Chapter 43 (4)

Question 1

When methimazole is started for hyperthyroidism it may take _____ to see a total reversal of hyperthyroid symptoms

Answer 1

6 to 12 months

Question 2

In addition to methimazole, a symptomatic patient with hyperthyroidism may need a prescription for:

Answer 2

A beta blocker

Question 3

After starting a patient with Grave’s disease on an antithyroid agent such as methimazole, patient monitoring includes TSH and free T4 every

Answer 3

3 to 4 weeks

Question 4

A woman who is pregnant and has hyperthyroidism is best managed by a specialty team who will most likely treat her with:

Answer 4

Propylthiouracil (PTU)

Question 5

Goals when treating hypothyroidism with thyroid replacement include:

Answer 5

All of the above

Question 6

When starting a patient on levothyroxine for hypothyroidism the patient will need follow-up measurement of thyroid function in:

Answer 6

4 weeks

Question 7

Once a patient who is being treated for hypothyroidism returns to euthyroid with normal TSH levels, he or she should be monitored with TSH and free T4 levels every:

Answer 7

6 months

Question 8

Treatment of a patient with hypothyroidism and cardiovascular disease consists of:

Answer 8

Levothyroxine

Question 9

Infants with congenital hypothyroidism are treated with:

Answer 9

Levothyroxine

Question 10

When starting a patient with hypothyroidism on thyroid replacement hormones patient education would include:

Answer 10

It may take 4 to 8 weeks to get to euthyroid symptomatically and by laboratory testing.

Question 11

In hyperthyroid states, what organ system other than CV must be evaluated to establish potential adverse issues?

Answer 11

The eye

Question 12

Why are “natural” thyroid products not readily prescribed for most patients?

Answer 12

All of the above

Question 13

What is the desired mixed of T3 to T4 drug levels in newly diagnosed endocrine patients?

Answer 13

Most needs to be T4 to mimic natural ratios of hormone.

Question 14

Laboratory values are actually different for TSH when screening for thyroid issues and when used for medication management. Which of the follow holds true?

Answer 14

Therapeutic values are kept between 0.05 and 3.0 ideally. Screening values are considered acceptable up to 10.

Question 15

What happens to the typical hormone replacement dose when a woman becomes pregnant?

Answer 15

The average woman needs more medication during pregnancy.