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

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

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

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

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

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

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

    Which patients may experience recurrence within 12 months of treatment?

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

    Why is radioactive iodine contraindicated during pregnancy?

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

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

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

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