Quiz
Thyroid disease
Questions in this quiz (35)
1Raised TSH (thyroid stimulating hormone) indicates
- Aprimary hypothyroidism
- Bprimary hyperthyroidism
- Csecondary hypothyroidism due to pituitary failure
2Low TF4 (free T4) indicates
- Aprimary hypothyroidism
- Bprimary hyperthyroidism
- Csecondary hypothyroidsim
3What tests are performed as a first line screen for thyroid disease?
- AFT4 (free T4)
- BTSH (thyroid stimulating hormone)
- CTSH and FT4
- DTRH (thyrotropin releasing hormone)
- ETRH and TSH
- FTRH, FT4 and TSH
4TSH (thyroid stimulating hormone) is used to screen for secondary hypothyroidism.
- ATrue
- BFalse
5What test would you use for a patient with normal FT4 (free T4) but persistently low TSH (thyroid stimulating hormone)?
- AT3 (Triiodothyronine)
- BThyroglobulin
- CThyroid peroxidase bodies
- DTRH test (thyrotropin-releasing hormone)
6T3 (Triiodothyronine) is used to detect
- Aearly hyperthyroidsm
- Bearly hypothyroidism
- CT3 toxicosis
- Dtumour recurrence
- EHashimoto’s thyroiditis
- FGrave’s disease
7What test can be performed if the interpretation of TFT (thyroid function tests) is difficult due to presence of drugs such as amiodarone?
- ATSH (thryoid stimulating hormone)
- BT3 (triiodothyronine)
- CFT4 (free T4)
- DTPO (Thyroid peroxidase antibodies)
8Which of the following statement about thyroglobulin are incorrect?
- AThyroglobulin is widely used in diagnosing thyroid cancer
- BThyroglobulin is useful in detecting tumour recurrence following thyroidectomy
- CEndogenous antibodies limit the use of thyroglobulin
- DIt is made by the follicular cells of the thyroid gland
9Steep elevation in TPO (thyroid peroxidase antibodies) can be found in patients with
- APrimary hypothyroidism
- BGrave’s disease
- CSecondary hypothyroidism
- DHashimoto’s thyroiditis
- EThyroiditis
10Which of the following statements about TRH test (thyrotropin releasing hormone) is/are correct?
- AIn primary hyperthyroidism there is an exaggerate rise
- BIn primary hypothyroidism there is no rise
- CIn primary hyperthyroidism there is no rise
- DIn primary hypothyroidism there is an exaggerate rise
11What procedures are used in clinical evaluation of thyroid function?
- APresence of nodules
- BChanges in size/texture of gland
- CThyroid MRI
- DThyroid biopsy
- EThyroid imaging using ultrasound
- FTPO (Thyroid peroxidase antibodies)
- GThyroid scintiscanning-99mTc-pertechnetate
12How is Thyroid scintiscanning-99mTc-pertechnetate carried out?
- Athe gland imaged every 4-6 h using a gamma camera
- Bthe gland imaged every 24h using a gamma camera
- Cthe gland imaged every 4-6 h using a UV camera
- Dthe gland imaged every 24 h using a UV camera
13What does increased uptake in Thyroid scintiscanning-99mTc-pertechnetate test indicate?
- AGrave’s disease
- BHypothyroidism
- Ctoxic nodular goitre
- Danti-thyroid drug administration
- Ethyroxine administration
- Fiodine deficiency
- Grecovery from sub-acute thyroiditis
- Hsubacute thyroiditis
- Ithyroid ablation
14What does decreased uptake in Thyroid scintiscanning-99mTc-pertechnetate test indicate?
- Athyroid ablation
- Bsubacute thyroiditis
- Ciodine deficiency
- Dtoxic nodular goitre
- Ehypothyroidism
- FGrave’s disease
- Gthyroxine administration
- Hanti-thyroid drug administration
- Irecovery from sub-acute thyroiditis
15What condition shows raised TSH (thyroid stimulating hormone) and decreased FT4 (free T4)?
- APrimary Hypothyroidism / under-replacement
- BPrimary Hyperthyroidism / over-replacement
- CSecondary hypothyroidism
16What condition shows mildly raised TSH with normal T4
- ASubclinical hypothyroidism
- BPrimary hypothyroidism
- CSecondary hyperthyroidism
- DPrimary hyperthyroidism
- ESubclinical hyperthyroidism
17Abnormal levels of T4/T3 can be observed even in non-thyroidal illnesses.
- ATrue
- BFalse
18What effect does Thyroxine have?
- AT4 levels increase rapidly, TSH declines slowly
- BT4 levels increase rapidly, TSH declines rapidly
- CT4 levels increase slowly, TSH declines slowly
- DT4 levels decrease rapidly, TSH levels increase rapidly
- ET4 levels decrease slowly, TSH levels increase rapidly
19Which statement about Amiodarone is incorrect?
- AMay cause hypothyroidism
- BMay cause hyperthyroidism
- CMay cause raised T4
- DMay cause reduced T4
20Which medication may cause hypothyroidism by inhibiting secretion of T4 and T3
- AAmiodarone
- BLithium
- CAnticonvulsants
- DAntipsychotics
21Which of the following drugs is NOT used to treat thyroid disease?
- AAntipsychotics
- BLithium
- CArmour Thyroid
- DImmunosuppressants
22Which of the following are the symptoms of hypothyroidsm?
- Aweight loss
- Bweight gain
- Cmenorrhagia
- Doligomenorrhoea
- Elethargy
- Fsweating
23Which of the following are the symptoms of hyperthyroidism?
- Asweating
- Bweight loss
- Cweight gain
- Dpalpitations
- Ehoarseness
- Fmenorrhagia
- Gdiarrhoea
- Hcoarse skin
24What are the clinical features of hypothyroidism?
- AHypothermia
- BBradycardia
- CReflex relaxation delay
- DSinus tachycardia
- EAnaemia
- FEyelid retraction/lid lag
- GMyxoedema coma
- HProximal myopathy
25What are the clinical features of hyperthyroidism?
- ARaised serum cholesterol
- BEyelid retraction
- CMyxoedema coma
- DTremor
- EProximal myopathy
- FAnaemia
26What are the causes of hypothyroidism?
- AAtrophic
- BIodine deficiency
- CGraves Disease
- DIatrogenic
- EToxic Multinodular Goitre
- FCongenital
- GSolitary toxic adenoma
- HAutoimmune
- IDyshormonogenetic
27What are the causes of hyperthyroidism?
- AIodine deficiency
- BToxic Multinodular Goitre
- CCongenital
- DIodine containing drugs
- EIatrogenic
- FEctopic thyroid tissue
- GDyshormonogenetic
- HSolitary toxic adenoma
28Why does T4 therapy not work during acute illness?
- Areduced conversion of T4 to T3
- Brised TSH interferes with T4
- Creduced conversion of T4 to TRH
- Drised TSH interferes with TRH
29Which of the following statements about age influence of age on TFTs are correct?
- A24h after birth TSH rises transiently
- B24h after birth TSH drops transiently
- CFT4 levels rise at old age
- DFT4 levels drop at old age
30Which of the following statements about pregnancy influences on TFTs are correct?
- ATRH can cross placenta
- BTSH can cross placenta
- CIodide and anti-thyroid drugs can cross the placenta
- DIodide and anti-thyroid drugs cannot cross the placenta
- EOestrogen causes an increase in thyroid binding globulin
- FOestrogen causes an decrease in thyroid binding globulin
31T4 secretion can be inhibited by
- Alithium
- Bdopamine
- Ciodide
- Dglucocorticoids
- Eamiodarone
32What is thyroiditis?
- AInflammation of thyroid gland
- BThyroid malignancy
- CAutoimmune disease
33Thyroiditis involves initial hyperthyroidism and eventual hypothyroidism.
- ATrue
- BFalse
34How can thyroid cancer be treated
- Aremoval of nodule
- Bremoval of thyroid
- Cirradiation with I isotope
- Diodine drug administration
- Esupressive doses of thyroxine
- FT4 administration
- GLithium administration
35Who is screened for thyroid disease?
- AChildren with Type I diabetes
- BPatients following neck surgery
- CEveryone
- DNo one
- EChildren with Down´s disease
- FPeople with sickle cell anaemia
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- Description
- undergraduate second year Clinical Biochemisty Quiz on Thyroid disease, created by Idont Evencare on 11/01/2017.
- Author
- Idont Evencare
- Language
- English
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- History
- Created on 11 Jan 2017 · updated on 12 Jan 2017
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