Finals Quiz 2

Question 1

(De Quervain’s thyroiditis)

Answer 1

Hyper

Question 2

• Subacute granulomatous / Subacute nonsuppurative thyroiditis

Answer 2

Hyper

Question 3

• Graves’ disease (diffuse toxic goiter)

Answer 3

Hyper

Question 4

• Thyrotoxicosis

Answer 4

Hyper

Question 5

• goiter.
• Fine tremor of outstretched hands.
• Brisk reflexes.

Answer 5

Hyper

Question 6

• Tachycardia, wide pulse pressure.
• Warm, moist skin.
• Eyeila, maybe present.

Answer 6

Hyper

Question 7

• Weight loss despite increased appetite.
• Hyperdefecation (not diarrhea).

Answer 7

Hyper

Question 8

• Anxiety, “hyperkinesis.”
• Sleep disturbances.

Answer 8

Hyper

Question 9

• Heat intolerance, excessive sweating.

Answer 9

Hyper

Question 10

• most common cause of thyrotoxicosis
• autoimmune disease

Answer 10

Graves’ disease (toxic diffuse goiter)

Question 11

• 6x more common in women than in men

Answer 11

Graves’ disease

Question 12

T3 thyrotoxicosis

Answer 12

Plummer’s disease

Question 13

Subacute granulomatous / Subacute nonsuppurative thyroiditis

Answer 13

De Quervain’s thyroiditis

Question 14

• neck pain, low-grade fever, thyroid fxn swings

Answer 14

De Quervain’s thyroiditis

Question 15

• TPO Ab absent; ESR and Tg levels are high

Answer 15

De Quervain’s thyroiditis

Question 16

What is primary hypothyroidism

Answer 16

primary- deficiency of elemental iodine; high TSH

Question 17

What is secondary hypothyroidism

Answer 17

secondary- pituitary destruction of pituitary ademoma; low TSH

Question 18

What is tertiary hypothyroidism

Answer 18

tertiary- hypothalamic disease; low TSH

Question 19

Hashimoto’s disease

Answer 19

Hypo

Question 20

Myxedema

Answer 20

Hypo

Question 21

Cretinism

Answer 21

Hypo

Question 22

Retarded skeletal growth.

Answer 22

Hypo

Question 23

muscle weakness

Answer 23

Hypo

Question 24

bradycardia

Answer 24

Hypo

Question 25

constipation

Answer 25

Hypo

Question 26

dry skin

Answer 26

Hypo

Question 27

cold sensitivity

Answer 27

Hypo

Question 28

hoarseness

Answer 28

Hypo

Question 29

• tend to have low TSH results during their acute illness

Answer 29

Nonthyroidal Illness (NTI)

Question 30

• is associated with low T4 and T3
  syndrome (euthyroid sick syndrome)

Answer 30

NIT

Question 31

• TSH rises to within or above the reference range with resolution of the underlying illness, ultimately returning to normal once the acute illness has resolved

Answer 31

Nonthyroidal Illness (NTI)

Question 32

Thyroid Autoanitibodies

Answer 32

• TPOAb ( Thyroid peroxidase antibodies )
• anti-Tg Ab ( anti-thyroglobulin antibodies )
• TSH receptor Ab (TRAbs) ( thyroid stimulating hormone receptor antibodies)

Question 33

Urinary lodine
- = normal
- = mild deficiency
- = moderate deficiency
- = severe deficiency

Answer 33

> 100 mg/L

50-99 g/L

20-49 pg/L

<20 mg/L