Thryroid 1 Flashcards

1
Q

Where is the thyroid situated in the neck

A

in front of the larynx and trachea at the level of the 5th, 6th and 7th cervical and 1st thoracic vertebrae

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2
Q

Anatomic vatiation of thyroid

A

Lingual thyroid

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3
Q

What is seen with lingual thyroid

A

Thyroid is embedded in the tongue

And there is no thyroid gland in the neck

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4
Q

Arterial blood supply to thyroid

A

Superior and inferior thyroid arteries

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5
Q

superior thyroid artery is branch of

A

branch of the external carotid artery

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6
Q

inferior thyroid artery is branch of

A

subclavian artery

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7
Q

venous return of the thyroid gald is ____ and they drain into ______

A

thyroid veins and they drain into internal jugular veins

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8
Q

where do the parathyroid glands lie

A

in the posterior thyroid tissue

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9
Q

______ passes upward close to the lobes of the gland

A

recurrent laryngeal nerve

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10
Q

recurrent laryngeal nerve on right side lies near the ______

A

inferior thyroid artery

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11
Q

________ is essential for the formation of the thyroid hormones T3 and T4

A

iodine

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12
Q

main dietary source of iodine in western culture

A

iodinated table salt

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13
Q

what is iodine trapping

A

the thyroid gland selectively takes up iodine from the blood

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14
Q

what stimulates release of T3 and T4 into the blood

A

thyroid stimulating hormone (TSH)

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15
Q

TSH is secreted by

A

pituitary

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16
Q

secretion of TSH is stimulated by

A

thyrotrophin releasing hormone (TRH) from the hypothalamus

17
Q

T3 + T4 and TSH secretion work in a ______ mechanism

A

negative feeback

18
Q

how do T3 and T4 cells affect the body?

A

increase metabolic rate and heat production

metabolism of carbs, proteins and fats

19
Q

other organ/systems affected by thyroid hormone

A

heart, skeletal muscle, skin, digestive and reproductive system

20
Q

increased T3 and T4 secretion=

A

hyperthyroidism

21
Q

decreased T3 and T4 secretion =

A

hypothyroidism

22
Q

3 thyroid function tests

A

TSH, T4 and anti-TPO Ab

23
Q

first line test for assessment of thyroid function

A

TSH test

24
Q

high levels of TSH indicate

A

hypothyroidism

25
Q

low levels of TSH indicate

A

hyperthyroidism

26
Q

elevated levels of anti-TPO Ab indicate

A

Hashimotos thyroiditis or graves disease

27
Q

What is thyroid peroxidase (TPO)?

A

enzyme in thyroid gland that converts T4 to T3

28
Q

what is antibodies thyroid peroxidase (TBOAb)

A

presence in blood reflects a prior attack on the thyroid tissue by the body immune system