Published 26 August 2009, doi:10.1136/bmj.b3404
Cite this as: BMJ 2009;339:b3404

Endgames

OnExamination quiz

Thyroid disease

The answer to this question, and more questions on this topic, is available from www.onexamination.com/endgames until midnight on Wednesday.

This week’s quiz is on thyroid disease and is taken from the OnExamination revision questions for a variety of exams.

A 35 year old Chinese man is admitted to hospital after collapsing at work. He gives a six month history of weight loss (5 kg) and palpitations, and his general practitioner has prescribed him venlafaxine for anxiety.

On examination he has marked proximal muscle weakness of the upper and lower limbs and is hyporeflexic.

Which one of the following treatments is likely to provide immediate relief from these symptoms?

A Alfacalcidol
B Calcium infusion
C Carbimazole
D Hydrocortisone
E Potassium infusion

Cite this as: BMJ 2009;339:b3404


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