W24/L3: Iodine & Thyroid hormones Flashcards

1
Q

In what regions is iodine abundant?

A

The ocean

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2
Q

What’s the RDI for iodine?

A

150μg

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3
Q

What does iodine deficiency give rise to?

A

Goitre

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4
Q

What does maternal iodine deficiency cause?

A

Cretinism

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5
Q

Which iodine isomer is used for thyroid ablation?

A

I-131

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6
Q

What characteristics of iodine make it a good x-ray contrast material?

A

High atomic number

Low toxicity

Easily attached to organic compounds

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7
Q

What are the best dietary sources of iodine?

A

Marine sources!

Fish, shellfish, kelp

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8
Q

Historically, which people got goitre?

A

The wealthy (who ate refined salt), and people living far inland)

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9
Q

Hyperthyroidism is visibly distinguishable from iodine deficiency on the basis of:

A

Exophthalmia

as well as goitre

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10
Q

What are goitrogens?

A

Compounds that inhibit iodine uptake in thyroid

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11
Q

What foods are goitrogens commonly found in?

A

Cruciferous veggies

Soy, kale, brussel sprouts*

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12
Q

Cretinism can present with

A

Mental retardation

Growth retardation (diminished stature)

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13
Q

In what proportions does the thyroid product T3 and T4?

A

80% T4 / 20% T3

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14
Q

Which thyroid hormone is responsible for almost all the hormone activity of them?

A

T3

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15
Q

How does iodine get into the thyroid?

A

Via the Na+, I- symport (NIS)

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16
Q

Where does the energy that powers NIS come from?

A

The sodium-potassium ATPase

17
Q

What’s the most common form of hyperthyroidism?

A

Graves’ disease

18
Q

What type of hypersensitivity is Graves’ disease?

A

Type II

19
Q

What are some signs/symptoms of hypothyroidism?

A

Goitre

Dry, coarse hair, dry skin, brittle nails

Weight gain, puffy face, constipation

Heavy periods, infertility

Bradycardia

Arthritis

Cold intolerance

Depression, fatigue, forgetfulness

20
Q

What are some signs/symptoms of hyperthyroidism

A

Goitre

Hairloss, soft nails

Weight loss, muscle wasting, frequent bowel movements

Scant periods

Tachycardia

Tremour

Heat intolerance