Sarah Michelle Live Review
Study Guide – 200+ Review
Questions & Answers for Nurse
Practitioner Certification Exam
Prep Review (PDF)
,
,SECTION 1: ENDOCRINOLOGY & METABOLISM
1. What is the function of the thyroid gland?
A) Regulates calcium and phosphate balance
B) Regulates metabolism and impacts every cell in the body
C) Controls blood sugar through insulin secretion
D) Regulates the sleep-wake cycle
Answer: B
Rationale: The thyroid is a vital hormone gland that regulates metabolism and
impacts every single cell within the body. It also plays a critical role in proper
growth and development across the entire lifespan.
2. What produces Thyroid Stimulating Hormone (TSH)?
A) Thyroid gland
B) Hypothalamus
C) Pituitary gland
D) Adrenal gland
Answer: C
Rationale: TSH is produced by the pituitary gland. Its function is to tell the thyroid
when to produce and release the critical thyroid hormones T3 and T4.
3. A presence of thyroid peroxidase antibodies indicates what about a patient's
hypothyroidism?
A) It is caused by iodine deficiency
B) It is caused by an autoimmune process
C) It is caused by a pituitary tumor
D) It is medication-induced
, Answer: B
Rationale: The presence of thyroid peroxidase (TPO) antibodies indicates that
hypothyroidism is caused by an autoimmune process, most commonly Hashimoto's
thyroiditis.
4. What are the classic signs and symptoms of hypothyroidism?
A) Weight loss, heat intolerance, tachycardia, anxiety
B) Weight gain, constipation, dry skin, cold intolerance, fatigue
C) Polyuria, polydipsia, polyphagia
D) Hypertension, hyperpigmentation, palpitations
Answer: B
Rationale: Classic hypothyroidism symptoms include weight gain, constipation, dry
skin, cold intolerance, fatigue, coarse hair, facial puffiness, thick tongue, and
potential cardiac side effects.
5. What patient education is critical regarding Synthroid (levothyroxine)
administration?
A) Must be taken with a high-fat meal to enhance absorption
B) Must be taken on an empty stomach before other medications
C) Must be taken at bedtime with a glass of milk
D) Can be taken with any other daily medications
Answer: B
Rationale: Synthroid must be taken on an empty stomach, typically 30-60 minutes
before breakfast, to ensure proper absorption. Other medications can interfere
with absorption.
6. What are the signs and symptoms of myxedema coma?
A) High fever, tachycardia, agitation, sweating
B) Low body temperature, edema, confusion, lethargy, tongue thickening
Study Guide – 200+ Review
Questions & Answers for Nurse
Practitioner Certification Exam
Prep Review (PDF)
,
,SECTION 1: ENDOCRINOLOGY & METABOLISM
1. What is the function of the thyroid gland?
A) Regulates calcium and phosphate balance
B) Regulates metabolism and impacts every cell in the body
C) Controls blood sugar through insulin secretion
D) Regulates the sleep-wake cycle
Answer: B
Rationale: The thyroid is a vital hormone gland that regulates metabolism and
impacts every single cell within the body. It also plays a critical role in proper
growth and development across the entire lifespan.
2. What produces Thyroid Stimulating Hormone (TSH)?
A) Thyroid gland
B) Hypothalamus
C) Pituitary gland
D) Adrenal gland
Answer: C
Rationale: TSH is produced by the pituitary gland. Its function is to tell the thyroid
when to produce and release the critical thyroid hormones T3 and T4.
3. A presence of thyroid peroxidase antibodies indicates what about a patient's
hypothyroidism?
A) It is caused by iodine deficiency
B) It is caused by an autoimmune process
C) It is caused by a pituitary tumor
D) It is medication-induced
, Answer: B
Rationale: The presence of thyroid peroxidase (TPO) antibodies indicates that
hypothyroidism is caused by an autoimmune process, most commonly Hashimoto's
thyroiditis.
4. What are the classic signs and symptoms of hypothyroidism?
A) Weight loss, heat intolerance, tachycardia, anxiety
B) Weight gain, constipation, dry skin, cold intolerance, fatigue
C) Polyuria, polydipsia, polyphagia
D) Hypertension, hyperpigmentation, palpitations
Answer: B
Rationale: Classic hypothyroidism symptoms include weight gain, constipation, dry
skin, cold intolerance, fatigue, coarse hair, facial puffiness, thick tongue, and
potential cardiac side effects.
5. What patient education is critical regarding Synthroid (levothyroxine)
administration?
A) Must be taken with a high-fat meal to enhance absorption
B) Must be taken on an empty stomach before other medications
C) Must be taken at bedtime with a glass of milk
D) Can be taken with any other daily medications
Answer: B
Rationale: Synthroid must be taken on an empty stomach, typically 30-60 minutes
before breakfast, to ensure proper absorption. Other medications can interfere
with absorption.
6. What are the signs and symptoms of myxedema coma?
A) High fever, tachycardia, agitation, sweating
B) Low body temperature, edema, confusion, lethargy, tongue thickening
