Endocrine -- Thyroid, Parathyroid, and Adrenal Flashcards

1
Q

Developmental origin of the thyroid

A

Cephalic portion of the alimentary canal endoderm

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2
Q

The three parts of a thyroid are…

A

right lobe, left lobe, and isthmus

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3
Q

Thyroid lobes are made of ________ lined with _____ epithelium.

A

Follicles. Simple Cuboidal.

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4
Q

The __________ epithelium of the thyroid is comprised of this cell type.

A

Simple Cuboidal. Principal Cells.

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5
Q

What do principal cells of the thyroid secrete?

A

T3 & T4

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6
Q

If a thyroid gland is inactive, the epithelium may appear ________.

A

Squamous

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7
Q

Principle cells may contain ________. (sorry - didn’t know a good way to ask this one)

A

Vesicles (colloidal reabsorption droplets)

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8
Q

How do thyroid follicles tend to stain? What structure causes this stain?

A

Acidophilic. Colloid.

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9
Q

What is Colloid?

A

Glycoprotein thyroglobulin (an inactive storage form of thyroid hormones)

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10
Q

True or False. The thyroid receives a minimal number of vessels.

A

False. The thyroid has an extensive blood and lymphatic capillary network.

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11
Q

Thyroid endothelial capillary cells are…

A

fenestrated

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12
Q

What are parafollicular/C cells?

A

Cells of the follicular epithelium or in isolated clusters between follicles that are responsible for calcitonin secretion.

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13
Q

What does calcitonin do?

A

Suppresses bone resorption by inhibiting osteoclasts. This will help tone calcium in the blood down.

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14
Q

What triggers calcitonin release? Suppresses it?

A

Stimulated by increased calcium in the blood

Suppressed when blood calcium concentration is low.

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15
Q

Who is a more major regulator of blood calcium, Calcitonin or PTH?

A

PTH

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16
Q

Describe the appearance of C cells

A

Larger than follicular cells, numerous granules, stain poorly (become cloudy/white)

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17
Q

Where is thyroglobulin synthesized and glycosylated?

A

Synth – rER

Glycosylated – rER and Golgi

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18
Q

What must happen to iodide before it can be used in thyroid hormone synthesis?

A

Active transport into the cell, oxidation in the cytoplasm, and entry into the colloid to iodinate tyrosine resides of thyroglobulin

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19
Q

TSH receptors can be found on what cells of the thyroid?

A

Follicular cells

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20
Q

TSH binding causes follicular cells to….

A

endocytose colloid, which combines with lysosomes.

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21
Q

Thyroglobulin residues are cleaved into ____ and _____

A

T3 (triiodothyronine) and T4 (Thyroxine)

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22
Q

Just so you have to say it all together at least once…the whole thyroid hormone synthesis/release method. Make it happen.

A
  1. Thyroglobulin is synthesized and released into the lumen of follicles
  2. Iodide is taken into the cell, is oxidized, and enters the colloid to iodinate thyroglobulin.
  3. TSH causes follicular cells to endocytose iodinated thyroglobulin (in the colloid) and combine it with lysosomes
  4. Cleavage of the thyroglobulin forms T3 and T4, which are released into the cytosol and then from the cell
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23
Q

What do thyroid hormones (T3/4) cause?

A

Increased cellular metabolism, carb metabolism, andn fatty acid synth.

Decreases of cholesterol, phospholipid, and triglyceride synthesis.

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24
Q

Symptoms of excessive production of thyroid hormones?

A

Weight loss, Increases of heart rate, metabolism, respiration, and appetite.

Also – tremors, tiredness, and a heavy menstrual flow.

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25
Q

Insufficient iodine uptake will lead to…

A

Heightened TSH, causing follicular hyperplasia (goiter)

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26
Q

What is Grave’s Disease?

A

Thyroid hyperfunction due to a circulating immunoglobulin that acts similarly to TSH

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27
Q

What is Hashimoto’s disease?

A

Autoimmune destruction of the thyroid caused by thyroid perooxidase autoantibodies.

28
Q

In Hashimoto’s disease, the lymphocytes may organize into…

A

germinal centers

29
Q

Which gender is more prone to thyroid cancer?

A

Female (3-4X as often)

30
Q

Both hypothyroidism and hyperthyroidism can cause this dermatological disorder.

A

Myxedema (localized skin swelling)

31
Q

How many parathyroids does a person usually have?

A

4

32
Q

Where do the parathyroid glands typically live?

A

Posterior to the thyroid

33
Q

Name the two main cells types of the parathyroid gland.

A

Chief Cells and Oxyphil cells

34
Q

What do parathyroid Chief Cells (also known as Principal cells) contain?

A

Irregular granules containing parathyroid hormone (PTH)

35
Q

What does PTH do? (Three Things)

A

Increases calcium in the blood by stimulating osteoclast activity/number.

Enhances resorption of Ca from the kidney distal tubule and increased Phosp. excretion

Increased intestinal absorption of Ca from food (via Vit. D synthesis)

36
Q

What do osteoclasts do?

A

Resorb the calcified bone matrix, freeing the Ca

37
Q

How does Vitamin D influence Ca reabsorption?

A

It stimulates synthesis of Ca binding proteins in the intestine

38
Q

What do oxyphil cells look like? What do they do?

A

They are larger than chief cells, stain “intensely” with eosin due to lots of mito. We don’t know what they do. Maybe transitional chief cells?

39
Q

Name three causes of hyperparathyroidism from most common to least common.

A

Adenoma (80%), Hyperplasia (15%), Carcinoma (1-2%)

40
Q

Symptoms of hyperparathyroidism?

A

Increased blood Ca, low blood PO4. Can cause osteitis fibrosa cystica.

41
Q

What is osteitis fibrosa cystica?

A

Rubbery deformed bones, kidney stones, pancreatitis, ulcers, and hypertension.

42
Q

Symptoms of hypoparathyroidism?

A

Decreased serum Ca and increased serum PO4. Tetany, muscle cramps, exagerrated tendon reflexes, jaw locks.

43
Q

What are the two layers of the suprarenal gland?

A

Cortex and Medulla

44
Q

Embryonic origin of adrenal cortex?

A

Mesoderm

45
Q

Embryonic Origin of adrenal medulla?

A

Neural Crest

46
Q

How is the adrenal medulla organized?

A

Cells in cords or clumps supported by a reticular fiber network.

47
Q

The medulla contains what type of endocrine secreting cell?

A

Chromaffin cells

48
Q

What do chromaffin cells contain?

A

Epinephrine and Norepiephrine

49
Q

Do epinephrine or norepinephrine secreting cells have smaller granules?

A

Epinephrine

50
Q

What nerve cells may be seen in the medulla?

A

Sympathetic ganglionic nerve cells

51
Q

Name the three regions of the adrenal cortex.

A

Zona glomerulosa, zona fasciculata, and zona reticularis

52
Q

What do cells of the zona glomerulosa secrete?

A

Mineralocorticoids (aldosterone)

53
Q

What stimulates zona glomerulosa secretions?

A

Angiotensin II and ACTH

54
Q

What do cells of the zona fasciculata secrete?

A

Glucocorticoids (cortisol, corticosterone)

55
Q

What do cells of the zona reticularis secrete?

A

Gonadocorticoids (DHEA, androstenedione)

56
Q

List the layers of the adrenal gland from capsule to medulla.

A

Capsule, Zona glomerulosa, zona fasciculata, zone reticularis, medulla

57
Q

What is another name for an adrenal medulla tumor?

A

Pheochromocytoma

58
Q

Symptoms of pheochromocytoma

A

Hyperglycemia and transient blood pressure elevations.

59
Q

What is the most common type of adrenal tumor in adults? What is a common adrenal tumor in children? The symptomatic difference between the two?

A

Pheochromocytoma. Neuroblastoma. Neuroblastoma doesn’t alter blood pressure.

60
Q

What causes Cushing’s Syndrome?

A

Excess cortisol.

61
Q

Symptoms of Cushing’s Syndrome?

A

Moon Face, hyperglycemia, diabetes mellitus, amenorrhea, hirsutism

62
Q

What is Conn’s Syndrome? Symptoms?

A

Excess aldosterone production. Excess H2O retention, and thus, hypertension + hypokalemia.

63
Q

What is Addison’s disease? Symptoms?

A

Adrenocortical insufficiency. Weakness, nausea, weight loss, and heightened ACTH

64
Q

Heightened ACTH can cause

A

Hyperpigmentation

65
Q

What is Waterhouse-Friderichsen syndrome?

A

Acute cortical destruction often caused by severe bacterial infection (often meninogococcal)