Free thyroid disorder board review questions sample from Med-Challenger.
Thyroid disorder clinical knowledge is an essential component of complete patient care. Med-Challenger offers thyroid disorders review and other endocrinology review questions along with everything else you need to maintain your clinical practice. More free endocrinology, diabetes, and metabolism sample questions can be accessed via this week’s Quick Quiz, and via free trial of the following specialty courses:
This week’s case-based question:
A 55-year-old woman is admitted to the hospital for hypotension and a hemoglobin level of 5.5 mg/dL due to an actively bleeding duodenal ulcer. She undergoes transfusion and endoscopic treatment and is observed in the intensive care unit on an intravenous infusion of a proton pump inhibitor.
On hospitalization day 2, her laboratory studies show a thyroid-stimulating hormone (TSH) level of 8.5 mIU/L (normal range, 0.4-4.2 mIU/L) and a free thyroxine level of 0.4 ng/dL (normal range, 0.8-2.4 ng/dL).
What is the most appropriate management of her thyroid dysfunction?
oral levothyroxine 50 µg daily
intravenous levothyroxine 100 µg daily
rechecking thyroid studies as an outpatient
checking thyroid peroxidase antibodies
intravenous levothyroxine 100 µg daily plus intravenous hydrocortisone 100 mg every 8 hours
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