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Chapter 36. Thyroid Disorders MTM Data Set

Which statement 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.

Answer d.

A patient is taking thyroid replacement for hypothyroidism. Which question is LEAST appropriate to ask this patient?

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

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, generic or brand name product)?

Answer c.

All of the following therapeutic goals are appropriate 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 to 18 months.

Answer d.

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 milk-like substance from the nipple.

d. goiter—enlargement of the thyroid gland.

Answer b.

A 33-year-old female patient takes methimazole for Graves’ disease. Which recommendation is the LEAST appropriate for the medication action plan?

a. Tell the physician if you are pregnant or thinking about becoming pregnant.

b. Go to a physician regularly for blood tests to check your thyroid.

c. Tell your physician immediately if you have yellow skin or eyes, light-colored ...

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