PART II

Question 1

graves disease presents at 20-30 y/o

hyperstimulation of the SNS, cardiac effects, heat intolerance, tachycardia, excess sweating, fine tremor, osteoporosis

is TSH is low and T4 is high

Answer 1

hyperthyroidism

Question 2

this is a beta blocker for hyperthyroidism and allows for immediate control, improve tachycardia, hypertension, tremor

blocks peripheral conversion of T4-T3

Answer 2

propanolol

Question 3

antithyroid meds for definitive therapy of hyperthyroidism and inhibit the metabolism of iodide and the iodination of tyrosine residues in thyroid precursors preventing synthesis of T3 and T4?

Answer 3

methimazole
-2nd and 3rd trimester of choice

propylthiouricil
-1st trimester of choice, all used for thyroid storm

Question 4

what is the major complication of hyperthyroidism?

Answer 4

thyroid storm, acute exacerbation of hyperthyroidism resulting in life threatening hypermetabolic state