QuestionSBA
QuestionChoice
This patient is presenting with signs and symptoms characteristic of hypothyroidism, particularly demonstrated by her cold sensitivity and weight gain. The most common cause of hypothyroidism in developed countries is Hashimoto's thyroiditis, which is an autoimmune disease whereby autoantibodies are produced against normal thyroid cells. The main investigations for this condition are thyroid function tests, which classically reveal raised thyroid stimulating hormone (TSH) levels and reduced triiodothyronine/thyroxine (T3/T4) levels.
10002257
a
Hashimoto's thyroiditis
QuestionChoice
Toxic multinodular goitre would present with symptoms of hyperthyroidism (weight loss, heat sensitivity, anxiety), as opposed to symptoms of hypothyroidism.
10002260
d
Toxic multinodular goitre
QuestionChoice
Graves' disease is the most common cause of hyperthyroidism in developed countries, as opposed to hypothyroidism. This would classically present with weight loss, heat sensitivity and anxiety.
10002258
b
Graves' disease
QuestionChoice
Thyroid adenomas commonly present with symptoms of hyperthyroidism (weight loss, heat sensitivity, anxiety), as opposed to symptoms of hypothyroidism. Additionally, thyroid adenomas are usually associated with a non-uniform swelling of the thyroid gland.
10002261
e
Solitary thyroid adenoma
QuestionChoice
De Quervain's thyroiditis commonly presents within a shorter timeframe, usually following a viral infection. Additionally, the condition is usually associated with a painful swelling of the thyroid gland.
10002259
c
De Quervain's thyroiditis
Concept
Chapter
2693
3765
Hypothyroidism
Topic
133
Endocrinology
12998
A 31-year-old female presents to General Practice with symptoms of fatigue, weakness and cold sensitivity which have developed over the past 4 months. She also mentions that she has gained a significant amount of weight over this time despite eating the same balanced diet. Examination reveals a uniform, non-tender swelling of the thyroid gland.

What is the most likely diagnosis for this patient?
a