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UTA NURS-5335 Module 3 Questions with
Detailed Verified Answers
What is Hypothyroidism? Ans: 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
_________________________? Ans: Hypothyroidism
Risk factors for Hypothyroidism? Ans: old age, family history,
postpartum, pituitary disease, hypothalamic disease, autoimmune
disease, treatment of hyperthyroidism, surgical removal of thyroid gland,
treatment with lithium, interferon, amiodarone
Where does secondary thyroid dysfunction occur? Ans: Secondary
adrenal insufficiency can occur if the pituitary is diseased. This is due to
inadequate production of ACTH.
Where does primary thyroid dysfunction occur? Ans: 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? Ans: hypothalamus/
anterior pituitary
Graves disease cause Hyper or Hypothyroidism? Ans: Hyperthyroidism
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Hashimotos thyroiditis cause hyper or hypothyroidism? Ans:
Hypothyroidism
Primary hypothyroidism Ans: TSH elevated T4 low T3 normal
Most common cause of thyroid disease? Ans: Autoimmune disease
Diagnostics: Hypothyroidism
TSH ________
T4 ________ Ans: TSH- elevated
T4- low
Subclinical hypothyroidism
TSH
T4 Ans: TSH- elevated
T4- normal
Diagnostics hyperthyroidism (refer to endocrinologist)
TSH
T3 Ans: TSH- low
T4- high
Hypothyroidism drug of choice is? Ans: levothyroxine (T4)
Levoxyl, synthroid, levothyroid
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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 Ans: 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? Ans: 1.6 mcg/kg/day
follow up after 6 weeks after starting to check levels
Adult maintenance dose of synthroid Ans: 50-200 mcg
Infant dose of synthroid Ans: 6-15 mcg/kg/day (based on age)
Childrens dose of synthroid Ans: 4-6 mcg/kg/day (based on age)
>12 2-3 mcg/kg/day
50 or older starting synthroid dose? Ans: 50 mcg
65 or older starting synthroid dose? Ans: 25 mcg
any patient with heart disease what do you do to synthroid dose? Ans:
cut it in half
If TSH is still high after treating with synthroid. How much do you
increase the dose by per day? Ans: 1 mcg/kg/day
UTA NURS-5335 Module 3 Questions with
Detailed Verified Answers
What is Hypothyroidism? Ans: 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
_________________________? Ans: Hypothyroidism
Risk factors for Hypothyroidism? Ans: old age, family history,
postpartum, pituitary disease, hypothalamic disease, autoimmune
disease, treatment of hyperthyroidism, surgical removal of thyroid gland,
treatment with lithium, interferon, amiodarone
Where does secondary thyroid dysfunction occur? Ans: Secondary
adrenal insufficiency can occur if the pituitary is diseased. This is due to
inadequate production of ACTH.
Where does primary thyroid dysfunction occur? Ans: 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? Ans: hypothalamus/
anterior pituitary
Graves disease cause Hyper or Hypothyroidism? Ans: Hyperthyroidism
, Page | 2
Hashimotos thyroiditis cause hyper or hypothyroidism? Ans:
Hypothyroidism
Primary hypothyroidism Ans: TSH elevated T4 low T3 normal
Most common cause of thyroid disease? Ans: Autoimmune disease
Diagnostics: Hypothyroidism
TSH ________
T4 ________ Ans: TSH- elevated
T4- low
Subclinical hypothyroidism
TSH
T4 Ans: TSH- elevated
T4- normal
Diagnostics hyperthyroidism (refer to endocrinologist)
TSH
T3 Ans: TSH- low
T4- high
Hypothyroidism drug of choice is? Ans: levothyroxine (T4)
Levoxyl, synthroid, levothyroid
, Page | 3
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 Ans: 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? Ans: 1.6 mcg/kg/day
follow up after 6 weeks after starting to check levels
Adult maintenance dose of synthroid Ans: 50-200 mcg
Infant dose of synthroid Ans: 6-15 mcg/kg/day (based on age)
Childrens dose of synthroid Ans: 4-6 mcg/kg/day (based on age)
>12 2-3 mcg/kg/day
50 or older starting synthroid dose? Ans: 50 mcg
65 or older starting synthroid dose? Ans: 25 mcg
any patient with heart disease what do you do to synthroid dose? Ans:
cut it in half
If TSH is still high after treating with synthroid. How much do you
increase the dose by per day? Ans: 1 mcg/kg/day
