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 (B)</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 (A)</p> Signup and view all the answers

What is the primary hormone produced by the thyroid gland?

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

Which medication is commonly used to treat hyperthyroidism?

<p>Thionamides (D)</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 (A)</p> Signup and view all the answers

How is primary hypothyroidism typically treated?

<p>By administering levothyroxine therapy (A)</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 (D)</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 (B)</p> Signup and view all the answers

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

<p>Hypertension (C)</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 (D)</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 (D)</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 (B)</p> Signup and view all the answers

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

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

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

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

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

<p>Levothyroxine (B)</p> Signup and view all the answers

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

<p>Tirosint (B)</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 (B)</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 (A)</p> Signup and view all the answers

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

<p>30 mg daily (B)</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 (A)</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 (B)</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 (A)</p> Signup and view all the answers

Which medication is commonly used for the treatment of hyperthyroidism?

<p>Thionamides (C)</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 (B)</p> Signup and view all the answers

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

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

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

<p>Methimazole (A)</p> Signup and view all the answers

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

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

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

<p>Levothyroxine (C)</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 (D)</p> Signup and view all the answers

Which of the following is a side effect of hyperthyroidism?

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

Which of the following is a symptom of hypothyroidism?

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

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

<p>Agranulocytosis (B)</p> Signup and view all the answers

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

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

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

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

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