[PATH] Thyroid CIS questions Flashcards

1
Q

The following syndromes can directly result from the functional effect of a pituitary adenoma except…

A. Cushing syndrome

B. Syndrome of innappropriate anti-diuretic hormone

C. Gigantism

D. Acromegaly

E. All the above can be the direct result of a pituitary adenoma

A

The following syndromes can directly result from the functional effect of a pituitary adenoma except…

A. Cushing syndrome

B. Syndrome of innappropriate anti-diuretic hormone

C. Gigantism

D. Acromegaly

E. All the above can be the direct result of a pituitary adenoma

***An adenoma is derived from GLANDS. The posterior pitiutary will NOT form an adenoma because is is NEURAL tissue

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2
Q

A 35 y/o WF is seen by her PCP for weight gain and increasing fatigue. A physical examination shows no evidence of thyroid gland enlargement or nodules. The patient denies thyroid pain. Laboratory studies show a TSH of 8.9 mcU/ml (normal 0.35-T.0) and a free T4 of 0.4ng/dL (normal 0.8-2.2).

If a thyroid biopsy were performed, which of the following would be the most likely to be encountered?

A. Colloid resorption droplets

B. Amyloid

C. Lymphoytes

D. Multinucleated giant cells

E. IgG4+ plasma cells

A

A 35 y/o WF is seen by her PCP for weight gain and increasing fatigue. A physical examination shows no evidence of thyroid gland enlargement or nodules. The patient denies thyroid pain. Laboratory studies show a TSH of 8.9 mcU/ml (normal 0.35-T.0) and a free T4 of 0.4ng/dL (normal 0.8-2.2).

If a thyroid biopsy were performed, which of the following would be the most likely to be encountered?

A. Colloid resorption droplets

B. Amyloid

C. Lymphoytes

D. Multinucleated giant cells

E. IgG4+ plasma cells

Most common cause of primary hypothyroidism is HASHIMOTOS

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3
Q

A 35 y/o WF is seen by her PCP for weight gain and increasing fatigue. A physical examination shows no evidence of thyroid gland enlargement or nodules. The patient denies thyroid pain. Laboratory studies show a TSH of 8.9 mcU/ml (normal 0.35-T.0) and a free T4 of 0.4ng/dL (normal 0.8-2.2).

Which of the following would be the most appropriate treatment for this patient?

A. Replacement thyroxine

B. Propanolol

C. Surgical excision

D. Radioactive iodine

A

A 35 y/o WF is seen by her PCP for weight gain and increasing fatigue. A physical examination shows no evidence of thyroid gland enlargement or nodules. The patient denies thyroid pain. Laboratory studies show a TSH of 8.9 mcU/ml (normal 0.35-T.0) and a free T4 of 0.4ng/dL (normal 0.8-2.2).

Which of the following would be the most appropriate treatment for this patient?

A. Replacement thyroxine

B. Propanolol

C. Surgical excision

D. Radioactive iodine

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4
Q

The pt responds to thyroxine oral therapy, and lab values initially normalize. After she is followed for 16 months, her physician notices that her lab results are changing: some are decreasing, som are the same, and ONE is INCREASED. The physician realizes she needs to increase the patient’s prescribed thyroxine dose.

Which of the following tests showed an increase?

A. T4

B. TSH

C. TSI Ab

D. TPO Ab

E. Body temperature

A

The pt responds to thyroxine oral therapy, and lab values initially normalize. After she is followed for 16 months, her physician notices that her lab results are changing: some are decreasing, som are the same, and ONE is INCREASED. The physician realizes she needs to increase the patient’s prescribed thyroxine dose.

Which of the following tests showed an increase?

A. T4

B. TSH

C. TSI Ab

D. TPO Ab

E. Body temperature

TSH would be increasing if the thyroid continued to be HYPOthyroid.

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5
Q
A
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6
Q
A

A. Kidney stones

B. Gall stones

C. Diarrhea

D. Osteoporosis

E. None of the above

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7
Q
A

A. Kidney stones

B. Gallstones

C. Diarrhea

D. Osteoporosis

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8
Q
A

A. Multi-gland involvement

B. A rim of normal parathyroid tissue

C. Atrophy

D. Increased adipose tissue

E. Vascular invasion

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9
Q
A
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