# data[].attributes.body
SBQ

A 30-year-old lady, presented with progressive neck swelling in the past 2 years. She has bilateral hands tremor and palpitation. On examination, there is anterior diffuse neck swelling, moving up with swallowing. Blood investigation is as following:

TSH <0.005 (0.45-4.50 mIU/L)

T4 30.0 (12-22 mmol/L)

Ultrasound neck revealed hyper vascularised thyroid gland.

1) State the most likely diagnosis.  (2 marks)

Graves Disease with hyperthyroidism

2) List THREE (3) associated systemic signs of the above diagnosis (3 marks)

Graves opthalmopathy, pretibial myxedema, thyroid acropachy

3) State diagnostic investigation to confirm the above diagnosis (1 mark)

Thyroid-stimulating hormone antibody

4) List TWO (2) the arterial supply to the affected organ (2 marks)

Superior thyroid artery, Inferior thyroid artery

5) State TWO (2) managements for this patient (2 marks)

i-as thyroid hormone regulator: Carbimazole

ii- as symptom control: Beta-blocker

iii- surgery

iv- radioablation

# data[].attributes.body
Ahli Kumpulan: Dr Azlina, Dr Diana, Dr Azrin dan Dr Filza

# data[].attributes.body
(for next semester use after JKAHEP approval)

# data[].attributes.headline
Presentation 1: Principles of Assessment

# data[].attributes.subject
Presentation 1: Principles of Assessment

# data[].attributes.attachment_link.title
Twelve tips for developing an OSCE that measures what you want