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Endocrine Organs: Thyroid and Parathyroid Glands

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Question
Answer
What is the functional units of the thyroid?   Secretory follicles  
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The thyroid gland develops as what?   A primordium originating as an endodermal thickening of the floor of the primitive pharynx.  
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During development the _______ grows ________ and forms a duct like invagination known as what?   Caudally, thyroglossal duct  
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During the downward migration the thyroglossal duct atrophies, leaving behind an embryonic remnant called what?   Pyramidal lobe  
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Around the 9th week of gestation, endodermal cells differentiate into plates of ________ that become arranged into ________.   Follicular cells, follicles  
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By week 14 follicles lined by follicular cells contain what?   Colloid  
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During the 7th week, epithelial cells lining the invagination of the 4th pharyngeal pouches are known as what?   Ultimobrachial bodies  
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Ultimobrachial bodies migrate toward the developing thyroid gland and become incorporated into what?   Lateral lobes  
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The ultiombrachial cells disperse among the thyroid follicles which gives rise to what?   Parafollicular cells  
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Follicles contain a gel-like mass called what?   Colloid  
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Follicular cells are responsible for the production of what?   Thyroid hormones (T3 and T4)  
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There is an extensive network of _________ ________ surrounding the capillaries.   Fenestrated capillaries  
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Thyroid hormone (T3 and T4) are what kind or hormones?   Iodinated tyrosine derivatives  
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What functions do thyroid hormone produce?   Regulate cell and tissue basal metabolism, heat production and influence body growth and development.  
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Thyroid hormone secretions are regulated by what?   TSH (released from the anterior pituitary gland)  
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What is the major component of colloid?   Thyroglobulin  
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2 characteristics of colloid are?   120 aa and it is strongly PAS positive.  
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Thyroglobulin is an inactive form of what?   Thyroid hormones  
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The thyroid is unique because it stores large amounts of its hormones in what manner?   Extracellularly  
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Thyroid hormones are absolutely essential for what?   Normal fetal growth  
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In normal pregnancy, both T3 and T4 cross the placenta and are critical for what?   Early brain development  
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Thyroid hormone deficiency during fetal development results in what?   Irreversible damage to the CNS (includes reduced neurons, defective myelination and mental retardation)  
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The combination of the CNS abnormalities and stunted body growth is known as what?   Congenital hypothyroidism (cretinism)  
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Parafollicular cells are also called what?   C cells  
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Parafollicular cells synthesize and secrete what?   Calcitonin (the thyroid gland also secretes calcitonin)  
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Calcitonin is the physiologic antagonist to what?   Parathyroid hormone  
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Calcitonin acts by suppressing what?   The resorptive action of osteoclast  
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Calcitonin also promotes what?   Calcium deposition in bones (increases the rate of osteoid calcification.  
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The secretion of calcitonin is regulated by what?   Blood calcium levels (high blood Ca levels stimulates secretion of calcitonin)  
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The parathyroid gland develops from what?   The 3rd and 4th pharyngeal pouches  
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The inferior parathyroid glands and the thymus are derived from what?   3rd pharyngeal pouch  
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The superior parathyroid glands are derived from what?   4th pharyngeal pouch  
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The principal (chief) cells differentiate during embryonic development and are functionally active in what?   Regulating fetal calcium metabolism  
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Principal (chief) cells are responsible for the secretion of what?   Parathyroid hormone (PTH)  
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Parathyroid glands secrete what?   PARATHYROID HORMONE  
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PTH has what effects?   Regulates calcium and phosphate levels in the blood (84 aa polypeptide)  
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Parathyroid hormone is absolutely essential for what?   LIFE  
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If the parathyroid is totally removed what happens?   Laryngeal muscles and other respiratory muscles go into tetanic contraction as blood calcium levels fall and death follows.  
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What effect does PTH have on bone?   Activates osteolysis by osteoclasts which releases calcium and phosphate into the blood.  
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What effect does PTH have on the kidney?   Excretion of calcium is decreased by PTH stimulation of tubular reabsorption which conserves calcium.  
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Urinary phosphate excretion is _______ by PTH secretion.   Increased  
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PTH regulates kidney conversion of 25-OH vit. D3 to what?   Hormonally active 1,25-(OH)2  
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How does PTH influence intestinal absorption?   Increases calcium absorption  
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