Lecture 60 - Endocrine 2 Flashcards

1
Q

T/F: thyroid glands are bilobed structures over the trachea

A

TRUE

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2
Q

what are thyroid hormones composed of

A

tyrosine and iodine

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3
Q

T4 and T3 differ in

A

the number of iodine molecules

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4
Q

T/F: T4 is the most abundant thyroid molecule

A

TRUE

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5
Q

colloid

A

round-shaped secretory follicles surrounded by cuboidal cells

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6
Q

describe thyroid hormone synthesis in 5 steps

A
  1. iodine transported into follicular cell
  2. iodine diffuses into colloid
  3. iodine joins with thyroglobulin to form T4/T3
  4. T3/T4 re-enter cell via endocytosis
  5. stored in vesicles and enter blood via transport protein
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7
Q

what ion is co-transported into the thyroid gland with iodine

A

sodium (Na+)

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8
Q

what enzyme influences T4/T3 synthesis

A

thyroperoxidase

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9
Q

what does methimazole do

A

inhibits thyroperoxidase activity to lower T3/T4 in blood

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10
Q

what are examples of specific binding proteins

A

thyroxine
binding globulin

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11
Q

what are examples of non-specific binding proteins

A

albumin

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12
Q

T/F: there are very small amounts of free thyroid hormone in the plasma

A

TRUE

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13
Q

Describe the releasing, stimulating, and target hormone in the thyroid

A

releasing = TRH
stimulating = TSH
target = T4

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14
Q

what will TSH be if T4 is low due to systemic illness

A

normal to low

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15
Q

what will TSH be if T4 is low due to thyroid disease

A

high

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16
Q

How do thyroid hormones affect basal metabolism

A
  1. calorigenic effect - increase oxygen consumption for heat
  2. enhanced carbohydrate metabolism - overall increased glucose uptake
  3. enhanced lipolysis - reduce plasma cholesterol concentrations
17
Q

a hypothyroid dog will present as

A

overweight, low body temp, high cholesterol

18
Q

what systemic effects do thyroid hormones have

A
  1. neurologic - enhance sympathetic activity
  2. cardiovascular - support normal HR and BP
  3. kidney function - supports glomerular filtration
19
Q

a hyperthyroid cat will present as

A

ravenous appetite, weight loss, active, fast HR, high BP, “skittish”