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NSG 554 exam 4 QUESTIONS AND ANSWERS (2024/2025) (VERIFIED ANSWERS) $10.49   Add to cart

Exam (elaborations)

NSG 554 exam 4 QUESTIONS AND ANSWERS (2024/2025) (VERIFIED ANSWERS)

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NSG 554 exam 4 QUESTIONS AND ANSWERS (2024/2025) (VERIFIED ANSWERS)

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  • October 5, 2024
  • 31
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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NSG 554 exam 4


1.Gynecomastia causes: -Aging

-Neonatal period, puberty (tall/overweight teenagers)

-Obesity

2.Hypothyroidism: -85% women

-May be due to failure or resection of the thyroid gland itself or

deficiency of pituitary TSH

3.Goiter: -May be present with thyroiditis, iodine deficiency, genetic

thyroid enzyme defects, drug goitrogens (lithium, iodine,

propylthiouracil or methimazole, sulfon- amides, amiodarone,

interferon-alpha, interferon-beta, interluekin-2, food goitro- gens in

iodine-deficient areas

* often absent in autoimmune thyroiditis

4.Hypothyroidism labs: Serum TSH - high in primary and low in


,secondary hy- pothyroidism


Elevated in Hashimoto thyoiditis

5.Hyperthyroidism labs: Serum TSH= suppressed except in TSH-

secreting pitu- itary tumor or pituitary hyperplasia (rare)

T3 uptake and scan= elevated, increased uptake

6.Subclinical hypothyroidism: Normal T4 with increased

TSH may or may not have symptoms

7.Hypothyroid Treatment: -Synthetic levothyroxine

-Average does 1.6mcg/kg/day

-Repeat TSH in 4-6 week after initiation

-TSH levels should be between 0.4-2

8.Hyperthyroidism (Thyrotoxicosis): -Clinical manifestations of elevated T4

or T3

-Most common form is Graves Disease

9.Grave's Disease: -Most common cause of thyrotoxicosis


,-Autoimmune disorder affecting the thyroid gland

-Increase in the synthesis & release of thyroid hormones

-More common in women

-Onset age 20-40

-Dietary iodine supplementation, chemotherapy can trigger

-Increased r/f systemic autoimmune dx including Sjogren, celiac,

pernicious anemia, Addison's, alopecia aerate, vitiligo, DM1,

hypoparathyriodism, myasthenia gravis, cardiomyopathy

10.Hyperthyroid examination findings: -Diffusely enlarged thyroid

-Frequent asymmetric and often with bruit


-Subacute: moderately enlarged/tender, dysphagia, jaw/ear pain






, -toxic multi nodular goiter: palpable nodules

-Silent thyroiditis: small nontender goiter

11.PALM-COEIN: -Polyp, adenomyosis, leiomyoma, malignancy and

hyperplasia

-Coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, Not yet

classified

12.Abnormal premenstrual bleeding: Laboratory studies: -CBC,

pregnancy test, thyroid tests.

-Vaginal and urine samples for PCR or culture to r/o chlamydia

13.Vaginitis: -inflammation and infection of the vagina

-caused by a variety of pathogens, allergic reactions to contraceptives o

other products, vaginal atrophy, friction during coitus

-normal pH is 4.5 or less

14.Vaginitis: Clinical findings: -vaginal irritation, pain, unusual or

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