2026 Actual Complete Real Exam Questions
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What labs are used to diagnose Thyroid
dysfunction?
TSH, free T3, total T3, free T4 and total T4.
Thyroid function in hypothyroidism?
T3 and T4 are lower, TSH is higher.
,Thyroid function in hyperthyroidism?
TSH low, free T4 is normal and T3 is high.
What is the timeframe for re-check of labs after
starting Levothyroxine?
Check TSH 6-8 weeks after initiating therapy and
after dosage changes. Check TSH annually once
TSH is stablizied.
Signs and symptoms of hypothyroidism?
Pale, puffy, expressionless face, cold, dry skin,
brittle hair, hair loss, low temperature/HR,
lethargy, fatigue, constipation, weight gain,
intolerance to cold, menstruation impairment,
thyroid enlargement.
,Signs and symptoms of hyperthyroidism?
Rapid strong heartbeat, dysrhythmias, angina,
CNS stimulation, nervousness, insomnia, rapid
thought process, rapid speech, skeletal muscles
weaken, atrophy, metabolic rate increased,
increased heat production, increased body
temperature, increased appetite, weight loss,
exophthalmos.
What is the treatment of thyroid storm?
High doses of potassium iodide or strong
iodine solution, methimazole suppresses
hormone synthesis, beta blockers reduce heart
rate, sedation, cooling, and giving
glucocorticoids and IV fluids can also help.
First line treatment for hypothyroidism?
Levothyroxine.
, First line treatment for hyperthyroidism?
Methimazole.
Why does the FDA recommend against using
PTU as first line treatment of Thyroid storm?
Hepatic toxicity.
What can happen if hypothyroidism is not treated
during pregnancy?
Permanent neuropsychological deficits in the
child, congenital hypothyroidism, decreased IQ
(mainly occurs during the 1st trimester and
increases up to 50%).