Thyroid

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Questions and Answers

What is the primary cellular composition of the thyroid gland responsible for the synthesis and secretion of thyroid hormones?

  • Alpha cells
  • Beta cells
  • Follicular cells (correct)
  • Islet cells

Thyroglobulin is synthesized in ____ cells

thyroid follicular

Adequate ____ intake (diet) is required for normal thyroid hormone production

iodine

What effect do thyroid hormones have on the activity of D1, D2, and D3 deiodinases?

<p>Thyroid hormones increase the activity of D1 and D2, while decreasing the activity of D3 (D)</p> Signup and view all the answers

What is the primary function of deiodinases in the metabolism of thyroid hormones?

<p>Convert T4 to T3, the biologically active form of thyroid hormone (C)</p> Signup and view all the answers

Which clinical condition is associated with D2 deficiency?

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

What clinical conditions are associated with D3 deficiency?

<p>Neurodevelopmental disorders like autism and ADHD (B)</p> Signup and view all the answers

What is the function of deiodinases in the metabolism of thyroid hormones?

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

Which type of deiodinase is the most abundant in the body?

<p>Type 1 deiodinase (D1) (D)</p> Signup and view all the answers

Where is Type 3 deiodinase (D3) primarily located?

<p>Brain and pituitary gland (A)</p> Signup and view all the answers

What is the principle regulator of T3/T4 synthesis and release?

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

What is the primary feedback mechanism that regulates the synthesis and release of thyroid hormones (T3 and T4) in the thyroid gland?

<p>Negative feedback by thyroid hormones T3 and T4 (D)</p> Signup and view all the answers

Increased _____ of almost all tissues occurs with secretion of T3/T4

<p>metabolic activity</p> Signup and view all the answers

How do thyroid hormones affect cardiac function?

<p>They increase the heart's contractile force, leading to an increase in stroke volume and cardiac output (D)</p> Signup and view all the answers

What is the major hormone produced by the thyroid gland?

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

How do thyroid hormones influence metabolism?

<p>They increase the rate at which the body converts food into energy, leading to an increase in heart rate and cardiac output (A)</p> Signup and view all the answers

Which gland produces thyroid-stimulating hormone (TSH)?

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

How do T3 and T4 impact heart rate?

<p>They increase heart rate by stimulating the pacemaker cells (B)</p> Signup and view all the answers

What is the role of thyroid hormones T3 and T4 in regulating cardiac function?

<p>They increase heart rate and contractility (C)</p> Signup and view all the answers

Thyroid follicles are composed of closed rings of cells (100-300 µm diameter) lined by ____ epithelium filled with colloid

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

The colloid in thyroid follicles is mostly composed of what?

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

Which of the following is true in regards to calcitonin?

<p>Parafollicular cells within the thyroid secrete calcitonin to decrease serum calcium levels (C)</p> Signup and view all the answers

For follicular cells of the thyroid, the apical surface faces ____ and the basal surfaces faces ____.

<p>colloid, interstitium (A)</p> Signup and view all the answers

93% of total secretion (~80 µg/day) from the thyroid is ____

<p>Tetraiodothyronine (Thyroxine; T4) (C)</p> Signup and view all the answers

7% of total secretion (~5 µg/day) is ____

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

T3 is ____ potent than T4

<p>4x more (C)</p> Signup and view all the answers

Which of the following plays an important role in the synthesis and storage of thyroid hormone?

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

The Sodium/Iodide Symporter (NIS) uses Na+ driving force to move iodine, while ____ is Na+ independent iodide/chloride transporter

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

In the circulation, what percent of thyroid hormone is found in each of the following states?

<p>Free (unbound) = ~1% Thyroxine-binding globulin (TBG) = ~70% Transthyretin (prealbumin) = ~15% Albumin = ~15%</p> Signup and view all the answers

With increased levels of estrogen during pregnancy, which of the following occurs, leading to decreased levels of free T3/T4?

<p>increased synthesis of TBG (D)</p> Signup and view all the answers

Where is Type III deiodinase (D3) primarily found?

<p>Thyroid gland, liver, and some brain regions (B)</p> Signup and view all the answers

What is the role of Type I (D1) and Type II (D2) deiodinases in thyroid hormone metabolism?

<p>Convert T4 to T3 (B)</p> Signup and view all the answers

How is the activity of deiodinases regulated in the body?

<p>By thyroid-stimulating hormone (TSH) and thyroid hormones (T3 and T4) (C)</p> Signup and view all the answers

What is the clinical significance of Type III deiodinase (D3)?

<p>Associated with metabolic disorders (C)</p> Signup and view all the answers

What is the primary function of Type I and Type II deiodinases in thyroid hormone metabolism?

<p>Converting T4 to T3 (A)</p> Signup and view all the answers

How do post-translational modifications like phosphorylation and ubiquitination affect deiodinase activity?

<p>Decrease deiodinase activity (A)</p> Signup and view all the answers

Which clinical condition results from a deficiency of T3 due to reduced deiodinase activity?

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

What role do deiodinases play in fine-tuning thyroid hormone levels?

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

In which tissues do deiodinases help concentrate T3 and T4?

<p>Brain, kidneys, and liver (A)</p> Signup and view all the answers

What clinical condition can result from mutations impairing the function of deiodinases?

<p>Thyroid hormone resistance (B)</p> Signup and view all the answers

How does TSH affect enzymes involved in T3/T4 synthesis such as TPO?

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

Where are thyroid receptors located within a cell?

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

Basal metabolic rate (BMR) can increase _____% above normal when large quantities of T3/T4 are secreted

<p>60-100 (D)</p> Signup and view all the answers

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