Hyperthyroidism Treatment Options Quiz

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Questions and Answers

What is the most common form of treatment for Graves disease?

  • Radioactive iodine therapy (correct)
  • Beta-adrenergic blocking agents
  • Antithyroid agents
  • Surgery

Which therapy is directed toward reducing thyroid hyperactivity to relieve symptoms and preventing complications?

  • Surgery
  • Beta-adrenergic blocking agents
  • Radioactive iodine therapy (correct)
  • Antithyroid agents

What is the treatment of choice for toxic adenomas, toxic multinodular goiter, and most varieties of thyrotoxicosis?

  • Beta-adrenergic blocking agents
  • Antithyroid agents
  • Surgery
  • Radioactive iodine therapy (correct)

What are the shared complications of radioactive iodine therapy, antithyroid medications, and surgery?

<p>Relapse or recurrent hyperthyroidism and permanent hypothyroidism (A)</p> Signup and view all the answers

Which patients may sustain remission for up to 12 to 18 months but often experience recurrence within 12 months of treatment?

<p>Patients with Graves disease (D)</p> Signup and view all the answers

What is effective in treating 80% to 90% of cases of toxic adenomas, toxic multinodular goiter, and most varieties of thyrotoxicosis?

<p>Radioactive iodine therapy (A)</p> Signup and view all the answers

Which therapy is used for symptomatic relief, particularly in transient thyroiditis?

<p>Beta-adrenergic blocking agents (B)</p> Signup and view all the answers

What are the complications associated with the three treatments for hyperthyroidism?

<p>Relapse or recurrent hyperthyroidism and permanent hypothyroidism (B)</p> Signup and view all the answers

Which therapy is considered the most common form of treatment for hyperthyroidism?

<p>Radioactive iodine therapy (B)</p> Signup and view all the answers

What increases the rate of relapse in patients undergoing treatment for hyperthyroidism?

<p>Having very severe disease (C)</p> Signup and view all the answers

Which patients may experience recurrence within 12 months of treatment?

<p>Patients with Graves disease (C)</p> Signup and view all the answers

Which therapy is effective in treating toxic adenomas, toxic multinodular goiter, and most varieties of thyrotoxicosis?

<p>Radioactive iodine therapy (C)</p> Signup and view all the answers

What is the goal of radioactive iodine therapy (131I)?

<p>To eliminate the hyperthyroid state with the administration of sufficient radiation in a single dose (B)</p> Signup and view all the answers

Why is radioactive iodine contraindicated during pregnancy?

<p>It crosses the placenta (D)</p> Signup and view all the answers

What should women of childbearing age be instructed to do before the administration of radioactive iodine?

<p>Take a pregnancy test (A)</p> Signup and view all the answers

Why should breastfeeding be avoided for up to 6 weeks prior to radioactive iodine treatment?

<p>To prevent radiation exposure to the infant (B)</p> Signup and view all the answers

What should patients who receive radioactive iodine be informed about regarding their interactions with others?

<p>They can contaminate their household and other people through saliva, urine, or radiation emitting from their body (D)</p> Signup and view all the answers

What is a potential life-threatening condition that may result from radioactive iodine therapy?

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

What test is the principal measurement at 3 to 6 weeks following administration of radioactive iodine?

<p>Serum free T4 (C)</p> Signup and view all the answers

Why is serum free T4 the principal test measured following administration of radioactive iodine?

<p>To assess thyroid function (C)</p> Signup and view all the answers

What medication may be used in combination with antithyroid agents or beta-adrenergic blockers to prepare the patient with hyperthyroidism for surgery?

<p>Potassium iodide (SSKI) (C)</p> Signup and view all the answers

What is the usual dosage for SSKI when used in combination with antithyroid agents or beta-adrenergic blockers?

<p>5 drops every 6 hours (C)</p> Signup and view all the answers

When should thyroid hormone replacement be started after the antithyroid medications have been stopped?

<p>4 to 18 weeks (A)</p> Signup and view all the answers

Why should TSH measurements be interpreted cautiously in the early months following treatment with radioactive iodine?

<p>They can be misleading (A)</p> Signup and view all the answers

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