Thyroid Function Tests Indications and Interpretation

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Questions and Answers

Which condition is NOT generally indicated for thyroid screening?

  • Patients with chronic diabetes (correct)
  • Neonates for congenital hypothyroidism
  • Individuals with strong family history of thyroid diseases
  • Patients with suspected hyperthyroidism/hypothyroidism

What hormone's levels increase in primary hypothyroidism?

  • T3
  • T4
  • TSH (correct)
  • Thyroxine

What is the role of Thyroid Stimulating Hormone (TSH) in thyroid hormone production?

  • Stimulates the adrenal cortex
  • Inhibits release of thyroxine from the thyroid
  • Increases production and release of thyroxine (T3 and T4) (correct)
  • Increases metabolism in peripheral tissues

Which of the following groups should be monitored for thyroid function regularly?

<p>Women with a history of postpartum thyroiditis (D)</p> Signup and view all the answers

What is one common use of thyroid function tests?

<p>To assess thyroid hormone replacement therapy (A)</p> Signup and view all the answers

The indications for screening include patients with ______ disease.

<p>autoimmune</p> Signup and view all the answers

Thyroid function tests are performed to ______ patients suspected of having thyroid disease.

<p>screen</p> Signup and view all the answers

Which of these conditions is specifically linked to thyroid disease screening?

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

One of the common reasons for assessing thyroid function is to ______ therapy.

<p>monitor</p> Signup and view all the answers

Thyroid stimulating hormone is secreted by the ______ pituitary gland.

<p>anterior</p> Signup and view all the answers

Thyroid stimulating hormone increases the production and release of ______ from the thyroid.

<p>thyroxine</p> Signup and view all the answers

Patients with suspected ______ or hypothyroidism are included in the indications for screening.

<p>hyperthyroidism</p> Signup and view all the answers

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Study Notes

Indications for Screening

  • Neonates for congenital hypothyroidism
  • Patients with autoimmune disease
  • Individuals with strong family history of thyroid diseases
  • Patients with suspected hyperthyroidism/hypothyroidism
  • Conditions linked to thyroid disease, such as atrial fibrillation or anxiety disorder

Thyroid Function Tests

  • Used to assess true metabolic status
  • Most important test to assess function and monitor thyroid hormone replacement therapy
  • Increased TSH indicates thyroid failure, characterized by decreased T3 and T4 levels
  • Primary hypothyroidism is an example of thyroid failure

Surveillance

- Women with a history of postpartum thyroiditis

- Post-neck irradiation

- Post-destructive treatment (radioiodine or surgical) for thyrotoxicosis

Monitoring

  • Monitoring treatment of hyperthyroidism with antithyroid drugs
  • Patients with primary hypothyroidism taking thyroxine hormone replacement therapy

Serum Thyroid Hormones

  • Thyroid Stimulating Hormone (TSH)
  • Secreted by the anterior pituitary gland
  • Increases production and release of thyroxine (T3 and T4) from the thyroid
  • Its secretion is inhibited by high levels of thyroxine

Indications for Screening

  • Neonates for congenital hypothyroidism
  • Patients with autoimmune disease
  • Individuals with strong family history of thyroid diseases
  • Patients with suspected hyperthyroidism/hypothyroidism
  • Conditions linked to thyroid disease, such as atrial fibrillation or anxiety disorder

Thyroid Function Tests

  • Used to assess true metabolic status
  • Most important test to assess function and monitor thyroid hormone replacement therapy
  • Increased TSH indicates thyroid failure, characterized by decreased T3 and T4 levels
  • Primary hypothyroidism is an example of thyroid failure

Surveillance

- Women with a history of postpartum thyroiditis

- Post-neck irradiation

- Post-destructive treatment (radioiodine or surgical) for thyrotoxicosis

Monitoring

  • Monitoring treatment of hyperthyroidism with antithyroid drugs
  • Patients with primary hypothyroidism taking thyroxine hormone replacement therapy

Serum Thyroid Hormones

  • Thyroid Stimulating Hormone (TSH)
  • Secreted by the anterior pituitary gland
  • Increases production and release of thyroxine (T3 and T4) from the thyroid
  • Its secretion is inhibited by high levels of thyroxine

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