Thyroid disease

Question 1

Causes of hypothyroidism

Answer 1

Hashomoto’s, Primay atrophic hypothyroidism, Amiodarone, Lithium, Iodine deficiency, Iatrogenic, Hypopituitarism

Question 2

Drugs that can cause thyroid disease

Answer 2

Amiodarone, Lithium

Question 3

Symptoms of hypothyroidism

Answer 3

Weight gain, Constipation, Myalgia, Low mood, Tiredness, Poor memory, Cold intolerance, Menorrhagia, Hoarse voice

Question 4

Signs of hypothyroidism

Answer 4

Bradycardia, Hyporeflexia, Ataxia, Dry skin, Cold hands, Ascites, Goitre, Obesity

Question 5

Investigations for hypothyroidism

Answer 5

Bloods: TFTs, Thyroid antibodies

Question 6

Management of hypothyroidism

Answer 6

Levothyroxine

Question 7

Causes of hyperthyroidism

Answer 7

Nodular disease, Grave’s disease, Thyroiditis, Adenoma, Amiodarone, Lithium

Question 8

Natural history of thyroiditis

Answer 8

Self limiting

Question 9

Natural history of nodular hyperthyroidism

Answer 9

No remission

Question 10

Natural history of Grave’s disease

Answer 10

Can enter remission

Question 11

Symptoms of hyperthyroidism

Answer 11

Diarrhoea, Weight loss, Increased appetite, Sweating, heat intolerance, Palpitations, Tremor, Irritability, Anxiety, Psychosis, Oligomenorrhea

Question 12

Signs of hyperthyroidism

Answer 12

Tachycardia, Palmar erythema, Thin hair, Goitre, Lid lag, Thyroid nodules

Question 13

Sign’s of Grave’s disease

Answer 13

Signs of hyperthyroidism, Exopthalmus, Pretibial myxoedema, Low neutrophils

Question 14

Investigations for hyperthyroidism

Answer 14

Bloods: TFTs, FBC, Thyroid antibodies

USS, Nuclear scintigraphy

Question 15

Management of hyperthyroidism

Answer 15

Medical: Beta-blocker, Carbimazole, Radioactive iodine
Surgical: Thyroidectomy