Graves' Disease Treatment Drug Choice
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Questions and Answers

What is the primary mechanism of action of iodine in the treatment of hyperthyroidism?

  • Inhibition of TPO (correct)
  • Inhibition of tissue 5`-deiodinase
  • Enhancement of TG-bound Tyr residues iodination
  • Inhibition of NIS

Which solution contains 50 mg of iodine per drop?

  • Thiourylenes solution
  • Potassium iodide saturated solution (KISS) (correct)
  • Strong iodine solution (“Lugol” solution)
  • Thionamides solution

Why is propylthiouracil preferred over methimazole in the acute treatment of thyroid storm?

  • Inhibits tissue 5`-deiodinase (correct)
  • Enhances de-iodination of T4 to T3
  • Has a different chemical structure than methimazole
  • Acts slower than methimazole

What is the adult dose of iodine every 24 hours as directed by public health officials?

<p>130 mg (C)</p> Signup and view all the answers

Which thyroid disorder is primarily treated with iodine and iodide solutions?

<p>Graves' disease (B)</p> Signup and view all the answers

What is the essential chemical group for the anti-thyroid activity of thiourylenes and thionamides?

<p>$S=C–N$ group (C)</p> Signup and view all the answers

What can cause hypothyroidism by increasing plasma protein binding of T4?

<p>Estrogens (oral contraceptives) (B)</p> Signup and view all the answers

How does Amiodarone affect thyroid function in individuals with mild to moderate iodine deficiency?

<p>Stimulates NIS-dependent iodine uptake causing hyperthyroidism (D)</p> Signup and view all the answers

Which deiodinase enzyme accounts is responsible for converting T4 to T3 individuals?

<p>Dio2 (D)</p> Signup and view all the answers

In what state is Dio1 upregulated and Dio2 downregulated?

<p><strong>Hyperthyroidism</strong> (D)</p> Signup and view all the answers

What drug inhibits Dio1, a plasma membrane protein involved in metabolic activation of thyroid hormones?

<p><strong>Propylthiouracil</strong> (A)</p> Signup and view all the answers

Which drug decreases thyroid hormone secretion and can cause hypothyroidism?

<p><strong>Lithium</strong> (A)</p> Signup and view all the answers

Which drug is preferred for the treatment of Graves' disease in regular cases?

<p>Methimazole (D)</p> Signup and view all the answers

What is the reason for a delayed full clinical response when using methimazole or propylthiouracil?

<p>The long half-life of T4 and large hormone stores in the thyroid gland (A)</p> Signup and view all the answers

Which drug is safer to use in the first trimester of pregnancy for hyperthyroidism?

<p>Propylthiouracil (A)</p> Signup and view all the answers

Which drug can cause liver failure in pregnant hyperthyroid patients?

<p>Propylthiouracil (C)</p> Signup and view all the answers

Which drug can decrease many signs and symptoms of hyperthyroidism without affecting thyroid function?

<p>β-blockers without intrinsic sympathomimetic activity (B)</p> Signup and view all the answers

Which drug can partially block tissue 5'-deiodinase inhibition and reduce T4 to T3 conversion?

<p>Non-selective agents without ISA (C)</p> Signup and view all the answers

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