NR565 NR 565 Pharmacology Final Actual Questions and Correct
Answers
Q1
Signs and symptoms of hypothyroidism
Answer: Face is pale, puffy, and expressionless. Skin is cold and dry.hair is brittle, and hair loss
occurs.Heart rate
and temperature are lowered. The patient lethargy, fatigue, and intolerance to cold. Mentation may
be
impaired
Q2
Signs and symptoms of hyperthyroidism
Answer: Heart Rate is Rapid; Possible arrhythmia/angina Nervousness, insomnia, rapid thought
flow, and rapid
speechSkeletal muscles may weaken and atrophy Metabolic rate is raised, resulting in increased
heat
production, increased body temperature, intolerance to heat, and skin that is warm and moist
Weight
loss occurs if caloric intake fails to match the increase in metabolic rate
Q3
Severe hypothyroidism
Answer: Myxedema
Q4
Hypothyroid Treatment
Answer: Levothyroxine is the drug of choice for most patients who require thyroid hormone
replacement
Q5
Levothyroxine (Synthroid) Therapeutic Goal
Answer: Resolution of signs and symptoms of hypothyroidism and restoration of normal
laboratory values for
serum thyroid-stimulating hormone (TSH) and free thyroxine (T4)
, Q6
Major forms of hyperthyroidism
Answer: Graves disease and toxic nodular goiter (also known as Plummer disease)
Q7
Graves Disease
Answer: Most common cause of excessive thyroid hormone secretion
Q8
What adjunctive therapy is good to prescribe to control symptoms of hyperthyroidism other than
thyroid specific medications?
Answer: β-Blockers and nonradioactive iodine may be used as adjunctive therapy.β-Blockers
suppress
tachycardia by blocking β-receptors on the heart.Nonradioactive iodine inhibits synthesis and
release of
thyroid hormones
Q9
Monitoring needs and intervals for Levothyroxine
Answer: Check TSH 6-8 weeks after initiating therapy and after any dosage change.Check TSH at
least once a
year after serum TSH is stabilized
Q10
Hyperthyroid Treatment
Answer: thionamide drugs-methimazole and propylthiouracil (PTU)-suppress synthesis of thyroid
hormones
Q11
Methimazole Therapeutic Goal
Answer: (1) reduction of thyroid hormone production in Graves' disease, (2) control of
hyperthyroidism until the
effects of radiation on the thyroid become manifest, (3) suppression of thyroid hormone
production
before subtotal thyroidectomy, (4) treatment of thyrotoxic crisis
Answers
Q1
Signs and symptoms of hypothyroidism
Answer: Face is pale, puffy, and expressionless. Skin is cold and dry.hair is brittle, and hair loss
occurs.Heart rate
and temperature are lowered. The patient lethargy, fatigue, and intolerance to cold. Mentation may
be
impaired
Q2
Signs and symptoms of hyperthyroidism
Answer: Heart Rate is Rapid; Possible arrhythmia/angina Nervousness, insomnia, rapid thought
flow, and rapid
speechSkeletal muscles may weaken and atrophy Metabolic rate is raised, resulting in increased
heat
production, increased body temperature, intolerance to heat, and skin that is warm and moist
Weight
loss occurs if caloric intake fails to match the increase in metabolic rate
Q3
Severe hypothyroidism
Answer: Myxedema
Q4
Hypothyroid Treatment
Answer: Levothyroxine is the drug of choice for most patients who require thyroid hormone
replacement
Q5
Levothyroxine (Synthroid) Therapeutic Goal
Answer: Resolution of signs and symptoms of hypothyroidism and restoration of normal
laboratory values for
serum thyroid-stimulating hormone (TSH) and free thyroxine (T4)
, Q6
Major forms of hyperthyroidism
Answer: Graves disease and toxic nodular goiter (also known as Plummer disease)
Q7
Graves Disease
Answer: Most common cause of excessive thyroid hormone secretion
Q8
What adjunctive therapy is good to prescribe to control symptoms of hyperthyroidism other than
thyroid specific medications?
Answer: β-Blockers and nonradioactive iodine may be used as adjunctive therapy.β-Blockers
suppress
tachycardia by blocking β-receptors on the heart.Nonradioactive iodine inhibits synthesis and
release of
thyroid hormones
Q9
Monitoring needs and intervals for Levothyroxine
Answer: Check TSH 6-8 weeks after initiating therapy and after any dosage change.Check TSH at
least once a
year after serum TSH is stabilized
Q10
Hyperthyroid Treatment
Answer: thionamide drugs-methimazole and propylthiouracil (PTU)-suppress synthesis of thyroid
hormones
Q11
Methimazole Therapeutic Goal
Answer: (1) reduction of thyroid hormone production in Graves' disease, (2) control of
hyperthyroidism until the
effects of radiation on the thyroid become manifest, (3) suppression of thyroid hormone
production
before subtotal thyroidectomy, (4) treatment of thyrotoxic crisis
