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

    Which clinical condition is associated with D2 deficiency?

    <p>Myxedema</p> Signup and view all the answers

    What clinical conditions are associated with D3 deficiency?

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

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

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

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

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

    Where is Type 3 deiodinase (D3) primarily located?

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

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

    <p>TSH</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</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</p> Signup and view all the answers

    What is the major hormone produced by the thyroid gland?

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

    Which gland produces thyroid-stimulating hormone (TSH)?

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

    The colloid in thyroid follicles is mostly composed of what?

    <p>thyroglobulin</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</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</p> Signup and view all the answers

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

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

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

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

    T3 is ____ potent than T4

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

    Where is Type III deiodinase (D3) primarily found?

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

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

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

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

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

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

    <p>Hypothyroidism</p> Signup and view all the answers

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

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

    In which tissues do deiodinases help concentrate T3 and T4?

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

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

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

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

    <p>upregulates</p> Signup and view all the answers

    Where are thyroid receptors located within a cell?

    <p>cytoplasm</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</p> Signup and view all the answers

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