thyroid q&a

RAPID FIRE QUESTIONS Hypo

1. Name the hormones tested in TFTs? Free T3, T4 & tsh
2. Which enzyme forms the thyroid hormones? TPO
3. What’s the effect of iodine? balanced intake
4. Name the thyroid binding proteins in the blood? globulin, albumin, pre-albumin
5. Can a person with goiter be without any thyroid symptoms? yes - euthyroid, iodine deficiency
6. fT4 low, fT3 low, TSH high. What is this? primary hypothyroidism
7. fT4 low, fT3 low, TSH low. What is this? secondary hypothyroidism
8. What is sick euthyroid syndrome? infection distrubance to thyroid
9. Name the 4 investigations for thyroid? TFT, CBC, CL, US, Biopsy Radionuclide scan
10. Name some causes of primary hypothyroidism? hashimoto, iodine deficiency, thyroidectomy, radiation therapy
11. What’s the commonest cause of hypothy? hashimoto
12. What’s the effect of amiodarone on thyroid? hypo, hyper, or euthyroid
13. Name another drug which can cause hypo? ?
14. Which antibodies in Hashimoto’s thyroiditis? anti TPO
15. Name some features of hypothy? …
16. What is myxedema? Edema, deposition?, not all patient have it
17. In a hypothyroid patient what do you see in CBC, electrolytes & lipid profile? microcytic anemia, hyponatremia, high CL
18. What does thyroid scan show in Hashimoto’s? decrease uptake
19. Can thyroxine tab. Be given during pregnancy? yes
20. After starting thyroxine, when should you recheck TFTs? 6wk ⇒ every year
21. Treatment of myxedema coma? i.v. thyroxin, O2, saline fluids, iv glucose, steroids

RAPID FIRE QUESTIONS Hyper

1. What is prim. Hyperthy? Thyroid
2. What is sec. hyperthyroidism? brain
3. Name 4 causes of hyperthyroidism? graves, toxic nodule, de quarvian
4. What’s the commonest cause? graves
5. What is De Quervain’s thyroiditis? viral
6. What is thyrotoxicosis factitial? quacks
7. Which antibody is diagnostic for Grave’s? TRAM
8. What kind of myopathy do you see in hyperthy? HIP, Soulder, proximal myopathy
9. What are the scan findings in : Grave’s, Toxic multinodular goiter, De Quervain”s thyroiditis? Diffused high uptake, multiple, all
10. Name 3 features which are specific for Grave’s only? exophalmos, clubbing, pretibial myxedema
11. TSH low, ft4 high, fT3 high. What is this? primary
12. TSH high, fT4 high, fT3 high. What’s this? secondary
13. What is the symptomatic treatment for hyperthy? BB
14. Name 3 specific treatments for hyperthyroidism? Drugs, Iodine, Surgical
15. Which treatment is curative? Surgery
16. Name 2 antithyroid drugs? Methimazole, PTU
17. Which drug is the drug of first choice? carb
18. Which drug is safe in pregnancy? no radioiodine
19. Can you radio iodine treatment in pregnancy? .No
20. Side effect of radio-iodine treatment? may result thyroid damage in neonate
21. What is the cause of De Quervain’s thyroiditis? viral infection
22. Which of these will you use for De Quervain’s, Carbimazole or radio iodine?
23. What is the treatment for De Quervain’s? bb, nsaids, predinsolone
24. What’s the scan finding in De Quervain’s? less uptake
25. ARE YOU AN EXPERT ON THYROID DISORDERS NOW?