Week 6_ Quiz_ Differential Diagnosis and Primary Care Practicum

A 24-year-old female is preparing for radioactive iodine therapy to treat Graves disease. Which test must she undergo first? Lithium level. Beta-human chorionic gonadotropin. Correct! Serum calcium. Top Basal metabolism rate. Radioactive iodine therapy is the most commonly used treatment in the United States for Graves disease (hyperthyroidism); however, it is contraindicated during pregnancy. Therefore, for women, a pregnancy test (beta-human chorionic gonadotropin) needs to be performed before initiating therapy. Women of childbearing age should also be told to delay conception for a few months after radioactive iodine therapy. It is also contraindicated in women who are breastfeeding. Older adults or clients at risk of developing cardiac complications may be pretreated with antithyroid drugs (ATDs) before therapy to deplete the thyroid gland of stored hormone, thereby minimizing the risk of exacerbation of hyperthyroidism because of radioactive iodine (131I)–induced thyroiditis. Ques 1 / 1 pts tion 2 A 46-year-old male presents with a tender, red and swollen knee. The clinician orders a complete blood count (CBC) with differential, uric acid level and erythrocyte sedimentation rate (ESR). Which of the following results would make the clinician suspect a septic joint rather than gout? Decreased white blood cell (WBC) count and an elevated uric acid level. Normal Erythrocyte Sedimentation Rate (ESR) and a decreased uric acid level. Top  Elevated white blood cell (WBC) count and an elevated Erythrocyte Sedimentation Rate (ESR). Correct! High uric acid level and a decreased Erythrocyte Sedimentation Rate (ESR). To diagnose gout, there should be hyperuricemia and a negative joint culture. Ques 1 / 1 pts tion 3 What is the medication of choice for an initial acute attack of gout? A corticosteroid. Allopurinol (Zyloprim). A nonsteroidal anti-inflammatory drug (NSAID). Correct! Colchicine.T