ENDOCRINOLOGY - THYROID DISORDERS

Question 1

How do you want to investigate hyperthyroidism ?

Answer 1

Thyroid Function test , high FT3 / FT4 , low TSH

Question 2

How do you plan to manage hyperthyroidism ?

Answer 2

medication : carbimazole
surgical (if malignancy )
radioactive ( if relapse )

Question 3

What is the complication of hyperthyroidism?

Answer 3

Thyroid storm
Cardiomyopathy
Osteoporosis

Question 4

In hypothyroidism patient , what features did you suspect to see ?

Answer 4

Bradycardia
Slow to respond

Question 5

What is the expected findings of TFT in primary and secondary hypothyroidism ?

Answer 5

primary : low FT4 , high TSH

secondary : low FT4 , low TSH

Question 6

If the hypothyroidism is autoimmune , what antibody will be positive ?

Answer 6

Thyroid peroxidase (TPO)

Question 7

How you want to manage hypothyroidism ?

Answer 7

LT4 ( levothyroxine ) replacement on empty stomach

Question 8

In thyroid nodule , what is the expected TFT result in malignancy ?

Answer 8

Normal in malignancy

Question 9

If we suspected malignancy in thyroid nodule ,what should you further ordering ?

Answer 9

-ultrasound neck
-Fine Needle aspiration Cytology
-Thyroid scan