Thyroid Medications and Treatments Quiz
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Questions and Answers

Which synthetic compound is used for diagnosing thyroid carcinoma?

  • Liothyronine
  • Methimazole
  • TSH (correct)
  • Levothyroxine
  • Which thyroid hormone replacement has a longer half-life and is preferred due to its stability?

  • Methimazole
  • Propranolol
  • Levothyroxine (T4) (correct)
  • Liothyronine (T3)
  • Which patient group requires lower doses of thyroid hormone replacement due to the hormone's effects on the heart?

  • Patients with hepatic failure
  • Elderly patients
  • Pregnant women
  • Patients with heart disease (correct)
  • Which medication is preferred for hyperactive thyroid conditions during the first trimester of pregnancy?

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

    Which medication can cause severe hepatic toxicity?

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

    Which medication can be used as an anti-thyroid agent through high iodine doses?

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

    Which medication is used to block the sympathetic nervous system in thyroid storm?

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

    Which medication blocks the conversion of T4 to T3 in thyroid storm treatment?

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

    Which medication can cause teratogenic effects?

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

    What is the preferred thyroid hormone replacement due to its long half-life and stability?

    <p>Levothyroxine (T4)</p> Signup and view all the answers

    Which medication is used for hyperactive thyroid conditions like Graves' disease by blocking thyroid peroxidase and T4 to T3 conversion?

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

    In which condition should PTU be preferred over methimazole for treatment due to teratogenic effects?

    <p>First trimester of pregnancy</p> Signup and view all the answers

    What synthetic compound is used to induce iodine uptake in thyroid cells for diagnosing thyroid carcinoma?

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

    Why do patients with heart disease require lower doses of thyroid hormone replacement?

    <p>Due to the hormone's effects on the heart</p> Signup and view all the answers

    Which medication is preferred in the later trimesters of pregnancy due to a switch from PTU for treating hyperactive thyroid conditions?

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

    What medication can lead to aplastic anemia and teratogenic effects?

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

    Which medication can be used for partial or complete destruction of the thyroid glands as an anti-thyroid agent?

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

    In thyroid storm treatment, which medication combination blocks the conversion of T4 to T3?

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

    Study Notes

    • TSH is a synthetic compound used for diagnosing thyroid carcinoma by inducing iodine uptake in thyroid cells.
    • Levothyroxine and liothyronine are thyroid hormone replacements, with levothyroxine (T4) being preferred due to its long half-life and stability.
    • Dosing of levothyroxine varies based on conditions like pregnancy, oral contraceptive use, hepatic failure, elderly patients, and heart disease.
    • Patients with heart disease require lower doses of thyroid hormone replacement due to the hormone's effects on the heart.
    • Methimazole and PTU are used for hyperactive thyroid conditions like Graves' disease, blocking thyroid peroxidase and T4 to T3 conversion.
    • PTU is preferred in the first trimester of pregnancy due to methimazole's teratogenic effects, switching to methimazole in later trimesters.
    • Methimazole can cause aplastic anemia and teratogenic effects, while PTU can lead to severe hepatic toxicity.
    • Iodine can be used as an anti-thyroid agent through high iodine doses or radio-labeled iodine for partial or complete destruction of thyroid glands.
    • Propranolol is used to block the sympathetic nervous system in thyroid storm, along with methimazole or PTU to inhibit T4 and T3 synthesis.
    • Hydrocortisone, propranolol, and PTU block the conversion of T4 to T3 in thyroid storm treatment.
    • Plasmapheresis, cholestyramine, surgery (thyroid removal), or radioactive iodine are additional treatments for thyroid storm to remove circulating T4 and T3 and address the underlying cause.

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    Description

    Test your knowledge on medications and treatments for thyroid conditions like thyroid hormone replacements, anti-thyroid agents, and thyroid storm management. Learn about dosing considerations, preferred drugs for pregnancy, and potential side effects.

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