Monday 28 December 2020

SUBCLINICAL HYPERTHYROIDISM-MCQs

 

1.Suppression of serum TSH (thyroid stimulating hormone) and normal fT4 and fT4 levels

2. The outcome could be progression to overt hyperthyroidism or revert to euthyroidism.

3. Hyperthyroidism confers an increased risk of overall mortality

4.If exposed to excess iodine may precipitate overt hyperthyroidism

5. Treatment is indicated in all individuals over 55 years of age.

 

Answers

 

1.TRUE-in older population underline multinodular goitre needs to be considered.

2.TRUE-spontaneous reversal to euthyroidism has been reported.

3.TRUE-cardiovacular mortality around 30% and increased risk of fracture.

4.TRUE-this could even be IV contrast or iodine containing supplements

5.FALSE-above 65years , patients with heart disease, osteoporosis, high cardiovascular risk level and post- menopausal women

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