1.

)All
oft hefol
lowingweresigns/symptomsexper
iencedbyCl
air
eint
hecasegi
ven,
EXCEPT:
a.Wor seni
ngfatigue
b.War mnessincol dt
emperatures*
c.Pale,dryski
nandt hi
nni
nghai r
d.Overallmuscleachesandneckst i
ff
ness

2.
)Apositi
v ePhal en’sTest/Ti
nel
’
sSi
gni
ssuggest
iveof
?
a.Multi
pleScl erosi
s
b.BoneFract ure
c.CarpalTunnel Syndr
ome*
d.NeckDi sabili
ty

3.
)Radioact
iveI
odi
neUpt
ake(
RAI
U)i
sincr
easedi
ncasesofhy
pot
hyr
oidi
sm.
a.True
b.False*

4.
)Scinti
graphyResult
s:amar
ked____
___
_in127Icont
entisappar
entt
hroughought
theent i
reglandi
nvolv
edwi
thHashi
moto’
sThyroi
dit
is.
a.Reduct i
on*
b.Ampl if
icat
ion
c.Increase
d.Elevati
on

5.
)ThelevelsofTSHandT4are_
___
___
___r
espect
ivel
y,i
nHashi
mot
o’s.
a.Incr
eased,Increased
b.Decreased,Increased
c.Incr
eased,Decr eased*
d.Decreased,Decr eased

6.)Whatexami nati
onincl
udesarangeofmot
iont
est
ing,
disabi
l
ityi
ndi
cesandsi
gns?
a.Thyroidpanel
b.Physicalexaminati
on*
c.Compr ehensiv
emet abol
icpr
ofi
le
d.Ult
rasound

7.
)Apr i
mar yhypot
hyr
oidi
sm hasahi
ghTSHandhi
ghT4
TrueorFalse
Answer:False*

8.
)Treatmentf
orHashi
mot
o'sdi
sease
1.Levoxyl
2.Unit
hroi
d
3.Rif
ampicin
4.Sy
nthroi
d
a.1,
2,3
b.1,
2,3,
4
c.1,
34
d.1,
2,4*

9.
)Calci
um carbonat esupplements,i
ron-
cont
aini
ngmul
ti
vat
imi
nsaff
ectsthe
abi
li
tytoabsorblevot
hy roxine.Recogni
zingthesymptomsi
sconsi
der
edasthebest
chanceofpreventi
ngpr ogression.
a.Bothstat
ement sarecor rect
*
b.Onlythefi
rstst
atementi scor r
ect
c.Onlythesecondstatementi scorrect
d.Bothstat
ementi si
ncor rect

10.)Thisimagi
ngmodali
tyi
susef
ulf
orassessi
ngt
hyr
oidsi
ze,
echot
ext
ureand
presenceoft hyr
oidnodul
es.
a.Urinalysis
b.FNAB
c.Ultrasound*
d.Scint i
graphy

11.)Ahormonepr
oducedbyt
het
hyr
oidgl
andwhi
chst
imul
atesmov
ementof
foodt hroughtheGItr
act
.
a.)Gast ri
n
b.)Mot ili
n*
c.)Secr eti
n
d.)Glucagon

12.)Accor
dingt
oBishopi
tist
hebestassayf
ort
hecondi
ti
onoft
hepat
ient
.
a.
)Thyr
oidPanel
b.
)FNAB
c.
)Ul
tr
asound
d.
)TPOanti
bodyAssay*

13.)Accordi
ngtoKumaretal(2015)i
nfi
ne-
needl
easpir
ati
onbiopsysampl
es,
“The
pr
esenceof__ _
___
______
_inconj
uncti
onwit
haheter
ogeneouspopul
ati
onof
l
ymphocytesischaract
eri
sti
cofHashi
motothy
roi
dit
is.
”
a.)Hürthl
ecell
s*
b.
)Epi
thel
ial
Cells
c.
)Mononuclearcel
l
s
d.
)Thy
roidCells
 14.
)Whati
sthatdi
seasecondi
ti
onoft
hepat
ient
?

a.
)Grave’
sDisease
b.
)Hashimoto’
sThyroidi
ti
s
c.
)2answersarecorrect*
)Chr
d. onicLymphocy t
icThy
roi
dit
is

15.
)Thei
nter
pret
ati
onoft
hef
ast
inggl
ucoser
esul
toft
hepat
ient

)Pr
a. ovi
sional
diabet
esdi
agnosi
s
b.
)Normal
c.
)Impai
red*
d.
)NOTA

16.
)Tr
ueorFal
se.HDLi
sincr
easedwhi
l
eLDLi
sdecr
easedi
nHashi
mot
o’sdi
sease
Tr
ue
Fal
se*

17.
)Apartfr
om hy
pothyroi
dism,
whatot
herdi
seasecondi
ti
oncanbei
nher
it
edbyt
hepat
ient
basedonthefamil
yhist
ory
?

a.
)Hyper
tensi
on
b.
)Type2DM
c.
)Noneofthese
d.
)2answersarecor
rect
*

18.
)CBCr
esul
toft
hepat
ientwassuggest
iveofacondi
ti
ont
hatmayl
eadt
o__
___
.

a.
)Anemi a*
)Ki
b. dneyDi sease
)Chr
c. onicFati
gueSy
ndr
ome(
CFS)
d.
)Li
v erDisease

)Thedi
19. seasecondi
ti
onwasdi
scov
eredi
nJapani
n1912by_
___
___

a.
)Dr
.SadakoHashi
moto
b.
)Dr
.FukukaHashi
mot
o
c.
)Dr
.HakaruHashi
mot
o*
d.
)Dr
.SakuraHashi
mot
o

20.
)TrueorFal
se.Othert
ypesofAut
oimmunecondi
ti
onmaydev
elopi
nSt
age4of
Hashi
moto’
sThy
roidi
ti
s.

Tr
ue

Fal
se*