PH 17 Drugs for Osteoporosis and Hormonal Problems
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Questions and Answers

Which hormones are produced by the thyroid gland?

  • Cortisol and adrenaline
  • Estrogen and progesterone
  • Thyroxine and triiodothyronine (correct)
  • Insulin and glucagon

    • What is the function of thyroxine and triiodothyronine in the body?

  • Control calcium levels in bones
  • Increase metabolism and energy use (correct)
  • Manage fluid balance in the body
  • Regulate blood sugar levels

    • What is the medical term for underactive thyroid?

  • Hyperthyroidism
  • Goiter
  • Thyroiditis
  • Hypothyroidism (correct)

    • What is hormone replacement therapy (HRT) used for?

    <p>Relieving menopause symptoms</p> Signup and view all the answers

    Which hormone regulates sodium and water balance?

    <p>Aldosterone</p> Signup and view all the answers

    What are anabolic steroids?

    <p>Synthetic drugs with the same use and actions as androgens</p> Signup and view all the answers

    What do antithyroid drugs do?

    <p>Work directly in the thyroid gland to stop production of new hormones</p> Signup and view all the answers

    What are bisphosphonates used for?

    <p>Treating osteoporosis</p> Signup and view all the answers

    Which symptoms are associated with hypothyroidism?

    <p>Fatigue, weight gain, and decreased sex drive</p> Signup and view all the answers

    What is the function of thyroid hormone agonists?

    <p>They mimic the effect of thyroid hormones and regulate metabolism</p> Signup and view all the answers

    Which drug is commonly prescribed for hypothyroidism?

    <p>Levothyroxine sodium</p> Signup and view all the answers

    What are the potential consequences of untreated hypothyroidism?

    <p>Poor brain development and cognitive impairment</p> Signup and view all the answers

    Which of the following is a symptom of hypothyroidism?

    <p>Excessive bruising</p> Signup and view all the answers

    Which of the following is a potential adverse effect of taking thyroid hormone agonist drugs during pregnancy?

    <p>Problems with the fetus</p> Signup and view all the answers

    Which of the following is a potential adverse effect of continued excessive amounts of thyroid hormones?

    <p>Blurred vision</p> Signup and view all the answers

    Which of the following is a symptom of thyroid crisis or thyroid storm?

    <p>Fever</p> Signup and view all the answers

    Which class of drugs do methimazole and propylthiouracil belong to?

    <p>Antithyroid drugs</p> Signup and view all the answers

    What is the recommended duration for taking thyroid-suppressing drugs to start being effective?

    <p>3 to 4 weeks</p> Signup and view all the answers

    What are some common side effects of antithyroid drugs?

    <p>Headache and rash</p> Signup and view all the answers

    What is a potential adverse effect of propylthiouracil?

    <p>Liver damage</p> Signup and view all the answers

    Which of the following is an adverse effect of thyroid hormone agonist drugs?

    <p>Increased blood pressure</p> Signup and view all the answers

    What should be assessed before giving the first dose of a thyroid hormone agonist drug?

    <p>Heart rate and blood pressure</p> Signup and view all the answers

    Which of the following drug interactions can occur with thyroid hormone agonists?

    <p>Increased bleeding and bruising with anticoagulants</p> Signup and view all the answers

    What is the recommended timing for administering thyroid hormone agonist drugs in relation to meals or fiber supplements?

    <p>2 hours before or 3 hours after a meal</p> Signup and view all the answers

    Which of the following is a symptom of liver problems that patients should be instructed to monitor for daily?

    <p>Yellowing of the skin</p> Signup and view all the answers

    What should patients do if they notice a yellow tinge on the roof of their mouth or the whites of their eyes?

    <p>Notify their healthcare provider</p> Signup and view all the answers

    Why should patients avoid crowds and people who are ill while taking antithyroid drugs?

    <p>These drugs can reduce immunity and resistance to infection</p> Signup and view all the answers

    What is the recommended action if patients do not notice a reduction of their symptoms in the first 1 to 2 weeks of taking the medication?

    <p>Do not increase the dosage on their own</p> Signup and view all the answers

    Why should patients keep all follow-up appointments and appointments for blood-clotting tests while taking these drugs?

    <p>These drugs increase the effectiveness of warfarin</p> Signup and view all the answers

    Why should women who are taking antithyroid drugs not breast-feed?

    <p>These drugs enter breast milk</p> Signup and view all the answers

    Which hormone is secreted by the adrenal cortex and regulates sodium and water balance?

    <p>Aldosterone</p> Signup and view all the answers

    What are synthetic drugs with the same use and actions as androgens called?

    <p>Anabolic steroids</p> Signup and view all the answers

    What are synthetic or natural hormones that help to develop and maintain the male sex organs and secondary sex characteristics in men called?

    <p>Androgens</p> Signup and view all the answers

    What do antithyroid drugs do?

    <p>Suppress thyroid hormone production</p> Signup and view all the answers

    Which of the following is a hormone replacement therapy (HRT) drug used for temporary or permanent treatment?

    <p>Thyroid hormone agonist</p> Signup and view all the answers

    What is the function of calcium-modifying drugs in the treatment of osteoporosis?

    <p>Increase bone density</p> Signup and view all the answers

    Which gland produces thyroxine (T4) and triiodothyronine (T3)?

    <p>Thyroid gland</p> Signup and view all the answers

    What is the common problem associated with hypothyroidism?

    <p>Underactive thyroid</p> Signup and view all the answers

    Which of the following symptoms is associated with hypothyroidism?

    <p>Always feels cold when others are comfortable</p> Signup and view all the answers

    What is the function of thyroid hormone agonists?

    <p>Increase the cells' rate of metabolism</p> Signup and view all the answers

    Which of the following drugs is commonly prescribed for hypothyroidism?

    <p>Levothyroxine sodium</p> Signup and view all the answers

    What can happen if hypothyroidism is left untreated?

    <p>Impaired brain development in children</p> Signup and view all the answers

    Which of the following is a potential symptom of hyperthyroidism?

    <p>Bulging or protruding eyes</p> Signup and view all the answers

    What is the most common cause of hyperthyroidism?

    <p>Grave's disease</p> Signup and view all the answers

    What is the potential consequence of untreated hyperthyroidism?

    <p>Toxic side effects to organs</p> Signup and view all the answers

    What is the recommended action if a patient notices a yellow tinge on the roof of their mouth or the whites of their eyes?

    <p>Consult their healthcare provider</p> Signup and view all the answers

    Which class of drugs do methimazole and propylthiouracil belong to?

    <p>Thionamides</p> Signup and view all the answers

    What is the preferred antithyroid drug over propylthiouracil?

    <p>Methimazole</p> Signup and view all the answers

    What can happen if patients take antithyroid drugs with anticlotting drugs?

    <p>Bone marrow suppression</p> Signup and view all the answers

    What is the recommended duration for taking thyroid-suppressing drugs to start being effective?

    <p>3 to 4 weeks</p> Signup and view all the answers

    Which of the following is an adverse effect of thyroid hormone agonists?

    <p>Increased cardiac activity</p> Signup and view all the answers

    What should be assessed before giving the first dose of a thyroid hormone agonist drug?

    <p>Heart rate and blood pressure</p> Signup and view all the answers

    What is the recommended timing for administering thyroid hormone agonist drugs in relation to meals or fiber supplements?

    <p>3 hours after a meal or a fiber supplement</p> Signup and view all the answers

    What are the potential consequences of untreated hypothyroidism?

    <p>Depression and fatigue</p> Signup and view all the answers

    Which of the following symptoms should patients monitor for daily to detect liver problems while taking these drugs?

    <p>Yellowing of the skin and sclera (jaundice)</p> Signup and view all the answers

    Why should patients avoid crowds and people who are ill while taking these drugs?

    <p>To prevent the spread of infections</p> Signup and view all the answers

    What is the potential risk of taking antithyroid drugs during pregnancy?

    <p>Increased risk of birth defects and fetal damage</p> Signup and view all the answers

    Why should women who are taking antithyroid drugs not breast-feed?

    <p>Because these drugs enter breast milk and can harm the baby</p> Signup and view all the answers

    What should patients do if they do not notice a reduction of their symptoms in the first 1 to 2 weeks of taking these drugs?

    <p>Continue taking the medication as prescribed</p> Signup and view all the answers

    Why should patients keep all follow-up appointments and appointments for blood-clotting tests while taking these drugs?

    <p>To monitor liver function</p> Signup and view all the answers

    Which hormone is secreted by the adrenal cortex and regulates sodium and water balance?

    <p>Aldosterone</p> Signup and view all the answers

    What are synthetic drugs with the same use and actions as androgens called?

    <p>Anabolic steroids</p> Signup and view all the answers

    What are synthetic or natural hormones that help to develop and maintain the male sex organs at puberty called?

    <p>Androgens</p> Signup and view all the answers

    What are thyroid-suppressing drugs that work directly in the thyroid gland to stop production of new hormones called?

    <p>Antithyroid drugs</p> Signup and view all the answers

    Which of the following symptoms is associated with hypothyroidism?

    <p>Thinning scalp hair</p> Signup and view all the answers

    What is the recommended administration route for levothyroxine sodium?

    <p>Oral</p> Signup and view all the answers

    What is the potential consequence of untreated hyperthyroidism?

    <p>Hand tremors</p> Signup and view all the answers

    Which of the following is a nursing implication for liothyronine sodium?

    <p>Monitor the patient's skin for signs of bruising or bleeding</p> Signup and view all the answers

    Which class of drugs do methimazole and propylthiouracil belong to?

    <p>Antithyroid drugs</p> Signup and view all the answers

    What is the preferred antithyroid drug between methimazole and propylthiouracil?

    <p>Methimazole</p> Signup and view all the answers

    What is the most common side effect of antithyroid drugs?

    <p>Taste changes</p> Signup and view all the answers

    What is the mechanism of action of antithyroid drugs?

    <p>They inhibit thyroid hormone production</p> Signup and view all the answers

    Which of the following is a symptom of hyperthyroidism?

    <p>Swelling in the neck</p> Signup and view all the answers

    What is the emergency condition that can occur in severe hyperthyroidism?

    <p>Thyroid storm</p> Signup and view all the answers

    What is the potential consequence of increasing the dose of thyroid hormone agonist drugs too quickly?

    <p>Increased risk of heart attack</p> Signup and view all the answers

    What should patients do if they miss a dose of thyroid hormone agonist drugs?

    <p>Skip the missed dose and continue the regular dosing schedule</p> Signup and view all the answers

    Which of the following is a potential adverse effect of thyroid hormone agonists?

    <p>Bone marrow suppression</p> Signup and view all the answers

    What should be assessed before giving the first dose of a thyroid hormone agonist drug?

    <p>Heart rate and blood pressure</p> Signup and view all the answers

    What is the potential consequence of untreated hyperthyroidism?

    <p>Myocardial infarction</p> Signup and view all the answers

    Why should patients keep all follow-up appointments and appointments for blood-clotting tests while taking anticoagulants with thyroid hormone agonists?

    <p>To prevent excessive bleeding</p> Signup and view all the answers

    Which of the following hormones is critical for brain development and function, heart and skeletal muscle contraction, and the production of other hormones?

    <p>Thyroxine</p> Signup and view all the answers

    What is the medical term for the gradual loss of bone density and strength, which leads to spinal shortening and increased risk for bone fractures?

    <p>Osteoporosis</p> Signup and view all the answers

    Which of the following drugs for osteoporosis activates estrogen receptors in the bone to promote calcium retention and blocks estrogen receptors in breast and uterine tissue?

    <p>Estrogen agonist/antagonist</p> Signup and view all the answers

    Which gland in the neck produces two critical hormones, thyroxine (T4) and triiodothyronine (T3), that regulate metabolism?

    <p>Thyroid gland</p> Signup and view all the answers

    Which of the following symptoms should patients monitor for daily to detect liver problems while taking these drugs?

    <p>Yellowing of the skin or sclera (jaundice)</p> Signup and view all the answers

    Why should patients avoid situations that can lead to bleeding while taking these drugs?

    <p>These drugs increase the effectiveness of warfarin</p> Signup and view all the answers

    What is the potential risk of taking antithyroid drugs during pregnancy?

    <p>Increased risk of birth defects</p> Signup and view all the answers

    What should patients do if they do not notice a reduction of their symptoms in the first 1 to 2 weeks of taking these drugs?

    <p>Continue taking the drugs as prescribed</p> Signup and view all the answers

    What should patients do if they notice a yellow tinge on the roof of their mouth or the whites of their eyes?

    <p>Notify their healthcare provider</p> Signup and view all the answers

    Why should patients keep all follow-up appointments and appointments for blood-clotting tests while taking these drugs?

    <p>To check for drug interactions</p> Signup and view all the answers

    Which hormone is secreted by the adrenal cortex and regulates sodium and water balance?

    <p>Aldosterone</p> Signup and view all the answers

    What are synthetic drugs with the same use and actions as androgens called?

    <p>Anabolic steroids</p> Signup and view all the answers

    Which hormones help to develop and maintain the male sex organs at puberty and develop secondary sex characteristics in men?

    <p>Androgens</p> Signup and view all the answers

    What are thyroid-suppressing drugs that work directly in the thyroid gland to stop production of new hormones called?

    <p>Antithyroid drugs</p> Signup and view all the answers

    Which of the following symptoms is associated with hypothyroidism?

    <p>Decreased or absent menstruation</p> Signup and view all the answers

    What is the action of thyroid hormone agonists?

    <p>They increase the cells' rate of metabolism</p> Signup and view all the answers

    Which of the following is a nursing implication for levothyroxine sodium?

    <p>Check the patient's heart rate and blood pressure before giving the drug</p> Signup and view all the answers

    What is the function of antithyroid drugs?

    <p>To reduce thyroid hormone levels</p> Signup and view all the answers

    Which class of drugs do methimazole and propylthiouracil belong to?

    <p>Antithyroid drugs</p> Signup and view all the answers

    What is the preferred antithyroid drug between methimazole and propylthiouracil?

    <p>Methimazole</p> Signup and view all the answers

    What is the most common side effect of antithyroid drugs?

    <p>Muscle and joint aches</p> Signup and view all the answers

    What is the potential adverse effect of propylthiouracil?

    <p>Liver damage</p> Signup and view all the answers

    Which of the following is a drug that prevents bones from losing calcium and increases bone density by binding to calcium in the bone and preventing osteoclasts from destroying bone cells and resorbing calcium?

    <p>Calcium-modifying drug</p> Signup and view all the answers

    What is the use of hormones to suppress ovulation for the intentional prevention of pregnancy called?

    <p>Hormonal contraception</p> Signup and view all the answers

    What is the gradual loss of bone density and strength, which leads to spinal shortening and increased risk for bone fractures, called?

    <p>Osteoporosis</p> Signup and view all the answers

    What is a protein secreted by an endocrine gland that changes the action of another gland or tissue called?

    <p>Hormone</p> Signup and view all the answers

    Which of the following symptoms may indicate jaundice in a patient taking drugs with antiplatelet actions?

    <p>Yellowing of the skin</p> Signup and view all the answers

    What is the recommended timing for administering thyroid hormone agonist drugs in relation to meals or fiber supplements?

    <p>2 hours before a meal or fiber supplement</p> Signup and view all the answers

    What is the most serious adverse effect of thyroid hormone agonists on the cardiac system?

    <p>Myocardial infarction</p> Signup and view all the answers

    What should be assessed before giving the first dose of a thyroid hormone agonist drug?

    <p>Heart rate and blood pressure</p> Signup and view all the answers

    Which of the following is a symptom of hyperthyroidism?

    <p>Bulging or protruding eyes</p> Signup and view all the answers

    What is the medical term for a life-threatening condition characterized by severe hyperthyroidism, hypertension, heart failure, and seizures?

    <p>Thyroid crisis</p> Signup and view all the answers

    Which of the following is a recommendation for patients taking antithyroid drugs?

    <p>Avoid situations that can lead to bleeding</p> Signup and view all the answers

    What is the function of thyroid hormone agonist drugs during pregnancy?

    <p>Prevent problems with the fetus</p> Signup and view all the answers

    Which of the following symptoms should patients check for daily while taking these drugs?

    <p>Yellowing of the skin or sclera (jaundice)</p> Signup and view all the answers

    What should patients do if they do not notice a reduction of their symptoms in the first 1 to 2 weeks of taking these drugs?

    <p>Continue taking the medication as prescribed</p> Signup and view all the answers

    Why should patients keep all follow-up appointments and appointments for blood-clotting tests while taking these drugs?

    <p>To monitor the effectiveness of the drugs</p> Signup and view all the answers

    Why should patients avoid crowds and people who are ill while taking these drugs?

    <p>To prevent the spread of infections</p> Signup and view all the answers

    What is the potential risk associated with taking antithyroid drugs during pregnancy?

    <p>All of the above</p> Signup and view all the answers

    Why should women who are taking antithyroid drugs not breast-feed?

    <p>To prevent the drugs from entering breast milk</p> Signup and view all the answers

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