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1. What is the relationship between TSH and T3/T4 in hyperthyroidism?
A) Increased TSH, increased T3/T4
B) Decreased TSH, increased T3/T4
C) Increased TSH, decreased T3/T4
D) Decreased TSH, decreased T3/T4
Answer: B
2. What is the relationship between TSH and T3/T4 in hypothyroidism?
A) Increased TSH, decreased T3/T4
B) Decreased TSH, increased T3/T4
C) Increased TSH, increased T3/T4
D) Decreased TSH, decreased T3/T4
Answer: A
3. Which of the following is a symptom of hypothyroidism?
A) Weight loss due to increased metabolism
B) Weight gain due to inability to use fat stores for ATP production
C) Hot, flushed face
D) Frequent diarrhea
Answer: B
4. In hypothyroidism, what causes cold intolerance?
A) Increased basal metabolic rate
B) Already lowered body temperature
C) Excess thyroid hormone production
,D) Increased sympathetic activity
Answer: B
5. What cardiac finding is associated with hypothyroidism?
A) Tachycardia
B) Bradycardia
C) Atrial fibrillation
D) Hypertension crisis
Answer: B
6. What eyebrow finding is associated with hypothyroidism, and why does it
occur?
A) Thickening of the eyebrows due to increased hair cell mitosis
B) Loss of the outer third of the eyebrow due to slowed hair cell mitosis
C) Loss of the entire eyebrow due to autoimmune destruction
D) Eyebrow discoloration due to pigment loss
Answer: B
7. Which of the following is a symptom of hyperthyroidism?
A) Weight gain
B) Bradycardia
C) Exophthalmos (bulging eyes)
D) Cold intolerance
Answer: C
8. In hyperthyroidism, weight loss occurs primarily due to which mechanism?
A) Decreased appetite only
B) Burning through glucose and fat stores
C) Malabsorption
D) Increased insulin sensitivity
Answer: B
9. Which cardiovascular finding is characteristic of hyperthyroidism?
A) Bradycardia and hypotension
B) Fast, irregular heart rate and elevated blood pressure
, C) Normal heart rate with hypotension
D) Heart block
Answer: B
10. Which GI symptom is associated with hyperthyroidism?
A) Constipation
B) Frequent bowel movements and diarrhea
C) Bloody stools
D) Decreased bowel motility
Answer: B
11. Which neuropsychiatric symptoms are associated with hyperthyroidism?
A) Fatigue, brain fog, and depression
B) Agitation, irritability, and trouble sleeping
C) Lethargy and somnolence
D) Memory loss only
Answer: B
Glucose and Hormone Regulation
12. What is the underlying cause of the Somogyi effect?
A) Excess glucagon secretion during the day
B) Untreated hypoglycemia (overuse of insulin) causing a compensatory glucagon
release and morning hyperglycemia
C) Excess growth hormone release in the evening
D) Insulin resistance from chronic corticosteroid use
Answer: B
13. Which of the following hormones causes an increase in blood glucose?
A) Insulin
B) Glucagon, epinephrine, growth hormone, and cortisol
C) Oxytocin
D) Aldosterone
Answer: B