Thyroid Function Tests Quiz

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Questions and Answers

What is the most sensitive indicator of primary hypothyroidism?

  • Serum TSH (correct)
  • Free T4
  • Serum T3
  • Low serum T4

Why is the measurement of serum T3 considered unnecessary and potentially misleading?

  • T3 is the only thyroid hormone affected in hypothyroidism.
  • T3 is the thyroid hormone most likely to decrease in nonthyroidal illness. (correct)
  • T3 is the most stable thyroid hormone.
  • T3 levels do not change in nonthyroidal illness.

Why should serum TSH not be used alone to diagnose hypothyroidism?

  • It remains constant throughout the day.
  • It does not always differentiate symptomatic from subclinical hypothyroidism. (correct)
  • It decreases in nonthyroidal illness.
  • It is the most accurate indicator of hypothyroidism.

What can lead to a misdiagnosis of subclinical hypothyroidism in a euthyroid subject?

<p>Slightly elevated serum TSH due to pulsatile nature (A)</p>
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In hypothyroid patients, what can reduce serum TSH levels to within the normal range?

<p>Treatment with dopaminergic drugs and corticosteroids (C)</p>
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Why might measuring free T4 be helpful in hypothyroid patients undergoing treatment?

<p>To differentiate true hypothyroidism from nonthyroidal illness (D)</p>
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Which section of the 2019 Endocrine Society clinical practice guideline focuses on the role of specialists in diabetes care?

<p>Section 1: Role of the endocrinologist and diabetes care specialist (D)</p>
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What percentage of adults aged 65 or older is estimated to have diabetes?

<p>33% (D)</p>
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Which diabetes-related complication is older adults at increased risk for?

<p>Hypoglycemia (D)</p>
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Which section of the 2019 Endocrine Society clinical practice guideline focuses on treating complications of diabetes?

<p>Section 5: Treating complications of diabetes (C)</p>
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Who should be primarily responsible for diabetes care in patients with type 1 diabetes or complex hyperglycemia treatment?

<p>Endocrinologist (A)</p>
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What does the guideline emphasize regarding diabetes treatment goals for older patients?

<p>Individualized treatment goals based on co-existing conditions and cognitive impairment (A)</p>
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