For OB/GYNs
Designed by OB/GYNs
Delivered by OB/GYNs

AIM MCQ Tests

MCQ Test 6: Thyroid Disease in Pregnancy

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

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. All of the following would be in the pharmacologic aremantarium in the treatment of a thyroid storm except ?
    Propanolol
    Propylthiouracil
    Steroids
    Radioactive iodine
    Atropine

  8. All of the following influence the biosynthesis of thyroid hormones except ?
    Iodine
    Selenium
    Zinc
    Cortisol
    Phosphorous

  9. 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

Return to Quiz Home Page

Phone: (443) 451-3362
Copyright 2007-2012
All rights reserved.