3 QUESTIONS WITH 100% CORRECT
ANSWERS { GRADED A+}
Causes of Hypothyroidism - ✔✔Autoimmune disease (Hashimoto
thyroiditis, post-Graves disease)
Atrophy of thyroid gland with aging
Therapy for hyperthyroidism
Radioactive iodine (131I)
Thyroidectomy
Radiation to head and neck in treatment for head and neck cancers,
lymphoma
,Infiltrative diseases of the thyroid (amyloidosis, scleroderma,
lymphoma)
Iodine deficiency and iodine excess
Medications that cause Hypothyroidism - ✔✔Lithium
Iodine compounds
Antithyroid medications
Clinical Manifestations of hypothyroidism - ✔✔Extreme fatigue
hair loss
brittle nails
dry skin is common
numbness and tingling of the fingers may occur
the voice may become husky
the patient may complain of hoarseness
Menstrual disturbances such as menorrhagia or amenorrhea occur
,Who is at greater risk for hypothyroidism? - ✔✔Women
affects women five to eight times more frequently than men and occurs
most often between 40 and 70 years of age
Clinical manifestations of Severe hypothyroidism - ✔✔- subnormal
body temperature and pulse rate
- patient usually begins to gain weight even without an increase in food
intake
- skin becomes thickened because of an accumulation of
mucopolysaccharides in the subcutaneous tissues
- The hair thins and falls out
- the face becomes expressionless and masklike
- The patient often complains of being cold even in a warm
environment.
- Inadequate ventilation
- sleep apnea
, What signs will the patient first experience with hypothyroidism? -
✔✔At first, the patient may be irritable and may complain of fatigue,
but as the condition progresses, the emotional responses are subdued.
The mental processes become dulled, and the patient appears
apathetic. Speech is slow, the tongue enlarges, the hands and feet
increase in size, and deafness may occur. The patient frequently reports
constipation.
What is Severe hypothyroidism is associated with? - ✔✔Elevated serum
cholesterol level
atherosclerosis
coronary artery disease
poor left ventricular function
With patients with hypothyroidism what should be given with caution?
- ✔✔sedative, opioid, and anesthetic agents