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← Human Body & HealthIf a patient with iodine deficiency develops a goiter and receives excessive supplemental iodine, what homeostatic disturbance is most likely to occur initially?
A)Increased TSH receptor sensitivity
B)Persistent elevation of circulating T3
C)Downregulation of sodium-iodide symporters
D)Transient suppression of thyroid hormone synthesis✓
💡 Explanation
Excess iodine can trigger the Wolff-Chaikoff effect, wherein high intracellular iodide levels acutely inhibit thyroid peroxidase (TPO), reducing thyroid hormone synthesis. Because of this autoregulatory mechanism, thyroid hormone synthesis is transiently suppressed, therefore D is correct, rather than options that involve sustained hyperthyroidism.
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