DIABETES UPDATE

1. The two signs that are truly diagnostic of Graves disease (not seen in other hyperthyroid conditions) are:

A.Nervousness and heat intolerance

B. Sweating and diarrhea

C. Exophthalmos and "peau d'orange"

D. Weight loss with increased appetite, palpitations and arrhythmias

2. Graves' disease occurs most frequently in:

A. Men

B. Women

C. Middle age

D. Both b & c

3. A complication of Graves' disease which may lead to life-threatening heart, liver or kidney failure is known as:

A. "Peau d'orange"

B. Basedow's disease

C. Thyroid storm

D. Hashimoto's thyroiditis

4. The ocular manifestations of Graves' disease:

A. Are more common in smokers

B. Tend to develop or worsen following radioiodine treatment

C. Are not caused by hyperthyroidism per se

D. All of the above

 

5. The most dangerous side-effect of antithyroid medications is:

A. Granulocytopenia

B. Aplastic anemia

C. Agranulocytosis

D. Peripheral neuritis

 

6. Radioactive Iodine Therapy:

A. Is the most common treatment for Graves' disease in the United States.

B. Has the disadvantage of a high incidence of hypothyroidism.

C. Is absolutely contraindicated in pregnant patients.

D. All of the above.

7. Thyroidectomy is the preferred treatment for patients:

A. With a large goiter who chronically relapse after drug therapy.

B. With suspicious nodules or suspected cancer

C. Who are pregnant.

D. All of the above.

8. Both radiation and surgery result in the need for lifelong use of replacement thyroid hormones.

A. True

B. False

 

9. Advantages of surgery to treat Graves' disease include:

Immediate cure

Removal of carcinoma

Preferable in older patients

D. Both a & b

10. The herb bugleweed has proven utterly ineffective in the treatment of Graves' disease.

A. True

B. False