Question

1. This condition is a disturbance of water metabolism resulting in extreme thirst and excessive secretion of dilute urine. One cause is an injury to the pituitary gland resulting from head trauma. What is the best form of treatment?

	a.	surgical excision of parathyroid adenoma
	b.	glucocorticoids
	c.	Micronase
	d.	vasopressin

2.  

In this condition, AKA chronic thyroiditis, autoantibodies destroy thyroid tissue instead of stimulating it. What is the best form of treatment?

	a.	lifelong replacement of thyroid hormones
	b.	surgical excision of parathyroid adenoma
	c.	anti-thyroid drugs
	d.	thyroidectomy

2. This is an enlargement of the thyroid gland usually evidenced by a swelling in the neck. What is the best form of treatment?  

a.	radioactive iodine therapy
	b.	one drop/week of saturated KI (potassium iodide)
	c.	anti-thyroid drugs
	d.	drug therapy to suppress ACTH secretion

Answer 1

1) option d) vassopressin : generally in the diabetes insipidus the kidney cannot concetrate the urine normally and a large amount of dilute urine is excreted the amount of water excreted in the urine is controlled by antidiuretic harmone it is alsoknown as vassopressin, it is used in the treatment of the central diabetic insipidus. 2)option a ) the treatment includes observation and use of medications it medication is used for life long , the oral medication restores adequate thyroid harmone levels and reverse all the symptoms of hypothyrodism depending upon the levels of tsh the dose is altered but should be used for life long. 2) treatment for goitre is option a)radioactive iodine treatment results in dimished size of goiter but evnetually may cause hypothryoid state.