ExamI1:INSGI320/INSG320I(LatestI2024/I
2025IUpdate)IAdultIHealthINursingIII
CompleteIGuideI|IQsI&IAsI|I100%ICorrect|
IGradeIAI(VerifiedIAnswers)-IGCU
Q:IHyperthyroidism
Answer:
-
IHyperactivityIofItheIthyroidIglandIwithIsustainedIincreaseIinIsynthesisIandIreleaseIofIthyroidI
hormonesI
-ICauses:
*IGraves'Idisease
*IToxicInodularIgoiter
*IThyroiditis
*IExcessIiodineIintake
*IPituitaryItumors
*IThyroidIcancer
Q:IGraves'Idisease
Answer:
-
IAnIautoimmuneIdiseaseIofIunknownIetiologyIcharacterizedIbyIdiffuseIthyroidIenlargementIan
dIexcessIthyroidIhormoneIsecretionI
-IMayIpresentIwithImyastheniaIgravis,IDM,IceliacIdisease,IandIperniciousIanemiaI
-IPrecipitatingIfactors:
*IInsufficientIiodineIsupply
*ICigaretteIsmokingI
*IInfection
*IStressfulIlifeIeventsImayIinteractIwithIgeneticIfactorsI
-IHereditaryI
-I8xImoreIlikelyItoIbeIseenIinIwomenIbetweenItheIagesIofI20-40
,Q:IClinicalImanifestationsIofIhyperthyroidism
Answer:
-IGoiterI(enlargedIthyroid)I
-IExophthalmosI(protrusionIofItheIeyeballs)
I*IMayIcauseIcornealIulcersIorIlossIofIvision.I
*IChangesIinItheIocularImusclesImayIresultIinImuscleIweaknessIcausingIdiplopiaI
-IEarlyIsignsIareIweightIlossIandIincreasedInervousnessI
-
IDirectlyIincreasesImetabolismIandItissueIsensitivityItoIstimulationIbyItheIsympatheticInervous
Isystem
Q:IRAIU
Answer:
-IUsedItoIdistinguishIGraves'IdiseaseIfromIotherIformsIofIthyroiditis
Q:IPathophysiologyIforIgoiter
Answer:
-IAntibodiesIbindItoITSHIandIcauseIthyroidIglandItoIoverproduceIT3I&IT4I
-IHowever,IgoiterIcanIbeIexhibitedIwithIhypothyroidismIasIwell
Q:IExophthalmos
Answer:
-IForwardIprotrusionIofItheIeyes
-ICausedIbyIinflammationIbyproductsIaccumulatingIinItheIretro-orbitalItissuesI
,-IOccursIinI1/3I
-ICanIbeIunilateralI
-IAccompaniedIbyIblurredIvision,Idiplopia,Ipain,Itearing,IandIphotophobiaI
-
IResultingIinabilityItoIcloseIeyesIcompletelyIincreasesIriskIofIcornealIdryness,Iirritation,Iinfect
ionIandIulcerationI
-IOcularImuscleIinvolvementIcanIleadItoIparalysisIofIeyesI
-IUsuallyInotIreversible
Q:IpropylthiouracilI(PTU)IorImethimazoleI(Tapazole)
Answer:
-IInitialIantithyroidItherapyI
-IPreventsIformulationIofIthyroidIhormonesIbyIinhibitingIthyroidIbindingIofIiodineI
-ITakeIq.8.h
-IAvoidIcrowdsIandIpeopleIthatIareIill
-IReportIfevers,IsoreIthroat,IdarkIurine,IjaundiceI
-IReportIpregnancyIstatus
Q:Ipropranolol,Iatenolol,Imetoprolol
Answer:
-ISupportiveItherapyI
-IBetaIblockersI
-IRelievesIpalpitations,Itachycardia,Ianxiety,IandIdiaphoresisI
-IMonitorIHRIandIBPI
-IAssessIforISOB,Ifatigue,IandIdizziness
Q:IIodineIpreparations
Answer:
-IShortItermItherapyI
-IDecreasesIbloodIflowIthroughIthyroidIgland,IinhibitingItheIreleaseIofIthyroidIhormoneI
, -ITakeI1IhourIafterIthionamideIadminItoIpreventIanIincreaseIinIthyroidIhormoneIproduction
-IImprovementIafterI2IweeksI
-IShouldIaidIwithIcardiacIissuesI
-ITooImuchIcanIcauseIhypothyroidism
Q:ILithium
Answer:
-IUsedIwhenIpatientIcan'tItolerateIanyIotherIantithyroidImedicationsI
-IInhibitsIreleaseIofIthyroidIhormonesI
-ISideIeffectsIincludeIdepression,Itremors,IdiabetesIinsipidus,I
-IDrinkIplentyIofIfluids
-IMonitorIforIwtIgain,IslowIHR,IandIcoldIintolerance
Q:IRadioactiveIiodineItherapyI(RAI)
Answer:
-
IThyroidIglandIpicksIupItheIlocalIradiation,IwhichIdestroysIsomeIofItheIcellsIthatIproduceIthyr
oidIhormoneI
-INotIusedIinIpregnancyI
-IEncourageIfluidsIasIRAIIisIexcretedIthroughIkidneysI
-IMayItakeI6-8IweeksIforIfullIsymptomIreliefI
-IHypothyroidismImajorIsideIeffect
Q:IPreIDM
Answer:
-IImpairedIglucoseItolerance,IimpairedIfastingIglucose,IorIbothI
-ITypicallyIoccursIbeforeIDMI2I
-ITypicallyIdoInotIhaveIanyIsymptoms
-IEducationIVITALIsoIptIdoesInotIdevelopItypeI2IDMI
*IUndergoIscreening