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Chapter 36. Thyroid Disorders MTM Data Set
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Which statement 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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A patient is taking thyroid replacement for hypothyroidism. Which question is LEAST appropriate to ask this patient?
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a. Do you take your thyroid medication on an empty stomach?
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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, generic or brand name product)?
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All of the following therapeutic goals are appropriate 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 to 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 milk-like substance from the nipple.
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d. goiter—enlargement of the thyroid gland.
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A 33-year-old female patient takes methimazole for Graves’ disease. Which recommendation is the LEAST appropriate for the medication action plan?
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a. Tell the physician if you are pregnant or thinking about becoming pregnant.
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b. Go to a physician regularly for blood tests to check your thyroid.
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c. Tell your physician immediately if you have yellow skin or eyes, light-colored ...