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ExamPro MCQ Tests

MCQ Test: Thyroid Disease in Pregnancy

Number of questions in this MCQ test: 9
Suggested time for this MCQ test: 11 minutes

All of the following are adverse pregnancy outcomes associated with maternal hypothyroidism except ?
Impairment in fetal intellectual development
Placental abruption
Preeclampsia
Preterm delivery
Gestational diabetes mellitus
Which of the following laboratory tests is the best screen for hypothyroidism in pregnancy ?
Thyroid Stimulating Hormone (TSH)
Thyroid Binding Globulin (TBG)
Total T4
Free T4
T3
Which of the following laboratory tests is the most useful to diagnose hyperthyroidism in pregnancy ?
Thyroid Stimulating Hormone (TSH)
Thyroid Binding Globulin (TBG)
Total T4
Free T4
T3
All of the following are physiologic changes in the thyroid function tests during pregnancy except ?
Decreased Thyroid Stimulating Hormone (TSH in the first trimester)
Increased Total T4
Increased Thyroid Binding Globulin (TBG)
No change in the free T4
Increased Thyroid Stimulating Hormone (TSH) in the second and third trimester
Which of the following is the first line of therapy for hyperthyroidism in pregnancy ?
Prophyltiouracil (PTU)
Methimazole
Radioactive Iodine
Partial thryoidectomy
Radiofrequency ablation of the thyroid
A 26 year old G1 P2 at 10 weeks EGA is brought to the emergency department by her husband for extreme anxiety. He reports she has also complained of a mild headache, a nonproductive cough, and emesis in the morning for the past 2 weeks. Her vital signs are a temperature if 103 F, BP 100/60. HR 128, and RR 12. Based on her husband's report and the vital signs, the most likely diagnosis is ?
Panic attack
Meningitis
Molar pregnancy
Thyrotoxicosis
Recent crystal methamphetamine
All of the following would be in the pharmacologic aremantarium in the treatment of a thyroid storm except ?
Propanolol
Propylthiouracil
Steroids
Radioactive iodine
Atropine
All of the following influence the biosynthesis of thyroid hormones except ?
Iodine
Selenium
Zinc
Cortisol
Phosphorous
Which thyroid hormone is active and exerts the physiologic effect ?
T4 chelated to iron
Free T3
T3 bound to thyroid binding globulin (TBG)
T3 bond to albumin
Free reverse T3

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