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Exam (elaborations)

NR505 EXAM QUESTIONS WITH CORRECT ANSWERS 2025

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Uploaded on
23-04-2025
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NR505 EXAM QUESTIONS WITH CORRECT ANSWERS 2025

Institution
NR505
Course
NR505

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NR505 EXAM QUESTIONS WITH CORRECT
ANSWERS 2025
SignsNandNsymptomsNofNhypothyroidismN-NCORRECTNANSWERN-
FaceNisNpale,Npuffy,NandNexpressionless.SkinNisNcoldNandNdry.hairNisNbrittle,NandNhairNlossNoccurs.He
artNrateNandNtemperatureNareNlowered.NTheNpatientNhasNlethargy,Nfatigue,NandNintoleranceNtoNcol
d.NMentationNmayNbeNimpaired.



SignsNandNsymptomsNofNhyperthyroidismN-NCORRECTNANSWERN-
HeartNRateNisNRapid;NPossibleNarrhythmia/angina.

Nervousness,Ninsomnia,NrapidNthoughtNflow,NandNrapidNspeech

SkeletalNmusclesNmayNweakenNandNatrophy.

MetabolicNrateNisNraised,NresultingNinNincreasedNheatNproduction,NincreasedNbodyNtemperature,Ni
ntoleranceNtoNheat,NandNskinNthatNisNwarmNandNmoist.

WeightNlossNoccursNifNcaloricNintakeNfailsNtoNmatchNtheNincreaseNinNmetabolicNrate.



SevereNhypothyroidismN-NCORRECTNANSWERN-Myxedema



HypothyroidNTreatmentN-NCORRECTNANSWERN-
LevothyroxineNisNtheNdrugNofNchoiceNforNmostNpatientsNwhoNrequireNthyroidNhormoneNreplaceme
nt.



LevothyroxineN(Synthroid)NTherapeuticNGoalN-NCORRECTNANSWERN-
ResolutionNofNsignsNandNsymptomsNofNhypothyroidismNandNrestorationNofNnormalNlaboratoryNvalu
esNforNserumNthyroid-stimulatingNhormoneN(TSH)NandNfreeNthyroxineN(T4).



MajorNformsNofNhyperthyroidismN-NCORRECTNANSWERN-
GravesNdiseaseNandNtoxicNnodularNgoiterN(alsoNknownNasNPlummerNdisease).

, Grave'sNdiseaseN-NCORRECTNANSWERN-
MostNcommonNcauseNofNexcessiveNthyroidNhormoneNsecretion



WhatNadjunctiveNtherapyNisNgoodNtoNprescribeNtoNcontrolNsymptomsNofNhyperthyroidismNotherNth
anNthyroidNspecificNmedications?N-NCORRECTNANSWERN-β-
BlockersNandNnonradioactiveNiodineNmayNbeNusedNasNadjunctiveNtherapy.

β-BlockersNsuppressNtachycardiaNbyNblockingNβ-
receptorsNonNtheNheart.NNonradioactiveNiodineNinhibitsNsynthesisNandNreleaseNofNthyroidNhormon
es.



MonitoringNneedsNandNintervalsNforNLevothyroxineN-NCORRECTNANSWERN-CheckNTSHN6-
8NweeksNafterNinitiatingNtherapyNandNafterNanyNdosageNchange.

CheckNTSHNatNleastNonceNaNyearNafterNserumNTSHNisNstabilized.



HyperthyroidNTreatmentN-NCORRECTNANSWERN-thionamideNdrugs—
methimazoleNandNpropylthiouracilN(PTU)—suppressNsynthesisNofNthyroidNhormones.



MethimazoleNTherapeuticNGoalN-NCORRECTNANSWERN-
(1)NreductionNofNthyroidNhormoneNproductionNinNGraves'Ndisease,N(2)NcontrolNofNhyperthyroidismN
untilNtheNeffectsNofNradiationNonNtheNthyroidNbecomeNmanifest,N(3)NsuppressionNofNthyroidNhormo
neNproductionNbeforeNsubtotalNthyroidectomy,N(4)NtreatmentNofNthyrotoxicNcrisis.



MonitoringNneedsNandNintervalsNforNMethimazoleN-NCORRECTNANSWERN-
CheckNCBCNwithNdifferentialNifNsignsNorNsymptomsNofNinfection.NCheckNLFTsNifNsignsNorNsymptomsN
ofNliverNdysfunction.



HighNRiskNPatientsNforNMethimazoleN-NCORRECTNANSWERN-
ShouldNbeNavoidedNinNtheNfirstNtrimesterNofNpregnancy.
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