Drexel NURS 549: Thyroid and Endocrine Pharm
QUESTIONS WITH ANSWERS
Hashimoto's thyroiditis - CORRECT ANSWERS ✔✔an autoimmune disorder that
attacks the thyroid gland causing hypothyroidism
Liothyronine (Cytomel) - CORRECT ANSWERS ✔✔Synthetic thyroid hormone T3-
metabolically very active
Levothyroxine (Synthroid) - CORRECT ANSWERS ✔✔T4 thyroid hormone- less
metabolically active
1.6 mcg/kg/day - CORRECT ANSWERS ✔✔thyroid hormone replacement- start with
50%of calculated dose
elderly adults dose for hyperthyroid - CORRECT ANSWERS ✔✔1.0 mcg/kg/day
children dose for thyroid - CORRECT ANSWERS ✔✔4.0 mcg/kg/day- send to endo
Hypothyroid treatment - CORRECT ANSWERS ✔✔take on empty stomach- 2 hrs b/f
eating, check TSH 8-12 weeks later
thyrotoxicosis (hyperthyroidism) - CORRECT ANSWERS ✔✔Disorder produced by
excessive thyroid hormone production
, Grave's Disease/ hyperthyroidism - CORRECT ANSWERS ✔✔most common cause
of thyrotoxicosis; TRAb released=autoimmune
gland hyperfunctions
opthalmopathy or infiltrative dermopathy
NEEDS TX
TSH low=
TSI- elevated thyroid stimulating immuneglobulin
propanalol - CORRECT ANSWERS ✔✔symptomatic presentation of Graves Disease
-non cardio selective beta blocker
Tapazole/methimazole - CORRECT ANSWERS ✔✔Anti- thyroid agent
autonomous thyrotoxicosis - CORRECT ANSWERS ✔✔single adenoma or multiple
nodules- not autoimmune
not as (no TRAb)
slower than Graves disease
cardiovascular sx, weakness, muscle wasting, emotional lability--Tx removal if
symptomatic
TMNG - CORRECT ANSWERS ✔✔toxic multinodular goiter
older (RAI) tx- need higher dose of Iodine than graves disease- pretreat with ATD's,
low iodine diet to enhance RAI uptake, surgery only for cosmetic/pressure
Sub acute Thyroiditis (deQuervains) (SAT) - CORRECT ANSWERS ✔✔- Usually
viral infection of thyroid- inflammation
QUESTIONS WITH ANSWERS
Hashimoto's thyroiditis - CORRECT ANSWERS ✔✔an autoimmune disorder that
attacks the thyroid gland causing hypothyroidism
Liothyronine (Cytomel) - CORRECT ANSWERS ✔✔Synthetic thyroid hormone T3-
metabolically very active
Levothyroxine (Synthroid) - CORRECT ANSWERS ✔✔T4 thyroid hormone- less
metabolically active
1.6 mcg/kg/day - CORRECT ANSWERS ✔✔thyroid hormone replacement- start with
50%of calculated dose
elderly adults dose for hyperthyroid - CORRECT ANSWERS ✔✔1.0 mcg/kg/day
children dose for thyroid - CORRECT ANSWERS ✔✔4.0 mcg/kg/day- send to endo
Hypothyroid treatment - CORRECT ANSWERS ✔✔take on empty stomach- 2 hrs b/f
eating, check TSH 8-12 weeks later
thyrotoxicosis (hyperthyroidism) - CORRECT ANSWERS ✔✔Disorder produced by
excessive thyroid hormone production
, Grave's Disease/ hyperthyroidism - CORRECT ANSWERS ✔✔most common cause
of thyrotoxicosis; TRAb released=autoimmune
gland hyperfunctions
opthalmopathy or infiltrative dermopathy
NEEDS TX
TSH low=
TSI- elevated thyroid stimulating immuneglobulin
propanalol - CORRECT ANSWERS ✔✔symptomatic presentation of Graves Disease
-non cardio selective beta blocker
Tapazole/methimazole - CORRECT ANSWERS ✔✔Anti- thyroid agent
autonomous thyrotoxicosis - CORRECT ANSWERS ✔✔single adenoma or multiple
nodules- not autoimmune
not as (no TRAb)
slower than Graves disease
cardiovascular sx, weakness, muscle wasting, emotional lability--Tx removal if
symptomatic
TMNG - CORRECT ANSWERS ✔✔toxic multinodular goiter
older (RAI) tx- need higher dose of Iodine than graves disease- pretreat with ATD's,
low iodine diet to enhance RAI uptake, surgery only for cosmetic/pressure
Sub acute Thyroiditis (deQuervains) (SAT) - CORRECT ANSWERS ✔✔- Usually
viral infection of thyroid- inflammation