Adult I Exam 3 - Thyroid & Parathyroid

Question 0

Thyroid Hormones

Answer 0

TSH (thyroid stimulating hormone)
Thyroxine (T4)
Triiodothyronine (T3)
Free T4

Question 1

Thyroid Gland

Answer 1

Control of metabolism

Calcium and phosphate balance

Question 2

Function of Thyroid hormones

Answer 2

• Fetal development (congenital cretinism)
• Increases BMR > Increased O2 consumption (RR) >heat production
• Promotes sufficient pituitary secretion of GH & gonadotropins
• Regulates protein, CHO, fat metabolisms
• Cardiac effects (increase rate & force, increase CO2, increase O2 demand)
• increase RBC production
• Increase bone formation, decrease bone reabsorption of Ca+
• Acts as insulin antagonist

Question 3

Changes in Thyroid with Aging

Answer 3

General decrease in metabolism
less cold tolerant
decreased appetite
decreased BP & HR
*Difficult to dx/differentiate from Hypothyroidism

Question 4

Thyroid Assessment

Answer 4

Pt/Fam/Nutrition Hx
Current health problems, changes in: energy levels, elimination, sexual/reproductive function, physical appearance
Physical Assessment
-Verbal response, dull/flat affect
-Prominent forehead, hairline, hair loss, round/puffy face, eyes (exothalmos), skin, fingernails
-Tremors
Enlarged Thyroid (via Palpation)

Question 5

Hyperthyroidism Causes (risk factors)

Answer 5

• Autoimmune
• Infection, stress
• Overdose of hypothyroidism meds

Question 6

Hyperthyroidism S/S

Answer 6

Nervousness
Mood swings
heat intolerance
dyspnea
muscle weakness, tremors,hyperkinesia
palpations
exophthalmos
Weight loss
Skin: warm, moist, sweating, melanin pigmentation, hyper-pigmentation, pretibal edema

Question 7

Hyperthyroidism S/S (clinical)

Answer 7

Vitals:

Question 8

Hyperthyroidism Treatment

Answer 8

1

Question 9

Thyroid Storm

Answer 9

1

Question 10

Thyroid Storm S/S

Answer 10

1

Question 11

Hypothyroidism Causes (risk factors)

Answer 11

1

Question 12

Hypothyroidism S/S

Answer 12

1

Question 13

Hypothyroidism S/S (Clinical)

Answer 13

1

Question 14

Hypothyroidism Treatment

Answer 14

1

Question 15

Hypothyroidism Pt Teaching

Answer 15

1

Question 16

Myexedema Coma

Answer 16

1

Question 17

Thyroidectomy

Answer 17

1

Question 18

Thyroid Labs- Normal Values

Answer 18

Normal TSH = (0.3 - 4.0)

Question 19

Hyperthyroid Lab Values

Answer 19

Hyperthyroid =
Low TSH (<0.3)
High T3, T4

Question 20

Hypothyroid Lab Values

Answer 20

Hypothyroid =
High TSH (>4.0)
Low T3, T4

Question 21

Parathyroid Functions

Answer 21

1

Question 22

Hyperparathyroid S/S

Answer 22

.

Question 23

Hyperparathyroid Risk Factors

Answer 23

.

Question 24

Hyperparathyroid Treatment

Answer 24

.

Question 25

Parathyroid Lab Values

Answer 25

Hypoparathyroidism

Hyperparathyroidism

Question 26

Parathyroidectomy

Answer 26

.