Woltman’s Sign of Hypothyroidism Author: Mark A. Marinella, MD
	1. Woltman’s sign is best defined as which of the following? A rapid relaxation phase of a deep tendon reflex A delayed relaxation phase of a deep tendon reflex Failure to elicit a deep tendon reflex Uncontrollable myoclonus after tapping the patellar tendon Click here to compare your answer. 2. Which of the following may be observed in patients with untreated hypothyroidism? Constipation Heat intolerance Hot, sweaty skin Tachycardia Click here to compare your answer.		3. Which one of the following statements regarding prolongation of the relaxation phase of a deep tendon reflex in hypothyroid patients is correct? The diagnostic utility is 10% The relaxation half-time is typically 10 milliseconds The degree of relaxation prolongation is proportional to the severity of hypothyroidism The phase is markedly prolonged in patients with subclinical hypothyroidism Click here to compare your answer. 4. In addition to hypothyroidism, the differential diagnosis of a prolonged reflex relaxation time includes: Anorexia nervosa Hypercalcemia Hyperthermia Toxic multinodular goiter Click here to compare your answer.
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