Thyroid Disorders FNP BOARD REVIEW with 100% correct answers

Hashimoto thyroiditis is a form of ___________thyroidism (hypo or hyper), that results from loss of thyroid gland function due to anti-thyroglobulin and anti-________________ antibodies against the TSH receptor. HYPOthyroidism, anti-PEROXIDASE T/F: Hashimoto thyroiditis affects men 7 times more than women and presents with a painful goiter on physical exam. False. Hashimoto thyroiditis affects WOMEN 7 times more than men and presents with a PAINLESS goiter on physical exam. If a patient presents with a large, diffuse goiter and dysphagia the next step would be a: MRI of the thyroid XRAY of head and neck CT SCAN of head, neck, and chest US of the neck CT SCAN of head, neck, and chest The best initial test for hypothyroidism is a serum ___________ and a free ___________. TSH, T4 In hypothyroidism the serum TSH is (high or low) and the free T4 (high or low) high, low What drug is used to manage hypothyroidism? oral levothyroxine T/F: If a patient with hypothyroidism has heart disease, start with a low dose of levothyroxine, and titrate slowly, otherwise you may precipitate CHF or MI True T/F: Celiac disease is associated with poor levothyroxine absorption. True Myxedema coma is due to severe __________thyroidism (hyperthyroidism or hypothyroidism) hypothyroidism Altered mental status, hypothermia, hyponatremia, and hypoventilation are often seen in ________________, which is severe hypothyroidism. Myxedema Coma Graves disease is a form of ___________thyroidism (hypothyroidism or hyperthyroidism). hyperthyroidism The etiology of graves disease is autoimmune production of thyroid stimulating ______________. antibodies In graves disease the TSH would be __________ (High or low) and the free T4 would be ___________ (High or low) LOW, HIGH T/F: You should always check thyroid function tests in any patient with new onset A-flutter or A-Fib. True T/F: The thyroid produces 2 hormones, Thyroxine (T4) and Triiodothyronine (T3). These hormones act as cellular energy release catalysts and influence the function and health of EVERY cell in the body. True In hypothyroidism there is reduced cellular energy release therefore there is poor cell turn over, poor oil, poor sebum production therefore the skin is _____________ and dry. Thick In hypothyroidism reflexes the patellar reflex is "_______-___". There is a slow arc out, and slower arc back, overall there is hyporeflexia. Hung-up In hypothyroidism mentation is _________ (Fast or Slow) Slow In hypothyroidism weight change is a small _________ (Loss or gain). Which is about _____ to ______ pounds, it is mostly ____________ (Fat or Fluid) Therefore, once you treat the weight drops quickly. Gain, 5 to 10, fluid In hypothyroidism stool pattern is ________________. (Constipation or Diarrhea) Constipation In hypothyroidism menstrual issue is ______________ (Amenorrhea or Menorrhagia) Menorrhagia In hypothyroidism heat/cold tolerance is easily ________________ (easily warm or easily chilled). easily chilled. The most common hypothyroidism is ____________________ thyroiditis. It is autoimmune in nature. Hashimotos T/F: Post-radioactive iodine (RAI) treatment S/P Graves disease treatment, or thyroid cancer treatment is a common cause of hypothyroidism. True.