Thyroid Diseases Diagnosis and Management
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Questions and Answers

What is the initial step in the synthesis of thyroid hormones?

  • Endocytosis of thyroglobulin colloid
  • Oxidation of iodide
  • Trapping of iodide (correct)
  • Formation of DIT and MIT

Which enzyme is responsible for the oxidation of iodide to iodine in the synthesis of thyroid hormones?

  • Golgi apparatus enzyme
  • Lysosomal enzyme
  • Peroxidase enzyme (correct)
  • Thyroglobulin enzyme

What is the active form of iodine that combines with tyrosine in the colloid during thyroid hormone synthesis?

  • T4
  • MIT
  • T3
  • DIT (correct)

Where do the synthesized thyroid hormones diffuse into after being cleaved from thyroglobulin colloid?

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

What is the function of lysosomal enzymes in the synthesis of thyroid hormones?

<p>Cleaving T3 and T4 from thyroglobulin colloid (D)</p> Signup and view all the answers

Which enzyme is responsible for de-iodinating the iodine released from uncoupled mono and di-iodotyrosine in the thyroid?

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

What is the main fraction of T3 and T4 bound to in the blood?

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

What class of antithyroid drugs inhibits the peripheral conversion of T4 to T3?

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

Which researchers proposed the 'Wolff-Chaikoff effect' related to the alteration of thyroid hormone levels by large doses of iodine?

<p>Dr. Jan Wolff and Israel Lyon Chaikoff (A)</p> Signup and view all the answers

What is considered as the most useful biochemical test in thyroid investigations according to the provided text?

<p>Serum TSH level (D)</p> Signup and view all the answers

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