CMCP exam 4 ACTUAL QUESTIONS
AND CORRECT ANSWERS
where is thyroid located - CORRECT ANSWERS Anterior portion of the
neck just below and bilateral to the thyroid cartilage.
thyroid is regulator of - CORRECT ANSWERS growth and metabolism
what hormones does thyroid secrete - CORRECT ANSWERS thyroxine
(T4) the main hormone
triiodothyronine (T3)
calcitonin (calcium regulation)
can we feel thyroid in EO exam - CORRECT ANSWERS only if it is
abnormal, usually not
TSH - CORRECT ANSWERS thyroid stimulating hormones relased by
pituitary
TRH - CORRECT ANSWERS thyrotropin released by hypothallus
feedback of hormones - CORRECT ANSWERS Hypothalamus release
TRH > pituitary releases TSH > thyroid releases T3 and T4
in normal conditions T4 T3 synthesis are controlled by what feedback -
CORRECT ANSWERS negative feedback
,hypothalamus Thyrotropin releasing hormone (TRH) stimulates the pituitary to
release (________________), which causes the thyroid to secrete ________ -
CORRECT ANSWERS thyroid stimulating hormone, T3 and T4
if you don't have enough iodine this can cause low levels of - CORRECT
ANSWERS T3 and T4, which will then increase TSH in feedback loop.
we need iodine T3 and T4 to synthesis the iodine
high TSH can indicate - CORRECT ANSWERS hypothyroidism
T4 can be used to make - CORRECT ANSWERS T3
conversion of T3 and T4 can be inhibited by - CORRECT ANSWERS
fasting steriods and some drugs
minimum daily requirement is ___ mg of iodine - CORRECT ANSWERS
75mg
thyroid - CORRECT ANSWERS growth and cellular respiration
sites of action of thyroid hormones - CORRECT ANSWERS cell
nucleus, mitochondria, cell membrane, adrenergic receptors
why are thyroid hormones important - CORRECT ANSWERS energy
synthesis, proper oxygen consumption on cellular level, healing
calcitonin regulates - CORRECT ANSWERS calcium and phosphorous
levels and skeletal remodeling
,most of T3 comes from - CORRECT ANSWERS deionzation of T4.
do we have moer T3 or T4 in blood - CORRECT ANSWERS T4
goiters - CORRECT ANSWERS symptom of either hypo or
hyperthyroidism.
Swelling of the thyroid gland
diffuse, nodular, singular, functional, or nonfunctional Simple goiters account
for about 75% of all thyroid swellings
hyperthyroidism is too much ____ and can become - CORRECT ANSWERS
T3 and T4, thyrotoxicisis
hyperthyroidism more common in - CORRECT ANSWERS women-
puberty or menaposal women
what can cause hyperthyroidism - CORRECT ANSWERS exctopic
(extra) thyroid tissue
pituitary disease
graves disease- autoimmune
autoimmune vs acquired immunodeficiency - CORRECT ANSWERS
autoimmune: bodies own immune system attacks itself.
aquired immunodeficiency = HIV and can progress to aids. virus affects blood
cell and immune system gets destroyed. they become immunocompromised.
, how to treat graves disease - CORRECT ANSWERS radioactive iodine,
remove thyroid which will cause hypothyroidism, but they'll die if we don't treat
hyperthyroidism
you cannot survive with - CORRECT ANSWERS hyperthroidism
thyrotoxicisis
S + S hyperthyroidism - CORRECT ANSWERS exophthalmos,
hyperhidrosis, tachycardia, nervous irritable, heat intolerance, tremors, dyspnea,
palpitations, warm sweaty hands
how can we differ hyperthyroidism from anxiety - CORRECT ANSWERS
anxiety cold sweaty hands while hyperthyroidism is warm sweaty hands
rare S + S - CORRECT ANSWERS Opthalmopathy - Upper eyelid
retraction
Dermopathy- Red swollen skin
Acropachy- Soft tissue swelling on fingers and toes
Clubbing of fingers
Inflammation of the periosteum, metacarpal bones
what 4 things can aggrevate untreated unmanaged hypertension into a thyroid
storm? we don't want to see until they have had it managed it - CORRECT
ANSWERS infection, trauma, surgical procedures, stress
thyrotoxic crisis is also called - CORRECT ANSWERS thyroid storm
uncontrolled hyperthyroidism - CORRECT ANSWERS NO EPI (if
controlled then its fine)
AND CORRECT ANSWERS
where is thyroid located - CORRECT ANSWERS Anterior portion of the
neck just below and bilateral to the thyroid cartilage.
thyroid is regulator of - CORRECT ANSWERS growth and metabolism
what hormones does thyroid secrete - CORRECT ANSWERS thyroxine
(T4) the main hormone
triiodothyronine (T3)
calcitonin (calcium regulation)
can we feel thyroid in EO exam - CORRECT ANSWERS only if it is
abnormal, usually not
TSH - CORRECT ANSWERS thyroid stimulating hormones relased by
pituitary
TRH - CORRECT ANSWERS thyrotropin released by hypothallus
feedback of hormones - CORRECT ANSWERS Hypothalamus release
TRH > pituitary releases TSH > thyroid releases T3 and T4
in normal conditions T4 T3 synthesis are controlled by what feedback -
CORRECT ANSWERS negative feedback
,hypothalamus Thyrotropin releasing hormone (TRH) stimulates the pituitary to
release (________________), which causes the thyroid to secrete ________ -
CORRECT ANSWERS thyroid stimulating hormone, T3 and T4
if you don't have enough iodine this can cause low levels of - CORRECT
ANSWERS T3 and T4, which will then increase TSH in feedback loop.
we need iodine T3 and T4 to synthesis the iodine
high TSH can indicate - CORRECT ANSWERS hypothyroidism
T4 can be used to make - CORRECT ANSWERS T3
conversion of T3 and T4 can be inhibited by - CORRECT ANSWERS
fasting steriods and some drugs
minimum daily requirement is ___ mg of iodine - CORRECT ANSWERS
75mg
thyroid - CORRECT ANSWERS growth and cellular respiration
sites of action of thyroid hormones - CORRECT ANSWERS cell
nucleus, mitochondria, cell membrane, adrenergic receptors
why are thyroid hormones important - CORRECT ANSWERS energy
synthesis, proper oxygen consumption on cellular level, healing
calcitonin regulates - CORRECT ANSWERS calcium and phosphorous
levels and skeletal remodeling
,most of T3 comes from - CORRECT ANSWERS deionzation of T4.
do we have moer T3 or T4 in blood - CORRECT ANSWERS T4
goiters - CORRECT ANSWERS symptom of either hypo or
hyperthyroidism.
Swelling of the thyroid gland
diffuse, nodular, singular, functional, or nonfunctional Simple goiters account
for about 75% of all thyroid swellings
hyperthyroidism is too much ____ and can become - CORRECT ANSWERS
T3 and T4, thyrotoxicisis
hyperthyroidism more common in - CORRECT ANSWERS women-
puberty or menaposal women
what can cause hyperthyroidism - CORRECT ANSWERS exctopic
(extra) thyroid tissue
pituitary disease
graves disease- autoimmune
autoimmune vs acquired immunodeficiency - CORRECT ANSWERS
autoimmune: bodies own immune system attacks itself.
aquired immunodeficiency = HIV and can progress to aids. virus affects blood
cell and immune system gets destroyed. they become immunocompromised.
, how to treat graves disease - CORRECT ANSWERS radioactive iodine,
remove thyroid which will cause hypothyroidism, but they'll die if we don't treat
hyperthyroidism
you cannot survive with - CORRECT ANSWERS hyperthroidism
thyrotoxicisis
S + S hyperthyroidism - CORRECT ANSWERS exophthalmos,
hyperhidrosis, tachycardia, nervous irritable, heat intolerance, tremors, dyspnea,
palpitations, warm sweaty hands
how can we differ hyperthyroidism from anxiety - CORRECT ANSWERS
anxiety cold sweaty hands while hyperthyroidism is warm sweaty hands
rare S + S - CORRECT ANSWERS Opthalmopathy - Upper eyelid
retraction
Dermopathy- Red swollen skin
Acropachy- Soft tissue swelling on fingers and toes
Clubbing of fingers
Inflammation of the periosteum, metacarpal bones
what 4 things can aggrevate untreated unmanaged hypertension into a thyroid
storm? we don't want to see until they have had it managed it - CORRECT
ANSWERS infection, trauma, surgical procedures, stress
thyrotoxic crisis is also called - CORRECT ANSWERS thyroid storm
uncontrolled hyperthyroidism - CORRECT ANSWERS NO EPI (if
controlled then its fine)
