Chapter 57: Thyroid Gland- Toxic Multinodular Goiter

Question 1

What is it also known as?

Answer 1

Plummer’s disease

Question 2

What is it?

Answer 2

Multiple thyroid nodules with one or more nodules producing thyroid hormone, resulting in hyperfunctioning thyroid (hyperthyroidism or a “toxic” thyroid state)

Question 3

What medication may bring on hyperthyroidism with a multinodular
goiter?

Answer 3

Amiodarone (or any iodine-containing medication/contrast)

Question 4

How is the hyperfunctioning nodule(s) localized?

Answer 4

131I radionuclide scan

Question 5

What is the treatment?

Answer 5

Surgically remove hyperfunctioning nodule(s) with lobectomy or near total thyroidectomy