7348449
Descrição
Quiz por Idont Evencare, atualizado more than 1 year ago
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Criado por Idont Evencare
aproximadamente 9 anos atrás
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Questão 1
Questão
Raised TSH (thyroid stimulating hormone) indicates
Responda
-
primary hypothyroidism
-
primary hyperthyroidism
-
secondary hypothyroidism due to pituitary failure
Questão 2
Questão
Low TF4 (free T4) indicates
Responda
-
primary hypothyroidism
-
primary hyperthyroidism
-
secondary hypothyroidsim
Questão 3
Questão
What tests are performed as a first line screen for thyroid disease?
Responda
-
FT4 (free T4)
-
TSH (thyroid stimulating hormone)
-
TSH and FT4
-
TRH (thyrotropin releasing hormone)
-
TRH and TSH
-
TRH, FT4 and TSH
Questão 4
Questão
TSH (thyroid stimulating hormone) is used to screen for secondary hypothyroidism.
Responda
- True
- False
Questão 5
Questão
What test would you use for a patient with normal FT4 (free T4) but persistently low TSH (thyroid stimulating hormone)?
Responda
-
T3 (Triiodothyronine)
-
Thyroglobulin
-
Thyroid peroxidase bodies
-
TRH test (thyrotropin-releasing hormone)
Questão 6
Questão
T3 (Triiodothyronine) is used to detect
Responda
-
early hyperthyroidsm
-
early hypothyroidism
-
T3 toxicosis
-
tumour recurrence
-
Hashimoto’s thyroiditis
-
Grave’s disease
Questão 7
Questão
What test can be performed if the interpretation of TFT (thyroid function tests) is difficult due to presence of drugs such as amiodarone?
Responda
-
TSH (thryoid stimulating hormone)
-
T3 (triiodothyronine)
-
FT4 (free T4)
-
TPO (Thyroid peroxidase antibodies)
Questão 8
Questão
Which of the following statement about thyroglobulin are incorrect?
Responda
-
Thyroglobulin is widely used in diagnosing thyroid cancer
-
Thyroglobulin is useful in detecting tumour recurrence following thyroidectomy
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Endogenous antibodies limit the use of thyroglobulin
-
It is made by the follicular cells of the thyroid gland
Questão 9
Questão
Steep elevation in TPO (thyroid peroxidase antibodies) can be found in patients with
Responda
-
Primary hypothyroidism
-
Grave’s disease
-
Secondary hypothyroidism
-
Hashimoto’s thyroiditis
-
Thyroiditis
Questão 10
Questão
Which of the following statements about TRH test (thyrotropin releasing hormone) is/are correct?
Responda
-
In primary hyperthyroidism there is an exaggerate rise
-
In primary hypothyroidism there is no rise
-
In primary hyperthyroidism there is no rise
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In primary hypothyroidism there is an exaggerate rise
Questão 11
Questão
What procedures are used in clinical evaluation of thyroid function?
Responda
-
Presence of nodules
-
Changes in size/texture of gland
-
Thyroid MRI
-
Thyroid biopsy
-
Thyroid imaging using ultrasound
-
TPO (Thyroid peroxidase antibodies)
-
Thyroid scintiscanning-99mTc-pertechnetate
Questão 12
Questão
How is Thyroid scintiscanning-99mTc-pertechnetate carried out?
Responda
-
the gland imaged every 4-6 h using a gamma camera
-
the gland imaged every 24h using a gamma camera
-
the gland imaged every 4-6 h using a UV camera
-
the gland imaged every 24 h using a UV camera
Questão 13
Questão
What does increased uptake in Thyroid scintiscanning-99mTc-pertechnetate test indicate?
Responda
-
Grave’s disease
-
Hypothyroidism
-
toxic nodular goitre
-
anti-thyroid drug administration
-
thyroxine administration
-
iodine deficiency
-
recovery from sub-acute thyroiditis
-
subacute thyroiditis
-
thyroid ablation
Questão 14
Questão
What does decreased uptake in Thyroid scintiscanning-99mTc-pertechnetate test indicate?
Responda
-
thyroid ablation
-
subacute thyroiditis
-
iodine deficiency
-
toxic nodular goitre
-
hypothyroidism
-
Grave’s disease
-
thyroxine administration
-
anti-thyroid drug administration
-
recovery from sub-acute thyroiditis
Questão 15
Questão
What condition shows raised TSH (thyroid stimulating hormone) and decreased FT4 (free T4)?
Responda
-
Primary Hypothyroidism / under-replacement
-
Primary Hyperthyroidism / over-replacement
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Secondary hypothyroidism
Questão 16
Questão
What condition shows mildly raised TSH with normal T4
Responda
-
Subclinical hypothyroidism
-
Primary hypothyroidism
-
Secondary hyperthyroidism
-
Primary hyperthyroidism
-
Subclinical hyperthyroidism
Questão 17
Questão
Abnormal levels of T4/T3 can be observed even in non-thyroidal illnesses.
Responda
- True
- False
Questão 18
Questão
What effect does Thyroxine have?
Responda
-
T4 levels increase rapidly, TSH declines slowly
-
T4 levels increase rapidly, TSH declines rapidly
-
T4 levels increase slowly, TSH declines slowly
-
T4 levels decrease rapidly, TSH levels increase rapidly
-
T4 levels decrease slowly, TSH levels increase rapidly
Questão 19
Questão
Which statement about Amiodarone is incorrect?
Responda
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May cause hypothyroidism
-
May cause hyperthyroidism
-
May cause raised T4
-
May cause reduced T4
Questão 20
Questão
Which medication may cause hypothyroidism by inhibiting secretion of T4 and T3
Responda
-
Amiodarone
-
Lithium
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Anticonvulsants
-
Antipsychotics
Questão 21
Questão
Which of the following drugs is NOT used to treat thyroid disease?
Responda
-
Antipsychotics
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Lithium
-
Armour Thyroid
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Immunosuppressants
Questão 22
Questão
Which of the following are the symptoms of hypothyroidsm?
Responda
-
weight loss
-
weight gain
-
menorrhagia
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oligomenorrhoea
-
lethargy
-
sweating
Questão 23
Questão
Which of the following are the symptoms of hyperthyroidism?
Responda
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sweating
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weight loss
-
weight gain
-
palpitations
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hoarseness
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menorrhagia
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diarrhoea
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coarse skin
Questão 24
Questão
What are the clinical features of hypothyroidism?
Responda
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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
Questão 25
Questão
What are the clinical features of hyperthyroidism?
Responda
-
Raised serum cholesterol
-
Eyelid retraction
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Myxoedema coma
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Tremor
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Proximal myopathy
-
Anaemia
Questão 26
Questão
What are the causes of hypothyroidism?
Responda
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Atrophic
-
Iodine deficiency
-
Graves Disease
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Iatrogenic
-
Toxic Multinodular Goitre
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Congenital
-
Solitary toxic adenoma
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Autoimmune
-
Dyshormonogenetic
Questão 27
Questão
What are the causes of hyperthyroidism?
Responda
-
Iodine deficiency
-
Toxic Multinodular Goitre
-
Congenital
-
Iodine containing drugs
-
Iatrogenic
-
Ectopic thyroid tissue
-
Dyshormonogenetic
-
Solitary toxic adenoma
Questão 28
Questão
Why does T4 therapy not work during acute illness?
Responda
-
reduced conversion of T4 to T3
-
rised TSH interferes with T4
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reduced conversion of T4 to TRH
-
rised TSH interferes with TRH
Questão 29
Questão
Which of the following statements about age influence of age on TFTs are correct?
Responda
-
24h after birth TSH rises transiently
-
24h after birth TSH drops transiently
-
FT4 levels rise at old age
-
FT4 levels drop at old age
Questão 30
Questão
Which of the following statements about pregnancy influences on TFTs are correct?
Responda
-
TRH can cross placenta
-
TSH can cross placenta
-
Iodide and anti-thyroid drugs can cross the placenta
-
Iodide and anti-thyroid drugs cannot cross the placenta
-
Oestrogen causes an increase in thyroid binding globulin
-
Oestrogen causes an decrease in thyroid binding globulin
Questão 31
Questão
T4 secretion can be inhibited by
Responda
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lithium
-
dopamine
-
iodide
-
glucocorticoids
-
amiodarone
Questão 32
Questão
What is thyroiditis?
Responda
-
Inflammation of thyroid gland
-
Thyroid malignancy
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Autoimmune disease
Questão 33
Questão
Thyroiditis involves initial hyperthyroidism and eventual hypothyroidism.
Responda
- True
- False
Questão 34
Questão
How can thyroid cancer be treated
Responda
-
removal of nodule
-
removal of thyroid
-
irradiation with I isotope
-
iodine drug administration
-
supressive doses of thyroxine
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T4 administration
-
Lithium administration
Questão 35
Questão
Who is screened for thyroid disease?
Responda
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Children with Type I diabetes
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Patients following neck surgery
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Everyone
-
No one
-
Children with Down´s disease
-
People with sickle cell anaemia
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