metabolic disorders

Question 1

thyroid disease diagnosis

Answer 1

blood test - TSH, T3, T4 levels

Question 2

levothyroxine in older adults

Answer 2

lower dose - 0.025 mcg

increases myocardial O2 consumption - increasing risk for angina and afib in pops with pre-existing heart failure

Question 3

hypothyroidism

Answer 3

high TSH to compensate for failure of thyroid to produce adequate amount of thyroxine

Question 4

hypothyroidism in older adults

Answer 4

heart palpitations
slowed thinking
gait changes

Question 5

hyperthyroidism

Answer 5

low TSH

thyroid gland produces excess thyroxine

Question 6

hyperthyroidism symptoms in older adults

Answer 6

APATHETIC THYROTOXICOSIS: slowed movement and depressed affect

unexplained angina

HF signs

constipation

anorexia

muscle weakness

Question 7

causes of hypothyroidism

Answer 7

Hashimoto’s (autoimmune)
Radioiodine treatment

thyroidectomy

medications

pituitary or hypothalamic problem

Question 8

causes of hyperthyroidism

Answer 8

Graves disease (autoimmune)

ingestion of iodine

elevated dose of levothyroxine

amiodarone

Question 9

treatment of hyperthyroidism

Answer 9

antithyroid medications

X surgery - poor outcomes with cardiac and neuro problems