Thyroid Function and Management Practice Flashcards

A set of fill-in-the-blank flashcards covering the management of thyroid conditions during surgery, diagnostic thresholds for hypothyroidism, causes of hyperthyroidism, and treatment protocols.

For a patient who is euthyroid on L-Thyroxin, thyroxine can be safely withheld for up to __________ due to its long half-life.

one week

Elective surgery for patients with untreated hypothyroidism should be deferred for several weeks to avoid the risk of __________ respiratory depression.

prolonged

Untreated hypothyroidism increases surgical risk because of a reduction in anesthetic clearance, which leads to __________ wound healing and prolonged bleeding.

prolonged

In subclinical hypothyroidism, levothyroxine therapy is initiated if the TSH level is greater than __________.

$$10\,mIU/L$$

Secondary hyperthyroidism can be caused by a __________-secreting pituitary adenoma.

TSH

Biochemically confirmed hyperthyroidism typically displays a decrease in TSH and an increase in both __________ and __________.

$T_4$ and $T_3$

The first-line antithyroid drug, except during the first trimester of pregnancy, is __________.

Carbimazole

The drug __________ is preferred for treating hyperthyroidism during the first trimester of pregnancy and for thyroid storm.

Propylthiouracil

Following radioactive iodine treatment, a patient should delay pregnancy for __________ months.

6

In the diagnostic pathway for hyperthyroidism, a "hot nodule" on thyroid scintigraphy indicates __________.

AFTN(s)

what is the next step if the pt has confirmed hyperthyroudism and suspicious GD?

check TRAB

what is the next step if the pt has confirmed hyperthyroudism with thyrois nodule?

US/ Thyrois scintigraphy

what is the next step if the pt has confirmed hyperthyroudism suspicious of destructive?

thyroid scintigraphy

What is the diagnose if the nodule showed hot in scintingraphy?

AFTNs (Autonomously Functioning Thyroid Nodules) indicated by increased radioiodine uptake.

What is the next step if the nodule showed hot in scintingraphy?

US and FNAC to investigate for tumor

_______ first line medication, 2nd and 3rd trimester of pregancy

Carbimazole

_________ can be used in first trimester

Propylthiouracil; it is preferred due to lower risk of congenital abnormalities.

what is the possible side effect of propylthiouracil

thyroid storm

what is the indication for the throidectomy?

This surgical procedure is indicated for patients with hyperthyroidism who do not respond to medication, have large goiters causing compressive symptoms, or have thyroid cancer , praagancy and lactation.

If planning pregancy soon, how long should pt delay for the radioactive iodine?

6 month