Shared Flashcard Set

Details

Thyroid
Clinical Medicine Final
29
Medical
Graduate
12/05/2010

Additional Medical Flashcards

 


 

Cards

Term
What are 75% of T4 and 70% of T3 bound to?
Definition
thyroxine-binding globulin (TBG)
Term
The rest of T3 and T4 is bound to what?
Definition
albumin and prealbumin
Term
TSH secretion is regulated by what two things?
Definition
thyroid hormone in circulation and hypothalamic TRH
Term
What is the preferred test for assessing the functional state of the thyroid?
Definition
TSH
Term
What test is 90% reliable in discriminating between cystic and solid thyroid nodules?
Definition
ultrasound
Term
antibodies are almost always present with what? and usually present with hyperthroidism
Definition
almost always with Hashimoto's thyroiditis
usually with hyperthyroidism
Term
What is the most common hyperthyroid condition?
Definition
Grave's disease
Term
what is the most common arrhythmia in hyperthyrodism in elderly patients?
Definition
SVT, atrial fibrillation
Term
symptoms common with monosymptomatic hyperthyrodism with inanition
Definition
hypermetabolism and weight loss
Term
plummer's nodule or toxic adenoma is characterized by?
Definition
benign unilateral swelling of thyroid gland
Term
factitious hyperthyroidism is usually seen in whom?
Definition
medical personnel
Term
what is the preferred means of diagnosis for hyperthyrodism?
Definition
free T4 and TSH
Term
What is serum thyroglobulin used for?
Definition
track defectiveness of therapy for cancer
Term
What is the MOA of antithyroid drugs
Definition
Blocks oxidation of iodine
Term
Which antithyroid drug is preferred during pregnancy?
Definition
propylthiouracil
Term
What is a valuable adjunct therapy to relieve symptoms?
Definition
beta blockers
Term
Almost all patients with grave's disease and toxic nodular goiter can be rendered euthyroid with what?
Definition
Radioactive iodine therapy
Term
What is thyroid storm characterized by?
Definition
1) fever
2) severe tachycardia
3) extreme sweating
4) pronounced restlessness
5) leads to dehydration and shock
Term
pituitary hypothyrodism what usually develops first?
Definition
hypogonadism (impotence or amenorrhea)
Term
subacute thyroiditis is characterized by?
Definition
1) pain in neck, throat, ears
2) fever
3) viral symptoms
4) thyroid enlarged
5) striking elevation of SER
Term
What group of people has the highest incidence of lymphocytic thyroditis
Definition
post-partum women
Term
What is the most common cause of goitrous hypothyrodism?
Definition
autoimmune thyroditis (Hasimoto's thyroditis)
Term
presence of what confirms diagnosis with hasimoto's thyroditis?
Definition
antibodies
Term
What med is used to suppress the goiter in Hashimoto's thyroditis?
Definition
Thyroxine
Term
What are symptoms usually a result of with nodules, goiters, and cancer?
Definition
compression of surrounding structures.
Term
What is the most important pathogenesis for thyroid cancer?
Definition
exposure to radiation as a child
Term
What is the most direct, expeditious, and ultimately cost effective approach to isolated thyroid nodules?
Definition
fine-needle aspiration
Term
What is the most common abnormality associated with euthyroid sick syndrome?
Definition
low T3 level
Supporting users have an ad free experience!