TQ Course | Thyroid Dysfunction, Rheumatology, and the Eye (Nashville 2022) by Innereactive | Oct 24, 2022 | 2022 Nashville, TQ Courses | 0 comments HiddenThyroid Dysfunction, Rheumatology, and the EyeHiddenDate (Hidden) MM slash DD slash YYYY HiddenEvent Date (Hidden) MM slash DD slash YYYY HiddenEvent 60 days past date (Hidden) MM slash DD slash YYYY HiddenEvent Date Difference (Hidden)1. The thyroid is what type of gland?* A. Serous B. Sebaceous C. Exocrine D. Endocrine 2. Which is the largest endocrine gland in the body?* A. Parathyroid gland B. Adrenal glands C. Hypothalamus D. Thyroid 3. What is the most common cause of thyroid dysfunction?* A. Cancer B. Autoimmune disease C. Surgically induced D. Pregnancy E. Medication toxicity or side effect 4. Which of the following causes the thyroid eye disease in the congestive autoimmune form phase?* A. Thyroid antibodies B. Triiodothyronine (T3) C. Thyroxine (T4) D. Calcitonin 5. Which thyroid dysfunction accounts for 80% of the thyroid eye disease cases?* A. Hashimoto's thyroiditis B. Atrophic thyroiditis C. Euthyroid disease D. Hyperthyroid 6. A recent grading scale was developed to characterize thyroid eye disease severity and activity is known as:* A. NOSPECS B. YESSPECS C. LEMO D. Clinical Activity Score (CAS) 7. Which ocular complication is most seen in thyroid eye disease, especially in 90% of Grave’s disease?* A. Lid retraction B. Restrictive myopathy C. Optic neuropathy D. Exophthalmos 8. Which term is reserved for the prominence of the eye caused by increased volume of the extra ocular muscles secondary to thyroid disease?* A. Exophthalmos B. Lid retraction C. Periorbital edema D. Optic neuropathy 9. Which phase is the best time to recommend surgery for thyroid eye disease?* A. Phase secondary to abnormal thyroid hormone levels B. Active “inflammatory” phase C. Plateau phase and Resolution “Passive” phase D. Thyroid eye disease never requires a surgical consult 10. Thyroid eye disease can lead to severe loss of vision in 5.0% of the patients. Which ocular complication of thyroid eye disease is the most likely cause of the severe vision loss?* A. Optic neuropathy B. Periorbital edema C. Restrictive myopathy D. Lid retraction 11. Which statement is true about thyroid eye disease?* A. It never leads to facial disfigurement B. If facial disfigurement occurs it is rarely noticeable C. The facial disfigurement can cause depression D. The facial disfigurement never causes depression 12. Which biologic drug is indicated for thyroid eye disease?* A. Teprotumumab-trbw (Tepezza) B. Cenegermin–bkbj (Oxervate) C. Tocilizumab (Actemra) D. Adalimumab (Humira) 13. Which of the following mechanisms most closely describes how Teprotumumab-trbw (Tepezza) works?* A. It binds to IGF-1 receptor and blocks its activation and signaling. B. It is an exact copy human nerve growth factor. C. It blocks vascular endothelial growth factor. D. It binds to TNF and blocks its action in the body. 14. Which sub-specialty in internal medicine specializes in the diagnosis and therapy of clinical problems involving joints, osteoporosis, musculoskeletal pain disorders and soft tissues?* A. Endocrinology B. Cardiology C. Gastroenterology D. Rheumatology 15. Connective tissues are composed of which two major structural protein molecules?* A. Actin and tubulin B. Myosin and kinesin C. Collagen and elastin D. Actin and myosin 16. Which connective tissue disease is secondary to a gene abnormality and not secondary to autoimmunity?* A. Systemic Lupus Erythematosus B. Marfan syndrome C. Rheumatoid Arthritis D. Sjogrens Syndrome 17. A 48-year-old woman reports her OD eye has severe pain, it started as an ache about 1 week ago. It hurts to move her eye or touch her eye. Her systemic history is remarkable for Systemic Lupus Erythematosus. Below is a photo of her eye: Which is the most likely diagnosis?* A. Episcleritis B. Diffuse anterior scleritis C. Necrotizing anterior scleritis D. Posterior scleritis 18. Which ocular condition is most associated with an underlying systemic disease?* A. Scleritis B. Cataract C. Episcleritis D. Keratoconus 19. A 53-year-old woman is referred to your office for injection found nasally on her OS. She reports slight pain on eye movement but no morning crusting or watery discharge. See photos (below). Which is the most likely diagnosis?* A. Scleritis B. Episcleritis C. Viral conjunctivitis D. Bacterial conjunctivitis 20. In the above patient, the review of systems reveals pain, tenderness, and edema to the finger joints of both hands. Family history reveals many family members with arthritis. You decide to order laboratory testing. Which would be your most likely laboratory testing?* A. HLA-B27 B. Purified protein derivative (PPD) C. Angiotensin converting enzyme (ACE) D. 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