Hyperparathyroidism

What is the most common cause of Primary Hyperthyroidism?

• Parathyroid Carcinoma

• Parathyroid Single Adenoma

• Nodular Goitre

• Sympathetic activation of the parathyroid glands

Which of these are causes of Secondary hyperthyroidism?

• Osteomalacia and Rickets

• Multiple parathyroid adenomas

• Nodular parathyroid hyperplasia

• Calcium malabsorption

• Chronic Renal Failure

Clinical features include:

• Polyuria and polydipsia

• Pepper-pot skull

• subperiosteal erosions

• renal colic

• lethargy

How is the diagnosis of primary hyperthyroidism confirmed? (Provided FHH is excluded)

• High PTH with absence of hypercalcaemia

• High PTH with presence of hypocalcaemia

• Hight PTH with presence of hypercalcaemia

• Hight PTH with absence of hypocalcaemia

FHH is a DDx of primary Hyperthyroidism.

• True

• False

What is FFH?

• Familial hypocalciuric hypocalcaemia

• Female hypocalciuric hyocalcaemia

• Familial hypocalciuric hypercalcaemia

• Female hypocalciuric hypercalcaemia

Primary Hyperthyroidism is more common in ________ .

• Men

• Women

90% of primary hyperthyroidism patients are ___________.

• Over 50 years of age

• smokers

• Over 70 years of age

• medical students

When is the uptake evident only by the parathyroid gland in a 99m-Tc sestamibi scan?

• Straight away

• After 10 mins

• After 3 hours

• After 24 hours

What is the treatment of choice for most cases of primary hyperparathyroidism?

• Conservative

• Education

• Medications

• Surgery