Fitzgerald Thyroid disorders

Amenorrhea or oligomenorrhea can be associated with: A. hyperthyroidism B. hypothyroidism C. both hyperthyroidism and hypothyroidism

A

Frequent, low-volume, loose stools can be associated with: A. hyperthyroidism B. hypothyroidism C. both hyperthyroidism and hypothyroidism

A

Heat intolerance can be associated with: A. hyperthyroidism B. hypothyroidism C. both hyperthyroidism and hypothyroidism

A

Hyperreflexia with a characteristic "quick out-quick back" action at the patellar reflex can be associated with: A. hyperthyroidism B. hypothyroidism C. both hyperthyroidism and hypothyroidism

A

Identify the condition with these laboratory results: TSH= 24 mIU/L (0. 4 to 4. 0 mIU/L); free T4= 3 pmol/L (10 to 27 pmol/L) A. Hypothyroidism B. Hyperthyroidism C. Subclinical hypothyroidism

A

A 48-year-old woman with newly diagnosed hypothyroidism asks about a "natural thyroid" medication she read about online and provides the drug's name, desiccated thyroid. As you counsel her about this medication, you consider all of the following except: A. This product is contains a fixed dose of T3 and T4. B. The medication is a planted-based product. C. Its pharmacokinetics differ significantly when compared to levothyroxine. D. The majority of the study on treatment for hypothyroidism has been done using levothyroxine.

B

Atypical presentation in an elderly person can be associated with: A. hyperthyroidism B. hypothyroidism C. both hyperthyroidism and hypothyroidism

C

Change in mental status can be associated with: A. hyperthyroidism B. hypothyroidism C. both hyperthyroidism and hypothyroidism

C

Goiter can be associated with: A. hyperthyroidism B. hypothyroidism C. both

C

Hypothyroidism most often develops as a result of: A. primary pituitary failure. B. thyroid neoplasia. C. autoimmune thyroiditis. D. radioactive iodine exposure.

C

Identify the condition with these laboratory results: TSH=8. 9 mIU/L (0. 4 to 4. 0 mIU/L); free T4= 15 pmol/L (10 to 27 pmol/L) A. Hypothyroidism B. Hyperthyroidism C. Subclinical hypothyroidism

C

In prescribing levothyroxine therapy for an elderly patient, which of the following statements is true? A. Elderly persons require a rapid initiation of levothyroxine therapy. B. TSH should be checked about 2 days after dosage adjustment. C. The levothyroxine dose needed by elderly persons is 75% or less of that needed by younger adults. D. TSH should be suppressed to a nondetectable level.

C

Periodic routine screening for hypothyroidism is indicated in the presence of which of the following clinical conditions? A. digoxin use B. male gender C. Down syndrome D. alcoholism

C

Physical examination findings in patients with Graves' disease include: A. muscle tenderness. B. coarse, dry skin. C. eyelid retraction. D. delayed relaxation phase of the patellar reflex.

C

Which of the following is the most cost-effective method of distinguishing a malignant from a benign thyroid nodule? A. ultrasound B. magnetic resonance imaging C. fine-needle aspiration biopsy D. radioactive iodine scan

C

You are advised a 58-year-old woman with hypothyroidism about the correct use of levothyroxine. She also takes a calcium supplement. All of the following information should be shared with the patient except: A. Take the medication on an empty stomach. B. To help with adherence, take your calcium supplement at the same time as your thyroid medication. C. You should to take the medication at approximately the same time every day. D. Do not take your medication with soy milk.

B

A fixed, painless thyroid mass accompanied by hoarseness and dysphagia should raise the suspicion of: A. adenomatous lesion. B. Graves' disease. C. Hashimoto's disease. D. thyroid malignancy.

D

In the report of a thyroid scan done on a 48-year-old woman with a thyroid mass, a "cold spot" is reported. This finding is most consistent with: A. autonomously functioning adenoma. B. Graves' disease. C. Hashimoto's disease. D. thyroid cyst.

D

Increased risk of thyroid disorder is found in individuals who are: A. obese. B. hypertensive. C. treated with systemic corticosteroids. D. elderly.

D

Optimally, at what interval should TSH be reassessed after a levothyroxine dosage is adjusted? A. 1 to 2 weeks B. 2 to 4 weeks C. 4 to 6 weeks D. 6 to 8 weeks

D

The use of which of the following medications can induce thyroid dysfunction? A. Sertraline B. Venlafaxine C. Bupropion D. Lithium

D

Thyroid stimulating hormone (TSH) is released by the: A. thyroid follicles. B. adrenal cortex. C. hypothalamus D. anterior lobe of the pituitary.

D

Possible consequences of excessive levothyroxine use include: A. bone thinning. B. fatigue. C. renal impairment. D. constipation.

A

Proximal muscle weakness can be associated with: A. hyperthyroidism B. hypothyroidism C. both hyperthyroidism and hypothyroidism

A

Smooth, silky skin can be associated with: A. hyperthyroidism B. hypothyroidism C. both hyperthyroidism and hypothyroidism

A

Tachycardia with hypertension can be associated with: A. hyperthyroidism B. hypothyroidism C. both hyperthyroidism and hypothyroidism

A

The findings of a painless thyroid mass and TSH level of less than 0. 1 IU/mL in a 35-year-old woman is most consistent with: A. autonomously functioning adenoma. B. Graves' disease. C. Hashimoto's disease. D. thyroid malignancy.

A

The mechanism of action of radioactive iodine in the treatment of Graves' disease is to: A. destroy the overactive thyroid tissue. B. reduce production of TSH. C. alter thyroid metabolic rate. D. relieve distress caused by increased thyroid size.

A

Which is following is the least helpful test for the assessment of thyroid disease? A. Total T4 B. TSH C. Free T4 D. Antithyroid antibodies

A

Which of the following medications is a helpful treatment option for relief of tremor and tachycardia seen with untreated hyperthyroidism? A. propranolol B. diazepam C. carbamazepine D. verapamil

A

As part of an evaluation of a 3-cm, round, mobile thyroid mass, you obtain a thyroid ultrasound scan revealing a fluid-filled structure. The most likely diagnosis is: A. adenoma. B. thyroid cyst. C. multinodular goiter. D. vascular lesion.

B

Coarse hair with tendency to break easily can be associated with: A. hyperthyroidism B. hypothyroidism C. both hyperthyroidism and hypothyroidism

B

Coarse, dry skin can be associated with: A. hyperthyroidism B. hypothyroidism C. both hyperthyroidism and hypothyroidism

B

Constipation can be associated with: A. hyperthyroidism B. hypothyroidism C. both hyperthyroidism and hypothyroidism

B

Hyporeflexia with a characteristic slow relaxation phase, the "hung-up" reflex can be associated with: A. hyperthyroidism B. hypothyroidism C. both hyperthyroidism and hypothyroidism

B

Identify the condition with these laboratory results: TSH less than 0. 15 mIU/L (0. 4 to 4. 0 mIU/L); free T4=79 pmol/L (10 to 27 pmol/L) A. Hypothyroidism B. Hyperthyroidism C. Subclinical hypothyroidism

B

Menorrhagia can be associated with: A. hyperthyroidism B. hypothyroidism C. both hyperthyroidism and hypothyroidism

B

Secondary hypertriglyceridemia can be associated with: A. hyperthyroidism B. hypothyroidism C. both hyperthyroidism and hypothyroidism

B

Thick, dry nails can be associated with: A. hyperthyroidism B. hypothyroidism C. both hyperthyroidism and hypothyroidism

B