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Quiz von Idont Evencare, aktualisiert more than 1 year ago
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Erstellt von Idont Evencare
vor etwa 9 Jahre
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Frage 1
Frage
Raised TSH (thyroid stimulating hormone) indicates
Antworten
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primary hypothyroidism
-
primary hyperthyroidism
-
secondary hypothyroidism due to pituitary failure
Frage 2
Frage
Low TF4 (free T4) indicates
Antworten
-
primary hypothyroidism
-
primary hyperthyroidism
-
secondary hypothyroidsim
Frage 3
Frage
What tests are performed as a first line screen for thyroid disease?
Antworten
-
FT4 (free T4)
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TSH (thyroid stimulating hormone)
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TSH and FT4
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TRH (thyrotropin releasing hormone)
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TRH and TSH
-
TRH, FT4 and TSH
Frage 4
Frage
TSH (thyroid stimulating hormone) is used to screen for secondary hypothyroidism.
Antworten
- True
- False
Frage 5
Frage
What test would you use for a patient with normal FT4 (free T4) but persistently low TSH (thyroid stimulating hormone)?
Antworten
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T3 (Triiodothyronine)
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Thyroglobulin
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Thyroid peroxidase bodies
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TRH test (thyrotropin-releasing hormone)
Frage 6
Frage
T3 (Triiodothyronine) is used to detect
Antworten
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early hyperthyroidsm
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early hypothyroidism
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T3 toxicosis
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tumour recurrence
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Hashimoto’s thyroiditis
-
Grave’s disease
Frage 7
Frage
What test can be performed if the interpretation of TFT (thyroid function tests) is difficult due to presence of drugs such as amiodarone?
Antworten
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TSH (thryoid stimulating hormone)
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T3 (triiodothyronine)
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FT4 (free T4)
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TPO (Thyroid peroxidase antibodies)
Frage 8
Frage
Which of the following statement about thyroglobulin are incorrect?
Antworten
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Thyroglobulin is widely used in diagnosing thyroid cancer
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Thyroglobulin is useful in detecting tumour recurrence following thyroidectomy
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Endogenous antibodies limit the use of thyroglobulin
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It is made by the follicular cells of the thyroid gland
Frage 9
Frage
Steep elevation in TPO (thyroid peroxidase antibodies) can be found in patients with
Antworten
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Primary hypothyroidism
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Grave’s disease
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Secondary hypothyroidism
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Hashimoto’s thyroiditis
-
Thyroiditis
Frage 10
Frage
Which of the following statements about TRH test (thyrotropin releasing hormone) is/are correct?
Antworten
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In primary hyperthyroidism there is an exaggerate rise
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In primary hypothyroidism there is no rise
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In primary hyperthyroidism there is no rise
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In primary hypothyroidism there is an exaggerate rise
Frage 11
Frage
What procedures are used in clinical evaluation of thyroid function?
Antworten
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Presence of nodules
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Changes in size/texture of gland
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Thyroid MRI
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Thyroid biopsy
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Thyroid imaging using ultrasound
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TPO (Thyroid peroxidase antibodies)
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Thyroid scintiscanning-99mTc-pertechnetate
Frage 12
Frage
How is Thyroid scintiscanning-99mTc-pertechnetate carried out?
Antworten
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the gland imaged every 4-6 h using a gamma camera
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the gland imaged every 24h using a gamma camera
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the gland imaged every 4-6 h using a UV camera
-
the gland imaged every 24 h using a UV camera
Frage 13
Frage
What does increased uptake in Thyroid scintiscanning-99mTc-pertechnetate test indicate?
Antworten
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Grave’s disease
-
Hypothyroidism
-
toxic nodular goitre
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anti-thyroid drug administration
-
thyroxine administration
-
iodine deficiency
-
recovery from sub-acute thyroiditis
-
subacute thyroiditis
-
thyroid ablation
Frage 14
Frage
What does decreased uptake in Thyroid scintiscanning-99mTc-pertechnetate test indicate?
Antworten
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thyroid ablation
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subacute thyroiditis
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iodine deficiency
-
toxic nodular goitre
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hypothyroidism
-
Grave’s disease
-
thyroxine administration
-
anti-thyroid drug administration
-
recovery from sub-acute thyroiditis
Frage 15
Frage
What condition shows raised TSH (thyroid stimulating hormone) and decreased FT4 (free T4)?
Antworten
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Primary Hypothyroidism / under-replacement
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Primary Hyperthyroidism / over-replacement
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Secondary hypothyroidism
Frage 16
Frage
What condition shows mildly raised TSH with normal T4
Antworten
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Subclinical hypothyroidism
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Primary hypothyroidism
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Secondary hyperthyroidism
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Primary hyperthyroidism
-
Subclinical hyperthyroidism
Frage 17
Frage
Abnormal levels of T4/T3 can be observed even in non-thyroidal illnesses.
Antworten
- True
- False
Frage 18
Frage
What effect does Thyroxine have?
Antworten
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T4 levels increase rapidly, TSH declines slowly
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T4 levels increase rapidly, TSH declines rapidly
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T4 levels increase slowly, TSH declines slowly
-
T4 levels decrease rapidly, TSH levels increase rapidly
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T4 levels decrease slowly, TSH levels increase rapidly
Frage 19
Frage
Which statement about Amiodarone is incorrect?
Antworten
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May cause hypothyroidism
-
May cause hyperthyroidism
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May cause raised T4
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May cause reduced T4
Frage 20
Frage
Which medication may cause hypothyroidism by inhibiting secretion of T4 and T3
Antworten
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Amiodarone
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Lithium
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Anticonvulsants
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Antipsychotics
Frage 21
Frage
Which of the following drugs is NOT used to treat thyroid disease?
Antworten
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Antipsychotics
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Lithium
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Armour Thyroid
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Immunosuppressants
Frage 22
Frage
Which of the following are the symptoms of hypothyroidsm?
Antworten
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weight loss
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weight gain
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menorrhagia
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oligomenorrhoea
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lethargy
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sweating
Frage 23
Frage
Which of the following are the symptoms of hyperthyroidism?
Antworten
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sweating
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weight loss
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weight gain
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palpitations
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hoarseness
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menorrhagia
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diarrhoea
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coarse skin
Frage 24
Frage
What are the clinical features of hypothyroidism?
Antworten
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Hypothermia
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Bradycardia
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Reflex relaxation delay
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Sinus tachycardia
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Anaemia
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Eyelid retraction/lid lag
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Myxoedema coma
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Proximal myopathy
Frage 25
Frage
What are the clinical features of hyperthyroidism?
Antworten
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Raised serum cholesterol
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Eyelid retraction
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Myxoedema coma
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Tremor
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Proximal myopathy
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Anaemia
Frage 26
Frage
What are the causes of hypothyroidism?
Antworten
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Atrophic
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Iodine deficiency
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Graves Disease
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Iatrogenic
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Toxic Multinodular Goitre
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Congenital
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Solitary toxic adenoma
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Autoimmune
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Dyshormonogenetic
Frage 27
Frage
What are the causes of hyperthyroidism?
Antworten
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Iodine deficiency
-
Toxic Multinodular Goitre
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Congenital
-
Iodine containing drugs
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Iatrogenic
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Ectopic thyroid tissue
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Dyshormonogenetic
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Solitary toxic adenoma
Frage 28
Frage
Why does T4 therapy not work during acute illness?
Antworten
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reduced conversion of T4 to T3
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rised TSH interferes with T4
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reduced conversion of T4 to TRH
-
rised TSH interferes with TRH
Frage 29
Frage
Which of the following statements about age influence of age on TFTs are correct?
Antworten
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24h after birth TSH rises transiently
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24h after birth TSH drops transiently
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FT4 levels rise at old age
-
FT4 levels drop at old age
Frage 30
Frage
Which of the following statements about pregnancy influences on TFTs are correct?
Antworten
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TRH can cross placenta
-
TSH can cross placenta
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Iodide and anti-thyroid drugs can cross the placenta
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Iodide and anti-thyroid drugs cannot cross the placenta
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Oestrogen causes an increase in thyroid binding globulin
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Oestrogen causes an decrease in thyroid binding globulin
Frage 31
Frage
T4 secretion can be inhibited by
Antworten
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lithium
-
dopamine
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iodide
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glucocorticoids
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amiodarone
Frage 32
Frage
What is thyroiditis?
Antworten
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Inflammation of thyroid gland
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Thyroid malignancy
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Autoimmune disease
Frage 33
Frage
Thyroiditis involves initial hyperthyroidism and eventual hypothyroidism.
Antworten
- True
- False
Frage 34
Frage
How can thyroid cancer be treated
Antworten
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removal of nodule
-
removal of thyroid
-
irradiation with I isotope
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iodine drug administration
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supressive doses of thyroxine
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T4 administration
-
Lithium administration
Frage 35
Frage
Who is screened for thyroid disease?
Antworten
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Children with Type I diabetes
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Patients following neck surgery
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Everyone
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No one
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Children with Down´s disease
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People with sickle cell anaemia
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