INTERNAL MEDICINE
ENDOCRINOLOGY: THYROID DISORDERS
SET BY: SULEIMAN NDORO JNR (DR AUDI)1. Which of the following is not a clinical feature of hypothyroidism?
A. Menorrhagia
B. Cold intolerance
C. Diminished hearing
D. Diarrhea
2. In the diagnosis of hypothyroidism, which statement is false?
A. Low TSH level is an indicator of secondary hypothyroidism
B. Microcytic anemia is seen in full haemogram
C. Elevated LDL and decreased HDL levels occur
D. High TSH level is the most sensitive indicator of hypothyroidism
3. Which of the following is not a characteristic of goiter in Hashimoto's disease?
A. Rubbery
B. Enlarged
C. Very ender
D. Nodular
4. The thyroid disease in which fibrous tissue replaces thyroid tissue leading to a firm thyroid gland is referred to as:
A. de Quervain's thyroiditis
B. Riedel's thyroiditis
C. Granulomatous thyroiditis
D. Lymphocytic thyroiditis
ANSWERS
1. D -Diarrhea/ frequent defecation is a symptom in hyperthyroidism while constipation is the symptom in hypothyroidism. Other symptoms in hypothyroidism include: Fatigue, weakness, lethargy, slight weight gain, slow mentation, inability to concentrate, dull expression, muscle weakness, arthralgia and depression.
2. B- Mild normocyctic anemia os the most common feature in hypothyroidism
3. C- In Hashimoto's disease the goiter is rubbery, non-tender and even nodular. The goiter is very tender and enlarged in sub-acute thyroiditis although not always symmetrical.
4. B- The condition is Riedel's thyroiditis
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