Hypothyroidism Post-Surgical Thyroidectomy
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Questions and Answers

What is the hallmark of painful subacute thyroiditis ('de Quervain thyroiditis')?

  • Painless enlarged thyroid gland
  • Enlarged thyroid gland with normal texture
  • Minimally enlarged thyroid gland with reduced echogenicity
  • Acutely enlarged, tender thyroid gland with painful dysphagia (correct)
  • What is the risk of developing papillary thyroid cancer in patients undergoing a fine-needle aspiration biopsy guided by ultrasound for a thyroid nodule?

  • 5%
  • 12%
  • 2%
  • 8% (correct)
  • Which antibodies are typically elevated in Hashimoto thyroiditis?

  • Antithyroxine Peroxidase Antibodies & Antithyroid Antibodies
  • Antithyroxine Peroxidase Antibodies & Antithyroglobulin Antibodies
  • Antithyroxine Antibodies & Antithyroglobulin Peroxidase Antibodies
  • Antithyroid Peroxidase Antibodies & Antithyroglobulin Antibodies (correct)
  • What is the primary treatment approach for hypothyroidism in patients with Hashimoto thyroiditis?

    <p>Levothyroxine replacement therapy</p> Signup and view all the answers

    What is the characteristic feature of Hashimoto thyroiditis on imaging like ultrasound?

    <p>Heterogeneous density and reduced echogenicity</p> Signup and view all the answers

    Which condition can manifest as both hyperthyroidism and hypothyroidism episodes in a cyclic pattern?

    <p>'Silent Thyroiditis'</p> Signup and view all the answers

    What is the primary cause of painful subacute thyroiditis ('de Quervain thyroiditis')?

    <p>Viral infection</p> Signup and view all the answers

    What effect does dietary supplementation with selenium have on TPO antibodies in Hashimoto thyroiditis?

    <p>It reduces TPO antibodies levels</p> Signup and view all the answers

    What is the characteristic lab finding in chronic lymphocytic thyroiditis ('Hashimoto thyroiditis') regarding serum FT4 and T3 levels?

    <p>Serum FT4 levels are proportionally higher than T3 levels</p> Signup and view all the answers

    In managing an enlarged, euthyroid gland in patients with Hashimoto thyroiditis, what is the recommended approach according to the text?

    <p>Observation without intervention</p> Signup and view all the answers

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