Endocrinology: thyroid storm: practice question

A General Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Medicine · Endocrinology: thyroid storm

Sample item

Which drug is used early in thyroid storm to control adrenergic symptoms?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Propranolol

Propranolol controls tremor and tachycardia and at higher doses reduces peripheral T4-to-T3 conversion. Thionamide therapy and supportive treatment are also required.

Option by option

  • A. Levothyroxine

    Levothyroxine worsens thyrotoxicosis.

  • B. Propranolol (correct)

    Correct. Beta blockade rapidly treats adrenergic excess.

  • C. Radioiodine immediately

    Radioiodine is not used for immediate crisis control.

  • D. Desmopressin

    Desmopressin is unrelated.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is B, Propranolol. Propranolol controls tremor and tachycardia and at higher doses reduces peripheral T4-to-T3 conversion.

Why is "Levothyroxine" not the answer?

Levothyroxine worsens thyrotoxicosis.

Why is "Radioiodine immediately" not the answer?

Radioiodine is not used for immediate crisis control.

Why is "Desmopressin" not the answer?

Desmopressin is unrelated.

What concept does this question test?

It tests Endocrinology: thyroid storm in General Medicine. Thionamide therapy and supportive treatment are also required.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Endocrinology: thyroid storm?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.