CHemiastry ch22 thyroid

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exam2

1. The thyroid gland produces all of the following EXCEPT: a. T4 b. T3 c. Thyroglobulin d. TSH* 2. The thyroid gland: a. Depends on thyroidal Peroxidase TPO to permit iodination of the tyrosyl residues to make MIT and DIT* b. Usually functions independent of TSH levels c. Depends on thyroidal peroxidase TPO to permit the joining of two DIT residues to form T3 d. Is an ineffective iodione trap 3. Hypothyroidism is generally associated with all of the following EXCEPT: a. TPO antibodies b. Depression c. An elevation of TSh levels d. TSH receptor antibodies* 4. A 26 year old man presents with a 3cm, right lobe, thyroid nodule and a normal TSH What is the next test that should be preformed a. Free t4 level b. Thyroid ultrasound c. Thyroid scan d. FNA of the nodule* 5. A 65 year old woman presents with fatigue, hypothermia, pericardial effusions, and hair loss. Her thyroid function tests show a significantly elevated TSH and a low free t4. All of the following laboratory test abnormalities may be associated with her underlying condition EXCEPT: a. An elevated cholesterol level b. Elevated CPK levels c. Anemia d. Elevated WBC* 6. All of the following abnormalities might be expected in a severly ill patient EXCEPT a. Low t4 b. Low reverse t3* c. Low t3 d. Low TSH 7. The following are treatment options for hyperthyroidism associated with graves disease EXCEPT a. PTU b. Radioactive iodine c. Beta blockers

CHemiastry ch22 thyroid

Quiz Bank

exam2

d. Thyroid hormone* 8. A 34 year old woman presents with goiter, tachycardia, and weight loss of 2 months duration. TSH is undetectable and free T4 is high. All of the following tests are usefl in diagnosing the cause of hyperthyroidism EXCEPT a. TSH receptor antibodies b. Fine needle aspiration biopsy of the thyroid gland* c. TSH d. RAIU 9. All the following statements about iodine are true EXCEPT a. Iodine deficiency is one of the most common causes of hypothyroidism in the world b. Radioactive iodine treatment of graves disease is effective in less than 40% of patients treated* c. Radioactive iodine uptake is often useful in determining the cause of thyrotoxicosis d. T4 has 4 iodine molecules 10. The fetus a. Does not develop a thyroid gland until the third trimester b. Is dependent on thyroid hormone for normal neurologic development* c. Will be borne with hypothyroidism is approximately 1 /400 births in developed countries d. Is not susceptible to damage from radioactive iodine therapy given the mother