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Questions and Answers
What substance is known to decrease blood pressure and increase blood flow when taken?
What substance is known to decrease blood pressure and increase blood flow when taken?
Which herb is associated with a risk of serotonin syndrome when combined with tricyclic antidepressants?
Which herb is associated with a risk of serotonin syndrome when combined with tricyclic antidepressants?
Which herb should be avoided in individuals who are pregnant or breastfeeding due to its hormone-like effects?
Which herb should be avoided in individuals who are pregnant or breastfeeding due to its hormone-like effects?
What is the primary function of Vitamin K in the body?
What is the primary function of Vitamin K in the body?
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Which herb is known to increase appetite while decreasing anxiety and depression symptoms?
Which herb is known to increase appetite while decreasing anxiety and depression symptoms?
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What potential effect does ginger have on patients using anticoagulants?
What potential effect does ginger have on patients using anticoagulants?
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What condition may be exacerbated due to the intake of large amounts of black licorice?
What condition may be exacerbated due to the intake of large amounts of black licorice?
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What main effect does valerian have when consumed?
What main effect does valerian have when consumed?
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Which vitamin should be used with caution in patients taking Parkinson's medications due to its effects on levodopa?
Which vitamin should be used with caution in patients taking Parkinson's medications due to its effects on levodopa?
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What is a primary reason why diuretic therapy might be desirable?
What is a primary reason why diuretic therapy might be desirable?
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What is a potential consequence of long-term corticosteroid therapy?
What is a potential consequence of long-term corticosteroid therapy?
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Which of the following is NOT an adverse effect of chronic corticosteroid use?
Which of the following is NOT an adverse effect of chronic corticosteroid use?
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In the context of thyroid disorders, what does a low serum T4 level alongside elevated TSH indicate?
In the context of thyroid disorders, what does a low serum T4 level alongside elevated TSH indicate?
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Which substance is known to accelerate the metabolism of levothyroxine?
Which substance is known to accelerate the metabolism of levothyroxine?
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Which of the following interactions should be monitored in patients on corticosteroids?
Which of the following interactions should be monitored in patients on corticosteroids?
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Which food interactions should be avoided for optimal thyroid pharmacotherapy?
Which food interactions should be avoided for optimal thyroid pharmacotherapy?
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What recommendation is important for patients on chronic corticosteroid therapy regarding vaccines?
What recommendation is important for patients on chronic corticosteroid therapy regarding vaccines?
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What effect does chronic corticosteroid use have on fluid levels in the body?
What effect does chronic corticosteroid use have on fluid levels in the body?
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What could result from not monitoring monthly growth and development in infants treated for thyroid deficiency?
What could result from not monitoring monthly growth and development in infants treated for thyroid deficiency?
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How might Ginkgo Biloba affect patients on anticoagulants?
How might Ginkgo Biloba affect patients on anticoagulants?
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What is the most likely cause for hyperkalemia in a patient?
What is the most likely cause for hyperkalemia in a patient?
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Which of the following is NOT a common adverse effect of magnesium therapy?
Which of the following is NOT a common adverse effect of magnesium therapy?
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What is the primary role of insulin in potassium balance?
What is the primary role of insulin in potassium balance?
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In the context of calcium therapy, which of the following contraindications is critical to consider?
In the context of calcium therapy, which of the following contraindications is critical to consider?
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Which electrolyte disorder is likely to cause confusion and lethargy as symptoms?
Which electrolyte disorder is likely to cause confusion and lethargy as symptoms?
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What constitutes a serious adverse effect of anticholinergic drugs like benztropine?
What constitutes a serious adverse effect of anticholinergic drugs like benztropine?
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In a patient with multiple sclerosis, which symptom might indicate an exacerbation?
In a patient with multiple sclerosis, which symptom might indicate an exacerbation?
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Which condition is characterized by a continuous state of muscle contraction that is more painful than spasms?
Which condition is characterized by a continuous state of muscle contraction that is more painful than spasms?
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Which of the following is a common adverse effect associated with cholinesterase inhibitors used in Alzheimer's disease treatment?
Which of the following is a common adverse effect associated with cholinesterase inhibitors used in Alzheimer's disease treatment?
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What should patients taking levodopa be advised to avoid for optimal absorption?
What should patients taking levodopa be advised to avoid for optimal absorption?
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What is a primary consideration when administering loop diuretics?
What is a primary consideration when administering loop diuretics?
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Which loop diuretic is particularly noted for causing the most severe hearing loss?
Which loop diuretic is particularly noted for causing the most severe hearing loss?
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Which of the following diuretics requires close monitoring for digoxin's efficacy?
Which of the following diuretics requires close monitoring for digoxin's efficacy?
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What is a significant action that a nurse should take when administering thiazide diuretics?
What is a significant action that a nurse should take when administering thiazide diuretics?
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What effect can potassium supplements have when taken with potassium-sparing diuretics?
What effect can potassium supplements have when taken with potassium-sparing diuretics?
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In patients taking potassium-sparing diuretics, what is a potential result of interaction with ACE inhibitors?
In patients taking potassium-sparing diuretics, what is a potential result of interaction with ACE inhibitors?
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What is a vital laboratory parameter to assess regularly in patients undergoing diuretic therapy?
What is a vital laboratory parameter to assess regularly in patients undergoing diuretic therapy?
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Which of the following diuretics is considered two times as potent as the commonly used furosemide?
Which of the following diuretics is considered two times as potent as the commonly used furosemide?
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Why is it important to encourage water intake over alcohol or caffeinated drinks in patients prescribed thiazide diuretics?
Why is it important to encourage water intake over alcohol or caffeinated drinks in patients prescribed thiazide diuretics?
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What is the primary indication for loop diuretics?
What is the primary indication for loop diuretics?
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Study Notes
Long-Term Corticosteroid Treatment
- Corticosteroids suppress inflammation and the immune response.
- Long-term use can cause adrenal atrophy.
- Avoid live vaccines when on steroids.
- Weight gain of over 2 pounds a day is a potential adverse effect.
- Higher doses result in faster adrenal atrophy (2-4 weeks).
Adverse Effects of Chronic Corticosteroids
- Suppressed immune system.
- Decreased inflammatory responses.
- Potential for GI bleeds and peptic ulcers.
- Increased risk of osteoporosis.
- Behavioural changes.
- Metabolic changes and fluid retention.
- Interactions with replacement glucocorticoids and other drugs (potassium-wasting drugs, anticholinesterase agents).
Thyroid Gland Physiology
- Low blood hormone levels trigger a negative feedback loop.
- Hypothalamus releases TRH (thyrotropin-releasing hormone).
- Anterior pituitary releases TSH (thyroid-stimulating hormone).
- Thyroid produces T3 and T4 hormones.
Thyroid Disorder Diagnosis
- TSH (thyroid-stimulating hormone) is the preferred lab value.
- A low TSH level is considered good.
- Primary hypothyroidism is diagnosed with low serum T4 and elevated TSH.
- Hashimoto's thyroiditis is indicated by abnormal levels of antithyroid antibodies.
Hypothyroid Disorder Pharmacotherapy
- Drugs interact with levothyroxine, a common hypothyroid treatment.
- Certain foods can interact with levothyroxine.
Herbal Interactions and Drugs
- Certain herbs like gingko can be unsafe for use with anticoagulants.
- Some herbs may interact with prescriptions and OTC medications.
- Herbs may not always be less expensive.
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Description
Test your knowledge on long-term corticosteroid treatments and their side effects, as well as thyroid gland physiology and disorders. This quiz covers key concepts related to endocrine function and the impacts of medications on the body. Are you prepared to tackle questions about hormonal feedback and corticosteroid implications?
