Hyperthyroidism

Question 1

Hyperthyroidism has elevated ___ and low ____ levels

Answer 1

elevated T3/T4

low TSH

Question 2

Most common cause of hyperthyroidism …

Answer 2

Graves dz

Question 3

When seen on thyroid scan, the thyroid of a pt with graves dz…

Answer 3

lights up the whole thing

Question 4

DDx of hyperthyroidism…

Answer 4

Graves, toxic multinodular goiter, Hashimotos, TSH secreting pituitary adenoma

Question 5

S/s of hyperthyroidism…

Answer 5

palpitations, tachycardia, AFib, weight loss, agitation, irritability, anxiety, heat intolerance, exophthalmos, goiter, tremor

Question 6

What bone condition is a complication of hyperthyroidism?

Answer 6

osteoporosis

Question 7

Thyroid storm is comprised of what 4 sx?

Answer 7

racing heart, sweating, confusion, agitation

Question 8

Tx for a pt with hyperthyroidism who is pregnant? not pregnant?

Answer 8

Pregnant–> propylthiouracil

Not Pregnant–> Methimazole

Question 9

ADRs of methimazole

Answer 9

agranulocytosis, increased LFTs and rash

Question 10

T/F Exophthalmos, once present, may not resolve

Answer 10

True

Question 11

Adjunct tx for s/s of hyperthyroidism…

Answer 11

BBlockers

BZD

Question 12

What medication can cause hyperthyroidism?

Answer 12

Amiodarone

Question 13

Do you screen for hyperthyroidism with TSH or free T3/T4?

Answer 13

TSH

Question 14

What is the name of the screening tool we use for GAD (generalized anxiety d/o)?

Answer 14

GAD-7 questionnaire

Question 15

Elevated TSI and TII are specifically indicative of what?

Answer 15

Graves dz, NOT nodule

Question 16

Can a radioactive iodine scan help differentiate between thyroiditis and Graves’ Dz?

Answer 16

Yes

Question 17

Is T3 converted to T4 peripherally, or T4 to T3?

Answer 17

T4 to T3

Question 18

In a pt with thyroiditis, they will often have pain in their ____ after what type of illness?

Answer 18

throat, URI

Question 19

Does thyroiditis typically require tx?

Answer 19

generally does not need tx

Start off hypo then go hyper then level off → “it’ll burn out”

Question 20

A grave’s dx pt is or is not more susceptible to thyroid CA?

Answer 20

is not!