UTA.
Correct
Incorrect
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What is the function of cortisol?
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controls heart rate and blood manages muscle strength and energy
pressure production
regulates blood sugar levels and helps body respond to stress
bone density (illness, life events...anything)
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What diagnostics are needed if you discover a thyroid nodule?
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thyroid hormone binding tests, CT thyroid antibody tests, MRI to assess
scan for density, genetic testing size, blood culture
thyroid function tests (TSH, T4),
US to see if it is solid or a cyst,
thyroid receptor tests, X-ray to check
needle aspiration biopsy to
structure, allergy testing
diagnose malignancy,
scintigraphy
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How do you treat subclinical hypothyroid?
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100-150mcg PO daily of levothyroxine and monitor annually. Treatment is usually
ineffective
50-75mcg PO daily of liothyronine and monitor every 6 months. Treatment is rarely
needed
, 75-100mcg PO daily of levothyroxine and monitor every month. Treatment is
permanent
25-50mcg PO daily of levothyroxine and monitor every 3 months. Treatment is
controversial, but most patients with subclinical usually do develop
hypothyroidism
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What is the treatment for hyperparathyroidism?
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dietary adjustments... refer out. Can physical therapy... refer out. Can
recommend magnesium and prescribe NSAIDs and muscle
potassium supplements. relaxants.
surgery... refer out. Can give
medication management... monitor
vitamin D, bisphosphonates and
regularly. Can give calcium
hormone replacements... but
supplements and dietary changes.
refer them out for surgery
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What are some s/s of a thyroid nodule?
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chest pain, nausea, dizziness, blurred
fever, weight loss, fatigue, skin rash
vision
hoarsness, dysphagia, chocking
muscle weakness, joint pain, hair loss,
sensation, dyspnea, cough,
insomnia
cervical lymphadenopathy
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What is secondary thyroid dysfunction?
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When the dysfunction occurs When the dysfunction occurs at the
are the pituitary gland adrenal gland