Endocrine 2

Question 1

Hypothyroidism

Answer 1

Sub-optimal levels of thyroid hormone
Slow metabolic rate
Range sin severity up to myxoedema being the most advanced form

Question 2

Most common causes in adults

Answer 2

Hashimoto’s disease
Grave disease

Other 
Insufficient thyroid hormone
Radioactive iodine
Antithyroid medication
Surgery

Question 3

Hashimoto’s disease

Answer 3

Immune system attacks thyroid gland

Question 4

Graves disease in

Answer 4

Autoimmune disease

Ultimately destroys thyroid gland (may be due to treatment used)

Question 5

Hypothyroidism symptoms

Answer 5

Slow onset and early symptoms fatigue , slow speech
Personality changes
Weight gain
Anaemia
Decreased cardiac output
Increase risk in infection
Increase sensitivity to opioids and anaesthesia

Question 6

Long standing hypothyroidism

Answer 6

Display myxoedema
Alters physical appearance

May progress myxoedema coma which progress to unconsciousness or death

Question 7

Myxoedema

Answer 7

Impaired consciousness
Caused by infection , drugs, cold, trauma
Cardiovascular shock or collapse
Hypotension hypoventilation
Requires intensive support

Question 8

Medical management of hypothyroidism

Answer 8

Restoration to euthyroid state aa safely as possible

Question 9

Pharmacotherapy of hypothyroidism

Answer 9

Levothyroxine
Lifelong therapy
Preventing medication interactions and complications

Question 10

Nursing diagnosis

Answer 10

Activity intolerance
Imbalance nutrition
Constipation
Impaired memory

Question 11

Activity intolerance

Answer 11

Fatigue and depressed cognitive process

Question 12

Imbalanced nutrition

Answer 12

More than body requirements related to calorie intake

Question 13

Constipation

Answer 13

Gastrointestinal hypomotility

Question 14

Impaired metabolism

Answer 14

Hypometabolism

Question 15

Long standing hypothyroidism

Answer 15

Display myxoedema
Alters physical appearance

May progress myxoedema coma which progress to unconsciousness or death

Question 16

Myxoedema

Answer 16

Impaired consciousness
Caused by infection , drugs, cold, trauma
Cardiovascular shock or collapse
Hypotension hypoventilation
Requires intensive support

Question 17

Medical management of hypothyroidism

Answer 17

Restoration to euthyroid state aa safely as possible

Question 18

Pharmacotherapy of hypothyroidism

Answer 18

Levothyroxine
Lifelong therapy
Preventing medication interactions and complications

Question 19

Nursing diagnosis

Answer 19

Activity intolerance
Imbalance nutrition
Constipation
Impaired memory

Question 20

Activity intolerance

Answer 20

Fatigue and depressed cognitive process

Question 21

Imbalanced nutrition

Answer 21

More than body requirements related to calorie intake

Question 22

Constipation

Answer 22

Gastrointestinal hypomotility

Question 23

Impaired metabolism

Answer 23

Hypometabolism

Question 24

Long standing hypothyroidism

Answer 24

Display myxoedema
Alters physical appearance

May progress myxoedema coma which progress to unconsciousness or death

Question 25

Myxoedema

Answer 25

Impaired consciousness
Caused by infection , drugs, cold, trauma
Cardiovascular shock or collapse
Hypotension hypoventilation
Requires intensive support

Question 26

Medical management of hypothyroidism

Answer 26

Restoration to euthyroid state aa safely as possible

Question 27

Pharmacotherapy of hypothyroidism

Answer 27

Levothyroxine
Lifelong therapy
Preventing medication interactions and complications

Question 28

Nursing diagnosis

Answer 28

Activity intolerance
Imbalance nutrition
Constipation
Impaired memory

Question 29

Activity intolerance

Answer 29

Fatigue and depressed cognitive process

Question 30

Imbalanced nutrition

Answer 30

More than body requirements related to calorie intake

Question 31

Constipation

Answer 31

Gastrointestinal hypomotility

Question 32

Impaired metabolism

Answer 32

Hypometabolism