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WorksheetsThyroid
Total questions: 10
Worksheet time: 3mins
A patient came in for weight gain and cold intolerance. As part of your physical examination, you palpate the thyroid. To locate the thyroid isthmus, the landmarks used are the ____ and _____.
Cricoid cartilage
Thyroid cartilage
Clavicle
Suprasternal notch
What is the thyroid disease described by marked lymphocytic infiltration of the thyroid with germinal center formation, atrophy of the thyroid follicles accompanied by oxyphil metaplasia, absence of colloid, and mild to moderate fibrosis?
Atrophic Thyroiditis
Graves’ Disease
Hashimoto's Thyroiditis
Riedel's Thyroiditis
Which conditions should be monitored in patients with prolonged suppressed TSH including those with LTX overtreatment?
Atrial fibrillation and osteoporosis
Cardiomyopathy and elevated transaminases
Supraventricular tachycardia and thyroid nodules
Thyroid nodules and malnutrition
A 26/F post-thyroidectomy secondary to multinodular goiter on levothyroxine 100mcg OD was confirmed to be 6 weeks pregnant. Her last TFTs done last month was euthyroid. She consulted to you for advice regarding her thyroid condition. What will you advise her?
Recheck TFTs, and adjust LTX to target TSH < 2.5
Decrease levothyroxine by 2 tablets weekly
Increase levothyroxine by 2 additional tablets weekly
Maintain LTX dose and recheck TFT during second trimester
What is NOT a cause of primary hyperthyroidism?
Graves’ Disease
Thyrotoxicosis Factitia
Iodine Excess
Struma Ovarii
How much iodine (by weight) does amiodarone have?
26%
39%
43%
62%
A 34/M underwent FNAB of the thyroid due to a TIRADS 4 nodule measuring 2.3 x 1.7 x 1.2 cm. Histopathology report indicated a Bethesda III nodule (AUS/FLUS).
What is the patient’s risk of malignancy and what will you advise him?
5 – 20 %,
repeat FNAB
13 – 30 %,
repeat FNAB
23 – 34 %,
molecular testing
23 – 34 %,
surgery
Which of the following is NOT a characteristic cytological feature of papillary thyroid carcinoma?
Large, clear nuclei with powdery chromatin
Orphan Annie eye appearance
Prominent nucleoli
Surrounding lymphocytes
Which marker is used to monitor residual or recurrent medullary thyroid carcinoma?
Serum TSH
Serum Thyroglobulin
I-131
whole body scan
Serum Calcitonin
What do you call the iodide-dependent suppression of the thyroid?
Wolff-Chaikoff Effect
Dalrymple’s Sign
Jod-Basedow Effect
Von Graefe’s Sign
