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Chapter 43. Hyperthyroidism and Hypothyroidism

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Chapter 43. Hyperthyroidism and Hypothyroidism

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Chapter 43. Hyperthyroidism and Hypothyroidism

Multiple Choice
Identify the choice that best completes the statement or answers the question.


1. When methimazole is started for hyperthyroidism it may take to see a total reversal of
hyperthyroid symptoms.
1. 2 to 4 weeks
2. 1 to 2 months
3. 3 to 4 months
4. 6 to 12 months

2. In addition to methimazole, a symptomatic patient with hyperthyroidism may need a prescription
for:
1. A calcium channel blocker
2. A beta blocker
3. Liothyronine
4. An alpha blocker

3. After starting a patient with Grave’s disease on an antithyroid agent such as methimazole, patient

, monitoring includes TSH and free T4 every:
1. 1 to 2 weeks
2. 3 to 4 weeks
3. 2 to 3 months
4. 6 to 9 months

4. A woman who is pregnant and has hyperthyroidism is best managed by a specialty team who will
most likely treat her with:
1. Methimazole
2. Propylthiouracil (PTU)
3. Radioactive iodine
4. Nothing, treatment is best delayed until after her pregnancy ends
5. Goals when treating hypothyroidism with thyroid replacement include:
1. Normal TSH and free T4 levels
2. Resolution of fatigue
3. Weight loss to baseline
4. All of the above

6. When starting a patient on levothyroxine for hypothyroidism the patient will need follow-up
measurement of thyroid function in:
1. 2 weeks
2. 4 weeks
3. 2 months
4. 6 months

7. Once a patient who is being treated for hypothyroidism returns to euthyroid with normal TSH levels,
he or she should be monitored with TSH and free T4 levels every:

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