NPTE Exam Questions (with correct answers)

Hypothyroidism: o Gland: o Pathology/cause: o How screened: o Sx: o Trick: correct answers Gland: Thyroid oPathology/cause: dec TH causing generalized depression of metabolism oHow screened: If TSH elevated, then + oSx: cold intolerance, excessive fatigue/lethargy, HA's, Weight Gain, reduced integrity of skin/nails, peripheral edema, peripheral neuropathy, PROXIMALweakness, prolonged deep tendon reflexes oTrick: Causes things to slow down 3 things that lead to clubbed nails correct answers Chronic hypoxia from heart disease, chirrosis of the liver, or lung cancer Hyperthyroidism (Graves disease) A. Definition B. Symptoms C. What are older people at greater risk for with this disease? D. Trick correct answers A. A hypermetabolic state associated with exercise intolerance and impaired cardiopulmonary function. B. Symptoms: dyspnea, fatigue, tachycardia, arrhythmia. C. increased risk of aggravating pre-existing heart disease such as a fib, angina, MI) D. Causes everything to speed up! Hyperparathyroidism o Gland: o Pathology/cause: o How screened: o Sx: o Trick: correct answers • Hyperparathyroidism o Gland: parathyroid o Pathology/cause: inc. PTH → inc. Ca2+ & dec. P. Causes demineralization of bone, loss of bone strength/density o How screened: serum calcium, hypercalcemia = + o Sx: proximal weakness, fatigue, drowsiness, arthralgia/myalgia, depression, glove/stocking sensory loss, osteopenia/fractures, confusion/memory loss, pancreatitis, gout, osteitis fibrosa cystica (bone lesions called Brown tumors) o Trick: Name follows the calcium, bone What is an important initial focus of therapy for someone who has partial thickness burns affecting thorax and neck? p.511 A. Return to preburn function