Sun28November0333PM 44

In thyroid storm:

True / False

Steroids should be given Correct

Can be precipitated by surgery Correct

The patient should be cooled Incorrect answer selected

May be precipitated by infection in a hypothyroid patient Correct

Treatment should be delayed until the thyroid function test results are known Correct

Explanation

A thyroid storm or crisis is a rare manifestation of hyperthyroidism, and may be precipitated by stress, surgery or infection. Features include arrhythmias, cardiac failure, fever, hyperventilation and coma.

Treatment should be started immediately (not delayed until test results are known).

The management involves cooling and hydrating the patient, and the use of beta blockers to control the arrhythmias. Corticosteroids, antithyroid drugs (e.g. potassium iodide, carbimazole and propylthiouracil) and plasmapheresis may also be required.

Answer Statistics

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Average score: 83.97%

Times answered: 267