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326 > week 4 hyper/hypothyroid > Flashcards

week 4 hyper/hypothyroid Flashcards

1
Q

deficient hormones to normal to excess hormone is the __ of hormone regulation

A

scope

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2
Q

testes and thyroid are hormone organs. torf?

A

true

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3
Q

pancreas and ovaries are hormone organs. torf?

A

true

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4
Q

adrenals and pituitary are hormone organs. torf?

A

true

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5
Q

hypothalamus and parathyroids are hormone organs. torf?

A

true

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6
Q

puberty and old(small glands and reduced hormones) variations in hormone ___

A

regulation

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7
Q

in ___ the ant pituitary increases gonadotropin secretion

A

puberty

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8
Q

as you age, you can have low ADH leading to ___ dilute urine

A

more

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9
Q

alterations in growth and development and cognition are __ of hormones

A

consequneces

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10
Q

alts in metabolism and adaptive responses are __ of hormones

A

consequences

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11
Q

the __of hormones are hormone therapy and age

A

RF

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12
Q

the __of hormones are genes and obese

A

RF

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13
Q

the __of hormones are stress and trauma

A

rf

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14
Q

the __of hormones are cancer treatment and med conditions

A

rf

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15
Q

the __of hormones are fam history and chrom abnormalilties

A

rf

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16
Q

its ___ to exam the thyroid or testes

A

hard

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17
Q

note skin/hair color and texture when inspecting ___

A

glands

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18
Q

inspect posture, affect, and face with __

A

glands

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19
Q

you ___ thyroid, testes and ovaries

A

palpate

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20
Q

you auscultate enlarged thyroid and __

A

bruits

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21
Q

primary lab tests are thyroid and diabetic ___ work

A

lab

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22
Q

screening in infants and adults(___ and DM in at risk pts)

A

thyroid

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23
Q

F and E and stress RT ___ regulation

A

hormone

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24
Q

repro and development RT hormone ___

A

regulation

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25
Q

nutrition and BG RT ____ regulation

A

hormone

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26
Q

intracranial regulation RT hormone ___

A

regulation

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27
Q

thryrotoxicosis and hyperthyroidism are extremes of hyperthyroidism. torf?

A

true

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28
Q

euthyroid is ___ function

A

normal

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29
Q

myxedema coma is an extreme of ___

A

hypothyroidism

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30
Q

the hypothalamus talks to the thyroid gland that talks to thyroid hormones to ___ metabolism

A

increase

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31
Q

the hypothalamus talks to the thyroid gland that talks to the hypothalamus and ant pit gland. this is ____ feedback

A

neg

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32
Q

the hypothalamus secretes TRH to the ant pit gland. torf?

A

true

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33
Q

with __ metabolism, you see growth and development and increased catecholamine effect

A

increased

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34
Q

T3 and T4 are __ hormones

A

thyroid

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35
Q

the ant pit gland secrete TSH to the thyroid __

A

gland

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36
Q

TRH

A

thyroid releasing hormone

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37
Q

TSH

A

thyroid stimulating hormone

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38
Q

T3 is

A

triiodothyronine hormone

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39
Q

T4

A

thyroxine hormone

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40
Q

thyroid gland secretes T3/__ and calcitonin

A

4

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41
Q

in hyperthyroidism, you see low TSH and high __

A

t4

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42
Q

in P hypothyroidism, you see low T4 and high __

A

TSH

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43
Q

S hypothyroidism has low T4 and ____

A

TSH

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44
Q

goiter and nodules are __of the thyroid

A

issues

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45
Q

hyper/hypothyroidism and thyrotoxicosis are issues of the ____

A

thyroid

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46
Q

graves disease is ____

A

hyperthyroid

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47
Q

causes of hyperthyroidism are ___ nodular goiter and thyroiditis

A

toxic

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48
Q

causes of hyperthyroidism are ___ iodine and pituitary tumors

A

excess

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49
Q

causes of hyperthyroidism are ___ cancer

A

thyroid

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50
Q

more women get hyperthyroidism. torf?

A

tru

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51
Q

between 20-40 is normally when you see hyperthyroidism. torf

A

true

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52
Q

autoimmune and 80% of hyperthyroidism is __ diseaes

A

graves

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53
Q

smoke increases risk and autoimmune diseases add up with graves ___

A

disease

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54
Q

diffuse thyroid enlargement and excessive hormones are ____ disease

A

graves

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55
Q

with teens and growth, if __ growing check the hormones

A

not

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56
Q

metabolism is a big prob esp with the __ gland

A

thyroid

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57
Q

you see brittleness and coarseness with thyroid __

A

probems

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58
Q

with infants, do a heel stick to check different conditions torf?

A

true

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59
Q

when reading blood tests for thyroid, look at __ levels first

A

t4

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60
Q

in hyperthyroid, the pit ___ will slow down in releasing TSH

A

gland

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61
Q

hypothyroid, there is low t4 so pit wants to make TSH more. torf?

A

true

62
Q

P hypothyroid is a ___ problem

A

thyroid

63
Q

S hypo there is low t4 the pit wants more TSH but doenst make more. torf?

A

true

64
Q

a goiter is an ___ thyroid gland and a lump

A

enlarged

65
Q

nodules are tumors __ effectiveness of gland

A

blocking

66
Q

hyperthyroid is fast metabolism and ___loss

A

weight

67
Q

hyperthyroid is tc and ___RR

A

increased

68
Q

hyperthyroid is fast metabolism and ___BP

A

high

69
Q

hyperthyroid is fast metabolism and ___intolerant

A

heat

70
Q

hyperthyroid is fast metabolism and ___of sleep/insomnia

A

lack

71
Q

hyperthyroid is diarrhea and hyperactive ___

A

bowels

72
Q

hyperthyroid is irritable and sweaty. torf?

A

true

73
Q

hyperthyroid is fast metabolism and ___tissue sensitivity bc of SNS

A

increased

74
Q

hyperthyroid is fast metabolism and ___lead to thyroid storm

A

can

75
Q

hyperthyroid is fast metabolism and __ (a asymetric neck)

A

goiter

76
Q

with a goiter, asucultate for bruits. torf?

A

true

77
Q

hyperthyroid is fast metabolism and ___(abnormal eye appearance or function)

A

ophthalmopathy

78
Q

ophthalmopathy involves exophthalmos which has increased fat deposits and fluid and the __ are forced out

A

eyeballs

79
Q

thyroid surgery can lead to ___ storm

A

thyroid

80
Q

acute, rare and sever are ranges of ___ storm

A

thyroid

81
Q

Severe increase in HR, and B/P are thyroid ____

A

storm

82
Q

heart failure and dangerously high increase in Temp-up to 106 are ___ storm

A

thyroid

83
Q

agitation and delirium are ___ storm

A

thyroid

84
Q

seizures and vomiting are ___ storm

A

thyriod

85
Q

diarrhea and coma are thyroid __

A

storm

86
Q

thyroid storm can bc due to infection and trauma. torf?

A

true

87
Q

thyroid storm can bc due to surgery and thyroidectomy. torf?

A

true

88
Q

_____ of thyroid gland during surgery can result in release of large amounts of thyroid hormone

A

manipulation

89
Q

hyperthyroid is low TSH and high t4. when diagnosing look at the ___t3/4

A

total

90
Q

RAIU is an oral iodine tablet and ___ Graves’ disease from other forms of thyroiditis

A

differentiates

91
Q

when caring for hyperthyroid, ___ TSH production(block adverse effects of thyroid hormones)

A

stop

92
Q

when caring for hyperthyroid, ___ antithyroid meds for mild cases

A

give

93
Q

when caring for hyperthyroid, ___ it may take months to get the right drug level

A

know

94
Q

when caring for hyperthyroid, ___ that too high levels of dosing can cause hypothyriod

A

know

95
Q

when caring for hyperthyroid, ___ the formation of TSH with PTU and methimazole

A

block

96
Q

when caring for hyperthyroid, do a thyroidectomy to ___ 50-90% of thyroid

A

remove

97
Q

when caring for hyperthyroid, have a __ cal diet(4000-5000) and 6 full meals a day

A

high

98
Q

have 1-2g/kg of Protein with ___ and higher carb intake

A

hyperthyroidism

99
Q

with ___ avoid spices and coffee and fiber

A

hyperthyroidism

100
Q

with hyperthyroidism, walk if you can due to the ___ of activity intolerance

A

diagnosis

101
Q

with hyperthyroidism, the ____ are emotion needs and fluid deficit

A

diagnosis

102
Q

with hyperthyroidism, ___ are hyperactive bowels and cog probs

A

diagnosis

103
Q

with hyperthyroidism, the ___ is less cal than your body needs intaked

A

diagnosis

104
Q

with hypothyroidism, there is ___ of thyroid hormone and slow metabolic rate

A

deficit

105
Q

with hypothyroidism it happens more in __ than man

A

women

106
Q

with hypothyroidism the ___ increases with age esp at 60

A

incidence

107
Q

eore is hypothyroidism. torf

A

true

108
Q

tiger is hyperthyroidism. torf?

A

true

109
Q

P hypothyroidism there is ___ of thyroid tissue or defective hormone synthesis(high TSH and low t3/4)

A

destruction

110
Q

S hypothyroid is ____ by pit or hypothalamus dysfunction(low TSH/TSH)

A

caused

111
Q

there is __ deficiency and gland atrophy with hypothyroidism

A

iodine

112
Q

there is ____ of hyperthyroidism and drugs ass with hypothyroidism

A

treatment

113
Q

there is cretinism ass with ___thyroidism

A

hypo

114
Q

with hypothyroidism, you see hashimotos and __ body processes

A

slow

115
Q

with hypothyroidism you see __ energy and weight gain

A

no

116
Q

with hypothyroidism you see cold intolerance and __ bowels

A

slow

117
Q

with hypothyroidism its a __ onset unless ablation bf it

A

slow

118
Q

with hypothyroidism its a ___ onset with overtreatment of hyperthyroid

A

slow

119
Q

with hypothyroidism its a __ onset unless surgical removal bf onset

A

slow

120
Q

with hypothyroidism you see high TSH with ___

A

primary

121
Q

with hypothyroidism there is low TSH with ___

A

secondary

122
Q

when diagnosing hypothyroid look for thyroid __

A

Ab

123
Q

with hypothyroidism you want to ___to euthyroidism ASAP

A

restore

124
Q

with hypothyroidism you want to do a ____ cal diet

A

LOW

125
Q

with hypothyroidism give what med?

A

levothyroxine/synthroid

126
Q

start __ at a small dose

A

levothyroxine

127
Q

with levothyroxine M __side effects like chest pain

A

CV

128
Q

with levothyroxine M __side effects like dysrhythmias

A

CV

129
Q

with levothyroxine M for weight __ and nervousness

A

loss

130
Q

with levothyroxine M tremors and insomnia. torf?

A

true

131
Q

with levothyroxine you see that you can give the pt ___

A

hyperthyroid

132
Q

with levothyroxine ___ the dose in 4-6 week intervals PRN

A

increase

133
Q

with levothyroxine you see a ___ therapy(everyday) and hormone monitoring

A

lifelong

134
Q

with hypothyroidism, ___ diagnosis are more than the body needs cal wise

A

nurse

135
Q

with hypothyroidism, ___ diagnosis are contsipation and mem probs

A

nurse

136
Q

with hypothyroidism, __ cal intake and increase fiber and water

A

decrease

137
Q

with hypothyroidism eat more __ green veggies and meat and beans

A

leafy

138
Q

with hypothyroidism, __ more whole grain and fruits

A

eat

139
Q

with hypothyroidism, __ your activity

A

increase

140
Q

__ risk for hypothyroid is neck irradation and post pardum

A

high

141
Q

__ risk for hypothyroid is 50+ women and fam history

A

high

142
Q

give levothyroxone in morn due to ___ metaboilsm

A

increasing

143
Q

__ for hypothyroid is to teach on ways to prevent skin breakdown and emphasize need for warm environment

A

implementation

144
Q

you are irritable and need a thyroidectomy with ___

A

hyperthyroidism

145
Q

the autoimmune disease with hyperthyroidism is ____

A

graves disease

146
Q

with __ your BMR, apetite and weight loss are increased

A

hyperthyroidism

147
Q

weight gain and constipation are __ of hypo

A

cm

148
Q

HR and contractility __ with hypo

A

decrease

149
Q

fatigue and lethargic are __ of hypo

A

cm

150
Q

treat __ with levothyroxine

A

hypo

151
Q

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

A

low

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