Management of Thyroid Disorders - PharmD Quiz
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Questions and Answers

What is the primary goal of Thyroid Replacement Therapy (TRT)?

  • Decrease TPO antibodies
  • Promote hair growth
  • Prevent cold intolerance
  • Restore thyroid hormone levels within tissue (correct)
  • Which symptom is NOT typically associated with hypothyroidism?

  • Excessive sweating (correct)
  • Cold intolerance
  • Muscle aches/stiffness
  • Puffy face, hands, feet
  • What is the compensatory increase seen in hypothyroidism?

  • Increase in Free T4 levels
  • Increase in TSH levels (correct)
  • Increase in thyroid peroxidase (TPO) enzyme activity
  • Decrease in TSH levels
  • Which lab result is typically elevated in hypothyroidism?

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

    What is the main purpose of treating individuals with TSH > 11 mIU/L?

    <p>Prevent neurologic deficits in newborns and children</p> Signup and view all the answers

    What is the primary hormone produced by the thyroid gland?

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

    Which medication is commonly used to treat hyperthyroidism?

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

    What is the role of beta blockers in the treatment of thyroid disorders?

    <p>To manage symptoms of hyperthyroidism</p> Signup and view all the answers

    How is primary hypothyroidism typically treated?

    <p>By administering levothyroxine therapy</p> Signup and view all the answers

    What is a key aspect of patient counseling in the treatment of thyroid disorders?

    <p>Explaining the importance of medication adherence</p> Signup and view all the answers

    Which of the following is the mode of action of thionamides?

    <p>Inhibiting the synthesis of thyroid hormones</p> Signup and view all the answers

    Which of the following is NOT a common adverse effect of beta blockers?

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

    Which of the following factors should be considered when dosing levothyroxine for a patient with hypothyroidism?

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

    When constructing a rational therapeutic regimen for a patient with hypothyroidism, which of the following products is considered the drug of choice for thyroid supplementation?

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

    Which of the following is an important aspect of counseling a patient with thyroid disorders?

    <p>Explaining the symptoms of hyper- and hypothyroidism</p> Signup and view all the answers

    What is the recommended initial dose of Cytomel® (T3 Only Preparation) for hypothyroidism?

    <p>25 mcg daily</p> Signup and view all the answers

    Which medication is typically used to manage symptoms of atrial fibrillation caused by hyperthyroidism?

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

    Which thyroid hormone replacement therapy is recommended as the drug of choice during pregnancy?

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

    Which medication dosage form is recommended to be taken 30-60 minutes before breakfast?

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

    What is the primary concern when administering levothyroxine therapy in patients with thyroid disorders?

    <p>Risk of osteoporosis due to overreplacement</p> Signup and view all the answers

    Which medication should be taken at least 4 hours apart from iron, calcium, antacids, magnesium, cholestyramine, and soy due to potential drug interactions?

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

    What is the recommended starting dose for Armour Thyroid in hypothyroidism treatment?

    <p>30 mg daily</p> Signup and view all the answers

    What is the purpose of switching to Tirosint from levothyroxine tablets for a patient with thyroid disorder?

    <p>To improve symptom control and reduce frequent dose adjustments</p> Signup and view all the answers

    What should a patient do if they experience chest pain, palpitations, excessive sweating, heat intolerance, or nervousness while taking Cytomel® or Armour Thyroid?

    <p>Immediately report to their healthcare provider</p> Signup and view all the answers

    What type of counseling should be provided to a patient starting levothyroxine therapy?

    <p>Counseling on the importance of taking medication as directed</p> Signup and view all the answers

    Which medication is commonly used for the treatment of hyperthyroidism?

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

    Which medication is commonly used to manage symptoms of hyperthyroidism, such as rapid heart rate and tremors?

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

    What is the recommended initial dosage of levothyroxine for most adults with hypothyroidism?

    <p>75 mcg daily</p> Signup and view all the answers

    How long does it typically take for lab improvements to be seen after starting levothyroxine therapy for hypothyroidism?

    <p>6-8 weeks</p> Signup and view all the answers

    What should a patient be counseled to do if they become pregnant while taking levothyroxine?

    <p>Take 2 extra tablets per week</p> Signup and view all the answers

    Which medication is used to treat hyperthyroidism by blocking the production of thyroid hormones?

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

    Which medication is often used to relieve symptoms of hyperthyroidism, such as palpitations and tremors?

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

    Which medication is used to replace thyroid hormone in patients with hypothyroidism?

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

    Which of the following is a common treatment for Graves' disease, an autoimmune disorder that causes hyperthyroidism?

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

    Which of the following is a side effect of hyperthyroidism?

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

    Which of the following is a symptom of hypothyroidism?

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

    Which of the following is a side effect of long-term treatment with thionamides?

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

    Which of the following is a potential complication of untreated hyperthyroidism?

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

    Which of the following is a potential complication of untreated hypothyroidism?

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

    Which of the following is important to counsel patients on when starting treatment with thionamides?

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

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