NURS5335 UTA MODULE 3 PRACTICE EXAM WITH
Q&A TESTED AND APPROVED NEWLY MODIFIED
Most common cause of thyroid disease? -- ANSWER--Autoimmune disease
Diagnostics: Hypothyroidism
TSH ________
T4 ________ -- ANSWER--TSH- elevated
T4- low
Subclinical hypothyroidism
TSH
T4 -- ANSWER--TSH- elevated
T4- normal
Diagnostics hyperthyroidism (refer to endocrinologist)
TSH
T3 -- ANSWER--TSH- low
,T4- high
Hypothyroidism drug of choice is? -- ANSWER--levothyroxine (T4)
Levoxyl, synthroid, levothyroid
Tablets: 25 mcg, 50 mcg, 100 mcg, 112 mg, 125 mcg, 137 mcg, 150 mcg, 200
mcg, and 300 mcg
What drug replaces T3 & T4 -- ANSWER--Liothyronine sodium:
-(Cytomel) plant based
Desiccated thyroid preparations:
Armour thyroid (bovine animal thyroid)
Contain thyroxine and triiodothyronine
(have variable biologic activity)
Synthroid dose for young healthy patient? -- ANSWER--1.6 mcg/kg/day follow
up after 6 weeks after starting to check levels
, Anemia, hyponatremia, hyperlipidemia, lethargy, Decreased libido, menstrual
irregularities, infertility, decreased BP, weight gain, swelling of hands and feet,
periorbital edema, intolerance to cold, memory loss, constipation, hair loss,
bradycardia, delayed DTRs are a sign of _________________________? --
ANSWER--Hypothyroidism
Risk factors for Hypothyroidism? -- ANSWER--old age, family history,
postpartum, pituitary disease, hypothalamic disease, autoimmune disease,
treatment of hyperthyroidism, surgical removal of thyroid gland, treatment with
lithium, interferon, amiodarone
What is Hypothyroidism? -- ANSWER--The clinical state resulting from a
reduction int he amount of circulating free thyroid hormone, or from resistance
to the action of thyroid hormone
Where does secondary thyroid dysfunction occur? -- ANSWER--Secondary
adrenal insufficiency can occur if the pituitary is diseased. This is due to
inadequate production of ACTH.
Where does primary thyroid dysfunction occur? -- ANSWER--primary adrenal
insufficiency refers to when the adrenal gland is damaged and hinders
production of hormones May be from autoimmune response, infections, blood
loss, or tumors
Q&A TESTED AND APPROVED NEWLY MODIFIED
Most common cause of thyroid disease? -- ANSWER--Autoimmune disease
Diagnostics: Hypothyroidism
TSH ________
T4 ________ -- ANSWER--TSH- elevated
T4- low
Subclinical hypothyroidism
TSH
T4 -- ANSWER--TSH- elevated
T4- normal
Diagnostics hyperthyroidism (refer to endocrinologist)
TSH
T3 -- ANSWER--TSH- low
,T4- high
Hypothyroidism drug of choice is? -- ANSWER--levothyroxine (T4)
Levoxyl, synthroid, levothyroid
Tablets: 25 mcg, 50 mcg, 100 mcg, 112 mg, 125 mcg, 137 mcg, 150 mcg, 200
mcg, and 300 mcg
What drug replaces T3 & T4 -- ANSWER--Liothyronine sodium:
-(Cytomel) plant based
Desiccated thyroid preparations:
Armour thyroid (bovine animal thyroid)
Contain thyroxine and triiodothyronine
(have variable biologic activity)
Synthroid dose for young healthy patient? -- ANSWER--1.6 mcg/kg/day follow
up after 6 weeks after starting to check levels
, Anemia, hyponatremia, hyperlipidemia, lethargy, Decreased libido, menstrual
irregularities, infertility, decreased BP, weight gain, swelling of hands and feet,
periorbital edema, intolerance to cold, memory loss, constipation, hair loss,
bradycardia, delayed DTRs are a sign of _________________________? --
ANSWER--Hypothyroidism
Risk factors for Hypothyroidism? -- ANSWER--old age, family history,
postpartum, pituitary disease, hypothalamic disease, autoimmune disease,
treatment of hyperthyroidism, surgical removal of thyroid gland, treatment with
lithium, interferon, amiodarone
What is Hypothyroidism? -- ANSWER--The clinical state resulting from a
reduction int he amount of circulating free thyroid hormone, or from resistance
to the action of thyroid hormone
Where does secondary thyroid dysfunction occur? -- ANSWER--Secondary
adrenal insufficiency can occur if the pituitary is diseased. This is due to
inadequate production of ACTH.
Where does primary thyroid dysfunction occur? -- ANSWER--primary adrenal
insufficiency refers to when the adrenal gland is damaged and hinders
production of hormones May be from autoimmune response, infections, blood
loss, or tumors
