NURS 5433 FAMILY 2 THYROID DISORDERS EXAM WITH
CORRECT ANSWERS 100% VERIFIED
When is the steady state reached for levothyroxine after dosage adjustments? Once
euthyroid, then when should TSH be checked?
6-8 weeks
Annually
(examine periodically for signs of toxicity)
Name some drugs that interfere with levothyroxine absorption:
Cholestyramine
Ferrous SO4
Sucralfate
Calcium
Antacids containing Aluminum Hydroxide
Anticonvulsants
Rifampin
Sertraline
When should a patient be referred to a Pediatric Endocrinologist or a Endocrinologist?
Congenital Hypothyroidism and monitored annually
Secondary Hypothyroidism (involves the Pituitary Gland)
Tertiary Hypothyroidism (involves the Hypothalamus)
, In HYPERTHYROIDISM, the clinical state is due to the body's tissues being exposed to a
level of circulating thyroid hormone and the manifestations are related to the increased
excessive metabolic activities.
Increased
Excessive Metabolic Activities
What is the commonest cause of Hyperthyroidism?
Graves disease. Autoimmune process in which antibodies stimulate the TSH receptor
with resultant hypersecretion or overproduction of thyroid hormones.
What is Painless or Transient (silent) Thyroiditis?
This is another form of hyperthyroidism.
It is autoimmune destruction of the thyroid tissue which leads to a release of preformed
thyroid hormones
What is Toxic Adenoma aka Pulmmer Disease?
Is another form of hyperthyroidism
It is caused by a Somatic Mutation in the TSH receptor or the Gs Alpha gene in a thyroid
nodule
What is Toxic Multinodular Goiter E?
Is another form of hyperthyroidism
It is caused by an expansion of clonogenic cells with an activating TSH receptor
mutation
What are some risk factors for hyperthyroidism?
Family history
Female
Down Syndrome
CORRECT ANSWERS 100% VERIFIED
When is the steady state reached for levothyroxine after dosage adjustments? Once
euthyroid, then when should TSH be checked?
6-8 weeks
Annually
(examine periodically for signs of toxicity)
Name some drugs that interfere with levothyroxine absorption:
Cholestyramine
Ferrous SO4
Sucralfate
Calcium
Antacids containing Aluminum Hydroxide
Anticonvulsants
Rifampin
Sertraline
When should a patient be referred to a Pediatric Endocrinologist or a Endocrinologist?
Congenital Hypothyroidism and monitored annually
Secondary Hypothyroidism (involves the Pituitary Gland)
Tertiary Hypothyroidism (involves the Hypothalamus)
, In HYPERTHYROIDISM, the clinical state is due to the body's tissues being exposed to a
level of circulating thyroid hormone and the manifestations are related to the increased
excessive metabolic activities.
Increased
Excessive Metabolic Activities
What is the commonest cause of Hyperthyroidism?
Graves disease. Autoimmune process in which antibodies stimulate the TSH receptor
with resultant hypersecretion or overproduction of thyroid hormones.
What is Painless or Transient (silent) Thyroiditis?
This is another form of hyperthyroidism.
It is autoimmune destruction of the thyroid tissue which leads to a release of preformed
thyroid hormones
What is Toxic Adenoma aka Pulmmer Disease?
Is another form of hyperthyroidism
It is caused by a Somatic Mutation in the TSH receptor or the Gs Alpha gene in a thyroid
nodule
What is Toxic Multinodular Goiter E?
Is another form of hyperthyroidism
It is caused by an expansion of clonogenic cells with an activating TSH receptor
mutation
What are some risk factors for hyperthyroidism?
Family history
Female
Down Syndrome
