroid gland is uniformly enlarged.

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    Nodular Goitre

    A type of goitre characterized by one or more nodules (lumps) within the thyroid gland.

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    Toxic Goitre

    Goitre associated with hyperthyroidism, meaning the thyroid gland produces excessive hormones.

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    Non-toxic Goitre

    Goitre that doesn't affect thyroid hormone levels. Commonly caused by iodine deficiency.

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    Allan-Herndon-Dudley Syndrome

    A severe neurodevelopmental disorder caused by mutations in the MCT8 gene, leading to impaired T3 transport into the brain.

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    Oxytocin's Role in Labor

    During childbirth, the stretching of the cervix and vagina releases estrogen. This hormone increases the uterus's sensitivity to oxytocin, which then causes coordinated contractions. These contractions further stimulate the release of more oxytocin - a positive feedback loop.

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    Negative Feedback in the Endocrine System

    A mechanism where the hormones released from the pituitary gland or peripheral organs regulate the release of stimulatory hormones from the hypothalamus. This creates a balance in the endocrine system.

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    Study Notes

    Homeostasis: Principles, Factors, and Feedback Loops

    • Homeostasis is the process of maintaining a stable internal environment despite external changes. This involves regulating factors like body temperature, blood pressure, blood sugar, electrolytes, hormones, oxygen levels, and protein concentrations.

    Physiological Feedback Loops

    • Feedback loops are crucial for maintaining homeostasis. They consist of:

      • Sensors: Detect changes in a variable (e.g., temperature).
      • Integrators/Comparators: Compare the sensed variable to a set point and signal a response.
      • Effectors: Produce the response to adjust the variable (e.g., shivering, sweating).
    • Negative feedback loops are common in homeostasis. In these loops, a change in a variable triggers a response that opposes the initial change, restoring the variable to the set point (e.g., temperature regulation). The loop continuously monitors and adjusts.

      • Sensors → Comparator → Effector → Variable (repeats).
    • Positive feedback loops amplify a change in a variable. This can lead to rapid and dramatic responses, although they are less stable than negative feedback loops (e.g., labor contractions). There is a cascade effect and continued deviation from steady state, leading away from equilibrium state.

      • Stimuli → Activates stretch receptors → generates signals → promotes uterine contractions.
      • Suckling → Activates mechanoreceptors → triggers prolactin and oxytocin release → stimulates milk production and ejection.
    • Extrinsic pathway: relies on the endocrine or nervous system for regulation (e.g., adrenaline release in response to stress).

    • Intrinsic pathway: the organ/tissue regulates itself using local chemical signals (e.g., blood flow to muscles during exercise).

    Factors Under Homeostatic Control

    • Nutrients: Essential for cell function
    • Gases: Oxygen and carbon dioxide
    • Waste products: Removal of metabolic by-products
    • pH: Maintaining acidic/alkaline balance
    • Salt and electrolytes: Maintaining proper ion levels
    • Temperature: Maintaining body temperature
    • Volume and pressure: Maintaining appropriate fluid balance

    Compensatory Regulatory Responses

    • These self-protective mechanisms help maintain homeostasis when challenged:
      • Neuronal responses: Nervous system response to environmental changes (e.g., sweating, shivering).
      • Hormonal responses: Endocrine system response (e.g., glucagon release to raise blood sugar).
      • Metabolic adjustments: Compensating for energy deficits (e.g., fat breakdown during fasting).
      • Behavioral responses: Changing behavior to compensate (e.g., seeking cool environments).
      • Adaptive responses: Long-term changes in an organism to better cope with stresses (e.g., high altitude adaptation).

    Modification of Set Points

    • Set points can change in certain conditions (e.g., fever, acclimatization to high altitude). These are responses to illness or disease that need to be tolerated by the body until the physiological function is again at the original standard.

    Hypothalamic-Pituitary Axis (HPA)

    • Anatomical connection between the hypothalamus and pituitary gland.
    • Anterior pituitary (adenohypophysis) and posterior pituitary (neurohypophysis) differ in cell composition, vascular supply, and hypothalamic innervation.

    Neurohypophysis

    • Neural tissue; made of axons from hypothalamic neurons which synthesize and release hormones.
    • Antidiuretic hormone (ADH): Regulates water balance by controlling water reabsorption in the kidneys (stimulated via increased plasma osmolality or decreased blood pressure).
    • Oxytocin: Stimulates uterine contractions and milk ejection.

    Adenohypophysis

    • True endocrine organ; composed of specialized cells.

    • Releasing hormones (from hypothalamus) stimulate or inhibit hormone release from the anterior pituitary.

    • Six key hormones are produced:

      • Thyroid-stimulating hormone (TSH): Stimulates thyroid hormone production.
      • Adrenocorticotropic hormone (ACTH): Stimulates cortisol production in the adrenal cortex.
      • Growth hormone (GH): Regulates growth and metabolism.
      • Follicle-stimulating hormone (FSH) and Luteinizing hormone (LH) : regulate gonadal function.
      • Prolactin: Stimulates milk production.
      • Melanocyte-stimulating hormone (MSH): Involved in melanin production.
    • Feedback loops: Target hormones from the peripheral glands, negatively feedback to the hypothalamus and anterior pituitary (long loop feedback), or directly to the hypothalamus to regulate release of the pituitary hormones.

    Thyroid Gland

    • Produces thyroid hormones (T3 and T4) and calcitonin.
    • Thyroid hormones regulate metabolism, growth, and development.
    • Calcitonin regulates calcium levels.

    Thyroid Hormone Synthesis and Effects

    • Iodine uptake and incorporation into thyroglobulin are paramount for TH synthesis in the thyroid follicle cells.
    • Deiodinases activate (T4 to T3) and inactivate (T4 to reverse T3) thyroid hormones.
    • T3 and T4 bind to receptors in the cytosol and/or nucleus, effecting gene expression, and have permissive and metabolic effects and influence cardiovascular and nervous systems
    • Hyperthyroidism results from excessive thyroid hormone production; symptoms include weight loss, restlessness, elevated heart rate.
    • Hypothyroidism occurs from inadequate thyroid hormone production; symptoms include weight gain, lethargy, constipation, and cold intolerance.

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    Description

    Explore the essential concepts of homeostasis, including the factors that regulate it and the critical role of feedback loops. This quiz covers sensors, integrators, and effectors involved in maintaining stable internal conditions. Test your knowledge on how negative feedback mechanisms work to restore balance.

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