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119 Cards in this Set
- Front
- Back
Describe the embyrological development of the adrenal gland
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2 fused primordia forming the cortex and the medulla
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What does the cortex of the adrenal gland secrete?
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steroids
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What does the medulla of the adrenal gland secrete?
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catecholamines
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What is the adrenal cortex derived from?
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intermediate mesoderm
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What is the adrenal medulla derived from?
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neural crest cells
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Describe the stroma of the adrenal gland
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Consists of a dense connective tissue capsule which sends trabecular through the cortex to the medulla
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What supports the parenchyma of the adrenal gland?
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meshwork of reticular fibers
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How is the parenchyma of the adrenal gland arranged?
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surround the vasculature
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Describe the blood supply at the capsule of the adrenal gland
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suprarenal arteries form a plexus at or within the capsule
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Name the two types are arteries that derive from the capsular plexus of the adrenal gland
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cortical and medullary
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Describe the progression of the cortical arteries in the adrenal gland
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Form loops (like arcades) just under the capsule, then progress as straight, unbranched arteries until they reach the medulla where they anastomose
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Describe the contribution of arteries to the cortex of the adrenal medulla
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Does not receive blood from the cortical or medullary arteries
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Describe the blood flow of the medullary arteries
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Travel from the capsular plexus through the trabeculae to reach the medulla where they split to form a plexus
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Where do the medullary arteries drain to?
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the venous sinuses
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Where in the adrenal gland are the venous sinuses located?
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within the medulla
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Describe the venous sinuses
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lined by a fenestrated epithelium
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Describe the blood received by the medulla
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contains both corticosteroid-rich blood from the cortical arteries and oxygen rich blood from the medullary arteries
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What do the sinus veins unite and empty into?
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the central vein
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What do adrenocortical cells secrete?
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corticosteroids
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Describe primary organelles located in the adrenocortical cells that aid in the synthesis of corticosteroids
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1) lipid droplets
2) mitochondria 3) sER |
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Why are there lipid droplets in the adrenocortical cells?
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They (cholesterol esters) are the precursor to corticosteroids (the storage form).
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Describe the synthesis and secretion of corticosteroids
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No storage form, secreted via diffusion (no secretory granules)
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How do the lipid droplets of the adrenocortical cells change?
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They vary in relationship to the activity (high glucocorticoids mean low lipid droplets) and location within the cortex
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What is the importance of mitochondria within the adrenocortical cell?
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the first step of steroid synthesis and some of the last steps of glucocorticoid and mineralocorticoid synthesis occurs here
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Describe the prevalence of sER in the adrenocortical cells
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The steps of glucocorticoid synthesis that don't occur in the mitochondria occur in the sER
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Name the 3 layers of the adrenal gland cortex
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Zona glomerulosa
Zona fasiculata Zona reticularis |
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How are layers of the adrenal gland different in terms of appearance
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appearance changes based on the capillary organization
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What layer is the outermost layer of the adrenal gland?
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zona glomerulosa
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Describe the organization of cells in teh zona glomerulosa
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arranged in clumps or arcades(small cells)
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What do cells in the zona glomerulosa synthesize?
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mineralocorticoids
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What regulates the activity of the zona glomerulosa?
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the renin-angiotensin system of the kidney
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What is the thickest layer of the adrenal cortex?
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zone fasiculata
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What do cells in the zona fasiculata synthesize?
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glucocorticoids
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How are cells in the zona fasiculata organized?
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in parallel arrays around the capillaries
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What is another name for cells in the zona fasiculata layer?
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spongiocytes
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How are cells in the zona fasiculata different from other cells in the adrenal cortex?
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large, may be binucleate, large lipid droplets,
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What is the principal product of cells from the zona fasiculata?
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glucocorticoids (and to a lesser extent, adrenal androgens)
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What regulates the activity of cells in the zona fasiculata?
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ACTH
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What is the innermost layer of the adrenal cortex?
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the zona reticularis
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Describe the arrangement of cells in the zona reticularis
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anastomosing cords
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Describe the cell structure of cells in the zona reticularis
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few lipid droplets, lipofuscin granules, small, darkly staining
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What do cells of the zona reticularis secrete?
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androgens (and to a lesser extent, glucocorticoids)
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What regulates the activity of cells within the zona reticularis?
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ACTH
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Describe the location of the adrenal medulla in the adrenal gland
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Central region, surrounded by adrenal cortex
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How is the adrenal medulla similar to a sympathetic ganglia?
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derived from neural crest cells
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How is the adrenal medulla similar to postganglionic sympathetic nerve?
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receives innervation from pre-ganglionic sympathetic nerve and secrete catecholamines
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Name 2 hormones that are secreted from the adrenal medulla
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epinephrine and norepinephrine
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What is another name for cells of the adrenal medulla which contain catecholamines?
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adrenal chromaffin cells
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Describe the arrangement of adrenal chromaffin cells in the medulla
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arranged in cords around the sinuses and capillaries
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Name the two types of adrenal chromaffin cells
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adrenergic and noradrenergic
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Which cell is more frequent in the adrenal medulla: the adrenergic or the noradrenergic
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adrenergic
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Describe organelle composition of the adrenal chromaffin cells
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moderate rER and prominent Golgi, secretory vesicles,
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How is dopamine created in the adrenal chromaffin cell?
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converted from tyrosine in the cytoplasm
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What is the fate of dopamine in the adrenal chromaffin cell?
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converted to norepinephrine in the secretory vesicle
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How can norepinephrine be converted to epinephrine?
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transported to the cytoplasm from the secretory vesicle where PNMT converts it to epinephrine
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Other than epinephrine or norepinephrine, what is contained and secreted within the secretory vesicles?
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enkephalins
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How does the level of glucocorticoids present effect the level of adrenergic vs. noradrenergic cells in the adrenal medulla?
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high levels of glucocorticoids are needed to make PNMT which can convert noradrenergic cells to adrenergic cells
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What do adrenal chromaffin cells derive from?
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neural crest cells
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Other than adrenal chromaffin cells, what can neural crest cells differentiate into in the adrenal medulla
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neurons
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How do glucocorticoids affect neural crest cell differentiation?
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Glucocorticoids tend to favor the differentiation into adrenal chromaffin cells rather than neurons
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What types of cells might be present in the adrenal medulla
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adrenal chromaffin cells (both adrenergic and noradrenergic) and neurons
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What is the primary function of the adrenal gland in the fetus?
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major secreter of androgens
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What effect do androgens from the fetal adrenal gland have on development?
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They migrate to the placenta where they are converted into estrogens which are important for the maintenance of pregnancy
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What and where is the fetal zone of the fetal adrenal gland
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between the cortex and the medulla. Functions to secrete androgens
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When does the fetal adrenal gland lose the "fetal zone"
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within 2-3 weeks after birth
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Describe the parenchyma of the thyroid gland
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thyroid follicles
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Describe the structure of lymphoid follicles
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spherical structures that vary in size and number
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Describe the composition of lymphoid follicles
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Consist of epithelium surrounding a central lumen
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Describe the contents of the lumen in the lymphoid follicle
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material called colloid, which is rich in thyroglobulin
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What is the chief protein of the lymphoid follicle?
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thyroglobulin
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Describe the epithelium of lymphoid follicles
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simple (height size depends on activity of the follicle)
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Describe the size and epithelium of inactive lymphoid follicles
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large follicles, simple squamous epithelium
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Describe the size and epithelium of active lymphoid follicles
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Small, simple columnar epithelium
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Describe the stroma of the lymphoid follicle
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loose connective tissue running between the follicles, and a basal membrane encapsulating follicles
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Describe the blood supply to the lymphoid follicle
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basal lamina is lined by fenestrated capillaries
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Describe the lymphatics of the thyroid gland
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run throughout the loose connective tissue, but not closely associated with the follicle
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Describe the capsule of the thyroid
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composed of dense connective tissue, send trabeculae into the thyroid to support the follicles
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Name the two cells associated with the lymphoid follicle
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parafollicular cells and thyroid follicular cells
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What in the lymphoid follicles are the parafollicular cell and thyroid follicular cell located?
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typically in the epithelium
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What is the major cell lining the thyroid follicle?
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thyroid follicular cells
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What do thyroid follicular cells do?
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synthesize triiodothryonine and thyroxine (as well as thyroglobulin and components of the colloid)
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What regulates activity of the thyroid follicular cell?
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stimulated by thyroid stimulating hormone
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Describe the apical surface of the thryoid follicular cell
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contains numerous microvilli. In very active cells, phagocytic pseudopod is also noticed projecting into the lumen
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What separates the apical surface from the basolateral surface of the thyroid follicular cell?
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tight junctions
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Describe the organelle composition of thyroid follicular cells
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prominent rER, prominent Golgi, phagocyic vacuoles and lysosomes
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What are T3 and T4 derivatives of?
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iodinated tyrosines
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Where is the tyrosine that becomes iodinated to form T3 and T4?
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a part of the thyroglobulin molecule
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How does iodinated thyroglobulin relate to T3 and T4?
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iodinated thyroglobulin is the storage form of T3 and T4
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How are T3 and T4 released?
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degraded from iodinated thyroglobuin into T3 and T4, then endocytosed
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Describe the synthesis of thyroglobulin
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synthesized on ribosomes on the rER, transported into the lumen where the carbohydrate chain is added. Protein moved to Golgi where carbohydrate is modified. Golgi releases it to the apical surface in a vesicle. Vesicle is expelled into lumen
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What enzyme is responsible for the iodination of tyrosines within thyroglobulin?
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thyroperoxidase
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Where is thyroperoxidase located within the thryoid gland?
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on the apical microvilli as an integral protein
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Where does iodination of the tyrosine occur?
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while the thyroglobulin protein is in the lumen
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How is iodine collected for iodinated of tyrosines in the thyroid gland?
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by an active transport mechanism which moves I- all the way across the thyroid follicle cells into the lumen
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How does goiter develop?
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if there is a lack of I-
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What happens if there is not enough iodine in the thyroid?
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thyroid becomes enlarged due to the pituitary increased TSH which in turn results in hyperplasia and hypertrophy of the thyroid
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What triggers the degradation of thyroglobulin in the thyroid gland?
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the need for T3 and T4
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Describe the process of thyroglobulin degradation
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phagocytic vesicles fuse with lysosomes to degrade thyroglobulin into secondary lysosomes. From here, thyroglobulin is degraded into individual amino acids (T3 and T4) which is secreted into the blood via the fenestrated capillaries
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Where are parafollicular cells located?
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Within the follicular epithelium of the thyroid follicles, but much less numerous than the thyroid follicular cells
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What do parafollicular cells secrete?
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calcitonin
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Describe the shape and size of the parafollicular cells
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Larger than the thyroid follicular cells, however the thyroid follicular cells overarch the parafollicular cells such that they do not reach the follicular lumen
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Describe the organelle structures of the parafollicular cells
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moderate rER, and prominent Golgi, numerous small secretory granules
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Describe how the cells of the thyroid follicle represent the dual embryological origin of the organ
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parafollicular cells derive from neuralcrest cells of the ultimobranchial bodies and the thyroid follicular cells derive from thyroid gland proper
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Where is the parathyroid gland located?
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Usually on top of the thyroid gland, but sometimes it can be located within in, or distant from it
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How is the parenchyma of the parathyroid gland arranged?
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around the blood capillaries
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Name the 2 parathyroid parenchyma cells
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parathyroid chief cell
oxyphil cell |
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What is the primary cell of the parathyroid gland?
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parathyroid chief cell
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What do parathyroid cells secrete?
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parathyroid hormone
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What does parathyroid hormone do?
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causes an increase in Ca++
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How can parathyroid hormone increase Ca in the blood?
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stimulating bone resorption indirectly through osteoblasts
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Describe the arrangement of parathyroid cells within the parathyroid gland
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arranged in cords around the capillaries
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Describe the defining characteristics of parathyroid chief cells
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polygonal or cuboidal, light-staining cytoplasm, round euchromatic nucleus
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Describe how oxyphil cells differ from the parathyroid chief cells
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larger, numerous mitochondria, small heterochromatic nucleus, darkly staining cytoplasm
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What is the function of the oxyphil cell?
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unknown
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What are oxyphil cells derived from?
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Unknown, but believed that believe parathyroid chief cells
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Describe the pattern of presence of oxyphil cells in humans
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rare in children, grow more common as you age.
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Describe the capsule of the parathyroid gland
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thin connective tissue capsule
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Describe the arrangement of nerves, blood supply, and lymphatics in the parathyroid gland
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enter the gland with trabeculae from the capsule. Blood supply branches which is what the cells arrange themselves around
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Describe another type of cell present in the parathyroid gland that is NOT one of the parenchymal cells
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adipocytes (sometimes up to half the cells are adipocytes)
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