Thyroid Physiology Flashcards

1
Q

Follicular cells surround which structure?

A

Colloid

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2
Q

What is found in the colloid?

A

Tyrosine-containing thyroglobulin

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3
Q

What other cell is found in the thyroid gland?

A

Parafollicular C cells

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4
Q

What happens when iodine is taken up by follicle cells?

A

It attaches to tyrosine residues on thyroglobulin to form MIT and DIT

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5
Q

MIT and DIT combine to produce what?

A

T3

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6
Q

DIT and DIT combine to produce what?

A

T4

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7
Q

T3 is the active thyroid hormone. True/false?

A

True

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8
Q

90% of thyroid hormone secreted is T3. True/false?

A

False - T4

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9
Q

What are the major sites of conversion of T4 to T3?

A

Liver and kidney

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10
Q

What plasma proteins will bind to T3 and T4?

A

Thyroxine-binding globulin
Transthyretin
Albumin

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11
Q

Only unbound T4 and T3 is active. True/false?

A

True

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12
Q

T3 and T4 cause a decrease in metabolic rate and thermogenesis. True/false?

A

False - increase

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13
Q

Why is propranolol used in the early stages of hyperthyroidism?

A

As thyroid hormones increase the number of receptors to adrenaline and noradrenaline

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14
Q

Outline the HPT axis

A

Hypothalamus releases TRH which stimulates anterior pituitary to release TSH stimulating thyroid to release T3 and T4

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15
Q

What subfamily of enzymes are important in activation and deactivation of thyroid hormone?

A

Deiodinase

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16
Q

What class of deiodinase converts T4 to T3?

A

D2

17
Q

Where is D1 found?

A

Liver and kidney

18
Q

Where is D2 found?

A

Heart
CNS
Thyroid
Pituitary

19
Q

Where is D3 found?

A

Foetal tissue
Placenta
Brain