Thyroif

Question 1

Thyroid gland

Weighs -??
Consists of ???
Produces ???
Parafollicular cells secrete??

Answer 1

9-30g
Two lateral lobes connected by an isthmus
T3 and T4
Calcitonin

Question 2

Thyroid hormone synthesis

Which is more produced ?
Which is more metabolically active?

Answer 2

T4
T3

Question 3

T4 is converted in the ______,_____, and ______ to T3

Answer 3

Liver
Kidney
Muscle

Question 4

T3 and T4 are bound to _______, including ______,______, and ________

Answer 4

Plasma proteins

TBG ; TBPA; albumin

Question 5

Drug dosage for simple goitre

Answer 5

0.15-0.30ug daily of L-thyroxine

Question 6

Treatment for permanent paralysis

Answer 6

Arytenoidectomy

Question 7

Post operative care of malignant goitre

Answer 7

Reactional hemorrhage
Respiratory distress
Thyrotoxicosis
Parathyroid insufficiency
Wound infection

Question 8

Symptoms of hypothyroidism
Hint:physical and mental

Answer 8

Physical:weight loss,menorrhagia,muscle fatigue,cold intorlerance,hoarseness of voice

Mental:failing memory,slow thought,speech and action

Question 9

Toxic symptoms
Hint:HYPER

Answer 9

SEEN(CEEN)
C-CVS;palpitation, respiratory distress,chest pain,ankle swelling
E-visual disturbance,double vision,difficulty closing eye lid,protuding eyeball
E-visual disturbance,double vision,protuding eyeball
N-neuromuscular :tremors,anxiety

Question 10

Signs hyperthyroidism

Answer 10

Parts of body:Palmar erthyema,pretibial myxoedema, exophthalmos,ophthalmoplegia diplopia,lid retraction,lid lag

Bruit,tremor

Question 11

Simple Vs toxic goitrehint:diffused and modular

Answer 11

Diffused-diffused hyperplastic,toxic diffused toxic
Nodular-simple multinodular,toxic modular

Question 12

Treatment simple Vs toxic
Hint:one wants more

Answer 12

Simple -l-thryoxine,iodine therapy, thyroidectomy,lobectomy

Toxic-antithyroid,radioactive iodine,subtotal thyroidectomy

Question 13

Indications for surgery
simple Vs toxic

Answer 13

Simple-sec thyrotoxicosis Vs primary
Pressure symptoms

The others ..check it

Question 14

Two drugs that prevent iodine trapping

Answer 14

Propyl thiouracil and sodium perchlorate

Question 15

Cabamazole
Hint:Coba

Answer 15

Prevent binding of iodine to tyrosine
Prevents coupling of mit and sit

Question 16

Treatment for early stage simple goitre

Answer 16

Lugols iodine/potassium iodide for diffused hyperplastic

Question 17

CVS symptoms

Answer 17

Palpitations-earliest
Increase thyroid receptors on myocyte

Question 18

GIT
Hint:cd,e

Answer 18

Increase calorigenesis
HyperDefecation
Excessive eating

Question 19

Post operative complications
Late occurrence of insufficient thyroid is -
Exacerbation of hyperthyroidism is -

Answer 19

Hypothyroidism
Thyrotoxicosis

Question 20

Signs of hyperthyroidism

Answer 20

Eyes-exopthalmos,ophthalmoplegia,diplopia
Hands -tremor,palamr erythema
Heart -atrial fibrillation,cardiac failure
Thryoid-bruits
Feet-pretibial myxoedema

Question 21

Signs of hypo

Answer 21

Eyes:periorbital puffiness(p-p like o-o)
Heart:bradycardia
Legs and hands:delayed relaxation of ankle jerks,bradykinesia,cold extremities
Thryoid:hoarse voice

Question 22

Function of thyroid hormones
Hint:think hyperthyroidism

Answer 22

Energy-glycogenolysis and hepatic gluconeogenesis,cholesterol synthesis and degradation
Brain-developmebt
Skeletal framework-matiration ,bone and protein turnover
Heart-inotropic and chronotropic
Git-increased motility