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1. Question: what are the common protoperative complications of thyroid surgery?
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- Which of the following statements about the thyroid gland is true? It is located anterior to the trachea and inferior to the larynx. The parathyroid glands are embedded within it. It manufactures three hormones. all of the abovePatient R., 45 y/o, has an enlargement of the right lobe of the thyroid gland , in which a round soft and elastic growth can be palpated; the growth is neither fused with the surrounding tissues nor painful. Lymphatic nods are not palpated. Clinical examinations and laboratory tests show no disruption of the thyroid function. What diagnosis can be suspected?A. Nodular thyroid glandB. Toxic goiter (Grave’s disease)C. Autoimmune thyroiditisD. HypothyroidismHi, can you please help me with the following multiple choice question - Thanks!! M. is a 59-year-old postmenopausal woman. The serum T4 is 8 microg/dl (n. 6 – 12); TSH is 4 microg/dl (n. 2 – 10). Body weight – 190 pounds, and she complains of depression. Her physician prescribes a low dosage of T4 to “pep her up”. What changes would you expect to see 4 weeks after the initiation of treatment? the size of thyroid will be reduced serum TSH will decrease serum T4 will decrease the basal metabolism rate will be elevated. Biologic actions of thyroid hormones include all of the following except: stimulate protein synthesis and proteolysis increase Na-K- ATP-ase activity increase oxidative phosphorylation stimulate growth and vascularity of the thyroid gland. stimulate glycogenesis
- 8 Which of the following statements) is/are descriptive of diabetes mellitus? I. It results from decrease in insulin production by the pancreas or the cell's insensitivity to insulin. TI. It may manifest as polyphagia and polydipsia. III. It leads to fatal complications like chronic renal failure and cardiovascular diseases. Select the correct response: Ionly Ill only Il only 1, ll, and Ill Il and Ill I and IlI I and IIDescribe the causes and signs and symptoms of i)hypothyroidism ii) hyperthyroidism. Explain why patients experience these symptoms. ANSWER SHOULD INCLUDE: What is thyroxine, and where it is produced in the body? What does thyroxine normally do in the body ? (i.e. what is its function) Explain why lack of (or excess) thyroxine disrupts these processes; symptoms experienced by people with thyroid disorders. 1. Hypothyroidism- what are the most common causes? Why do patients experience symptoms such as poor ability to tolerate cold temperatures, fatigue, bradycardia, constipation, depression, weight gain? What happens if untreated during pregnancy? 2. Hyperthyroidism - what are the most common causes?. Why do patients experience symptoms such as weight loss, nervousness, weakness, hair loss, goitre, irregular heartbeat, difficulty sleeping?32) Which is the gold standard for the diagnosis of primary aldosteronism? A Low dose dexamethasone suppression test B High dose dexamethasone suppression test C Inferior petrosal sinus sampling D Adrenal vein sampling E Late-night salivary cortisol
- What potential adverse effects may be expected following long-term use of 131I for the treatment of hyperthyroidism?A. HypothyroidismB. Suppurative thyroiditisC. Thyroid storm. D. Toxic multinodular goiterE. Autoimmune thyroiditisA 42-year-old female presents with nausea, fatigue, muscle weakness, and intermittent pain in her mid-left flank (stomach). Laboratory examination reveals an increased serum calcium and a decreased serum phosphorus. Urinary calcium is increased, and microhaematuria is present. 1.1 What is the most likely cause of this patient’s abnormality? 1.2 Which hormone is responsible for this condition? 1.3 Is the condition primary or secondary? Explain. 1.4 Explain why an increased serum calcium and a decreased serum phosphorus. 1.5 Which vitamin will have the same effect as this condition? 1.6 Explain why there is muscle weakness and pain in the mid-left flank. 1.7 Describe the meaning of the following clinical terms: 1.7.1 Nausea; 1.7.2 Fatigue; 1.7.3 Microhaematuria.What would be the FDAR (Data, Action, and Response) to the patient hard to swallow after thyroidectomy procedure?
