P33 - Thyroid Flashcards

1
Q

total thyroxine [tT4] is mostly ____ bound

A
  • protein
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2
Q

free thyroxine [tT4] is biologically ____

A
  • active
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3
Q

thyroglobulin (Tg) is a protein containing what

A
  • thyroid hormone precursors that are iodinated in colloid
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4
Q

hyperthyroxemia - increase in what

A
  • increase in [tT4]
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5
Q

hypothyroxemia - decrease in what

A
  • decrease [tT4]
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6
Q

clinical sings of hyperthyroxemia

A
  • weight loss
  • alopecia
  • polydipsia
  • GI signs
  • nervous signs
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7
Q

reasons for hyperthyroxemia

A
  • thyroid neoplasm

- administration of T4, TSH, TRH or iodine containing compounds

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8
Q

clinical signs of hypothyroxemia

A
  • weight gain
  • lethargy
  • mild anemia
  • hypercholesterolemia
  • hypertriglyceridemia
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9
Q

hypothyroxemia caused by

A
  • decrease production of T4 (primary or secondary)

- multifactoral (decrease production of T4 for unknown cause - drugs or inflammatory disease)

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10
Q

primary hypothyrodisim due to

A
  • decrease in thyroid gland (damage or inflammation)
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11
Q

secondary hypothyroidism due to

A
  • TSH deficiency (pituitary damage)
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12
Q

three processes of hypothyroxemia due to drugs

A
  • decrease protein-bound
  • inhibit TSH secretion
  • inhibit T4 production
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13
Q

primary hypothyroidism in canine - expect [tT4] and [TSH] values

A
  • [tT4] - decrease

- [TSH] increase

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14
Q

sick euthyroidism in canine - expect [tT4] and [TSH] values

A
  • [tT4] - decrease

- [ TSH] WRI

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15
Q

lymphocytic thyroiditis causes damaged cells to release ____ -> reaction to “foreign” protein -> formation of ____

A
  • thyroglobulin

- TgAA (thyroglobulin autoantibody)

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16
Q

what titer is low if the thyroid gland is destroyed

A
  • autoantibody

- no thyroglobulin leaves thyroid tissue -> no stimulus for TgAA production

17
Q

dogs with lymphocytic thyroiditis have more of what autoantibody

A
  • more TgAA than T4AA or T3AA
18
Q

in a hyperthyroid cat, the thyroid gland is producing too much of what

A
  • T4
19
Q

T3 suppression test results in healthy cat

A
  • increase [tT3]

- decrease [tT4]

20
Q

T3 suppression test in hyperthyroid cat

A
  • increase [tT3]

- no decrease [tT4] - production continues