Midterm Exam: NR601 / NR 601
(Latest Update ) Primary
Care of the Maturing & Aged Family
Practicum | Review Questions &
Answers | 100% Correct | Grade A -
Chamberlain
Question:
What are the common tests to screen for thyroid disease and who should be
screened?
Answer:
TSH and free T4
Those at increased risk (hx autoimmune disorders, 1st degree relative with
autoimmune disorder, hx head and neck radiation, coexisting psych disorder)
Question:
Low TSH, normal/high T4, normal/high T3
Answer:
hyperthyroid
,Question:
Low TSH, normal T4, normal T3
Answer:
Subclinical hyperthyroid
Question:
Low TSH, normal/low T4, normal/low T3
Answer:
Secondary / pituitary problem
Question:
Normal TSH, high T4, high T3
Answer:
Thyroid hormone resistance
Question:
High TSH, normal T4, normal T3
Answer:
Subclinical hypothyroid
,Question:
High TSH, low T4, low T3
Answer:
Hypothyroidism
Question:
Hyperthyroidism
Answer:
Overproduction of T3 and T4, which increases metabolism
Question:
Symptoms of hyperthyroid (general and older adult)
Answer:
general: tremors, tachycardia, anxiety, irritability, frequent bowel
movements, increased appetite, decreased weight, infrequent periods,
insomnia
older adults: decreased weight, edema, atrial fibrillation, increased heart rate,
dyspnea on exertion
, Question:
Toxic multi nodular goiter
Answer:
Hyperthyroidism caused by benign thyroid nodules
Do FNA to r/o cancer in nodules >2.5cm
Question:
Thyroid cancer
Answer:
Most nodules are benign (only 15% malignant)
Papillary carcinoma is most common form
Often asymptomatic
Highly curable when caught early
Question:
Graves disease
Answer:
hyperthyroidism caused by autoimmune condition
