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A patient is diagnosed with Hashimoto's thyroiditis. Which clinical manifestations are expected?

A.

Tetany of the hands with a positive Chvostek sign

B.

Polyuria, sweating and dry mucous membranes

C.

Forgetfulness, depression and anemia

D.

Nervousness, irritability, and diarrhea

Answer and Explanation

The Correct Answer is C

A. Tetany of the hands with a positive Chvostek sign: Tetany and a positive Chvostek sign are more associated with hypocalcemia rather than Hashimoto's thyroiditis.

B. Polyuria, sweating, and dry mucous membranes: These symptoms are more indicative of hyperthyroidism or diabetes rather than hypothyroidism, which is characteristic of Hashimoto's thyroiditis.

C. Forgetfulness, depression, and anemia: Hashimoto's thyroiditis, which causes hypothyroidism, can lead to symptoms like forgetfulness, depression, and anemia due to reduced thyroid hormone levels.

D. Nervousness, irritability, and diarrhea: These symptoms are associated with hyperthyroidism rather than hypothyroidism.


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Related Questions

Correct Answer is B

Explanation

A. Puffy appearance associated with hypersecretion of antidiuretic hormone (ADH): This describes the appearance associated with SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion), not myxedema.

B. Tissue puffiness associated with hypothyroidism: Myxedema is a condition related to severe hypothyroidism, characterized by swelling of the skin and underlying tissues, giving a puffy appearance, especially in the face.

C. Proliferation of tissue behind the eyes that is common in hyperthyroidism: This describes exophthalmos, a condition often seen in Graves' disease, which is associated with hyperthyroidism, not myxedema.

D. State of increased cerebral edema the morning after a college party: This choice is incorrect and unrelated to the description of myxedema.

Correct Answer is D

Explanation

A. Vertigo and bilateral loss of the pupillary light reflex: Vertigo can occur with cerebellar involvement, but loss of the pupillary light reflex is more associated with brainstem damage.

B. Nuchal rigidity and positive Kernig's sign: These are signs of meningitis, not a cerebellar stroke.

C. Report of falling down, nausea, and vomiting: These symptoms can occur with cerebellar strokes, but they are nonspecific and can be seen in other conditions as well.

D. Difficulty speaking and loss of coordination: The cerebellum is responsible for coordination, and a cerebellar stroke can lead to ataxia (loss of coordination) and dysarthria (difficulty speaking).

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