WorksheetsEndocrine Disorders
Total questions: 15
Worksheet time: 8mins
During pregnancy TSH receptors are weakly cross
stimulated by ___ which is produced in the __ .
AFP, trophoblast
B-hCG, trophoblasc
AFP, syncytiotrophoblasc
B-hCG, syncytiotrophoblast
The main cause of thyrotoxicosis in pregnancy is
which of the following?
Graves disease
Type 1 diabetes
Multiple gestations
Methamphetamine toxicity
After beginning propylthiouracil treatment, how
often should you evaluate free T4 levels?
Every 2 weeks
Every 3 weeks
Every trimester
Every 4-6 weeks
During thyroid storm, what is the correct order of
medication administration
Dexamethasone, beta blocker, propylthiouracil,
iodide
Iodide, propylthiouracil, beta blocker,
dexamethasone
Propylthiouracil, beta blocker, iodide,
dexamethasone
Beta blocker, iodide, propylthiouracil,
dexamethasone
Which of the following is true concerning isolated
maternal hypothyroxinemia?
Incidence is about 3.1-4.5%
Thyroid-stimulating hormone is low, and thyroxine
is high
These patients have a low incidence of antithyroid
antibodies
All of the above
What are the total calcium requirements during
pregnancy?
30mg/day
300mg/day
1800mg/day
2400mg/day
Which of the following adverse pregnancy outcomes
is associated with inadequately treated thyroid
disease?
Preeclampsia
Neonatal hearing loss
Maternal heart failure
All of the above
All except which of the following congenital defects
are associated with methimazole embryopathy?
Aplasia cutis
Choanal atresia
Esophageal atresia
Posterior urethral valve
What is the incidence of overt hypothyroidism in
pregnancy?
2%
3%
12%
2-12 per 1000
Which of the lab or clinical features listed below is
consistent with subclinical hyperthyroidism?
Osteopenia
Normal free T4
Elevated free T4
Elevated thyroid-stimulating hormone
Iodine requirements during pregnancy are higher
because of which of the following?
Increased renal losses
Fetal iodine requirements
Augmented thyroid hormone production
All of the above
Which of the following drugs is used co treat mild
Cushing syndrome in pregnancy?
Cortisol
Metyrapone
Spironolactone
All of the above
A 34-year-old multigravida at 19 weeks' gestation
presents with shortness of breath and tachycardia at
140 beats per minute. Which of the following is in
the differential diagnosis?
Anemia
Thyroid storm
Pulmonary embolism
All of the above
Which of the following statements is true regarding
hyperaldosteronism?
Laparoscopic tumor resection is not curative
Hypertension improves as pregnancy progresses
It is primarily caused by bilateral adrenal
hyperplasia
Medical management includes potassium supplementation
and antihypertensive agents
Which of the following pregnant women are at risk
for increased bone loss?
Breastfeeding
Multiple gestations
Low BMI
All of the above
