Author Question: A goiter is most commonly associated with: A. Hypothyroidism B. Hyperthyroidism C. Euthyroid ... (Read 64 times)

cdr_15 · **on:** Jun 25, 2018

A goiter is most commonly associated with:

A. Hypothyroidism
B. Hyperthyroidism
C. Euthyroid function
D. All of the above

Question 2

On physical examination, your 55-year-old female patient has an enlarged thyroid gland. She complains of feeling hot all the time, nervousness, palpitations, tremor, and recent weight loss of 10 pounds over the past 3 weeks.

These signs and symptoms are commonly due to:
A. Hypothyroidism
B. Hyperthyroidism
C. Thyroid cancer
D. All of the above

CharlieArnold · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
A goiter, an enlargement of the thyroid gland, may be associated with hypothyroidism or hyperthyroidism, but patients with goiters may also be euthyroid, a condition termed nontoxic goiter.

Answer to Question 2

ANS: B
Clinical manifestations of Grave's disease (hyperthyroidism) include diffuse goiter, nervousness, irritability, tremor, heat intolerance, weakness, tachycardia, palpitations, widened pulse pressure, increased sweating, weight loss, insomnia, frequent bowel movements, menstrual irregularities, exophthalmos, and infiltrative dermopathy. Patients older than 50 years often present with cardiac symptoms, such as hypertension, atrial fibrillation, or heart failure.