Medicine Practice

20 learning units • 10 questions per unit • 200 explained questions

Module 12 — Thyroid, Adrenal & Pituitary Medicine

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Question 01 • Single best answer

Low free thyroxine with raised TSH most strongly suggests what pattern?

A. Primary hyperthyroidism B. Normal thyroid function in every case C. Isolated adrenal excess D. Primary hypothyroidism

Question 02 • Single best answer

Can central hypothyroidism have a TSH within the laboratory range?

A. No B. Only when free thyroxine is high C. Yes, if it is inappropriately normal for low thyroxine D. Only after every hormone normalizes

Question 03 • Single best answer

Suppressed TSH with raised thyroid hormones establishes what most directly?

A. A thyrotoxic biochemical pattern requiring cause assessment B. Graves disease in every case C. A benign nodule in every case D. Adrenal crisis alone

Question 04 • Single best answer

Does normal thyroid function exclude a clinically important thyroid nodule?

A. No B. Yes C. Yes if the pulse is normal D. Yes without structural assessment

Question 05 • Single best answer

Why ask about long-term glucocorticoid use in a collapsed patient?

A. It may suppress the adrenal axis B. It proves every collapse is harmless C. It excludes infection D. It guarantees normal cortisol response

Question 06 • Single best answer

Which presentation raises concern for adrenal crisis?

A. Isolated stable dandruff B. A painless healed scar C. Normal exercise tolerance alone D. Severe hypotension and vomiting in a susceptible patient

Question 07 • Single best answer

Which sign can occur in primary adrenal insufficiency?

A. Hyperpigmentation B. Universal absence of electrolyte changes C. Permanent excess cortisol D. Guaranteed hypertension

Question 08 • Single best answer

Pituitary disease can cause which local mass effect?

A. Only an ankle rash B. Only dental decay C. Always no neurological symptoms D. Visual-field disturbance

Question 09 • Single best answer

Sudden severe headache with visual changes in suspected pituitary disease requires what?

A. Routine review next year B. Urgent assessment for apoplexy and other emergencies C. Automatic reassurance as tension headache D. No endocrine consideration

Question 10 • Single best answer

Why assess adrenal status before thyroid replacement in suspected multiple pituitary deficiencies?

A. Untreated cortisol deficiency can make replacement unsafe B. Thyroid treatment always cures adrenal failure C. The two axes never interact D. It eliminates all monitoring