Name:

Theme: Endocrine Disease

OPTION LIST

 

	TSH	T3	Reverse T3	T4
A	Increased	Increased	Increased	Increased
B	Increased	No change	Increased	Increased
C	No change	Increased	No change	No change
D	Decreased	Increased	Increased	Increased
E	Decreased	Increased	No change	No change
F	Decreased	Increased	Increased	No change
G	None of the above
H	Impossible to determine from the information provided

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

What changes would you expect with:

 

1. A patient is being treated with T₃

 

 

2. A young girl wishes to lose weight. She is caught stealing her mother’s Levothyroxine

 

 

3. Your F1 thinks the lab may have made an error- this result seems very unlikely

 

 

4. A 55 year old woman has been feeling sluggish. She has started using a moisturizing conditioner

 

 

5. A 60 year old man suffers a ‘funny heart beat’. He is prescribed Amiodarone

 

ANSWERS

1. E

2. D

3. A

4. G

5. H

 

Note: although Q1 would be answer E initially, long term treatment would result in a fall in T4 also, as the low TSH stops stimulating the thyroid gland.