Your Name: Moles Susannah
Theme :Thyroid Disorder
OPTION LIST
|
A |
Grave’s
Disease |
I |
Sick
euthyroid |
|
B |
Medullary
thyroid cancer |
J |
Follicular
thyroid cancer |
|
C |
Single
toxic adenoma |
K |
Papillary
thyroid cancer |
|
D |
Toxic
multinodular goitre |
L |
|
|
E |
Primary
hypothroidism |
M |
|
|
F |
Subacute
granulomatous thryroiditis |
N |
|
|
G |
Post
Grave’s disease |
O |
|
|
H |
Post
partum thyroiditis |
P |
|
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.
1. A 65 yr
old woman presents with a four week Hx of weight gain, tiredness, constipation
and a puffy face. On Ix she is found to have a TSH level of 20mU/l and a free
T4 level of 7pmol/l
2. A 35 yr
old woman presents with pain in her neck which radiates to her upper neck, jaw
and throat. The pain is worse on swallowing. She has a Hx of an upper
respiratory tract infection two weeks ago. On Ix she has a free T4 of 30pmol/l,
free T3 of 11pmol/l and a TSH level of 0.1mU/l. On technetium scanning of the
thyroid there is low iodine uptake.
3. A 30 yr
old woman presents with a Hx of weight loss, diarrhoea, tremor and a marked
swelling at the front of her neck. On Ix she is found to have a TSH level of
0.05mU/l a free T4 level of 30pmol/l and a free T3 of 12pmol/l. On technetium
scanning the thyroid shows increased iodine uptake.
4. A 25 year old male patient, in hospital with
viral meningitis is found to have a slightly raised TSH and slightly low free
T4.
5. A 70 yr
old lady is found to have a tumour of the thyroid gland. She is also found to
have high levels of circulating calcitonin.
ANSWERS
|
1. E |
2. F |
3. A |
4. I |
5. B |