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Quiz: What test is used to diagnose hyperthyroidism?
Ans: TSH. Small drops in T3 & T4 cause big increases in TSH
Quiz: What happens when T3 & T4 fall?
Ans: TSH increases
Quiz: How do you diagnose primary hypothyroidism?
Ans: High TSH levels
Quiz: What is the difference between primary and secondary hypothyroidism?
Ans: Normal or low-normal TSH levels + low T3 & T4 levels. Primary has high TSH levels.
Quiz: Benefits of levothyroxine + liothyronine (T3) vs levothyroxine alone?
Ans: None. Both work equally well.
Quiz: When should pregnant women initially be screened for hypothyroidism ?
Ans: As soon as pregnancy is confirmed. Begin levothyroxine immediately
Quiz: When can you expect to have to increase the levothyroxine dose during
pregnancy?
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in the number given.
, Ans: Between weeks 4-8. Level off by week 16 and stays steady.
Quiz: What is a strategy for managing T4 dose during pregnancy?
Ans: Empirically increase by 30% as soon as pregnancy is confirmed.
Quiz: What causes creatinism in newborns?
Ans: Failure of thyroid to develop = congenital hypothyroidism.
Quiz: 5 week old comes in with large, tongue, potbelly, dwarfish looking. What is long
term prognosis?
Ans: Hypothyroidism. Cretinism. Permanent mental retardation but no physical
impairment.
Quiz: How do you differentiate between transient & permanent hypothryoidism in
infants?
Ans: Treat for 3 years then stop for 4 weeks. If TSH increases = permanent hypothyroidism
= continue treatment.
Quiz: #1 cause of hyperthyroidism
Ans: Graves' disease
Quiz: Preferred treatment for adults with hyperthyroidism?
Ans: Radioactive iodine
Quiz: What is the treatment of choice in young patients with hyperthyroidism?
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in the number given.