Endocrine

Question 1

thyroid dysfunction scale 5

Answer 1

thyrotoxicosis, hyperthyroidism, euthyroid, hypothyroidism, Myxedema coma

Question 2

primary hypothyroidism hormone levels

Answer 2

Low T4 High TSH

Question 3

Secondary hypothyroidism hormone levels

Answer 3

Low T4 Low TSH

Question 4

3 causes of hypothyroidism

Answer 4

Iodine deficiency, atrophy of thyroid gland, thyroidectomy

Question 5

One thing to remember with older adults and hypothyroidism

Answer 5

May be mistaken for normal aging.

Question 6

Burning pricking in hands

Answer 6

Parathesia

Question 7

9 s/s hypothyroidism

Answer 7

prolonged DTR, hoarseness, thick cold skin, distended ab sensitivity to ops, barbs, anesthesia ,enlarged tongue, mm aches, joint pain

Question 8

medication for hypothyroidism is blank and is blank and requires blank

Answer 8

Levothyroxine and lifelong frequent labs

Question 9

Patient teaching on hypothyroidism 2

Answer 9

may need to reteach because they are slow and medication may take a long time to work

Question 10

hyperthyroidism s/s 5

Answer 10

Like you just got done with a run, acropachy, exopthalmos, spino/meglo, vertigo.

Question 11

5 causes of hyperthyroidism

Answer 11

graves diseases, thyroiditis, excessive iodine, pituitary tumor, cancer.

Question 12

patho of graves and if untreated?

Answer 12

autoimmune antibodies attack TSH receptors and stimulates t3 and t4 secretion. Can progress to destruction of thyroid tissue and and lead to hypothyroidism.

Question 13

Hypothyroid tx

Answer 13

antithyroid medication. beta adrenergic blockers, radioactive iodine therapy, thyroidectomy

Question 14

iodine treatment is for and what about it?

Answer 14

Hyperthyroidism and for short term

Question 15

PTH does 4 things

Answer 15

increases calcium, decreases phosphorus, activates vit D

Question 16

How to treat hyperparathyroidism

Answer 16

Flush it out or take it out. IV NaCl, loop diuretics, phosphates, surgical

Question 17

s/s of hypo and hyper parathyroidism 4

Answer 17

Dysrhythmias, ab pain, Weakness/fatigue, parasthesia

Question 18

opposite s/s give hyper 2

Answer 18

HTN, shortened ekg,

Question 19

5 s/s of hyperparathyroidism

Answer 19

bone pain, constipation, weight loss, ulcer, colitis

Question 20

4 s/s of hypoparathyroidism

Answer 20

Edema, calcification, hyperflexia, tetany.

Question 21

treatment for hypoparathyroidism 3 and one not recommended.

Answer 21

Give calcium push slowly, rebreathing, vit d and PTH replacement is not recommended.

Question 22

Cushings one thing

Answer 22

Pituitary adenoma secretes ACTH

Question 23

cushing two signs

Answer 23

pendulous ab and ecchymosis