Thyroxine-binding Proteins in the Plasma

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Questions and Answers

What is the primary function of the thyroid gland?

  • Control heart rate
  • Regulate blood sugar levels
  • Produce insulin
  • Secrete thyroid hormones to maintain metabolism (correct)

What are the consequences of hypothyroidism in adults?

  • Body wasting and poor resistance to cold (correct)
  • Excess heat production
  • Severe mental retardation
  • Tachycardia

What hormone controls the function of the thyroid gland?

  • Estrogen
  • Adrenaline
  • Insulin
  • Thyroid-stimulating hormone (TSH) (correct)

What is a consequence of excess thyroid secretion?

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

Which protein binds most of the circulating T4?

<p>Thyroxine-binding globulin (TBG) (D)</p> Signup and view all the answers

What is the half-life of transthyretin?

<p>2 days (A)</p> Signup and view all the answers

How much of the circulating T3 is formed by deiodination of T4?

<p>87% (D)</p> Signup and view all the answers

What serves to catabolize the thyroid hormones T4 and T3?

<p>Liver, kidneys, and many other tissues (C)</p> Signup and view all the answers

What is the primary regulator of thyroid function?

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

Which hormone inhibits TSH secretion in a negative feedback manner?

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

What happens to the thyroid gland with prolonged TSH stimulation?

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

What is the term used to describe enlargement of the thyroid gland?

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

What is the main function of the thyroid gland?

<p>To secrete calcitonin (B)</p> Signup and view all the answers

How is thyroglobulin secreted into the colloid?

<p>By exocytosis of granules (A)</p> Signup and view all the answers

What enzyme mediates the oxidation and reaction of iodide with thyroglobulin?

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

How does the secretion of thyroid hormone get controlled?

<p>By negative feedback control from high thyroid hormone levels (A)</p> Signup and view all the answers

Which protein has the smallest capacity to bind T4 in plasma?

<p>Thyroxine-binding globulin (TBG) (C)</p> Signup and view all the answers

What is the approximate daily secretion of T3 by the human thyroid in nmol?

<p>7 (C)</p> Signup and view all the answers

In plasma, what is the approximate level of total T4 in adults in nmol/L?

<p>103 (A)</p> Signup and view all the answers

Which type of thyroid hormones are considered physiologically active in plasma?

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

What is the mechanism of action of propylthiouracil and methimazole in treating hyperthyroidism?

<p>Inhibit the iodination of tyrosine by competing for iodine (D)</p> Signup and view all the answers

Which compound is responsible for reducing the conversion of T4 to T3 in extrathyroidal tissues?

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

What is the treatment approach for severe cases of hyperthyroidism that leads to partial destruction of the thyroid gland?

<p>Infusion of radioactive iodine (B)</p> Signup and view all the answers

Why does Hashimoto thyroiditis initially present with excess thyroid hormone secretion and thyrotoxicosis?

<p>Inflammation causes excess thyroid hormone secretion (B)</p> Signup and view all the answers

What is the main mechanism by which thyroid hormones exert their effects?

<p>Entering cells and binding to nuclear receptors (B)</p> Signup and view all the answers

What are the primary physiological effects of thyroid hormones in the body?

<p>Increasing metabolic rate and cardiac function (A)</p> Signup and view all the answers

What are the consequences of hypothyroidism in neonatal life?

<p>Mental retardation and dwarfism (A)</p> Signup and view all the answers

What effect does an increased proportion of α-myosin heavy chain have on the heart?

<p>Increased ATPase activity (C)</p> Signup and view all the answers

Which tissue experiences a catabolic effect due to stimulated lipolysis?

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

What is the metabolic effect on the gut as a result of thyroid hormone action?

<p>Increased rate of carbohydrate absorption (B)</p> Signup and view all the answers

Which tissue benefits from the promotion of normal growth and skeletal development by thyroid hormones?

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

What is the primary hormone responsible for regulating thyroid function?

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

What is the consequence of prolonged TSH stimulation on the thyroid gland?

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

Which hormone inhibits TSH secretion as part of a negative feedback mechanism?

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

What is the syndrome of adult hypothyroidism generally called?

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

Which protein has the smallest capacity to bind T4 in plasma?

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

What is the approximate daily secretion of RT3 by the human thyroid in nmol?

<p>3.5 nmol (D)</p> Signup and view all the answers

Which compound is responsible for reducing the conversion of T4 to T3 in extrathyroidal tissues?

<p>RT3 (A)</p> Signup and view all the answers

What is the normal total plasma T3 level in adults approximately?

<p>0.15 μg/dL (2.3 nmol/L) (D)</p> Signup and view all the answers

What is the recommended treatment approach for addressing iodide deficiency in developed countries?

<p>Adding iodized salt to the diet (B)</p> Signup and view all the answers

In cases of congenital hypothyroidism, what synthetic form of the thyroid hormone is typically given?

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

What are the characteristic symptoms of hyperthyroidism?

<p>Nervousness and weight loss (C)</p> Signup and view all the answers

What is the primary factor determining the severity of mental deficiency in cases of iodine deficiency during pregnancy?

<p>The mother's thyroid condition (C)</p> Signup and view all the answers

What effect does an increased rate of carbohydrate absorption in the gut as a result of thyroid hormone action have on metabolism?

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

How do thyroid hormones primarily influence the heart's function?

<p>By enhancing responses to circulating catecholamines (D)</p> Signup and view all the answers

What is the main regulatory hormone responsible for stimulating the synthesis and secretion of thyroid hormones?

<p>Thyroid-stimulating hormone (TSH) (D)</p> Signup and view all the answers

Which tissue is negatively affected by an increased metabolic rate due to stimulated oxygen consumption as a result of thyroid hormone action?

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

Thyroid peroxidase is not involved in the coupling as well as iodination of thyroid hormones.

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

In the normal human thyroid, the average distribution of iodinated compounds is 3% MIT, 33% DIT, 35% T4, and 7% T3.

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

RT3 is formed by condensation of two DIT molecules.

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

T3 is formed by condensation of MIT with DIT.

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

Hypothyroidism can only be caused by diseases of the thyroid gland.

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

When dietary iodine intake is inadequate, the thyroid hypertrophies.

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

Drugs can never inhibit thyroid function.

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

Iodide itself never inhibits thyroid function.

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

Graves disease is the most common cause of hypothyroidism.

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

Antibodies to the TSH receptor stimulate the receptor in Graves disease.

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

Plasma TSH levels are typically high in patients with Graves disease.

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

Exophthalmos is a common symptom of Graves disease.

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

Thyroid hormones only exert their effects by binding to thyroid receptors on the cell membrane.

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

Hypothyroidism in neonatal life can lead to mental retardation and dwarfism.

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

Overactivity of the thyroid gland caused by autoantibodies may result in body wasting, nervousness, and bradycardia.

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

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