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- 1. Multiple Choice
What is the most common cause of Primary Hyperthyroidism?
Parathyroid Carcinoma
Parathyroid Single Adenoma
Nodular Goitre
Sympathetic activation of the parathyroid glands
- 2. Multiple Choice
Which of these are causes of Secondary hyperthyroidism?
Osteomalacia and Rickets
Multiple parathyroid adenomas
Nodular parathyroid hyperplasia
Calcium malabsorption
Chronic Renal Failure
- 3. Multiple Choice
Clinical features include:
Polyuria and polydipsia
Pepper-pot skull
subperiosteal erosions
renal colic
lethargy
- 4. Multiple Choice
How is the diagnosis of primary hyperthyroidism confirmed? (Provided FHH is excluded)
High PTH with absence of hypercalcaemia
High PTH with presence of hypocalcaemia
Hight PTH with presence of hypercalcaemia
Hight PTH with absence of hypocalcaemia
- 5. Multiple Choice
FHH is a DDx of primary Hyperthyroidism.
True
False
- 6. Multiple Choice
What is FFH?
Familial hypocalciuric hypocalcaemia
Female hypocalciuric hyocalcaemia
Familial hypocalciuric hypercalcaemia
Female hypocalciuric hypercalcaemia
- 7. Multiple Choice
Primary Hyperthyroidism is more common in ________ .
Men
Women
- 8. Multiple Choice
90% of primary hyperthyroidism patients are ___________.
Over 50 years of age
smokers
Over 70 years of age
medical students
- 9. Multiple Choice
When is the uptake evident only by the parathyroid gland in a 99m-Tc sestamibi scan?
Straight away
After 10 mins
After 3 hours
After 24 hours
- 10. Multiple Choice
What is the treatment of choice for most cases of primary hyperparathyroidism?
Conservative
Education
Medications
Surgery
- 11. Multiple Choice
Primary Hyperparathyroidism patients who are treated conservatively without surgery require:
Annual renal function check
Annual thyroid function check
Bone density monitoring
Calcium biochemistry checked annually
- 12. Multiple Choice
What can be part of managing a life-threating hypercalcaemia due to primary hyperparathyroidism?
Vitamin D
IV fluids
Parathyroidectomy
Bisphosphonates
Thyroidectomy
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