Management of thyroid disease Flashcards

1
Q

Thyroid stimulating hormone (TSH) is produced by the:

A

Anterior pituitary.

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2
Q

Which of the following is most accurate regarding the finding of a solitary thyroid nodule?

A

A benign or malignant thyroid lesion will present in a similar manner.

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3
Q

Which of the following is most consistent with untreated hypothyroidism?

A

TSH=24 mIU/L (0.4–4.0 mIU/L), free T4=3 pmol/L (10–27 pmol/L)

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4
Q

In prescribing an initial prescription of thyroxine therapy, which of the following statements is true?

A

The anticipated thyroxine dose can be calculated using an age- and weight-based formula.

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5
Q

The mechanism of action of radioactive iodine in the treatment of Graves’ disease is to:

A

Destroy the overactive thyroid tissue.

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6
Q

Which of the following medications has been associated with serious liver injury?

A

Propylthiouracil

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7
Q

Which of the following is most consistent with subclinical hypothyroidism?

A

Elevated TSH with normal free T4

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8
Q

When counseling a patient taking levothyroxine (Synthroid®, Unithroid®), you advise that the medication should be taken:

A

On an empty stomach.

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9
Q

Which of the following is not a characteristic of subacute thyroiditis?

A

Transient hypothyroid phase followed by hyperthyroidism

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10
Q

Which of the following is a helpful treatment option for relief of distressing tachycardia and tremor associated with hyperthyroidism?

A

Propranolol

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11
Q

Which of the following is most consistent with untreated hyperthyroidism?

A

TSH <0.15 mIU/L (0.4–4.0 mIU/L), free T4=79 pmol/L (10–27 pmol/L)

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