UTA NURS-5335 MODULE 3 EXAM QUESTIONS AND
CORRECT ANSWERS (NEWEST)
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
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, hypothalamicdisease, autoimmune disease,
treatment of hyperthyroidism, surgical removal of thyroid gland, treatment with
lithium, interferon, amiodarone
What is Hyperthyroidism? - ANSWER
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
Where does tertiary thyroid dysfunction occur? - ANSWER hypothalamus/
anterior pituitary
Graves disease cause Hyper or Hypothyroidism? - ANSWER Hyperthyroidism
, Hashimotos thyroiditis cause hyper or hypothyroidism? - ANSWER
Hypothyroidism
Primary hypothyroidism - ANSWER TSH elevated T4 low T3 normal
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
CORRECT ANSWERS (NEWEST)
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
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, hypothalamicdisease, autoimmune disease,
treatment of hyperthyroidism, surgical removal of thyroid gland, treatment with
lithium, interferon, amiodarone
What is Hyperthyroidism? - ANSWER
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
Where does tertiary thyroid dysfunction occur? - ANSWER hypothalamus/
anterior pituitary
Graves disease cause Hyper or Hypothyroidism? - ANSWER Hyperthyroidism
, Hashimotos thyroiditis cause hyper or hypothyroidism? - ANSWER
Hypothyroidism
Primary hypothyroidism - ANSWER TSH elevated T4 low T3 normal
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
