UT TYLER FNP NURS 5350 ADV PATHO
EXAM 1 EXAM SCRIPT 2026 TEST BANK
WITH FULL SOLUTION
⩥ Desiccated thyroid is a naturally occurring thyroid hormone from.
Answer: porcine thyroid glands. It contains both levothyroxine and
liothyronine
⩥ Desiccated thyroid is used to treat hypothyroidism due to. Answer:
thyroid atrophy, thyroid hormone deficiency, and goiter
⩥ Liotrix is a mixture of levothyroxine sodium and liothyronine sodium
in a ___ to ___ ratio by weight. Answer: 4 to 1
⩥ For treating hypothyroidism there is no significant advantage to using
liotrix over levothyroxine sodium alone because. Answer: levothyroxine
converts T4 to T3 in the peripheral tissues
⩥ What is hyperthyroidism. Answer: an increase in circulating T3 and
T4 levels which results from an overactive thyroid gland or excessive
output of thyroid hormones
⩥ Hyperthyroidims may be mild, w few symptoms or severe as in.
Answer: thyroid storm, in which death may occur from vascular collapse
,⩥ The most common types of hyperthyroidism caused by hyperfunction
of thyroid gland are ____ and ____. What are the characteristics?.
Answer: Graves disease and thyrotoxicosis
-tachycardia
-palpitations
-excessive perspiration (hyperhidrosis)
-heat intolerance
-nervousness
-irritability
-bulging eyes (exophthalmos)
-weight loss
⩥ Hyperthyroidism can be treated by. Answer: surgical removal of a
portion of the thyroid gland (subtotal thyroidectomy), radioactive iodine
therapy, antithyroid drugs which inhibit the synthesis/release of thyroid
hormone
-any of these treatments can cause HYPOthyroidism
⩥ Thiourea derivatives (thioamides) are the drug choice used to decrease
thyroid hormone production. It works by. Answer: blocking thyroid
action
-do NOT destroy thryroid tissue
,⩥ Propylthiouracil (PTU) and methimazole are effective thioamide
antithyroid drugs and are used to. Answer: -control overactive thyroid
due to
Graves disease
toxic nodular goiter
or multinodular goiter
- also used b4 radioiodine treatment of thyroid surgery
⩥ How is methimazole different from PTU. Answer: -it does not inhibit
peripheral conversion of T4 to T3
-10xs more potent
-longer half-life
euthyroid state is achieved in 2-4 mo.
-preferred antithyroid bc less severe SE
-rapidly absorbed from GI tract
⩥ Prolonged use of thioamides may cause goiter bc of increased ____
secretion and inhibited ____ and ____ synthesis. Answer: TSH;
T4 and T3
⩥ Minimal doses of thioamides should be given when indicated to
avoid. Answer: goiter formation
, ⩥ Strong iodide preparations such as potassium iodide have been used to
suppress thyroid function for patients who. Answer: are undergoing
subtotal thyroidectomy because of Graves disease
⩥ Antithyroid drugs interact with many other drugs. Answer: -used with
oral anticoagulants (ex. warfarin)= increase in anticoagulation effect
-decrease the effect of insulin and oral antidiabetics
-digoxin and lithium increase the action of thyroid drugs
-phenytoin increase serum T3 level
⩥ Thyroid hormones Antithyroid drugs- Nursing process. Answer:
Concept- Hormonal regulation
Assess- vital signs, abnormal T3, T4 and TSH levels
assess for signs of thyroid crisis (thyroid storm)
problems- altered functional ability bc imbalanced thyroid hormone
decreased tissue perfusion
plan- improved activity level within 1-4 weeks
intervene- vital signs (hypothyroidism- temp, HR, BP decrease)
(hyperthyroidism- tachycardia, palpitations occur)
monitor weight gain (common if hypothyroidism)
take same time in relation to meals every day
check OTC warnings
carry medical bracelet
EXAM 1 EXAM SCRIPT 2026 TEST BANK
WITH FULL SOLUTION
⩥ Desiccated thyroid is a naturally occurring thyroid hormone from.
Answer: porcine thyroid glands. It contains both levothyroxine and
liothyronine
⩥ Desiccated thyroid is used to treat hypothyroidism due to. Answer:
thyroid atrophy, thyroid hormone deficiency, and goiter
⩥ Liotrix is a mixture of levothyroxine sodium and liothyronine sodium
in a ___ to ___ ratio by weight. Answer: 4 to 1
⩥ For treating hypothyroidism there is no significant advantage to using
liotrix over levothyroxine sodium alone because. Answer: levothyroxine
converts T4 to T3 in the peripheral tissues
⩥ What is hyperthyroidism. Answer: an increase in circulating T3 and
T4 levels which results from an overactive thyroid gland or excessive
output of thyroid hormones
⩥ Hyperthyroidims may be mild, w few symptoms or severe as in.
Answer: thyroid storm, in which death may occur from vascular collapse
,⩥ The most common types of hyperthyroidism caused by hyperfunction
of thyroid gland are ____ and ____. What are the characteristics?.
Answer: Graves disease and thyrotoxicosis
-tachycardia
-palpitations
-excessive perspiration (hyperhidrosis)
-heat intolerance
-nervousness
-irritability
-bulging eyes (exophthalmos)
-weight loss
⩥ Hyperthyroidism can be treated by. Answer: surgical removal of a
portion of the thyroid gland (subtotal thyroidectomy), radioactive iodine
therapy, antithyroid drugs which inhibit the synthesis/release of thyroid
hormone
-any of these treatments can cause HYPOthyroidism
⩥ Thiourea derivatives (thioamides) are the drug choice used to decrease
thyroid hormone production. It works by. Answer: blocking thyroid
action
-do NOT destroy thryroid tissue
,⩥ Propylthiouracil (PTU) and methimazole are effective thioamide
antithyroid drugs and are used to. Answer: -control overactive thyroid
due to
Graves disease
toxic nodular goiter
or multinodular goiter
- also used b4 radioiodine treatment of thyroid surgery
⩥ How is methimazole different from PTU. Answer: -it does not inhibit
peripheral conversion of T4 to T3
-10xs more potent
-longer half-life
euthyroid state is achieved in 2-4 mo.
-preferred antithyroid bc less severe SE
-rapidly absorbed from GI tract
⩥ Prolonged use of thioamides may cause goiter bc of increased ____
secretion and inhibited ____ and ____ synthesis. Answer: TSH;
T4 and T3
⩥ Minimal doses of thioamides should be given when indicated to
avoid. Answer: goiter formation
, ⩥ Strong iodide preparations such as potassium iodide have been used to
suppress thyroid function for patients who. Answer: are undergoing
subtotal thyroidectomy because of Graves disease
⩥ Antithyroid drugs interact with many other drugs. Answer: -used with
oral anticoagulants (ex. warfarin)= increase in anticoagulation effect
-decrease the effect of insulin and oral antidiabetics
-digoxin and lithium increase the action of thyroid drugs
-phenytoin increase serum T3 level
⩥ Thyroid hormones Antithyroid drugs- Nursing process. Answer:
Concept- Hormonal regulation
Assess- vital signs, abnormal T3, T4 and TSH levels
assess for signs of thyroid crisis (thyroid storm)
problems- altered functional ability bc imbalanced thyroid hormone
decreased tissue perfusion
plan- improved activity level within 1-4 weeks
intervene- vital signs (hypothyroidism- temp, HR, BP decrease)
(hyperthyroidism- tachycardia, palpitations occur)
monitor weight gain (common if hypothyroidism)
take same time in relation to meals every day
check OTC warnings
carry medical bracelet
