Thyroid Physiology Quiz

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Questions and Answers

What is the primary role of thyroid-stimulating hormone (TSH) in the thyroid gland?

  • To control the secretion of thyroid hormones (correct)
  • To regulate iodine levels in the thyroid
  • To increase the size of the thyroid gland
  • To stimulate the growth of follicular cells

How do thyroid hormones mainly affect the body?

  • By influencing homeostasis and development (correct)
  • By regulating blood sugar levels
  • By controlling muscle contraction
  • By stimulating adrenaline production

Which substance is critical for the synthesis of thyroid hormones?

  • Sodium
  • Iodine (correct)
  • Iron
  • Calcium

What is the main component of the colloid found in the follicular cavity of the thyroid gland?

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

In which stage of life does the thyroid gland's function typically increase?

<p>During pregnancy and lactation (D)</p> Signup and view all the answers

What histological feature primarily characterizes the thyroid gland?

<p>Closed follicles lined with cuboidal cells (D)</p> Signup and view all the answers

What happens to the size of the thyroid gland when comparing males and females?

<p>It is larger in females (B)</p> Signup and view all the answers

What anatomical structure connects the two lobes of the thyroid gland?

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

What is the primary mechanism through which iodide is transported into follicular cells?

<p>Sodium-iodide pump (D)</p> Signup and view all the answers

What happens to the concentration of iodide in the thyroid gland during hyperactivity?

<p>Increases 200 times (D)</p> Signup and view all the answers

Which enzyme is responsible for the oxidation of iodide to elementary iodine?

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

What is the term for the binding of iodine with thyroglobulin in follicular cavities?

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

Which of the following is NOT formed during the coupling reactions of iodotyrosine residues?

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

Which forms of iodotyrosine residues are produced from the iodination of tyrosine?

<p>Monoiodotyrosine (MIT) and di-iodotyrosine (DIT) (C)</p> Signup and view all the answers

What is the function of the enzyme iodinase in the thyroid hormone synthesis process?

<p>It speeds up the iodination process (C)</p> Signup and view all the answers

Where are thyroid hormones stored after synthesis?

<p>In vesicles within thyroglobulin (C)</p> Signup and view all the answers

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

<p>Release of thyroxine within 30 minutes (C)</p> Signup and view all the answers

How does TSH primarily exert its effects on thyroid follicular cells?

<p>Through the cyclic AMP mechanism (B)</p> Signup and view all the answers

Which of the following hormones regulates TSH secretion?

<p>Thyrotropic-releasing hormone (TRH) (B)</p> Signup and view all the answers

What is the normal plasma level of thyroid-stimulating hormone (TSH)?

<p>2 U/mL (C)</p> Signup and view all the answers

Which action is NOT increased by thyroid-stimulating hormone (TSH)?

<p>Basal metabolic rate in the brain (B)</p> Signup and view all the answers

In which condition does BMR typically increase by about 60% to 100% above normal levels?

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

What effect do thyroid hormones have on their own secretion?

<p>Inhibit the release of TRH and TSH (A)</p> Signup and view all the answers

What is a key component of the calorigenic action of thyroxine?

<p>Enhanced mitochondrial activity (C)</p> Signup and view all the answers

What effect does an increase in thyroid hormone levels have on protein metabolism?

<p>Causes protein breakdown, leading to muscle weakness. (B)</p> Signup and view all the answers

How does thyroxine affect carbohydrate metabolism?

<p>Enhances the absorption of glucose from the gastrointestinal tract. (A)</p> Signup and view all the answers

What is the primary action of thyroxine on fat metabolism?

<p>Mobilizes fat from adipose tissues into free fatty acids. (C)</p> Signup and view all the answers

What effect does thyroxine have on cholesterol levels in plasma?

<p>Decreases cholesterol through increased hepatic excretion into bile. (B)</p> Signup and view all the answers

In the case of thyroxine hyposecretion, what is a likely consequence regarding cholesterol?

<p>Increased plasma cholesterol, possibly leading to atherosclerosis. (B)</p> Signup and view all the answers

How does thyroxine influence the number of low-density lipoprotein receptors on liver cells?

<p>It increases the number of receptors, enhancing cholesterol secretion. (B)</p> Signup and view all the answers

What impact does thyroxine have on vitamin metabolism?

<p>Increases the formation of various enzymes. (D)</p> Signup and view all the answers

Which of the following effects of thyroid hormone on mitochondria is correct?

<p>It increases mitochondrial activity and ATP production. (C)</p> Signup and view all the answers

What is the consequence of hyperthyroidism or thyrotoxicosis on the heart?

<p>Leads to cardiac decompensation and potential death (D)</p> Signup and view all the answers

How does thyroxine affect blood vessels?

<p>Induces vasodilation through increased metabolic activities (C)</p> Signup and view all the answers

What condition may occur due to an excess of thyroxine's influence on the heart's contractility?

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

What is the effect of thyroxine on respiration?

<p>Increases the rate and force of respiration indirectly (C)</p> Signup and view all the answers

How does thyroxine influence gastrointestinal function?

<p>Stimulates secretions and movement, leading to diarrhea in excess (A)</p> Signup and view all the answers

Which of the following statements is true about thyroxine's role in the central nervous system?

<p>Essential for synapse development and myelination (C)</p> Signup and view all the answers

What impact does thyroxine have on skeletal muscle activity?

<p>Is critical for normal muscle activity (A)</p> Signup and view all the answers

Which of the following factors increases due to the influence of thyroxine?

<p>Cardiac output is significantly increased (A)</p> Signup and view all the answers

What is a potential outcome of thyroxine hypersecretion on muscle function?

<p>Weakness of the muscles due to protein catabolism (B)</p> Signup and view all the answers

What effect does hyposecretion of thyroxine have on sleep patterns?

<p>It results in excessive sleep lasting 12 to 14 hours a day (A)</p> Signup and view all the answers

How does thyroxine impact sexual function in men under hypothyroidism?

<p>Leads to complete loss of libido (A)</p> Signup and view all the answers

What physiological change occurs in basal metabolic rate (BMR) during hyperthyroidism?

<p>Increases by about 30% to 60% (B)</p> Signup and view all the answers

What hormone levels are typically absent in hyperthyroidism due to negative feedback?

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

What is the effect of thyroxine-induced neuronal activity?

<p>Fine muscular tremors (A)</p> Signup and view all the answers

Which menstrual issues can arise in women due to hypothyroidism?

<p>Irregular cycle and menorrhagia (B)</p> Signup and view all the answers

What effect does normal thyroxine level have on physical activities?

<p>Maintains normal muscle function and vigor (A)</p> Signup and view all the answers

Flashcards

What is the thyroid gland?

An endocrine gland located at the base of the neck, responsible for producing and releasing thyroid hormones.

What are follicular cells?

Specialized cells lining the follicles of the thyroid gland. They produce thyroid hormone.

What is colloid?

The gelatinous substance found inside the thyroid follicles. It's a major component of thyroid hormone.

What is thyroglobulin?

A large glycoprotein found in colloid. It's a precursor to thyroid hormones.

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What is thyroxine (T4)?

The primary thyroid hormone (T4), responsible for controlling metabolism.

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What is triiodothyronine (T3)?

Another thyroid hormone (T3), also involved in metabolism. It's more potent than T4.

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What is thyroid stimulating hormone (TSH)?

A hormone secreted by the pituitary gland. It controls the production and release of thyroid hormones.

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How does thyroid function change with the female sexual cycle?

Thyroid function is affected by different stages of the sexual cycle. It increases during pregnancy and lactation, and decreases during menopause.

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What is iodide trapping?

The active transport of iodide from the blood into follicular cells, going against the electrochemical gradient.

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What is the sodium-iodide pump (symporter)?

A protein pump in follicular cells responsible for transporting iodide along with sodium, concentrating iodide in the thyroid gland.

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How is iodide oxidized?

The oxidation of iodide into elementary iodine, facilitated by thyroid peroxidase within the follicular cells.

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How is iodine transported into the follicular cavity?

The transport of iodine from the follicular cells into the follicular cavity, mediated by the iodide-chloride pump known as pendrin.

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What is iodination?

The process of iodine combining with tyrosine, forming iodotyrosine residues.

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What are coupling reactions?

The coupling of iodotyrosine residues to create different thyroid hormones.

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How is T3 formed?

The process of coupling monoiodotyrosine (MIT) and di-iodotyrosine (DIT) to form triiodothyronine (T3).

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How is T4 formed?

The coupling of di-iodotyrosine (DIT) and di-iodotyrosine (DIT) to form tetraiodothyronine or thyroxine (T4).

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Thyroid hormone and the heart

Thyroxine increases the force of the heart contraction, but excess thyroxine can weaken the heart due to increased metabolic activity and protein breakdown.

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Thyroid hormone and blood vessels

Thyroxine causes vasodilation by increasing metabolic activities.

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Thyroid hormone and respiration

Increased metabolism caused by thyroxine boosts oxygen demand and carbon dioxide production, stimulating respiratory centers to increase rate and force of respiration.

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Thyroid hormone and digestion

Thyroxine stimulates appetite and food intake, increases gastrointestinal secretions and movements.

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Thyroid hormone and central nervous system

Thyroxine is crucial for developing and maintaining normal central nervous system function.

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Thyroid hormone and brain development

Thyroxine contributes to the formation of synapses between neurons and the myelin sheath that insulates axons.

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Thyroid hormone and skeletal muscle

Thyroxine is needed for the normal functioning of skeletal muscles.

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How does thyroid hormone impact protein metabolism?

Thyroid hormone, within physiological limits, enhances protein synthesis by boosting RNA translation, DNA transcription to RNA, mitochondrial activity, and cellular enzyme activity.

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What happens to protein metabolism with excess thyroid hormone?

Increased thyroid hormone levels shift the balance towards protein breakdown, particularly in muscles, leading to muscle weakness, a condition known as thyrotoxic myopathy.

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What happens to protein metabolism with insufficient thyroid hormone?

Insufficient thyroid hormone results in sluggish muscles, slow relaxation after contraction, and potential muscle weakness.

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How does thyroid hormone impact carbohydrate metabolism?

Thyroid hormone promotes glucose absorption from the intestines and boosts glucose uptake by cells. It also accelerates glycogen breakdown and gluconeogenesis, increasing blood glucose levels.

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What impact does thyroid hormone have on fat metabolism?

Thyroid hormone mobilizes fats from adipose tissue, raising blood levels of free fatty acids. This process contributes to fat breakdown.

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How does thyroid hormone affect plasma and liver fat levels?

Despite increased blood levels of free fatty acids, thyroid hormone reduces cholesterol, phospholipids, and triglyceride levels in plasma. However, hyposecretion leads to high cholesterol and potential atherosclerosis. It also increases liver fat deposition.

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How does hypothyroidism affect cholesterol levels?

Low levels of thyroid hormone lead to high cholesterol in plasma, making atherosclerosis more likely. This occurs due to low T4 production.

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How does thyroid hormone decrease cholesterol levels?

Thyroid hormone increases the excretion of cholesterol from liver cells into bile, lowering blood cholesterol levels. It achieves this by inducing more LDL receptors on liver cells, leading to a faster uptake of LDLs from the plasma.

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What is TSH and what does it do?

TSH, or Thyroid-stimulating hormone, is a crucial peptide hormone secreted by the pituitary gland. It plays a vital role in regulating thyroid function by stimulating the production and release of thyroid hormones (T3 and T4).

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What is the half-life of TSH?

TSH has a lifespan of about 60 minutes in the bloodstream. This means it breaks down and is removed from the body relatively quickly.

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What is the typical TSH level in blood?

The typical level of TSH in a healthy person's blood is about 2 U/mL, which stands for units per milliliter. This indicates the amount of TSH present in a tiny sample of blood.

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What is the primary action of TSH?

TSH's primary action is to stimulate the thyroid gland, a butterfly-shaped organ in the neck, to increase its activity. This includes boosting the production of thyroid hormones and influencing the growth and function of thyroid cells.

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How does the hypothalamus regulate TSH release?

The hypothalamus, a tiny region in the brain, plays a key role in regulating TSH release. It secretes a hormone called TRH (Thyrotropin-releasing hormone), which acts on the pituitary gland to stimulate the production and release of TSH.

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What is the feedback loop of thyroid hormones?

Thyroid hormones exhibit a negative feedback mechanism, meaning they regulate their own production. When thyroid hormone levels rise, they signal the hypothalamus and pituitary to reduce TSH production, in turn decreasing thyroid hormone production.

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What are the functions of thyroid hormones?

Thyroid hormones have a wide range of functions, including increasing the body's metabolic rate, influencing growth and development, and regulating many bodily functions. They are crucial for overall health and well-being.

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How do thyroid hormones affect the metabolic rate?

Thyroid hormones, particularly T4, can increase the body's metabolic rate, which refers to the rate at which energy is produced. This is often called the calorigenic action of thyroid hormones.

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What is thyrotoxic myopathy?

A condition caused by excessive thyroxine, leading to muscle weakness due to protein breakdown.

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What causes muscle tremor in hyperthyroidism?

Fine, rapid muscle tremor occurring at a frequency of 10-15 times per second due to increased neuronal activity caused by excess thyroxine.

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How does hyperthyroidism affect sleep?

The inability to sleep well due to hyperthyroidism, despite feeling tired and exhausted.

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What is somnolence in hypothyroidism?

Excessive sleepiness characterized by long sleep durations, often 12-14 hours a day, due to hypothyroidism.

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How does hypothyroidism affect male sexual function?

Loss of libido in men due to hypothyroidism.

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What is menorrhagia?

Heavy and prolonged menstrual bleeding in women due to hypothyroidism.

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What is polymenorrhea?

Frequent menstrual cycles in women due to hypothyroidism.

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How does thyroxine affect other endocrine glands?

Thyroid hormones increase the demand for hormones from other endocrine glands.

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Study Notes

Physiology of Thyroid Gland

  • The thyroid gland is an endocrine gland, located at the base of the neck, consisting of two lobes connected by an isthmus.
  • It develops from an outpouching of the pharynx.
  • It weighs 20-40 grams in adults, with females having a larger gland than males.
  • Thyroid function fluctuates in response to hormonal changes throughout the life cycle, increasing slightly during pregnancy and lactation, and decreasing during menopause.

Structure and Function of Thyroid Hormones

  • The thyroid gland produces three hormones: tetraiodothyronine (T4), triiodothyronine (T3), and calcitonin.
  • T4 is the primary hormone, comprising 93% of the total secretion.
  • T3 is more potent, accounting for 7-10% of the secretion.
  • Calcitonin regulates calcium levels in the body.

Synthesis of Thyroid Hormones

  • Synthesis occurs in the follicular cells of the thyroid gland.
  • Iodine is crucial for hormone production, taken from the diet and transported into the follicle.
  • Iodine is oxidized and then incorporated into tyrosine molecules within thyroglobulin.
  • Coupling reactions combine iodinated tyrosines to form T3 and T4.

Transport of Thyroid Hormones

  • T4 and T3 bind to transport proteins (primarily thyroxine-binding globulin, TBG) for transport in the blood.
  • T3 is more loosely bound than T4, resulting in faster release.
  • T4 has a longer half-life than T3.

Actions of Thyroid Hormones

  • Metabolism: Increased metabolic rate, oxygen consumption, protein synthesis, and thermogenesis.
  • Cardiovascular system: Increases heart rate and force of contraction.
  • Growth: Essential for fetal brain development and overall growth.
  • Muscles: Affects protein metabolism in muscles.
  • Digestion: Increases appetite and GI activity.
  • CNS: Affects mental and physical development.
  • Reproduction: Critical for normal reproductive function, menstruation in women, and libido in men.
  • Body temperature: Influences body temperature regulation.
  • Sleep: Affects sleep patterns; high levels prevent sleep.

Regulation of Thyroid Function

  • The hypothalamus and pituitary glands control thyroid hormone secretion.
  • Hypothalamic TRH stimulates the anterior pituitary to release TSH which then stimulates the thyroid to produce hormones.

Thyroid Function Tests

  • Measuring T3, T4, and TSH (thyroid stimulating hormone) levels can diagnose thyroid disorders.
  • Elevated TSH indicates hypothyroidism.
  • Low TSH usually suggests hyperthyroidism.
  • These tests measure levels of TSH, T3, and T4 to diagnose issues.

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