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Question 1: Which of the following medications has the most significant potential for thyroid-related side effects?

 

  1. Metronidazole

  2. Lithium

  3. Sertraline

  4. Amiodarone

 

Reference: 1. Martino E, Bartalena L, Bogazzi F, et al: The effects of amiodarone on the thyroid. Endocr Rev 22:240–254, 2001.2. Smith PW, Salomone LJ, Hanks JB, Thyroid. In: Townsend, Townsend CM, Beauchamp RD, Evers BM, Mattox KL, Eds, Sabiston Textbook of Surgery, 19th Ed., Philadelphia, PA, 2012:886-923.

 

Question 2: Inguinal swelling, frequently seen in pregnancy, is most often due to what phenomenon?

 

  1. Inguinal hernias

  2. Edema

  3. Weight gain

  4. Round ligament varicosities

 

References: 1. Mikami DJ, Beery PR, Ellison EC, Surgery In The Pregnant Patient. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds, Sabiston Textbook of Surgery, 19th Ed., Philadelphia, PA, 2012:2029-2045. 2.Andriessen MJ, Round ligament varicosities mimicking inguinal hernia during pregnancy. J Am Coll Surg - 01-FEB-2009; 208(2): 321.