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RACP Clinical Exam > Endocrinology > Flashcards

Endocrinology Flashcards

1
Q

What are the differentials for a retrosternal mass?

A 
Enlarged thyroid 
Enlarged parathyroid 
Teratoma 
Lymphoma 
Thymoma
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2
Q

What are the causes of painful thyroid swelling?

A

Subacute granulomatous thyroiditis
Infectious thyroiditis
Radiation thyroiditis
Drug induced thyroiditis

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3
Q

What are the causes of painless thyroid swelling?

A 
Painless thyroiditis 
Iodine deficiency related 
Iodine excess
Graves’ disease 
Hashimoto’s thyroiditis 
Postpartum thyroiditis
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4
Q

What are the complications of large goitres?

A 
Upper airway obstruction 
Dysphasia 
Recurrent laryngeal nerve palsy 
Horners syndrome 
Jugular vein compression and thrombosis 
Cerebrovascular steal syndromes
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5
Q

What are the causes of hyperthyroidism?

A

INCREASED PRODUCTION

Graves’ disease 
Hashimotos disease
Toxic adenoma 
Toxic multinodular goitre
Iodine induced hyperthyroidism 
TSH producing tumour

INCREASED RELEASE

de Quervain Thyroiditis 
Infective thyroiditis 
Radiation thyroiditis 
Post partum thyroiditis 
Drug induced thyroiditis
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6
Q

What are the causes of thyroid failure?

A 
Autoimmune thyroiditis 
Idiopathic thyroid atrophy 
Precious radiotherapy or surgery 
Iodine deficiency 
Anti thyroid drugs 
Infiltrative disease 
Pituitary or hypothalamic disease
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7
Q

What are the causes of a goitre?

A 
Iodine deficiency 
Multinodular goitre
Autoimmune thyroiditis 
Graves’ disease 
Tumours 
Infiltrative diseases
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8
Q

What are the causes of goitre?

A 
Hashimoto thyroiditis
Graves disease
Familial or sporadic multinodular goitre
Iodine deficiency
Follicular adenoma
Colloid nodule or cyst
Thyroid cancer
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9
Q

What are the causes of thyrotoxicosis?

A 
Graves’ disease 
Toxic multinodular goitre 
Hashimotos thyroiditis 
Post party thyroiditis 
Drug induced thyroiditis 
Iodine induced 
Over replacement of thyroxine
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10
Q

What are the causes of hypothyroidism without goitre?

A

Idiopathic atrophy
Previous surgery
Precious radioiodine ablation
Agenesis

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11
Q

What are the causes of hypothyroidism with goitre?

A

Iodine deficiency
Hashimoto’s thyroiditis
Late drug induced thyroiditis
Inborn errors (Pendred Syndrome)

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12
Q

What is the treatment of panhypopit?

A
  1. Hydrocortisone 25microg total
  2. Levothyroxine 1.6micrig/kg
  3. Androgens if not seeking children
  4. Gonadotrophin replacement if keen for kids
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13
Q

What are the features of active disease in acromegaly?

A 
Skin tag number 
Sweating 
Glycosuria 
Hypertension
Enlarging goitre 
Headache 
Increasing ring sizes 
Visual Feild loss
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RACP Clinical Exam (13 decks)

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