How much do you know about thyroid disorders in pregnancy?
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Questions and Answers

What is the most common cause of thyrotoxicosis in pregnancy?

  • Hashimoto's disease
  • Thyroid cancer
  • Graves' disease (correct)
  • Hypothyroidism
  • What should be checked at 30-36 weeks gestation?

  • Blood glucose levels
  • Cholesterol levels
  • Thyrotrophin receptor stimulating antibodies (correct)
  • Blood pressure
  • What is the recommended medication for treating thyrotoxicosis in the first trimester of pregnancy?

  • Carbimazole
  • Liothyronine
  • Propylthiouracil (correct)
  • Levothyroxine
  • Study Notes

    • Pregnancy causes an increase in total thyroxine levels but not free thyroxine levels
    • Untreated thyrotoxicosis in pregnancy increases the risk of fetal loss, maternal heart failure, and premature labor
    • Graves' disease is the most common cause of thyrotoxicosis in pregnancy
    • Propylthiouracil is used in the first trimester of pregnancy instead of carbimazole
    • Maternal free thyroxine levels should be kept in the upper third of the normal reference range
    • Thyrotrophin receptor stimulating antibodies should be checked at 30-36 weeks gestation
    • Block-and-replace regimes should not be used in pregnancy
    • Radioiodine therapy is contraindicated in pregnancy
    • Women require an increased dose of thyroxine during pregnancy
    • Breastfeeding is safe while on thyroxine

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    Description

    Think you know everything about thyroid function during pregnancy? Test your knowledge with this informative quiz! From increased thyroxine levels to the risks of untreated thyrotoxicosis, this quiz covers it all. Learn about the different treatment options and protocols, as well as what to avoid during pregnancy. A must-take quiz for anyone interested in maternal and fetal health!

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