Thyroid

Question 1

Hashimotos

Answer 1

Hypothyroidism

Question 2

Drugs that cause hyperthyroidism:

Answer 2

Iodide
Amiodarone
Interferons

Question 3

What is the treatment of choice in Graves’ disease ?

Answer 3

RAI -131

Question 4

PTU has a BBW for ____________

Answer 4

Liver damage and acute liver failure

Question 5

What is the preferred agent in thyroid storm?

Answer 5

PTU

Question 6

What is the pregnancy category of PTU ?

Answer 6

D

Question 7

If a pregnant women has hyperthyroidism, what do you give them?

Answer 7

PTU for women trying to conceive or in the first trimester. Then change to methimazole for 2nd and 3rd trimesters due to increased risk of liver toxicity from PTU

Question 8

Normal range of thyroxine

Answer 8

0.8-1.7

Question 9

High TSH

Answer 9

0.3-3.0

Question 10

If a patient is having palpitations, tremor, and tachycardia, what else can be given besides thyroid meds to reduce these?

Answer 10

BB

Question 11

________inhibit synthesis of thyroid hormones by blocking the oxidation of iodine in the thyroid gland; PTU also inhibits peripheral conversion of t4-t3

Answer 11

Thionamides

Question 12

________inhibit secretion of thyroid hormone; T4-t3 levels will be reduced for several weeks but effect will not be maintained

Answer 12

Iodides

Question 13

What are the 2 Thionamides

Answer 13

PTU

methimazole (tapazole)

Question 14

What are the iodides ?

Answer 14

Potassium iodide and iodine solution (Lugols solution)

SSKI- saturated solution of potassium idodide

Question 15

Thyroid storm treatment

Answer 15

PTU +SSKI or Lugols + propranolol + dexamethasone

Question 16

Graves’ disease

Answer 16

Hyperthyroidism