week 4 hyper/hypothyroid Flashcards
1
Q
deficient hormones to normal to excess hormone is the __ of hormone regulation
A
scope
2
Q
testes and thyroid are hormone organs. torf?
A
true
3
Q
pancreas and ovaries are hormone organs. torf?
A
true
4
Q
adrenals and pituitary are hormone organs. torf?
A
true
5
Q
hypothalamus and parathyroids are hormone organs. torf?
A
true
6
Q
puberty and old(small glands and reduced hormones) variations in hormone ___
A
regulation
7
Q
in ___ the ant pituitary increases gonadotropin secretion
A
puberty
8
Q
as you age, you can have low ADH leading to ___ dilute urine
A
more
9
Q
alterations in growth and development and cognition are __ of hormones
A
consequneces
10
Q
alts in metabolism and adaptive responses are __ of hormones
A
consequences
11
Q
the __of hormones are hormone therapy and age
A
RF
12
Q
the __of hormones are genes and obese
A
RF
13
Q
the __of hormones are stress and trauma
A
rf
14
Q
the __of hormones are cancer treatment and med conditions
A
rf
15
Q
the __of hormones are fam history and chrom abnormalilties
A
rf
16
Q
its ___ to exam the thyroid or testes
A
hard
17
Q
note skin/hair color and texture when inspecting ___
A
glands
18
Q
inspect posture, affect, and face with __
A
glands
19
Q
you ___ thyroid, testes and ovaries
A
palpate
20
Q
you auscultate enlarged thyroid and __
A
bruits
21
Q
primary lab tests are thyroid and diabetic ___ work
A
lab
22
Q
screening in infants and adults(___ and DM in at risk pts)
A
thyroid
23
Q
F and E and stress RT ___ regulation
A
hormone
24
Q
repro and development RT hormone ___
A
regulation
25
nutrition and BG RT ____ regulation
hormone
26
intracranial regulation RT hormone ___
regulation
27
thryrotoxicosis and hyperthyroidism are extremes of hyperthyroidism. torf?
true
28
euthyroid is ___ function
normal
29
myxedema coma is an extreme of ___
hypothyroidism
30
the hypothalamus talks to the thyroid gland that talks to thyroid hormones to ___ metabolism
increase
31
the hypothalamus talks to the thyroid gland that talks to the hypothalamus and ant pit gland. this is ____ feedback
neg
32
the hypothalamus secretes TRH to the ant pit gland. torf?
true
33
with __ metabolism, you see growth and development and increased catecholamine effect
increased
34
T3 and T4 are __ hormones
thyroid
35
the ant pit gland secrete TSH to the thyroid __
gland
36
TRH
thyroid releasing hormone
37
TSH
thyroid stimulating hormone
38
T3 is
triiodothyronine hormone
39
T4
thyroxine hormone
40
thyroid gland secretes T3/__ and calcitonin
4
41
in hyperthyroidism, you see low TSH and high __
t4
42
in P hypothyroidism, you see low T4 and high __
TSH
43
S hypothyroidism has low T4 and ____
TSH
44
goiter and nodules are __of the thyroid
issues
45
hyper/hypothyroidism and thyrotoxicosis are issues of the ____
thyroid
46
graves disease is ____
hyperthyroid
47
causes of hyperthyroidism are ___ nodular goiter and thyroiditis
toxic
48
causes of hyperthyroidism are ___ iodine and pituitary tumors
excess
49
causes of hyperthyroidism are ___ cancer
thyroid
50
more women get hyperthyroidism. torf?
tru
51
between 20-40 is normally when you see hyperthyroidism. torf
true
52
autoimmune and 80% of hyperthyroidism is __ diseaes
graves
53
smoke increases risk and autoimmune diseases add up with graves ___
disease
54
diffuse thyroid enlargement and excessive hormones are ____ disease
graves
55
with teens and growth, if __ growing check the hormones
not
56
metabolism is a big prob esp with the __ gland
thyroid
57
you see brittleness and coarseness with thyroid __
probems
58
with infants, do a heel stick to check different conditions torf?
true
59
when reading blood tests for thyroid, look at __ levels first
t4
60
in hyperthyroid, the pit ___ will slow down in releasing TSH
gland
61
hypothyroid, there is low t4 so pit wants to make TSH more. torf?
true
62
P hypothyroid is a ___ problem
thyroid
63
S hypo there is low t4 the pit wants more TSH but doenst make more. torf?
true
64
a goiter is an ___ thyroid gland and a lump
enlarged
65
nodules are tumors __ effectiveness of gland
blocking
66
hyperthyroid is fast metabolism and ___loss
weight
67
hyperthyroid is tc and ___RR
increased
68
hyperthyroid is fast metabolism and ___BP
high
69
hyperthyroid is fast metabolism and ___intolerant
heat
70
hyperthyroid is fast metabolism and ___of sleep/insomnia
lack
71
hyperthyroid is diarrhea and hyperactive ___
bowels
72
hyperthyroid is irritable and sweaty. torf?
true
73
hyperthyroid is fast metabolism and ___tissue sensitivity bc of SNS
increased
74
hyperthyroid is fast metabolism and ___lead to thyroid storm
can
75
hyperthyroid is fast metabolism and __ (a asymetric neck)
goiter
76
with a goiter, asucultate for bruits. torf?
true
77
hyperthyroid is fast metabolism and ___(abnormal eye appearance or function)
ophthalmopathy
78
ophthalmopathy involves exophthalmos which has increased fat deposits and fluid and the __ are forced out
eyeballs
79
thyroid surgery can lead to ___ storm
thyroid
80
acute, rare and sever are ranges of ___ storm
thyroid
81
Severe increase in HR, and B/P are thyroid ____
storm
82
heart failure and dangerously high increase in Temp-up to 106 are ___ storm
thyroid
83
agitation and delirium are ___ storm
thyroid
84
seizures and vomiting are ___ storm
thyriod
85
diarrhea and coma are thyroid __
storm
86
thyroid storm can bc due to infection and trauma. torf?
true
87
thyroid storm can bc due to surgery and thyroidectomy. torf?
true
88
_____ of thyroid gland during surgery can result in release of large amounts of thyroid hormone
manipulation
89
hyperthyroid is low TSH and high t4. when diagnosing look at the ___t3/4
total
90
RAIU is an oral iodine tablet and ___ Graves’ disease from other forms of thyroiditis
differentiates
91
when caring for hyperthyroid, ___ TSH production(block adverse effects of thyroid hormones)
stop
92
when caring for hyperthyroid, ___ antithyroid meds for mild cases
give
93
when caring for hyperthyroid, ___ it may take months to get the right drug level
know
94
when caring for hyperthyroid, ___ that too high levels of dosing can cause hypothyriod
know
95
when caring for hyperthyroid, ___ the formation of TSH with PTU and methimazole
block
96
when caring for hyperthyroid, do a thyroidectomy to ___ 50-90% of thyroid
remove
97
when caring for hyperthyroid, have a __ cal diet(4000-5000) and 6 full meals a day
high
98
have 1-2g/kg of Protein with ___ and higher carb intake
hyperthyroidism
99
with ___ avoid spices and coffee and fiber
hyperthyroidism
100
with hyperthyroidism, walk if you can due to the ___ of activity intolerance
diagnosis
101
with hyperthyroidism, the ____ are emotion needs and fluid deficit
diagnosis
102
with hyperthyroidism, ___ are hyperactive bowels and cog probs
diagnosis
103
with hyperthyroidism, the ___ is less cal than your body needs intaked
diagnosis
104
with hypothyroidism, there is ___ of thyroid hormone and slow metabolic rate
deficit
105
with hypothyroidism it happens more in __ than man
women
106
with hypothyroidism the ___ increases with age esp at 60
incidence
107
eore is hypothyroidism. torf
true
108
tiger is hyperthyroidism. torf?
true
109
P hypothyroidism there is ___ of thyroid tissue or defective hormone synthesis(high TSH and low t3/4)
destruction
110
S hypothyroid is ____ by pit or hypothalamus dysfunction(low TSH/TSH)
caused
111
there is __ deficiency and gland atrophy with hypothyroidism
iodine
112
there is ____ of hyperthyroidism and drugs ass with hypothyroidism
treatment
113
there is cretinism ass with ___thyroidism
hypo
114
with hypothyroidism, you see hashimotos and __ body processes
slow
115
with hypothyroidism you see __ energy and weight gain
no
116
with hypothyroidism you see cold intolerance and __ bowels
slow
117
with hypothyroidism its a __ onset unless ablation bf it
slow
118
with hypothyroidism its a ___ onset with overtreatment of hyperthyroid
slow
119
with hypothyroidism its a __ onset unless surgical removal bf onset
slow
120
with hypothyroidism you see high TSH with ___
primary
121
with hypothyroidism there is low TSH with ___
secondary
122
when diagnosing hypothyroid look for thyroid __
Ab
123
with hypothyroidism you want to ___to euthyroidism ASAP
restore
124
with hypothyroidism you want to do a ____ cal diet
LOW
125
with hypothyroidism give what med?
levothyroxine/synthroid
126
start __ at a small dose
levothyroxine
127
with levothyroxine M __side effects like chest pain
CV
128
with levothyroxine M __side effects like dysrhythmias
CV
129
with levothyroxine M for weight __ and nervousness
loss
130
with levothyroxine M tremors and insomnia. torf?
true
131
with levothyroxine you see that you can give the pt ___
hyperthyroid
132
with levothyroxine ___ the dose in 4-6 week intervals PRN
increase
133
with levothyroxine you see a ___ therapy(everyday) and hormone monitoring
lifelong
134
with hypothyroidism, ___ diagnosis are more than the body needs cal wise
nurse
135
with hypothyroidism, ___ diagnosis are contsipation and mem probs
nurse
136
with hypothyroidism, __ cal intake and increase fiber and water
decrease
137
with hypothyroidism eat more __ green veggies and meat and beans
leafy
138
with hypothyroidism, __ more whole grain and fruits
eat
139
with hypothyroidism, __ your activity
increase
140
__ risk for hypothyroid is neck irradation and post pardum
high
141
__ risk for hypothyroid is 50+ women and fam history
high
142
give levothyroxone in morn due to ___ metaboilsm
increasing
143
__ for hypothyroid is to teach on ways to prevent skin breakdown and emphasize need for warm environment
implementation
144
you are irritable and need a thyroidectomy with ___
hyperthyroidism
145
the autoimmune disease with hyperthyroidism is ____
graves disease
146
with __ your BMR, apetite and weight loss are increased
hyperthyroidism
147
weight gain and constipation are __ of hypo
cm
148
HR and contractility __ with hypo
decrease
149
fatigue and lethargic are __ of hypo
cm
150
treat __ with levothyroxine
hypo
151
thyroid levels ARE ___, THE HYPOTHALAMUS WILL RELEASE TRH TO PIT THEN PIT RELEASES TSH, THEN THYROID GALND STIMULATES T3/4 THEN CIRCULATING LEVELS OF THYROID HORMONES ARE FROM T3/4 RELEASE
low
