Name: Laura Ghosh
Theme: Endocrine Disease
OPTION LIST
|
A |
Medullary Carcinoma |
I |
De Quervain’s
|
|
B |
Subacute Thyroiditis |
J |
|
|
C |
Grave’s Disease |
K |
|
|
D |
Papillary Carcinoma |
L |
|
|
E |
Hashimoto’s Thyroiditis |
M |
|
|
F |
|
N |
|
|
G |
Thyroid Storm |
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.
Normal ranges: TSH
0.33-4.5mU/L; Free T4 10.2-22.0pmol/L; Thyroglobulin
<5ug/L
1. A 35 year old woman presents
with weight loss and tiredness. Her GP
examines her and finds that she also has a fine tremor and exopthalmos. Investigations: TSH <0.01, Free T4
36.0. There is high uptake on a
technetium scan.
2. A 35 year old woman
presents with weight loss and tiredness.
Her GP examines her and finds that she also has a fine tremor and exopthalmos.
Investigations: TSH <0.01, Free T4 36.0. There is low uptake on a technetium scan.
3. A 42 year old woman
presents to her GP suffering from mild depression. Her thyroid function is investigated: TSH 6.5,
Free T4 5.6
4. An 18 year old man
notices a lump on his neck and goes to his GP.
A goitre is discovered on examination, as well
as cervical lymphadenopathy. There is no family history of any endocrine
disorder, nor is he suffering from any other illness. Thyroglobulin is
140.
5. A 27 year old man goes to
his GP with a 3 day history of fever, tiredness and neck pain. His ESR is raised. TSH 0.12, Free T4
32. After 2 weeks his symptoms have
resolved. His GP repeats his thyroid
function tests: TSH 5.9, Free T4 8.4.
After a further week his thyroid function has returned to completely
normal levels.
ASWERS
|
1. C |
2. B |
3. E |
4. D |
5. I |