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PDA II Exam 3 Material
The Thyroid Gland
64
Health Care
Professional
03/30/2009

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Term
The majority of thyroid tissue is comprised of:
Definition
Follicular thyroid cells
Term
These thyroid cells synthesize and release thyroid hormones:
Definition
Follicular thyroid cells
Term
These tyroid cells secrete calcitonin:
Definition
Parafllicular C cells
Term
Calcitonin is secreted by these thyroid cells:
Definition
Parafollicular C cells
Term
This amino acid is the precursor to thyroid hormones:
Definition
Tyrosine
Term
The most common thyroid hormone in individuals is:
Definition
T4 (thyroxine)
Term
Thyroid hormones are bound to these to act as carriers in the blood:
Definition
Plasma proteins and albumin
Term
This is a trade element that is a crucial component of thyroid hormone structure:
Definition
Iodide
Term
A lack of iodide leads to:
Definition
Goiter
Term
Follicular cells selectively concentrate iodide via:
Definition
A Na/I symporter
Term
Iodide is transported across the apical membrane of the cell and concurrently oxidized by:
Definition
Thyroid peroxidase
Term
Thyroid hormoen oxidation by thyroid peroxidase leads to the formation of:
Definition
TG-MIT (monoiodotyrosine) and DIT (diiodotyrosine)
Term
This protein is synthesized by thyroid follicular cells and secreted at the apical surface into the colloid space:
Definition
Thyroglobulin
Term
The coupling between MIT and DIT is catalyzed by:
Definition
Thyroid peroxidase
Term
The pocket inside the follicular cells is called:
Definition
The colloid space
Term
This is a homogenous mixture of solids with liquids that is filled with proteins and such that make thyroid hormones:
Definition
Colloid space
Term
Thyroid peroxidase carries out these actions:
Definition
Attaches iodide onto rings; couples rings together to make thyroxine
Term
Thyroid hormones circulate mostly bound to these plasma proteins:
Definition
Thyroid binding globulin (TBG), transthyretin, albumin
Term
This is the predominant thyroid hormone found in the blood:
Definition
T4
Term
___ has four times the physiological activity of ______ on target tissues.
Definition
T3; T4
Term
T4 is inactivated by:
Definition
Deamination, decarboxylation, or conjugation and excretion by the liver
Term
Most T4 is ___ to the more active T3 form.
Definition
Deiodinated
Term
Free thyroid hormones enter the cell by:
Definition
Passive diffusion and active transport (organic anion and monocarboxylate transporters)
Term
Thyroid hormones receptors are found:
Definition
In the nucleus
Term
Thyroid hormones are critical for growth:
Definition
In infancy
Term
Thyroid hormones regulate general body _____ and _______ expenditure in adults.
Definition
Metabolism; energy
Term
Thyroid hormone is important for the response to:
Definition
A cold environment
Term
In the absence of thyroid hormone, this structure binds with a corepressor complex, which binds to the promoter regions of DNA and inhibits gene expression:
Definition
Thyroid hormone receptor - Retinoid X Receptor heterodimer
Term
In the presence of T3, the ______ dissociates from the _______, coactivators are recruited, and gene transcription occurs.
Definition
Corepressor complex; thyroid hormone receptor - retinoid X receptor heterodimer
Term
In the presence of T3, the corepressor complex dissociates from the TR:RXR heterodimer, coactivators are recruited, and this occurs:
Definition
Gene transcription
Term
Thyroid hormones bind to these receptors:
Definition
Nuclear receptors
Term
Thyroid hormones bind nuclear receptors controlling:
Definition
Expression of new proteins/gene expression
Term
Thyroid stimulating hormone binds to these cells in the thyroid gland:
Definition
Follicular cells
Term
Thyroid hormone has negative feedback by stimulating the release of this hormone:
Definition
Somatostatin
Term
Thyroid releasing hormone stimulates these anterior pituitary cells:
Definition
Thyrotrophs
Term
TSH increases the uptake of _____ by increasing the Na+/I- transporters.
Definition
Iodide
Term
TSH stimulates the synthesis and secretion of this protein:
Definition
Thyroglobulin
Term
TSH stimulates the iodination of:
Definition
Tyrosine
Term
TSH stimulates the _____ and _____ of thyroglobulin.
Definition
Endocytosis and proteolysis
Term
TSH stimulates the release of these hormones:
Definition
T3 and T4
Term
TSH increases the flow of this through the gland:
Definition
Blood
Term
Grave's Disease is an autoimmune disease that results from:
Definition
Hyperthyroidism
Term
In Grave's Disease patients, the autoimmune system produces antibodies that mimic _______ leading to hyperthyroidism.
Definition
TSH
Term
In Grave's Disease, the increased levels of thyroid hormones causes decreased levels of:
Definition
TRH and TSH
Term
This autoimmune disease results in hypothyroidism:
Definition
Hashimoto's thyroiditis
Term
Hashimoto's thyroiditis causes the autoimmune destruction of:
Definition
Follicular cells in the thyroid gland
Term
Destruction of follicular cells due to Hashimoto's thyroiditis causes decreased levels of _________ and increased levels of ___________.
Definition
Thyroid hormones; TRH, TSH
Term
Grave's disease may cause this enlargening of the thyroid gland:
Definition
Diffuse toxic goiter
Term
Symptoms of Grave's Disease include:
Definition
Goiter, exophthalmos, orange-peel skin
Term
Complications of exophthalmos include:
Definition
Bulging of the eye, dehyration, infection, inability to cover eye with eyelids
Term
Physiological symptoms of hyperthyroidism include:
Definition
High metabolic rate --> increase in skin temperature and sweating, nervousness, tremor, tachycardia, fatigue, increased appetite with loss of weight, exophthalmos
Term
This disease is caused by a dietary deficiency of iodine:
Definition
Simple, non-toxic goiter
Term
Simple, non-toxic goiter causes a rise in plasma:
Definition
TRH (TSH)
Term
True or False: Simple, non-toxic goiter exhibits hyperthroidism levels of thyroid hormones.
Definition
False: Simple, non-toxic goiter exhibits NORMAL thyroid hormone levels
Term
What are te two most common treatments for HYPERthyroidism?
Definition
Radioiodine (131-I)and thyroidectomy
Term
Radioiodine therapy emits ____ which cause selective local destruction of the thyroid gland.
Definition
B-particles
Term
Radioiodine and thyroidectomies may cause this complication:
Definition
Hypothyroidism --> undergo replacement Tx
Term
These drugs are competitive inhibitors of thyroid peroxidase, which block the synthesis of thyroid hormones:
Definition
Methimazole, propylthiouracil
Term
Methimazole and propylthiouracil decrease the output of thyroid hormones by:
Definition
Inhibition of iodination, inhibition of thyroid peroxidase activity --> inhibition of biosynthesis of thyroid hormones
Term
What are some of the drawbacks of using methimazole and propylthiouracil?
Definition
It takes 2-4 months to work, often result in goiter formation
Term
Physiological symptoms of HYPOthyroidism include:
Definition
Low metabolic rate (leads to weight gain), slow speech, lethargy, bradycardia, mental impairment, thickening of the skin
Term
Low metabolic rate, slow speech, lethargy, bradycardia, mental impairment, and thickening of the skin are symptoms of:
Definition
Hypothyroidism
Term
Treatment for hypothyroidism includes:
Definition
Hormone replacement therapy (thyroxine, triiodothyronine)
Term
Thyroxine and triiodothyronine are clinically used to treat:
Definition
Hypothyroidism
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