Endocrinology & Diabetes — Flashcards

Flashcard 281: Which treatment for graves disease is known to worsen thyroid eye disease? _____

Answer: Radioactive iodine ablation

Flashcard 282: _____ is the most common complication of thyroid eye disease

Answer: Exposure keratopathy

Flashcard 283: _____ is a synthetic form of T3

Answer: Liothyronine

Flashcard 284: Thyroid _____ testing should be considered in patients with suspected autoimmune thyroiditis

Answer: antibody

Flashcard 285: Thyroid eye disease typically begins with an _____ phase lasting <2 years, followed by a chronic fibrotic phase where symptoms stabilise. The condition slowly improves over the next few years

Answer: inflammatory

Flashcard 286: Postpartum thyroiditis presents with a _____ goitre

Answer: non-tender

Flashcard 287: What is the management of thyroid eye disease while awaiting review by an ophthalmologist? _____, artificial tears, eye protection (e.g. sunglasses) and head elevation while sleeping

Answer: Smoking cessation

Flashcard 288: A patient with known thyroid eye disease presents with blurred vision, field defect and a relative afferent pupillary defect. What is the most likely diagnosis? _____

Answer: Optic neuropathy due to compression/stretching of the optic nerve

Flashcard 289: Is thyroid eye disease symmetrical? _____

Answer: Usually bilateral (but often asymmetrical)

Extra: Thyroid-associated ophthalmopathy (Graves' orbitopathy) is the most common cause of both unilateral and bilateral proptosis in adults. While it often presents with different degrees of severity in each eye (asymmetry), it is bilateral in the majority of cases (85-90%).

Flashcard 290: The most important modifiable risk factor for thyroid eye disease is _____

Answer: smoking