Which tests should you order to confirm a diagnosis of hypothyroidism? Correct Ans-t3 &
Free T4 (preferred over T4)
What are the hallmark signs of Grave's disease? Correct Ans-enlarged thyroid and
increased T3
What is the gold standard screening for thyroid TUMOR/NODULE? Correct Ans-
ULTRASOUND
What is the diagnostic screening for thyroid cancer? Correct Ans-FINE NEEDLE BIOPSY
What is the preferred treatment of Grave's disease in pregnancy Correct Ans-
Propylthiouracil (PTU):
Before starting anti-thyroid meds what should be checked? Correct Ans-LIVER FUNCTIONS
what is the goal of thyroid treatment Correct Ans-euthyroid state
, MARYVILLE NURS 623 EXAM 2 ENDOCRINE &
METABOLIC Qs & As
What are signs and symptoms of hypothyroidism overtreatment? Correct Ans-
hyperglycemia; cardiac arrhythmias (Afib); adrenal insufficiency; increased myxedema.
Hyperthyroidism causes an excessive secretion of which thyroid hormones? Correct Ans-T3
& T4
What are S/S of hyperthyroidism? Correct Ans-"Hot/buldging/fast" heat intolerance, eye
buldge, tachycardia, weight loss, diarrhea, systolic HTN, enlarged thyroid
What are S/S of HYPOthyroidism? Correct Ans-"cold, slow, tired" cold intolerance, slow
speech, fatigue, lethargy, weight gain, constipation, brittle nail/hair
What is the most common cause of hyperthyroidism? Correct Ans-Graves disease
Name the two thyroid hormones produced by the thyroid gland? Correct Ans-T3 & T4
Name the hormone produced by the pituitary gland, state the purpose of the hormone
Correct Ans-TSH; regulate the production of hormones by the thyroid gland
IN GRAVES DISEASE THE THE TSH IS _________ AND THE T3/T4 ARE __________ Correct
Ans-LOW; HIGH
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