Thyroid Quiz: Graves' Or Hashimoto's?

1. Graves' disease is characterized by which thyroid dysfunction?

Hypothyroidism with autoimmune destruction

Hyperthyroidism with TSI antibodies

Thyroiditis with viral infection

Thyroid cancer with iodine deficiency

2. A patient with Graves' disease presents with exophthalmos. What causes this orbital finding?

Increased TSH binding to orbital tissue

Autoimmune attack on orbital fibroblasts and adipocytes

Thyroid hormone toxicity on eye muscles

Bacterial infection of the lacrimal gland

3. In hyperthyroidism, which metabolic effect is expected?

Decreased basal metabolic rate and weight gain

Increased heat production and weight loss

Decreased cardiac output and bradycardia

Increased fluid retention and edema

4. Which laboratory finding is consistent with primary hypothyroidism?

Low TSH and high free T4

High TSH and low free T4

Low TSH and low free T4

High TSH and high free T4

5. A patient on levothyroxine for Hashimoto's develops tachycardia and tremor. What is the most likely cause?

Hypothyroidism progression

Medication overdose (overreplacement)

Secondary hyperthyroidism

Thyroiditis inflammation

6. Which symptom is typical of hypothyroidism but NOT hyperthyroidism?

Heat intolerance and diaphoresis

Cold intolerance and constipation

Tachycardia and palpitations

Tremor and anxiety

7. A patient with newly diagnosed Graves' disease asks about treatment options. Which is NOT a standard approach?

Antithyroid medications (PTU or methimazole)

Radioactive iodine ablation

Thyroidectomy

High-dose corticosteroids as monotherapy

8. True or False: Levothyroxine should be taken with food to enhance absorption.

True

False

9. True or False: Hashimoto's thyroiditis is more common in women than men.

True

False

10. A patient with Hashimoto's presents with fatigue, weight gain, and bradycardia. What is the nursing priority?

Administer beta-blockers immediately

Obtain TSH and free T4 levels; initiate thyroid replacement

Restrict iodine intake

Prepare for emergency thyroidectomy

11. Which medication is preferred in the first trimester of pregnancy for hyperthyroidism?

Methimazole

PTU (propylthiouracil)

Radioactive iodine

Beta-blockers alone

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14. Which finding on thyroid ultrasound is typical of Hashimoto's thyroiditis?

Diffuse hyperechoic gland

Hypoechoic, heterogeneous gland with atrophy

Solitary nodule with vascularity

Cystic lesions only

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16. A patient on levothyroxine reports symptoms of hypothyroidism despite normal TSH. What should the nurse assess?

Medication timing and drug interactions

Iodine supplementation adequacy

Thyroid ultrasound findings

Recent radioactive iodine exposure

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18. Which clinical sign differentiates Graves' disease from other causes of hyperthyroidism?

Goiter

Exophthalmos and pretibial myxedema

Weight loss

Elevated free T4

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20. Which antibody is specific to Hashimoto's thyroiditis?

TSI (thyroid-stimulating immunoglobulin)

Anti-TPO and anti-thyroglobulin antibodies

TSH receptor antibodies

IgE antibodies against iodine

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Thyroid Quiz: Graves' or Hashimoto's?

1. Graves' disease is characterized by which thyroid dysfunction?

2.

What first name or nickname would you like us to use?

2. A patient with Graves' disease presents with exophthalmos. What causes this orbital finding?

3. In hyperthyroidism, which metabolic effect is expected?

4. Which laboratory finding is consistent with primary hypothyroidism?

5. A patient on levothyroxine for Hashimoto's develops tachycardia and tremor. What is the most likely cause?

6. Which symptom is typical of hypothyroidism but NOT hyperthyroidism?

7. A patient with newly diagnosed Graves' disease asks about treatment options. Which is NOT a standard approach?

8. True or False: Levothyroxine should be taken with food to enhance absorption.

9. True or False: Hashimoto's thyroiditis is more common in women than men.

10. A patient with Hashimoto's presents with fatigue, weight gain, and bradycardia. What is the nursing priority?

11. Which medication is preferred in the first trimester of pregnancy for hyperthyroidism?

12. In thyroid hormone replacement therapy, the initial dose is typically adjusted based on ____ levels.

13. A patient develops agranulocytosis while taking methimazole. The nurse should ____ the medication immediately and notify the provider.

14. Which finding on thyroid ultrasound is typical of Hashimoto's thyroiditis?

15. In Graves' disease, TSI antibodies bind to TSH receptors and ____ thyroid hormone production.

16. A patient on levothyroxine reports symptoms of hypothyroidism despite normal TSH. What should the nurse assess?

17. Methimazole works by ____ thyroid hormone synthesis.

18. Which clinical sign differentiates Graves' disease from other causes of hyperthyroidism?

19. In Graves' disease, TSH levels are typically ____.

20. Which antibody is specific to Hashimoto's thyroiditis?

21. Hashimoto's thyroiditis is the most common cause of ____ in iodine-sufficient areas.