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Chapter 36. Thyroid Disorders Medication Therapy Management Data Set

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Which of the following correctly describes a step in the hypothalamic-pituitary-thyroid axis?

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a. TSH stimulates the pituitary to release TRH

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b. T4 stimulates the thyroid gland to produce TSH

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c. T3 is converted to T4 by deiodinase enzymes

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d. T3 inhibits TRH through negative feedback

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JD is taking thyroid replacement for hypothyroidism. Which of the following is the LEAST appropriate question to ask JD?

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a. Do you take your thyroid medication on an empty stomach or with food?

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b. Do you take your thyroid medication at the same time as other medications and/or vitamins?

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c. Do you remain in an upright position for 30 minutes after taking your thyroid medication?

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d. What is the name of your thyroid medication (ie, is it a generic or brand-name product)?

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All of the following are examples of appropriate therapeutic goals for a patient with hypothyroidism EXCEPT:

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a. Eliminate symptoms of cold intolerance and fatigue

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b. Avoid overtreatment and symptoms of tachycardia and weight loss

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c. Attain a TSH level of < 4.12 mIU/L but > 0.45 mIU/L

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d. Achieve remission by continuing thyroid hormone supplementation for 12-18 months

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All of the following are appropriate definitions for thyroid-related terms using living room language EXCEPT:

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a. Exophthalmos—eye appears to bulge out of the socket

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b. Myxedema coma—having very high thyroid hormone levels; similar to thyrotoxicosis

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c. Galactorrhea—discharge of a milk-like substance from the nipple

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d. Goiter—enlargement of the thyroid gland

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KP is a 33-year-old female taking methimazole for Graves disease. Which of the following is the LEAST appropriate recommendation for KP's medication action plan?

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a. "Tell my doctor if I am pregnant or thinking about becoming pregnant"

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b. "Go to my doctor regularly for blood tests to check my thyroid"

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c. "Tell my doctor immediately if I have yellow skin or eyes, light-colored stool, or dark urine"

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d. "Stop my medication immediately ...

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