NEW
Font size
S
M
L
XL
WorksheetsThyroidal disorder in older adults
Total questions: 10
Worksheet time: 3mins
Name
Class
Date
1.
What is the most common thyroid disorder in older adults?
a)
Graves disease
b)
Thyroid cancer
c)
Subclinical hypothyroidism
d)
Subacute thyroiditis
2.
Which symptom is more specific for hyperthyroidism in older adults?
a)
Weight gain
b)
Heat intolerance
c)
Atrial fibrillation
d)
Tremor
3.
78F with fatigue, constipation. TSH 6.8, normal T4. Next step?
a)
Start levothyroxine
b)
Repeat TFT in 6–8 weeks
c)
Check anti-TPO antibodies
d)
Reassure, no action
4.
What is a potential consequence of levothyroxine overtreatment in the elderly?
a)
Constipation
b)
Hyperlipidemia
c)
Atrial fibrillation
d)
Myxedema
5.
Low TSH, normal free T4 and T3. Asymptomatic 70M. Diagnosis?
a)
Euthyroid sick syndrome
b)
Subclinical hyperthyroidism
c)
Overt hyperthyroidism
d)
Pituitary failure
6.
Which thyroid change aligns with normal aging?
a)
Increased T3
b)
Decreased TSH
c)
Mild TSH elevation
d)
High free T4
7.
When is treatment of subclinical hypothyroidism most strongly considered in older adults?
a)
TSH 5.5 and asymptomatic
b)
TSH 7.0 with fatigue
c)
TSH ≥10
d)
Normal TSH, low T4
8.
Which is true about thyroid nodules in older adults?
a)
All nodules must be biopsied
b)
Risk of cancer decreases with age
c)
Nodules <1 cm should always be removed
d)
Risk of malignancy rises with age
9.
In non-thyroidal illness, what TFT pattern is expected?
a)
Elevated TSH
b)
Low TSH, low T3
c)
High T4, high TSH
d)
Normal labs
10.
Best way to start levothyroxine in a frail 85-year-old with new hypothyroidism?
a)
Full dose immediately
b)
50 mcg daily
c)
Start 25 mcg and adjust slowly
d)
Use liothyronine
Reset
