Question 302 · LEK · Thyroid surgery

Indicate the true statements describing management in patients following thyroidectomy:

1) all patients after thyroidectomy should receive thyroxine replacement therapy at a dose of 1 µg/kg per 24 hours;
2) in all patients after thyroidectomy measure TSH levels within approximately 6-8 weeks of surgery;
3) all patients after thyroidectomy should receive thyroxine replacement therapy at a dose of 3 µg/kg per 24 hours;
4) stridor is a common complication of thyroid surgery and usually resolves after 24-48 hours;
5) bleeding after thyroid surgery is considered dangerous because it can lead to airway compression.
The correct answer is:
  1. A. 1,2.
  2. B. 2,3,4.
  3. C. 3,4,5.
  4. D. 2,4,5.
  5. E. 1,2,5.
Hint

Check the usual full replacement dose of levothyroxine per kilogram and when TSH should be rechecked after surgery.

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