Ch. 31 Thyroid Review

Question 0

One advantage of levothyroxine over the natural forms is that it is administered only ____ a day because of its ____ half-life.

Answer 0

Ones; long

Question 1

Contraindications to thyroid preparations include known drug allergies to a given drug product, recent ____ infarction, adrenal ____ , and hyperthyroidism.

Answer 1

Myocardial; insufficiency

Question 2

Some of the more serious adverse effects of the thyroid drugs include ____, palpitations, and ____ pains.

Answer 2

Tachycardia; chest

Question 3

Patients on anti-thyroid therapy should avoid ____-containing foods. This is me interfere with the effectiveness of the anti-thyroid drug.

Answer 3

Iodine

Question 4

Propylthiouracil impedes the formation of ____ hormone but has no ____ on already existing thyroid hormone.

Answer 4

Thyroid; effect

Question 5

Patients should understand that it may take up to ___ to ____ weeks to see the full therapeutic effects of thyroid drugs.

Answer 5

3 to 4

Question 6

Drug interactions with thyroid replacement preparations include ____, cholestyramine, and ____ drugs.

Answer 6

Insulin; antidiabetic oral

Question 7

The signs of excess dosages of thyroid replacement hormone mimic those of ____ and include nervousness, ____, and ____.

Answer 7

Hyperthyroidism; irritability; palpitations

Question 8

If possible, it is best to administer thyroid drugs taken once daily in the ___ so as to decrease the likelihood of ____ that may result from evening dosing.

Answer 8

Morning; insomnia

Question 9

Hyposecretion of thyroid hormone during ___ ____ may lead to cretinism.

Answer 9

Early development

*Cretinism is a condition of severely stented physical and mental growth due to congenital deficiency of thyroid hormones

Question 10

Myxedema is hyposecretion of thyroid hormone during ____ years.

Answer 10

Later

*Myxedema causes swelling in affected areas; it is caused by hyposecretion of thyroid hormone

Question 11

Goiter is an enlargement of the ____ gland.

Answer 11

Thyroid

Question 12

Switching brands of ____ during treatment can destabilize the course of treatment it should be minimized. If I switch is made, the patient should be closely ____.

Answer 12

Levothyroxine; monitored

Question 13

____ hypothyroidism stems from an abnormality in the thyroid gland itself and occurs when the thyroid gland is not able to ____ one of its many functions.

Answer 13

Primary; perform