Page 1 of 1: Selection and interpretation of tests in thyroid disorders.

doctor_hesham · Credits: 12788 My Scrapbook

Selection and interpretation of tests in thyroid disorders.

Options

A Basal metabolic rate
B Fine needle aspiration
C No tests at this stage
D Pituitary magnetic resonance imaging (MRI)
E Radioiodine uptake
F Serum follicle stimulating hormone FSH
G Thoracic inlet x-rays
H Thyroid antibodies
I Thyroid releasing factor (TRF) test (TSH)
J Thyroid stimulating hormone
K Tri-iodothyronine (T3)
L Ultrasound of thyroid

.

37.A 14-year-old euthyroid (normal serum T3 T4 concentration) girl presents with a soft, diffusely enlarged thyroid gland, which moves freely on swallowing.
38.A 42-year-old woman on thyroxine replacement therapy comes to the outpatient clinic to have her treatment checked.
39A euthyroid (normal serum T3 T4 concentration) 25-year-old woman has a solitary, solid thyroid nodule confirmed on ultrasound scan.
40A 60-year-old man who is euthyroid (normal serum T3T4 concentration) has presents with an asymmetrical thyroid swelling.
41.A 30-year-old woman with normal serum T3T4 concentration has palpitation, tremor and weight loss.

im not sure of my answers, please contribute

skjeev · Credits: 8210 My Scrapbook

37. c
38. j
39. b
40. e
41.h

me too not suure about 39.

doctor_hesham · Credits: 12788 My Scrapbook

thank you for the responce.
well, i posted this theme some time ago. and i re-posted it on the PLAB 1 forum.
we went throught soem discussions and we finally agreed on a conclusion. the theme wasnt accurate, (sorry for that). im posting the best clarifying post for this theme (by Sal):

I am posting the original theme, because there are a couple of mistakes on the old circulating one, especially with in Q 41

Selection and interpretation of tests in thyroid disorders.

Options

A Basal metabolic rate
B Fine needle aspiration
C No tests at this stage
D Pituitary magnetic resonance imaging (MRI)
E Radioiodine uptake
F Serum follicle stimulating hormone FSH
G Thoracic inlet x-rays
H Thyroid antibodies
I Thyroid releasing factor (TRF) test (TSH)
J Thyroid stimulating hormone
K Tri-iodothyronine (T3)
L Ultrasound of thyroid

Instruction

For each patient described below, choose the SINGLE most appropriate test to be done next, from the list of options. Each option may be used once, more than once, or not at all.

37. A 14-year-old euthyroid (normal serum T3 T4 concentration) girl presents with a soft, diffusely enlarged thyroid gland, which moves freely on swallowing.

38. A 42-year-old woman on thyroxine replacement therapy comes to the outpatient clinic to have her treatment checked.

39. A euthyroid (normal serum T3 T4 concentration) 25-year-old woman has a solitary, solid thyroid nodule confirmed on ultrasound scan.

40. A 60-year-old man who is euthyroid (normal serum T3T4 concentration) has presents with an asymmetrical thyroid swelling.

41. A 30-year-old woman with normal serum T4 concentration has palpitation, TREMOR and weight loss.

My answers are:

37. C(No test at this stage)
It is more likely a case of a non-toxic enlargement of the thyroid gland, taking in concideration the age of the patient. This is characteristic of a physiological goitre which may occur at puberty or in pregnancy

38. J(Thyroid stimulating hormone)

39. E(Radioiodine uptake)

Please check that information on the OHCM sixth edition on page 516.
It may show a malignant lesion as a cold tumor, whereas a hot lesion will suggest only adenoma.

1. Do T3 & T4

2. Ultrasound

3. Radionucleotide scan

4. FNAC

40. L(Ultrasound)

Here is a symilar sytuation as in Q39. Our patient have got done already T3 and T4, then the next step will be ultrasound to check if the lump is solid or cystic.

41. K(Triodothyrinine T3)

this shall clear it for anyone who might read it here too,
thank you

skjeev · Credits: 8210 My Scrapbook

in41,it is triky....i thought t3,t4 both normal....hurried!!

but u can do...tsh ab right?female,middle aged.hope i wont do this mistake again..!

skjeev · Credits: 8210 My Scrapbook

and thanks!

shravani · Credits: 6427 My Scrapbook

even i made the same mistake regarding question no 41........hope i'll not repeat it again

		Sign In New User? Sign Up Sign in to access your control panel and messenger!
				TechZone \| SpiderNevi \| HowTo? \| Scrapbook!