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Thyroid & Parathyroid — NEET Biology MCQs with Solutions

Free NEET Biology Thyroid & Parathyroid MCQs with step-by-step solutions (50 questions). Part of Chemical Coordination and Integration. Practise online on Prepizo — no login needed.

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Questions with solutions

Q1 — Thyroid & Parathyroid · easy · theory
The thyroid hormones (T₃ and T₄) require the element ______ for their synthesis:
A. Sodium
B. Calcium
C. Iodine  ✓ Correct
D. Iron
Solution: Iodine is essential for thyroxine (T₄) and triiodothyronine (T₃) synthesis.
Q2 — Thyroid & Parathyroid · easy · theory
Enlargement of the thyroid gland due to dietary iodine deficiency is called:
A. Goitre  ✓ Correct
B. Cretinism
C. Diabetes
D. Tetany
Solution: Iodine deficiency → low thyroxine → thyroid enlarges (simple goitre).
Q3 — Thyroid & Parathyroid · medium · theory
Hyposecretion of thyroid hormones during pregnancy/childhood can cause ______ in the newborn:
A. Exophthalmic goitre
B. Acromegaly
C. Cretinism (stunted growth, mental retardation)  ✓ Correct
D. Gigantism
Solution: Congenital hypothyroidism causes cretinism — stunted growth, low IQ, deaf-mutism.
Q4 — Thyroid & Parathyroid · medium · theory
The parathyroid hormone (PTH) raises blood calcium levels; it is therefore called a ______ hormone:
A. Hypercalcemic  ✓ Correct
B. Hypocalcemic
C. Hypoglycemic
D. Hyperglycemic
Solution: PTH is hypercalcemic — it increases blood Ca²⁺ by acting on bone, kidney and gut (opposed by calcitonin).
Q5 — Thyroid & Parathyroid · hard · theory
Calcitonin (from the thyroid) and parathormone (from parathyroids) act antagonistically to regulate:
A. Blood pressure
B. Body temperature
C. Blood calcium levels  ✓ Correct
D. Blood glucose levels
Solution: Calcitonin lowers and PTH raises blood Ca²⁺ — together they maintain calcium homeostasis.
Q6 — Thyroid & Parathyroid · hard · theory
Thyroxine is also a major regulator of the ______ and influences ______:
A. Basal metabolic rate (BMR); growth, RBC formation and tissue development  ✓ Correct
B. Water balance; urine volume
C. Blood sugar; digestion only
D. Blood calcium; muscle contraction only
Solution: Thyroxine controls BMR and supports normal growth, erythropoiesis, and metabolism of carbohydrates, fats and proteins.
Q7 — Thyroid & Parathyroid · easy · numerical
The thyroid gland consists of two lobes on either side of the trachea, connected by a connective-tissue bridge called the:
A. Isthmus  ✓ Correct
B. Infundibulum
C. Pars intermedia
D. Sella turcica
Solution: The two thyroid lobes are joined across the trachea by a thin flap of connective tissue called the isthmus.
Q8 — Thyroid & Parathyroid · easy · numerical
Which thyroid hormone lowers blood calcium levels by acting on bone and kidney?
A. Parathormone (PTH)
B. Triiodothyronine (T3)
C. Thyroxine (T4)
D. Calcitonin (thyrocalcitonin)  ✓ Correct
Solution: Calcitonin, secreted by the thyroid, is a hypocalcemic hormone; it lowers blood Ca2+ by inhibiting bone resorption and promoting calcium loss in urine.
Q9 — Thyroid & Parathyroid · easy · numerical
Thyroid hormones raise the basal metabolic rate. Their over-secretion (hyperthyroidism) would therefore be expected to cause:
A. Weight gain with a lowered basal metabolic rate
B. A drop in body temperature and lethargy
C. No change in body weight or metabolism
D. Weight loss with an elevated basal metabolic rate  ✓ Correct
Solution: Excess thyroid hormone increases the basal metabolic rate, accelerating catabolism and typically causing weight loss despite normal or increased appetite.
Q10 — Thyroid & Parathyroid · easy · numerical
The number of parathyroid glands normally embedded on the back of the thyroid in humans is:
A. One
B. Six (three pairs)
C. Two (one pair)
D. Four (two pairs)  ✓ Correct
Solution: Humans typically have four parathyroid glands — two pairs — located on the posterior surface of the thyroid lobes.
Q11 — Thyroid & Parathyroid · medium · numerical
Parathyroid hormone raises blood calcium. Which set of actions correctly describes how it does so?
A. Stimulates bone resorption, increases renal Ca2+ reabsorption, and promotes intestinal Ca2+ absorption (via vitamin D)  ✓ Correct
B. Deposits calcium into bone and inhibits its intestinal absorption
C. Suppresses osteoclasts and stimulates calcitonin release
D. Increases calcium loss in urine while blocking bone breakdown
Solution: PTH is hypercalcemic: it mobilises Ca2+ from bone (osteoclast stimulation), enhances renal reabsorption of Ca2+, and promotes intestinal absorption of calcium via activation of vitamin D.
Q12 — Thyroid & Parathyroid · medium · numerical
Assertion (A): A diet chronically deficient in iodine can lead to goitre. Reason (R): Without iodine the thyroid cannot make adequate T3/T4, and reduced feedback drives excess TSH that enlarges the gland. Choose the correct option.
A. A is true but R is false
B. Both A and R are true and R is the correct explanation of A  ✓ Correct
C. Both A and R are true but R is NOT the correct explanation of A
D. A is false but R is true
Solution: Iodine deficiency lowers T3/T4 output; the reduced negative feedback raises TSH, which hypertrophies the thyroid, producing simple (endemic) goitre — so R correctly explains A.
Q13 — Thyroid & Parathyroid · medium · numerical
Calcitonin and parathormone regulate calcium homeostasis antagonistically. Which statement about this pair is correct?
A. Calcitonin raises blood Ca2+ while PTH lowers it
B. Both hormones are secreted by the parathyroid glands
C. Both hormones raise blood calcium levels
D. Calcitonin lowers blood Ca2+ (hypocalcemic) while PTH raises it (hypercalcemic)  ✓ Correct
Solution: Calcitonin (thyroid) is hypocalcemic and PTH (parathyroid) is hypercalcemic; together they act antagonistically to keep blood calcium within narrow limits.
Q14 — Thyroid & Parathyroid · medium · numerical
Which of the following statements about thyroid dysfunction and its effects is INCORRECT?
A. Thyroid hormones support normal growth, development and tissue differentiation
B. Thyroid hormones influence the maintenance of water and electrolyte balance
C. Severe hypothyroidism during pregnancy can cause cretinism in the offspring
D. Hypothyroidism in an adult woman never affects the menstrual cycle  ✓ Correct
Solution: Thyroid hormones affect the menstrual cycle, so hypothyroidism in women can cause menstrual irregularities — that statement is false. Cretinism, water-electrolyte balance and growth effects are all correct.
Q15 — Thyroid & Parathyroid · medium · numerical
A child shows stunted growth, intellectual disability, low body temperature and retained (deaf-mute) features. This clinical picture, arising from thyroid hormone deficiency in early life, is called:
A. Acromegaly
B. Myxoedema
C. Cretinism  ✓ Correct
D. Grave's disease
Solution: Congenital or early hypothyroidism produces cretinism — stunted growth, mental retardation, low body temperature and often deaf-mutism. Myxoedema is adult-onset hypothyroidism.
Q16 — Thyroid & Parathyroid · medium · numerical
The exophthalmic goitre marked by protruding eyeballs, raised metabolic rate and thyroid enlargement due to over-secretion of thyroid hormones is known as:
A. Grave's disease  ✓ Correct
B. Cretinism
C. Myxoedema
D. Simple goitre
Solution: Grave's disease is a hyperthyroid condition featuring exophthalmos (bulging eyes), goitre and an elevated metabolic rate, in contrast to the hypothyroid conditions cretinism and myxoedema.
Q17 — Thyroid & Parathyroid · medium · theory
Deficiency of iodine in the diet results in:
A. Grave's disease
B. All of the above
C. Exophthalmic goitre
D. Hypothyroidism  ✓ Correct
Solution: Iodine deficiency impairs thyroxine synthesis, producing hypothyroidism (goitre).
Q18 — Thyroid & Parathyroid · medium · theory
Thyrocalcitonin (TCT) is a:
A. Protein (peptide) hormone  ✓ Correct
B. Amino-acid derivative hormone
C. Steroid hormone
D. Glycolipid hormone
Solution: Thyrocalcitonin is a peptide/protein hormone secreted by the thyroid.
Q19 — Thyroid & Parathyroid · medium · theory
In adult women, hypothyroidism may cause:
A. Abnormal skin
B. Irregular menstrual cycle  ✓ Correct
C. Contraction of smooth muscles
D. Deaf mutism
Solution: Hypothyroidism in adult women can disturb the menstrual cycle, making it irregular.
Q20 — Thyroid & Parathyroid · medium · theory
Which of the following disorders is a form of hyperthyroidism?
A. Cretinism
B. Exophthalmic goitre  ✓ Correct
C. Cushing syndrome
D. Myxoedema
Solution: Exophthalmic goitre (Grave's disease) is a form of hyperthyroidism, whereas myxoedema and cretinism are hypothyroid conditions.
Q21 — Thyroid & Parathyroid · medium · theory
Which of the following is a function of thyroid hormones?
A. Electrolyte balance
B. Support the process of red blood cell formation
C. All of the above  ✓ Correct
D. Maintenance of water balance
Solution: Thyroid hormones support RBC formation and help maintain water and electrolyte balance, among other metabolic roles.
Q22 — Thyroid & Parathyroid · medium · theory
Read the following statements and choose the INCORRECT option regarding hormone receptors and thyroid hormones.
A. Cumulative biochemical actions result in physiological and developmental effects
B. Hormone receptors are located in the target tissues only
C. Hormones interacting with intracellular receptors mostly regulate gene expression by binding of the hormone-receptor complex with the genome
D. Thyroid hormones are steroid in nature  ✓ Correct
Solution: Thyroid hormones are amino-acid (iodinated tyrosine) derivatives, not steroids, so that statement is incorrect.
Q23 — Thyroid & Parathyroid · hard · theory
Choose the correct statements: (i) Thyroid follicular cells enclose a cavity; (ii) Melatonin helps in maintaining body temperature; (iii) Hypothyroidism during pregnancy causes defective development; (iv) Four pairs of parathyroid glands are present, one in each of the two lobes of the thyroid.
A. i, ii, iii and iv
B. Only ii and iii
C. i, ii and iii  ✓ Correct
D. Only i and ii
Solution: Statements i-iii are correct, but there are four parathyroid glands (two pairs), not four pairs, so iv is wrong.
Q24 — Thyroid & Parathyroid · medium · theory
Which of the following hormones regulate the blood calcium levels?
A. Thyrocalcitonin only
B. Thyroxine
C. Thyrocalcitonin and parathyroid hormone  ✓ Correct
D. Tetraiodothyronine and triiodothyronine
Solution: Blood calcium is jointly regulated by thyrocalcitonin (lowers Ca) and parathyroid hormone (raises Ca).
Q25 — Thyroid & Parathyroid · medium · theory
PTH acts on the bones and stimulates the process of:
A. Bone dissolution only
B. All of the above (bone resorption, dissolution and demineralisation)  ✓ Correct
C. Bone resorption only
D. Demineralisation only
Solution: Parathyroid hormone stimulates bone resorption/dissolution and demineralisation to release calcium into blood.
Q26 — Thyroid & Parathyroid · hard · theory
Read the following statements and choose the INCORRECT one about calcium-regulating hormones.
A. Thyrocalcitonin increases Ca2+ absorption from the digested food  ✓ Correct
B. Enlargement of the thyroid gland is commonly called goitre
C. Parathyroid hormone increases the blood Ca2+ levels
D. Along with TCT, parathyroid hormone plays a significant role in calcium balance in the body
Solution: Thyrocalcitonin lowers blood calcium; it does not increase Ca absorption from food, so that statement is incorrect.
Q27 — Thyroid & Parathyroid · medium · theory
The rate of synthesis and secretion of thyroid hormones is raised to abnormally high levels (hyperthyroidism) due to:
A. Iodine deficiency
B. Development of nodules of the thyroid glands only
C. Cancer of the thyroid gland only
D. Cancer of the thyroid gland or development of thyroid nodules  ✓ Correct
Solution: Hyperthyroidism can result from thyroid cancer or nodular overgrowth of the gland, not from iodine deficiency.
Q28 — Thyroid & Parathyroid · medium · theory
Each thyroid follicle is composed of
A. Parafollicular cells, enclosing a cavity
B. Follicular cells, enclosing a cavity  ✓ Correct
C. Parafollicular cells, not enclosing a cavity
D. Follicular cells, not enclosing a cavity
Solution: The thyroid gland is made of follicles lined by follicular cells that enclose a cavity filled with colloid.
Q29 — Thyroid & Parathyroid · hard · theory
Hypothyroidism during pregnancy causes defective development and maturation of the growing baby leading to: a. Cretinism (stunted growth) b. Dwarfism c. Mental retardation d. Low intelligence quotient (I.Q.) e. Abnormal skin f. Deaf-mutism
A. b, c, d and e
B. a, c, d, e and f  ✓ Correct
C. a, b, c, d, e and f
D. a, b, d and f
Solution: Maternal hypothyroidism causes cretinism with stunted growth, mental retardation, low IQ, abnormal skin and deaf-mutism; dwarfism is due to growth hormone deficiency.
Q30 — Thyroid & Parathyroid · medium · theory
A disease which is due to hyperthyroidism, characterised by enlargement of thyroid gland, protrusion of eye ball, increased BMR and weight loss is called
A. Exophthalmic goitre
B. Grave's disease
C. Both exophthalmic goitre and Grave's disease  ✓ Correct
D. Simple goitre
Solution: Hyperthyroidism with goitre and exophthalmos is known as exophthalmic goitre or Grave's disease.