Pharmacology Exam 3 Practice Questions Blood Glucose-
Lowering Drugs
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Terms in this set (191)
Which of the following is NOT a principal B
action of thyroid hormones?
a. Stimulation of energy use by increasing
basal metabolism rate
b. Delivers oxygen to peripheral tissues
c. Stimulate the heart and increase heart
rate and force of contraction
d. Promotion of growth and development
Which of the following is the correct C (TRH from hypothalamus. TSH from anterior pituitary. T3 & T4 from thyroid inhibit
order steps for thyroid hormone TSH from anterior pituitary)
regulation?
a. The TRH is released from the
hypothalamus and stimulates the release
of T3 and T4 from the anterior pituitary,
which stimulates TSH from the thyroid to
produce biologic effects
b. TSH is released from the hypothalamus
and stimulates the release of TRH from
the anterior pituitary which stimulates T3
and T4 from the thyroid to produce
biologic effects
c. TRH is released from the hypothalamus
and stimulates the release of TSH from
the anterior pituitary, which stimulates T3
and T4 from the thyroid to produce
biologic effects
d. T3 and T4 are released from the
hypothalamus to stimulate the release of
TRH from the anterior pituitary, which
stimulates TSH from the thyroid to
produce biologic effects
,To test for a thyroid disorder, which of the C
following tests would MOST likely be
ordered?
a. Serum T3
b. Serum T4
c. TSH
d. Creatinine
A TSH test is ordered on your patient to B (Low TSH levels=hyperthyroidism, High=hypothyroidism)
screen for hyperthyroidism. Which of the
following results would you anticipate if
the patient did have this condition?
a. High TSH levels
b. Low TSH levels
c. Normal TSH levels
d. High TRH levels
What is the drug of choice to treat B
hypothyroidism?
a. Methimazole
b. Levothyroxine
c. Liothyronine
d. Propylthiouracil
You are implementing patient education B (Levothyroxine takes 1 month to reach plateau)
for a client who has just started taking
levothyroxine (Synthroid) for their
hypothyroidism. Which of the following
statements made by the client requires
further instruction?
a. "I should only use one brand and use
the same one every time when taking this
medication because not every brand has
the identical effect."
b. "This medication should only take a
week for an effect to take place."
c. "I should recheck my thyroid hormone
levels one month after beginning
levothyroxine."
d. "I should take this medication 30-60
minutes before breakfast."
, Your patient is a 27-year-old female D
patient with hypothyroidism taking
levothyroxine that is newly married.
Which of the following statements would
you say to your patient regarding
pregnancy and her medication?
a. "You should be careful about getting
pregnant because levothyroxine is toxic
to a fetus."
b. "You should decrease your dosage by
50% once your pregnancy is confirmed."
c. "Once your pregnancy is confirmed,
increase your dosage of the medication
by 50% percent."
d. "Because fetuses are unable to
produce thyroid hormones during the
first trimester, make sure to increase your
dosage by 30% as soon as your
pregnancy is confirmed to reduce the risk
of decreased IQ and neuropsychological
function in the fetus."
One month after your patient started A
taking levothyroxine for their
hypothyroidism, a TSH test is ordered to
test the function of the medication. Which
of the following results would indicate
that the thyroid hormone replacement is
working?
a. The TSH level is dropping or in normal
range.
b. The TSH level is elevating.
c. The TSH level has remained the same.
d. The TRH level is elevating.
Your patient's hypothyroidism is being A (TSH that is below the normal range indicates a decreased dose because the
treated with levothyroxine. What medication is lowering the TSH by too much.)
laboratory value would indicate that your
patient needs a decreased dose?
a. A TSH which is below the normal range.
b. A TSH which is above the normal range.
c. A T3 which is below the normal range.
d. A T4 which is below the normal range.
Which of the following would NOT D
interact with levothyroxine?
a. H2 receptor blockers and proton pump
inhibitors
b. Bile-acid sequetrants
c. Vitamins
d. An empty stomach
Lowering Drugs
Save
Students also studied
NEIEP 200 Final EXAM COMPREHE... NEIEP 200 Final Review Relias Dysrhythmia Interpretation NE
Teacher 108 terms 73 terms 36 terms 58
Georges20_ Preview annablake128 Preview sunnydaisy48 Preview
Terms in this set (191)
Which of the following is NOT a principal B
action of thyroid hormones?
a. Stimulation of energy use by increasing
basal metabolism rate
b. Delivers oxygen to peripheral tissues
c. Stimulate the heart and increase heart
rate and force of contraction
d. Promotion of growth and development
Which of the following is the correct C (TRH from hypothalamus. TSH from anterior pituitary. T3 & T4 from thyroid inhibit
order steps for thyroid hormone TSH from anterior pituitary)
regulation?
a. The TRH is released from the
hypothalamus and stimulates the release
of T3 and T4 from the anterior pituitary,
which stimulates TSH from the thyroid to
produce biologic effects
b. TSH is released from the hypothalamus
and stimulates the release of TRH from
the anterior pituitary which stimulates T3
and T4 from the thyroid to produce
biologic effects
c. TRH is released from the hypothalamus
and stimulates the release of TSH from
the anterior pituitary, which stimulates T3
and T4 from the thyroid to produce
biologic effects
d. T3 and T4 are released from the
hypothalamus to stimulate the release of
TRH from the anterior pituitary, which
stimulates TSH from the thyroid to
produce biologic effects
,To test for a thyroid disorder, which of the C
following tests would MOST likely be
ordered?
a. Serum T3
b. Serum T4
c. TSH
d. Creatinine
A TSH test is ordered on your patient to B (Low TSH levels=hyperthyroidism, High=hypothyroidism)
screen for hyperthyroidism. Which of the
following results would you anticipate if
the patient did have this condition?
a. High TSH levels
b. Low TSH levels
c. Normal TSH levels
d. High TRH levels
What is the drug of choice to treat B
hypothyroidism?
a. Methimazole
b. Levothyroxine
c. Liothyronine
d. Propylthiouracil
You are implementing patient education B (Levothyroxine takes 1 month to reach plateau)
for a client who has just started taking
levothyroxine (Synthroid) for their
hypothyroidism. Which of the following
statements made by the client requires
further instruction?
a. "I should only use one brand and use
the same one every time when taking this
medication because not every brand has
the identical effect."
b. "This medication should only take a
week for an effect to take place."
c. "I should recheck my thyroid hormone
levels one month after beginning
levothyroxine."
d. "I should take this medication 30-60
minutes before breakfast."
, Your patient is a 27-year-old female D
patient with hypothyroidism taking
levothyroxine that is newly married.
Which of the following statements would
you say to your patient regarding
pregnancy and her medication?
a. "You should be careful about getting
pregnant because levothyroxine is toxic
to a fetus."
b. "You should decrease your dosage by
50% once your pregnancy is confirmed."
c. "Once your pregnancy is confirmed,
increase your dosage of the medication
by 50% percent."
d. "Because fetuses are unable to
produce thyroid hormones during the
first trimester, make sure to increase your
dosage by 30% as soon as your
pregnancy is confirmed to reduce the risk
of decreased IQ and neuropsychological
function in the fetus."
One month after your patient started A
taking levothyroxine for their
hypothyroidism, a TSH test is ordered to
test the function of the medication. Which
of the following results would indicate
that the thyroid hormone replacement is
working?
a. The TSH level is dropping or in normal
range.
b. The TSH level is elevating.
c. The TSH level has remained the same.
d. The TRH level is elevating.
Your patient's hypothyroidism is being A (TSH that is below the normal range indicates a decreased dose because the
treated with levothyroxine. What medication is lowering the TSH by too much.)
laboratory value would indicate that your
patient needs a decreased dose?
a. A TSH which is below the normal range.
b. A TSH which is above the normal range.
c. A T3 which is below the normal range.
d. A T4 which is below the normal range.
Which of the following would NOT D
interact with levothyroxine?
a. H2 receptor blockers and proton pump
inhibitors
b. Bile-acid sequetrants
c. Vitamins
d. An empty stomach
