Thyroid

Question 1

Liothyonine (a synthetic analogue of t3) has a long half life and only
Requires once daily administration

Answer 1

False

Question 2

In the management of hypothyroidism, if rag levels are at the high end of the reference range and patients remains symptomatic, no increase us dose of levothyroxine is recommended

Answer 2

False

Question 3

In the treatment of hypothyroidism, symptoms may persist for months despite daily use of levothyroxine

Answer 3

True

Question 4

In the elderly (over 65) levothyroxine should be initiated at a dose of 1.6mcg/kg check ebnf

Answer 4

False

Question 5

Levothyroxine should be taken with food

Answer 5

False

Question 6

What blood test monitoring would be necessary when prescribing popylthiouracil
Fbc irate left lactate

Answer 6

Fbc lft

Question 7

Carbinazole is considered safe and effective for hyperthyroidism in pregnancy and is used first line in this scenario

Answer 7

False

Question 8

Carbimazole may increase the risk of which of the following
Pancreatitis infection heart failure

Answer 8

Pancreatitis
Infection

Question 9

Propylthiouracil is 2nd line treatment for hyperthyroidism despite its ability to act quicker than carbimazole

Answer 9

Trye

Question 10

Carbimnazole may be effective within a few hours for the treatment of primary hyperthyroidism

Answer 10

False

Question 11

In primary hyperthyroidism what physical monitoring is required when pressuring beta blockers propranolol for relief of palp/anxiety
Urine output
Heart rate
Blood pressure
U+e

Answer 11

Heart rate
Bp

Question 12

Primary hyperthyroidism is associated with a decrease in basal metabolic rate and weight gain

Answer 12

False

Question 13

Primary hypothyroidism results in increased levels of tah

Answer 13

True

Question 14

An increase in trh from hypothalamus will result in increased levels in thyroid hormone release form thyroid gland

Answer 14

True

Question 15

High plasma t3 and t4 levels will results in stimulation of increased release of tsh from hypothalamus

Answer 15

False

Question 16

In children hypothyroidism may result in rapid and accelerated growth

Answer 16

False

Question 17

In hyperthyroidism patients may experience an increase in heart rate and basal metabolic rate

Answer 17

True

Question 18

T3 and t4 hormones act via membrane bound receptors

Answer 18

False

Question 19

T4 hormone is more biologically active than t3

Answer 19

False

Question 20

The majority of thyroid hormone scented from thyroid gland is t4

Answer 20

True