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Endo week 1- thyroid hormones
BS
11
Medical
Graduate
10/30/2018

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Cards

Term
In what ratio are T4 and T3 released from the thyroid?
Definition
90% T4; 10% T3
Term
What enzyme converts T4 to T3?
Definition
5' iodinase
Term
How are thyroid hormones transported in blood?
Definition
Bound to Thyroxine Binding Globulin (TBG) for transport in blood
Hydrophobic
Term
What is rT3?
Definition
"Reverse" T3- the iodide closest to the amine group is cleaved off of T4 instead of the one furthest
Can be higher in pregnancy
Inactive
Term
Which is more active in tissues: T4 or T3?
Definition
T3
Term
What is the underlying pathophys of Graves' disease?
Definition
Body secretes thyroid-stimulating antibodies
Term
If you have hyperthyroidism in the presence of increased TSH, where is the lesion likely to be?
Definition
Hypothalamus or anterior pituitary
Term
TSH levels in Hashimoto's?
Definition
Can go up or down- inflammation of thyroid triggers cell death --> cells release thyroid hormone when they die, negatively feeding back to hypothalamus to reduce TSH
Term
What hormone promotes calcium deposition in bone, secretion from intestines and kidneys?
Definition
Calcitonin
Term
What 2 hormones promote release of Ca++ from bone and enhanced absorption from intestine/kidneys?
Definition
PTH and vit D
Term
What form of vit D is produced in the skin?
Definition
7-dehydrocholesterol
Must be activated to cholecalciferol by UV light
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