NR 565||(NR 565 ) FINAL
EXAM STUDY GUIDE BEST
FOR MIDTERM EXAM 100%
ASSURED WELL GRADED A+
(VERIFIED 2025-2026)
What labs are used to diagnose Thyroid? correct
answers >> TSH, total T4 and T3, free T4 and T3
Timeframe for re-check of labs after starting
levothyroxine correct answers >> 6-8 wks
after starting therapy
Signs and symptoms of hypothyroidism correct
answers >> Face: Pale, puffy, expressionless
Skin: Cold and dry
Hair: Brittle and hair loss
Heart rate and temp are lowered
GRADED A+
,Complaints by patient: lethargy, fatigue,
intolerance to cold
Mentation may be impaired
Thyroid enlargement if ↓'d levels of T3 and T4
promoting excessive release of TSH
Treatment of thyroid storm correct answers >>
High dose potassium iodide or strong iodine
solution to suppress thyroid hormone release,
methimazole to suppress thyroid hormone
synthesis,
beta blocker to reduce heart rate, sedation cooling
glucocorticoids and IV fluids
Result of not treating hypothyroidism during
pregnancy correct answers >> permanent
neurological defects, ↓'d IQ, large protruding
tongue, potbelly dwarfish stature, impaired
development of nervous system bone teeth and
muscles.
Medication to treat symptoms of hyperthyroidism
(notice this is treating symptoms and not the
hyperthyroidism itself) correct answers >>
Metoprolol could be used to treat tachycardia
GRADED A+
, experienced with hyperthyroidism, but it does not
treat hyperthyroidism itself.
Drug/Food/Supplement interactions with
levothyroxine Absorption REDUCED by: correct
answers >> Histamine 2 receptor blockers
(Cimetidine [Tagamet])
Proton pump inhibitors (Lansoprazole)
Sucralfate (Carafate)
Cholestyramine (Questran)
Colestipol (Colestid)
Aluminum containing antacids (maalox, mylanta)
Calcium supplements (tums, os-cal)
Iron supplements
Magnesium salts
Orlistat (Xenical)
* 4 hours between levothyroxine and the above
meds is recommended and food reduces
absorption as well
How to confirm a diagnosis of DM prior to
beginning treatment correct answers >>
Hemoglobin A1C > 6.5%,
GRADED A+
EXAM STUDY GUIDE BEST
FOR MIDTERM EXAM 100%
ASSURED WELL GRADED A+
(VERIFIED 2025-2026)
What labs are used to diagnose Thyroid? correct
answers >> TSH, total T4 and T3, free T4 and T3
Timeframe for re-check of labs after starting
levothyroxine correct answers >> 6-8 wks
after starting therapy
Signs and symptoms of hypothyroidism correct
answers >> Face: Pale, puffy, expressionless
Skin: Cold and dry
Hair: Brittle and hair loss
Heart rate and temp are lowered
GRADED A+
,Complaints by patient: lethargy, fatigue,
intolerance to cold
Mentation may be impaired
Thyroid enlargement if ↓'d levels of T3 and T4
promoting excessive release of TSH
Treatment of thyroid storm correct answers >>
High dose potassium iodide or strong iodine
solution to suppress thyroid hormone release,
methimazole to suppress thyroid hormone
synthesis,
beta blocker to reduce heart rate, sedation cooling
glucocorticoids and IV fluids
Result of not treating hypothyroidism during
pregnancy correct answers >> permanent
neurological defects, ↓'d IQ, large protruding
tongue, potbelly dwarfish stature, impaired
development of nervous system bone teeth and
muscles.
Medication to treat symptoms of hyperthyroidism
(notice this is treating symptoms and not the
hyperthyroidism itself) correct answers >>
Metoprolol could be used to treat tachycardia
GRADED A+
, experienced with hyperthyroidism, but it does not
treat hyperthyroidism itself.
Drug/Food/Supplement interactions with
levothyroxine Absorption REDUCED by: correct
answers >> Histamine 2 receptor blockers
(Cimetidine [Tagamet])
Proton pump inhibitors (Lansoprazole)
Sucralfate (Carafate)
Cholestyramine (Questran)
Colestipol (Colestid)
Aluminum containing antacids (maalox, mylanta)
Calcium supplements (tums, os-cal)
Iron supplements
Magnesium salts
Orlistat (Xenical)
* 4 hours between levothyroxine and the above
meds is recommended and food reduces
absorption as well
How to confirm a diagnosis of DM prior to
beginning treatment correct answers >>
Hemoglobin A1C > 6.5%,
GRADED A+
