Lecture 8.2 - Thyroid Dysfunction
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Questions and Answers

What is the typical size of the thyroid gland?

  • 4-5cm across
  • 5-6cm across
  • 1-2cm across
  • 2-3cm across (correct)
  • Which of the following arteries supplies blood to the thyroid gland?

  • Thyrocervical trunk
  • External carotid artery (correct)
  • Internal carotid artery
  • Subclavian artery
  • What is the primary mechanism by which the levels of thyroid hormone are controlled in the body?

  • Feedforward mechanism
  • Negative feedback loop (correct)
  • Open-loop system
  • Positive feedback loop
  • What is the primary function of thyroid-stimulating hormone (TSH) in the body?

    <p>To increase iodine uptake and subsequent release of T3 and T4</p> Signup and view all the answers

    What is the primary function of thyroxine-binding globulin (TBG) in the body?

    <p>To transport thyroid hormone in the blood</p> Signup and view all the answers

    What is the response of the hypothalamus to decreased peripheral thyroid hormone levels?

    <p>It produces TRH</p> Signup and view all the answers

    Study Notes

    Thyroid Gland Anatomy

    • Located anterior to the trachea and inferior to the larynx
    • Shaped like a butterfly (bow-tie) with two lateral lobes joined by a central isthmus
    • Typically 2-3cm across and weighs around 15-20g
    • Highly vascularized, receiving blood from superior and inferior thyroid arteries
    • Drained via superior, middle, and inferior thyroid veins

    Thyroid Hormone Regulation

    • Regulated through the hypothalamic-pituitary-thyroid (HPT) axis
    • Decreased peripheral thyroid hormone levels stimulate the hypothalamus to produce thyroid-releasing hormone (TRH)
    • TRH stimulates the anterior pituitary to produce thyroid-stimulating hormone (TSH)
    • TSH increases iodine uptake and release of triiodothyronine (T3) and thyroxine (T4) in the thyroid gland
    • Circulating thyroid hormone levels are controlled through negative feedback on the hypothalamus and pituitary

    Thyroid Hormone Transportation

    • T3 and T4 are hydrophobic molecules transported in the blood reversibly bound to carrier proteins
    • Carrier proteins include thyroxine-binding globulin (TBG), transthyretin (TTR, or prealbumin), and albumin
    • Only a small amount of T3 and T4 is free and unbound in the blood

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    Description

    Learn about the anatomy of the thyroid gland, including its location and structure, and how thyroid hormones are regulated through the hypothalamic-pituitary-thyroid axis.

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