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Introduction and Anatomy

Total questions: 11

Worksheet time: 6mins

Name
Class
Date
1.

Grace has been feeling unusually energetic and has noticed an increase in her metabolism. After visiting her doctor, she learns that she has a pituitary tumor that is secreting excess TSH. What is the most likely thyroid response to this condition?

a)

Reduced thyroid hormone synthesis

b)

Increased T3 and T4 production

c)

Immediate thyroid gland atrophy

d)

Unchanged iodide organification

2.

Grace has been feeling unusually energetic and has noticed an increase in her metabolism. After visiting her doctor, she learns that she has a pituitary tumor that is secreting excess TSH. What is the most likely thyroid response to this condition?

a)

Reduced thyroid hormone synthesis

b)

Increased T3 and T4 production

c)

Immediate thyroid gland atrophy

d)

Unchanged iodide organification

3.

During fetal and infant development, T3 and T4 primarily aid in which processes?

a)

Neural and skeletal development

b)

Pulmonary surfactant secretion

c)

Hepatic bile production

d)

Renal acid-base regulation

4.

Calcitonin primarily changes serum minerals in which direction?

a)

Lowers calcium but raises phosphate

b)

Lowers calcium and phosphate levels

c)

Raises calcium but lowers phosphate

d)

Raises calcium and phosphate levels

5.

Graves disease most commonly corresponds to which thyroid state?

a)

Hyperthyroidism

b)

Subclinical hypothyroidism

c)

Hypothyroidism

d)

Euthyroidism

6.

A patient has low serum calcium due to reduced bone resorption. Which hormone is most likely elevated?

a)

Parathyroid hormone

b)

Calcitonin

c)

Cortisol

d)

Aldosterone

7.

Which constellation best reflects metabolic slowing in hypothyroidism?

a)

Cold intolerance with fatigue and constipation

b)

Heat intolerance with tremor and diarrhea

c)

Polyuria with nocturia and weight loss

d)

Palpitations with anxiety and warm skin

8.

Which classification best describes a thyroid enlargement without hyperthyroid features?

a)

Toxic goitre with thyrotoxicosis

b)

Inflammatory goitre with thyroiditis

c)

Simple goitre without toxicity

d)

Neoplastic goitre with malignancy

9.

In suspected hyperthyroidism, which pattern is most consistent with Graves’ disease?

a)

Low TSH with high T3 and T4

b)

High TSH with low T3 and T4

c)

Low TSH with normal T3 and T4

d)

Normal TSH with low T4 only

10.

A ‘cold’ nodule on I-131 scan most likely represents which functional state?

a)

Excessive hormone secretion

b)

Reduced radioisotope uptake

c)

Autoantibody overproduction

d)

Normal homogeneous uptake

11.

Which combination best differentiates autoimmune hypothyroidism?

a)

High T3 plus normal cholesterol

b)

Normal TSH plus cold nodule

c)

Low TSH plus elevated LATS

d)

High TSH plus positive thyroid antibodies