Acute and Subacute Thyroiditis

Reading for this module should include Chapters in Thyroid Disease Manager, or alternative sources in Endocrinology, Edition III, comparable chapters in Endocrinology Edition IV (when released), or appropriate chapters in “The Thyroid”. Please note that many questions have more than one correct answer among the multiple possible responses offered.

Anticipated study and testing time for this module is 1 hour. After reading the material, print out his page, complete the test, fill in required personal information, and send the page with payment to

Center for Continuing Medical Education, 950 E 61^st St., University of Chicago, Chicago, IL 60637., with payment of $15. After satisfactory completion of the examination, a certificate will be returned by mail.

1. Acute infectious thyroiditis
	A. Is more common in adults than children
	B. Is usually associated with hyperthyroidism
	C. May be caused by fungal organisms
	D. Predisposes to malignancy in adults
	E. May require surgical drainage

2. Subacute thyroiditis
	A. Is a sequel to acute infectious thyroiditis
	B. May be clinically unilateral
	C. Is characterized by an elevated thyroidal radioiodine uptake
	D. May be confused with hemorrhage into a thyroid cyst
	E. Is associated with HLA-B8

3. Hyperthyroidism in subacute thyroiditis
	A. Should be treated with antithyroid drugs
	B. Is due to release of thyroid hormones
	C. Is followed by transient hypothyroidism in many patients
	D. Usually is associated with TSH receptor antibodies
	E. Is asymptomatic

4. In Riedel’s thyroiditis
	A. It may cause hypoparathyroidism
	B. There is an associated raised ESR
	C. Antithyroid antibodies are often present
	D. Lacrimal gland fibrosis can occur
	E. Treatment by intrathyroidal hyaluronidase is effective

5. A middle-aged woman presents with a painful thyroid swelling and a fever. Which of the following would strongly favor the diagnosis of subacute thyroiditis as compared to acute thyroiditis?
	A. Erythema over the thyroid
	B. Giant cells and lymphocytes in fine needle aspirate
	C. Hyperthyroidism
	D. Tenderness of the thyroid on palpation
	E. Good response to analgesics

Answer Sheet
Enter "True" or "False" in the appropriate boxes.
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Was there a topic not covered you would have liked to have had presented? Please specify.

Do you believe the presentations contained pharmaceutical industry bias? Yes __ No __ Comments:

I certify that I spent three hours in preparation and examination for this module-

CME QUESTIONS—ACUTE AND SUBACUTE THYROIDITIS BACK PREPARED BY JOHN LAZARUS, M.D.

CME QUESTIONS—ACUTE AND SUBACUTE THYROIDITIS BACK
PREPARED BY JOHN LAZARUS, M.D.