NU 578 Pharm questions with answers
What test is used to diagnose hyperthyroidism? - CORRECT ANSWERS ✔✔TSH.
Small drops in T3 & T4 cause big increases in TSH
What happens when T3 & T4 fall? - CORRECT ANSWERS ✔✔TSH increases
How do you diagnose primary hypothyroidism? - CORRECT ANSWERS ✔✔High
TSH levels
What is the difference between primary and secondary hypothyroidism? - CORRECT
ANSWERS ✔✔Normal or low-normal TSH levels + low T3 & T4 levels. Primary has
high TSH levels.
Benefits of levothyroxine + liothyronine (T3) vs levothyroxine alone? - CORRECT
ANSWERS ✔✔None. Both work equally well.
When should pregnant women initially be screened for hypothyroidism ? -
CORRECT ANSWERS ✔✔As soon as pregnancy is confirmed. Begin levothyroxine
immediately
When can you expect to have to increase the levothyroxine dose during pregnancy? -
CORRECT ANSWERS ✔✔Between weeks 4-8. Level off by week 16 and stays steady.
What is a strategy for managing T4 dose during pregnancy? - CORRECT ANSWERS
✔✔Empirically increase by 30% as soon as pregnancy is confirmed.
, What causes creatinism in newborns? - CORRECT ANSWERS ✔✔Failure of thyroid
to develop = congenital hypothyroidism.
5 week old comes in with large, tongue, potbelly, dwarfish looking. What is long term
prognosis? - CORRECT ANSWERS ✔✔Hypothyroidism. Cretinism. Permanent
mental retardation but no physical impairment.
How do you differentiate between transient & permanent hypothryoidism in infants?
- CORRECT ANSWERS ✔✔Treat for 3 years then stop for 4 weeks. If TSH increases
= permanent hypothyroidism = continue treatment.
#1 cause of hyperthyroidism - CORRECT ANSWERS ✔✔Graves' disease
Preferred treatment for adults with hyperthyroidism? - CORRECT ANSWERS
✔✔Radioactive iodine
What is the treatment of choice in young patients with hyperthyroidism? -
CORRECT ANSWERS ✔✔Methimazole or PTU
How do you treat tachycardia associated with hyperthyroidism? - CORRECT
ANSWERS ✔✔Propanolol (beta blockers)
What good is non-radioactive iodine? - CORRECT ANSWERS ✔✔Block production
& release of thyroid hormones in hyperthyroidism
What test is used to diagnose hyperthyroidism? - CORRECT ANSWERS ✔✔TSH.
Small drops in T3 & T4 cause big increases in TSH
What happens when T3 & T4 fall? - CORRECT ANSWERS ✔✔TSH increases
How do you diagnose primary hypothyroidism? - CORRECT ANSWERS ✔✔High
TSH levels
What is the difference between primary and secondary hypothyroidism? - CORRECT
ANSWERS ✔✔Normal or low-normal TSH levels + low T3 & T4 levels. Primary has
high TSH levels.
Benefits of levothyroxine + liothyronine (T3) vs levothyroxine alone? - CORRECT
ANSWERS ✔✔None. Both work equally well.
When should pregnant women initially be screened for hypothyroidism ? -
CORRECT ANSWERS ✔✔As soon as pregnancy is confirmed. Begin levothyroxine
immediately
When can you expect to have to increase the levothyroxine dose during pregnancy? -
CORRECT ANSWERS ✔✔Between weeks 4-8. Level off by week 16 and stays steady.
What is a strategy for managing T4 dose during pregnancy? - CORRECT ANSWERS
✔✔Empirically increase by 30% as soon as pregnancy is confirmed.
, What causes creatinism in newborns? - CORRECT ANSWERS ✔✔Failure of thyroid
to develop = congenital hypothyroidism.
5 week old comes in with large, tongue, potbelly, dwarfish looking. What is long term
prognosis? - CORRECT ANSWERS ✔✔Hypothyroidism. Cretinism. Permanent
mental retardation but no physical impairment.
How do you differentiate between transient & permanent hypothryoidism in infants?
- CORRECT ANSWERS ✔✔Treat for 3 years then stop for 4 weeks. If TSH increases
= permanent hypothyroidism = continue treatment.
#1 cause of hyperthyroidism - CORRECT ANSWERS ✔✔Graves' disease
Preferred treatment for adults with hyperthyroidism? - CORRECT ANSWERS
✔✔Radioactive iodine
What is the treatment of choice in young patients with hyperthyroidism? -
CORRECT ANSWERS ✔✔Methimazole or PTU
How do you treat tachycardia associated with hyperthyroidism? - CORRECT
ANSWERS ✔✔Propanolol (beta blockers)
What good is non-radioactive iodine? - CORRECT ANSWERS ✔✔Block production
& release of thyroid hormones in hyperthyroidism
