Thyroid

Question 1

If TSH is increased and T4 is decreased, what are we thinking?

Answer 1

Primary hypo

Question 2

If TSH is down and T4 is up, what are we thinking?

Answer 2

Primary hyper

Question 3

Both TSH and T4 up? Both TSH and T4 down?

Answer 3

TSH producing tumor

Pituitary failure

Question 4

What symptom of graves will not usually get better because of treatment?

Answer 4

Exophthalmos

Question 5

What will the thyroid scan show for graves?

Answer 5

Diffuse uptake

Question 6

If TSH is low with with a big nodule, what scan should we do? If the TSH is high what scan should we do?

Answer 6

Thyroid scan to see if it is producing hormone. Need to find out what is suppressing TSH.
If TSH is not suppressed, need to see if nodule is cold.

Question 7

What is a symptom that supports a benign diagnosis?

Answer 7

Tenderness

Question 8

When TSH is high and thyroid hormone is high, what are we thinking?

Answer 8

Pituitary source of continuous TSH.

Question 9

What is the serious complication of hyper and hypo?

Answer 9

Thyrotoxicosis

Myxedema

Question 10

What are the two phases of hashimotos?

Answer 10

Hyper and then hypo due to burn out

Question 11

5 conditions that can cause low thyroid function?

Answer 11

Hashimotos, viral thyroiditis, painless thyroiditis, subacute thyroiditis, and prior exposure to radiation.

Question 12

Two most common causes of hypo?

Answer 12

Auto immune and prior therapy for hyper