Endocrinology & Diabetes — Flashcards

Flashcard 241: In order to diagnose subclinical hyperthyroidism, perform repeat _____ 3 months after the initial result

Answer: TFTs

Flashcard 242: What is the first-line investigation for hyperthyroidism? _____

Answer: TFTs (TSH → FT4 (if TSH is abnormal) → FT3 (if FT4 does not explain abnormal TSH))

Flashcard 243: _____thyroidism can cause nail features such as onycholysis and clubbing

Answer: Hyper

Flashcard 244: Which auto-antibody is associated with Grave's disease _____

Answer: TRAbs (TSH receptor antibodies)

Flashcard 245: Patients with thyroid nodules may have a _____ to determine the functional status of the nodule

Answer: thyroid scintigraphy

Flashcard 246: Radioactive iodine uptake is _____ in toxic adenomas

Answer: normal/mildly raised

Flashcard 247: Which antibody is most commonly associated with subacute lymphocytic thyroiditis? _____

Answer: Anti-TPO

Flashcard 248: _____ is an autoimmune condition characterised by hyperthyroidism induced by autoantibodies to TSH receptors (TRAbs)

Answer: Grave's disease

Flashcard 249: The first-line investigation in secondary care for thyroid nodule(s) is _____.

Answer: ultrasound

Extra: If TSH is normal/high → Ultrasound.\nIf TSH is low → Radioisotope scan (to check for toxic nodule).

Flashcard 250: The management of toxic adenoma is _____ or surgery (lobectomy)

Answer: radioiodine