d. T3 and
T4 are
released
from the
hypothalamu
s to
stimulate
the release
1. Which of the following is NOT a principal action of of TRH from
thyroid hormones? the anterior
pitu- itary,
a. Stimulation of energy use by increasing basal me-
which
tabolism rate
stimulates
b. Delivers oxygen to peripheral tissues
TSH from
c. Stimulate the heart and increase heart rate and
the thyroid
force of contraction
to pro- duce
d. Promotion of growth and development
biologic
2. Which of the following is the correct order steps for effects
thyroid hormone regulation?
3. To test for a
thyroid
a. The TRH is released from the hypothalamus and
disorder,
stimulates the release of T3 and T4 from the anterior
which of the
pituitary, which stimulates TSH from the thyroid to
following
produce biologic effects
tests would
b. TSH is released from the hypothalamus and stim-
MOST
ulates the release of TRH from the anterior pituitary
likely be
which stimulates T3 and T4 from the thyroid to pro-
ordered?
duce biologic effects
c. TRH is released from the hypothalamus and stim-
ulates the release of TSH from the anterior pituitary,
which stimulates T3 and T4 from the thyroid to pro-
duce biologic effects
, Pharmacology Exam 3 Practice Questions with Answers.
B
C (TRH from hypothala- mus. TSH from anterior pi- tuitary. T3 & T4 from thy- roid
inhibit TSH from an- terior pituitary)
C
, Pharmacology Exam 3 Practice Questions with Answers.
a. Serum T3
b. Serum T4
c. TSH
d. Creatinine
4. A TSH test is ordered on your patient to screen for B (Low TSH levels=hy-
hyperthyroidism. Which of the following results would perthyroidism, High=hy-
you anticipate if the patient did have this condition? pothyroidism)
a. High TSH levels
b. Low TSH levels
c. Normal TSH levels
d. High TRH levels
5. What is the drug of choice to treat hypothyroidism? B
a. Methimazole
b. Levothyroxine
c. Liothyronine
d. Propylthiouracil
6. You are implementing patient education for a client B (Levothyroxine takes 1
who has just started taking levothyroxine (Synthroid) month to reach plateau)
for their hypothyroidism. Which of the following state-
ments made by the client requires further instruc-
tion?
a. "I should only use one brand and use the same one
every time when taking this medication because not
every brand has the identical effect."
b. "This medication should only take a week for an
effect to take place."
, Pharmacology Exam 3 Practice Questions with Answers.
c. "I should recheck my thyroid hormone levels one
month after beginning levothyroxine."
d. "I should take this medication 30-60 minutes before
breakfast."
7. Your patient is a 27-year-old female patient with hy- D
pothyroidism taking levothyroxine that is newly mar-
ried. Which of the following statements would you say
to your patient regarding pregnancy and her medica-
tion?
a. "You should be careful about getting pregnant be-
cause levothyroxine is toxic to a fetus."
b. "You should decrease your dosage by 50% once
your pregnancy is confirmed."
c. "Once your pregnancy is confirmed, increase your
dosage of the medication by 50% percent."
d. "Because fetuses are unable to produce thyroid
hormones during the first trimester, make sure to in-
crease your dosage by 30% as soon as your pregnancy
is confirmed to reduce the risk of decreased IQ and
neuropsychological function in the fetus."
8. One month after your patient started taking levothy- A
roxine for their hypothyroidism, a TSH test is ordered
to test the function of the medication. Which of the
following results would indicate that the thyroid hor-
mone replacement is working?
a. The TSH level is dropping or in normal range.
b. The TSH level is elevating.