12 Questions
What is the most sensitive indicator of primary hypothyroidism?
Serum TSH
Why is the measurement of serum T3 considered unnecessary and potentially misleading?
T3 is the thyroid hormone most likely to decrease in nonthyroidal illness.
Why should serum TSH not be used alone to diagnose hypothyroidism?
It does not always differentiate symptomatic from subclinical hypothyroidism.
What can lead to a misdiagnosis of subclinical hypothyroidism in a euthyroid subject?
Slightly elevated serum TSH due to pulsatile nature
In hypothyroid patients, what can reduce serum TSH levels to within the normal range?
Treatment with dopaminergic drugs and corticosteroids
Why might measuring free T4 be helpful in hypothyroid patients undergoing treatment?
To differentiate true hypothyroidism from nonthyroidal illness
Which section of the 2019 Endocrine Society clinical practice guideline focuses on the role of specialists in diabetes care?
Section 1: Role of the endocrinologist and diabetes care specialist
What percentage of adults aged 65 or older is estimated to have diabetes?
33%
Which diabetes-related complication is older adults at increased risk for?
Hypoglycemia
Which section of the 2019 Endocrine Society clinical practice guideline focuses on treating complications of diabetes?
Section 5: Treating complications of diabetes
Who should be primarily responsible for diabetes care in patients with type 1 diabetes or complex hyperglycemia treatment?
Endocrinologist
What does the guideline emphasize regarding diabetes treatment goals for older patients?
Individualized treatment goals based on co-existing conditions and cognitive impairment
Test your knowledge on interpreting thyroid function tests results. Learn about the significance of serum TSH, T4, and T3 levels in diagnosing hypothyroidism. Understand the limitations of using serum TSH alone for diagnosis.
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