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Systems Final Exam
The Thyroid Gland
15
Medical
Graduate
04/27/2009

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Cards

Term
What is colloid predominantly made up of?
Definition
Thyroglobulin, which is synthesized and secreted by the follicular cells
Term
What is the Iodide dietary average intake?
Definition
400 ug per day
Term
The very large pool of iodide stored in the thyroid ensures against iodide deficiency for how long?
Definition
1-2 months
Term
What is the Wolff-Chaikoff effect?
Definition
If iodide intake exceeds 2 mg/day, the excess iodide in the thyroid gland inhibits the iodide trap and hormone synthesis
Term
Describe what is meant by iodide trap?
Definition
The coupling of the transported iodide to thyroglobulin in the lumen of the thyroid gland traps the iodide within the gland
Term
What is pendrin?
Definition
Pendrin is an anion exchanger which transports the iodide from the thyroid follicular cell to the lumen of the follicle
Term
Hyperthyroidism is diagnosed base on the measurement of what?
Definition
Free T4
Term
What is thyroxine-binding protein?
Definition
The major carrier protein for thyroid hormone, binding 70% of the circulating T3 and T4
Term
Where does most of the conversion of T4 into T3 take place?
Definition
Peripheral tissues
Term
One thyroid receptor can form a heterodimer with what other type of receptor?
Definition
One retinoid receptor (RXR)
Term
What cells are targeted by thyroid hormone?
Definition
Probably all cells of the body, because it regulates development, growth and metabolism
Term
How does thyroid hormone affect glucose concentrations?
Definition
TH enhances insulin-dependent transport of glucose into cells as well as increased gluconeogenesis and glycogenolysis to generate glucose
Term
Do people develop goiters when theyre hypothyroid, euthyroid, or hyperthyroid?
Definition
All three
Term
What is Hashimoto's thyroiditis?
Definition

Acquired autoimmune hypothyroidism; antibodies are directed against thyroglobulin and thyroid peroxidase; the inflamed gland undergoes structural damage, gland destruction, and the development of goiter

 

Most common cause of hypothyroidism in the US

Term
What is thyrotoxicosis?
Definition
When tissue is exposed to excessive thyroid hormone as in Graves disease; elevated levels of T3 and T4 short circuit the standard feedback loop between the thyroid gland-hypothalamus-anterior pituitary
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