hypothyroid 2nd to ant pituitary

Question 1

TSH will generally be _____

Answer 1

decreased and below 2.0

Question 2

supplementation allow may not increase TSH above 2.0 but subjective ______ with be seen in patients in 21-30 days

Answer 2

improvement

Question 3

T4 levels will generally be

Answer 3

normal (decreased with iodine need)

Question 4

serum gastrin will usually be _____ with anterior pituitary hypo-function

Answer 4

decreased (hypochlorhydria)

Question 5

increased serum magnesium and calcium increased (same as primary)

Answer 5

often increased with primary thyroid hypo-function or hypo-function secondary to anterior pituitary hypo function

*can’t transfer minerals from blood to tissue

Question 6

HGB, HCT, MCV and MCH

Answer 6

same as primary