Dentosphere : World of Dentistry

# Therapy of choice for diffuse toxic goiter in a patient over 45 years is:

A. Surgery

B. Antithyroid drugs

C. Radioiodine

D. Antithyroid drugs first, followed by surgery

The correct answer is C. Radioiodine

Diffuse toxic goiter Treatment:

a) Above 45 years - Radioiodine

b) Below 45 years

- Surgery - for large goitre

- Antithyroid drugs or radioiodine - for small goiter

# Which of the following is the first sign that appears in hemorrhagic shock?

A. Hypotension

B. Tachycardia

C. Vasoconstriction

D. Syncope

The correct answer is B. Tachycardia

Hypovolemic shock develops after the loss of 40% of blood.
Tachycardia is earliest sign of hemorrhagic shock.
Hypovolemic shock is the most common type of shock in the victim of maxillofacial trauma.

# Pain due to gallstone can be perceived in all areas except:

A. Right shoulder

B. Right hypochondrium

C. Right iliac fossa

D. Epigastrium

The correct answer is C. Right iliac fossa.

Gallstones may cause no signs or symptoms. If a gallstone lodges in a duct and causes a blockage, the resulting signs and symptoms may include:

Sudden and rapidly intensifying pain in the upper right portion of your abdomen (right hypochondrium)
Sudden and rapidly intensifying pain in the center of your abdomen, just below your breastbone (epigastrium)
Back pain between your shoulder blades
Pain in your right shoulder
Nausea or vomiting

Gallstone pain may last several minutes to a few hours.