1. Thyroid

Question 1

Main lab test for thyroid concerns?

Answer 1

TSH

Question 2

Signs and Symptoms of hypothyroidism?

Answer 2

1. Cold intolerance
2. Dry, cool skin
3. Lethargy, fatigue
4. Periorbital edema
5. Slow speech, dull mentation
6. Thick tongue
7. Coarse/sparse hair
8. Weight gain
9. Hypertension
10. Hypercholesterolemia
11. Bradycardia
12. Depression

Question 3

What is hypothyroid medication dosage based on? What is tested and how often? What kind of “state” is achieved?

Answer 3

1. Based on ideal body weight

2. TSH tested every 6 weeks until euthyroid state

Question 4

What is normal TSH range?

Answer 4

Between 0.27 and 4.2

Question 5

What are side effects of thyroid replacement drugs?

Answer 5

1. Tachycardia / palpitations
2. Arrythemias
3. Tremor
4. Hypertension
5. Weight loss

Question 6

Signs and symptoms of hyperthyroidism

Answer 6

1. Nervousness
2. Fatigue
3. Tachycardia / palpitations
4. Weight loss
5. Heat intolerance
6. A fib
7. Profuse sweating
8. Warm, moist skin
9. Rosy complexion
10. Ocular signs

Question 7

What are dental concerns (conditions) of hyperthyroidism?

Answer 7

1. Thyrotoxic crisis
2. Susceptibility to epinephrine
3. Cardiovascular complications

Question 8

What are oral presentations of hyperthyroidism?

Answer 8

1. Osteoporosis
2. Caries and periodontal disease occur more rapidly
3. Premature loss of deciduous teeth and early eruption of permanent dentition
4. Lingual thyroid

Question 9

How do you treat patients undergoing thyrotoxic crisis?

Answer 9

1. Anti-thyroid drugs
2. Beta blockers
3. Glucocorticoids
4. Cooling of patient

Question 10

How to treat patients who have tachycardia and you gave them epinephrine?

Answer 10

Measure BP and provide oxygen