30 Questions
Which of the following is a common cause of hypothyroidism?
Autoimmune disease
What are some common symptoms of hypothyroidism?
Dry skin, hair thinning, and heavy menstrual periods
What happens when thyroid hormone levels are too low in the body?
Body's processes start slowing down
Which of the following is a symptom of hypothyroidism?
Goiter
What does hypothyroidism mean?
Insufficient thyroid hormone production
Which of the following is NOT a symptom of hypothyroidism?
Weight loss
What is a common cause of hypothyroidism related to the immune system?
Autoimmune disease
What can happen to a person's face in hypothyroidism?
Face becomes puffy
What effect does hypothyroidism have on menstrual periods?
It can cause heavy or irregular menstrual periods
What happens to the body's cells when thyroid hormone levels are too low?
Cells cannot get enough thyroid hormone
What is one of the causes of hypothyroidism?
Viral thyroiditis
How is hypothyroidism treated?
By replacing the hormone the thyroid can no longer make with synthetic thyroxine pills
What is a symptom of hypothyroidism?
Fatigue
What is the recommended way to take levothyroxine?
On an empty stomach
What is a potential consequence of surgical removal of part or all of the thyroid?
Hypothyroidism
How is hyperthyroidism diagnosed?
Through blood tests measuring thyroid hormone and TSH levels
What are symptoms of hyperthyroidism?
Heat intolerance and palpitations
What is the recommended duration of antithyroid drug therapy?
No clear-cut guidelines exist
What are people with hypothyroidism at risk of with opioid analgesics and sedating drugs?
Respiratory depression and myxedema coma
What is the recommended way to administer levothyroxine therapy?
On an empty stomach
Which medication has a BLACK BOX WARNING for severe liver injury?
Propylthiouracil
What is the traditional treatment for hyperthyroidism?
Antithyroid drugs
What is the main aim of managing Graves’ disease?
To minimize ophthalmopathy
Which drug is used as part of the preoperative preparation for thyroidectomy?
Propylthiouracil
What is the result of thyroiditis on thyroid hormone levels?
Transient mild thyrotoxicosis
What is the role of beta-adrenergic blocking agents in hyperthyroidism?
To suppress tachycardia
What is the purpose of radioactive iodine treatment for hyperthyroidism?
To destroy the thyroid
What is the consequence of high doses of thionamide drugs in hyperthyroidism treatment?
Conversion to hypothyroid state
What is the effect of surgical removal of the thyroid in hyperthyroidism treatment?
Permanent cure
What is the role of nursing interventions in hyperthyroidism management?
Reducing stress and initiating teaching
Study Notes
Hypothyroidism and Hyperthyroidism: Causes, Diagnosis, and Treatment
- Hypothyroidism can be caused by Hashimoto’s disease, congenital hypothyroidism, surgical removal of the thyroid, radiation treatment, and certain medications.
- Symptoms of hypothyroidism develop slowly and can go unnoticed for months or years.
- There is no cure for hypothyroidism, and most patients have it for life, but some exceptions exist, such as viral thyroiditis or thyroiditis after pregnancy.
- Hypothyroidism is treated by replacing the hormone the thyroid can no longer make, typically with synthetic thyroxine pills.
- Certain medications and conditions, such as amiodarone, interferon alpha, lithium, and iodine levels, can lead to hypothyroidism.
- Surgical removal of part or all of the thyroid can result in hypothyroidism, and radiation treatment for hyperthyroidism often leads to hypothyroidism.
- Treatment for hypothyroidism involves the administration of synthetic thyroxine, such as levothyroxine, which should be taken on an empty stomach.
- Levothyroxine therapy is for life and requires routine laboratory testing to review thyroid-stimulating hormone (TSH) levels.
- Levothyroxine rarely causes adverse effects when administered at appropriate doses.
- Replacement therapy for hypothyroidism is lifelong, and no clear-cut guidelines exist regarding duration of antithyroid drug therapy.
- People with hypothyroidism are at risk of respiratory depression and myxedema coma with opioid analgesics and sedating drugs.
- Hyperthyroidism can be diagnosed through blood tests measuring thyroid hormone and TSH levels, and symptoms include heat intolerance, palpitations, anxiety, fatigue, weight loss, and irregular menses in women.
Test your knowledge of hypothyroidism and hyperthyroidism with this quiz on the causes, diagnosis, and treatment of these common thyroid conditions. Learn about the symptoms, medication, and potential complications associated with both hypothyroidism and hyperthyroidism.
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