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Chapter 36. Thyroid Disorders Medication Therapy Management Data Set

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

a. TSH stimulates the pituitary to release TRH

b. T4 stimulates the thyroid gland to produce TSH

c. T3 is converted to T4 by deiodinase enzymes

d. T3 inhibits TRH through negative feedback

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

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

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

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

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

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

a. Eliminate symptoms of cold intolerance and fatigue

b. Avoid overtreatment and symptoms of tachycardia and weight loss

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

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

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

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

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

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

d. Goiter—enlargement of the thyroid gland

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?

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

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

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

d. "Stop my medication immediately ...

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