AP Module 10 Case Study
Question 1
1 out of 1 points
Edna is a 42-year-old mother of two girls. She has been feeling very sluggish lately and
finds it hard to get out of bed in the morning, even after a full night’s sleep. She is
fatigued throughout the day and has to compensate with a lot of caffeine. She’s gained
about 5 pounds this month, but attributes that to all the workouts she’s been skipping
lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even
though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her
physician takes her vital signs before doing further testing. Here are her results: BP
124/74, Pulse 52, Temperature 98.2 F, Height 5’8”, and Weight 178 pounds.
Edna’s doctor is worried about her endocrine function. Which of the following glands is
most likely causing her symptoms?
Selected Thyroid
Answer:
gland
Question 2
1 out of 1 points
Edna’s symptoms are similar to those present in Grave’s disease.
Selected Fals
Answer: e
Question 3
Needs Grading
During Edna’s physical exam, her physician notes an enlargement of her thyroid
gland. What is this called and why is it important in her case?
Selecte An enlarged thyroid gland is called a goiter. In this case it might be
d called a compensatory goiter. This enlargement is caused by the body
Answer: expecting a certain amount of TSH to be produced, if not recognized as
processing enough TSH, the pituitary gland will secrete extra to make
up for it. By doing this the thyroid gland is hit with too much TSH and
enlarges. If this is left untreated, hypothyroidism symptoms will
continue to worsen.
Hypothyroidism: Overview, Causes, and Symptoms. (n.d.).
Retrieved June 3, 2018, from
https://www.endocrineweb.com/conditions/thyroid/hypothyr
oidism-too-little-thyroid-hormone
Respons [None Given]
e
Feedba
ck:
Question 4
1 out of 1 points
Edna’s physician suspects that she may have hypothyroidism. Which of the
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following tests would be the first step to help confirm that diagnosis?
Selected Blood test for thyroxine and
Answer: TSH levels
Question 5
Needs Grading
Edna’s test results showed that her T4 level was below normal. Why might her
TSH level be elevated?
Selected The thyroid gland produces T4 and in hypothyroidism, T4 production is
Answer:
less. When the pituitary gland detects that there is a decrease in T4, it will
pump out more TSH to tell the thyroid gland to produce more T4. So it
would show low levels of T4 with a high level of TSH.
Thyroid Function Tests. (n.d.). Retrieved June 3, 2018, from
https://www.thyroid.org/thyroid-function-tests/
Respons [None Given]
e
Feedback
:
Question 6
Needs Grading
If Edna’s condition goes untreated, she may experience more severe symptoms. List 3
symptoms (other than those given in her history) that often accompany untreated
hypothyroidism.
Selected Three symptoms that Edna might experience if her condition goes untreated
Answer:
are memory loss, hair loss, and muscle cramps and frequent muscle aches.
Norman, J. (n.d.). Hypothyroidism: Overview, Causes, and
Symptoms. Retrieved June 3, 2018, from
https://www.endocrineweb.com/conditions/thyroid/hypothyr
oidism-too-little-thyroid-hormone
Respons [None Given]
e
Feedbac
k:
Question 7
1 out of 1 points
Which of the following is the most likely and effective form of treatment for Edna’s
condition?
Selected Life-long oral medication, such as
Answer: levothyroxine
Question 8
Needs Grading
Why would Edna’s doctor inquire about her iodine intake? (Explain why iodine is pertinent
in this case and how it affects the thyroid.)
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Question 1
1 out of 1 points
Edna is a 42-year-old mother of two girls. She has been feeling very sluggish lately and
finds it hard to get out of bed in the morning, even after a full night’s sleep. She is
fatigued throughout the day and has to compensate with a lot of caffeine. She’s gained
about 5 pounds this month, but attributes that to all the workouts she’s been skipping
lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even
though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her
physician takes her vital signs before doing further testing. Here are her results: BP
124/74, Pulse 52, Temperature 98.2 F, Height 5’8”, and Weight 178 pounds.
Edna’s doctor is worried about her endocrine function. Which of the following glands is
most likely causing her symptoms?
Selected Thyroid
Answer:
gland
Question 2
1 out of 1 points
Edna’s symptoms are similar to those present in Grave’s disease.
Selected Fals
Answer: e
Question 3
Needs Grading
During Edna’s physical exam, her physician notes an enlargement of her thyroid
gland. What is this called and why is it important in her case?
Selecte An enlarged thyroid gland is called a goiter. In this case it might be
d called a compensatory goiter. This enlargement is caused by the body
Answer: expecting a certain amount of TSH to be produced, if not recognized as
processing enough TSH, the pituitary gland will secrete extra to make
up for it. By doing this the thyroid gland is hit with too much TSH and
enlarges. If this is left untreated, hypothyroidism symptoms will
continue to worsen.
Hypothyroidism: Overview, Causes, and Symptoms. (n.d.).
Retrieved June 3, 2018, from
https://www.endocrineweb.com/conditions/thyroid/hypothyr
oidism-too-little-thyroid-hormone
Respons [None Given]
e
Feedba
ck:
Question 4
1 out of 1 points
Edna’s physician suspects that she may have hypothyroidism. Which of the
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following tests would be the first step to help confirm that diagnosis?
Selected Blood test for thyroxine and
Answer: TSH levels
Question 5
Needs Grading
Edna’s test results showed that her T4 level was below normal. Why might her
TSH level be elevated?
Selected The thyroid gland produces T4 and in hypothyroidism, T4 production is
Answer:
less. When the pituitary gland detects that there is a decrease in T4, it will
pump out more TSH to tell the thyroid gland to produce more T4. So it
would show low levels of T4 with a high level of TSH.
Thyroid Function Tests. (n.d.). Retrieved June 3, 2018, from
https://www.thyroid.org/thyroid-function-tests/
Respons [None Given]
e
Feedback
:
Question 6
Needs Grading
If Edna’s condition goes untreated, she may experience more severe symptoms. List 3
symptoms (other than those given in her history) that often accompany untreated
hypothyroidism.
Selected Three symptoms that Edna might experience if her condition goes untreated
Answer:
are memory loss, hair loss, and muscle cramps and frequent muscle aches.
Norman, J. (n.d.). Hypothyroidism: Overview, Causes, and
Symptoms. Retrieved June 3, 2018, from
https://www.endocrineweb.com/conditions/thyroid/hypothyr
oidism-too-little-thyroid-hormone
Respons [None Given]
e
Feedbac
k:
Question 7
1 out of 1 points
Which of the following is the most likely and effective form of treatment for Edna’s
condition?
Selected Life-long oral medication, such as
Answer: levothyroxine
Question 8
Needs Grading
Why would Edna’s doctor inquire about her iodine intake? (Explain why iodine is pertinent
in this case and how it affects the thyroid.)
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