Thyroid Dysfunction

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| By Rossj
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  • 1/29 Questions

    Michael comes into the ED.  His HR is 150 and has a fever of 104.5.  He is confused and anxious. What could be Michael's problem?

    • Thyroid infection.
    • Thyroid Fire
    • Thyroid Storm
    • Thyroid Shut Down.
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About This Quiz

Terri's content.   Once again, be advised there may be multiple right answers.   I know this makes it more difficult, but, will help with testing on the real test.

Thyroid Dysfunction - Quiz

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  • 2. 

    What does tyrosine combine with to make T3 and T4?

    • Serum K

    • Serum Na

    • Serum Iodine

    • Serum Phosphoruse

    Correct Answer
    A. Serum Iodine
    Explanation
    Tyrosine combines with serum iodine to make T3 and T4. T3 and T4 are thyroid hormones that play a crucial role in regulating metabolism, growth, and development in the body. Iodine is an essential nutrient required for the synthesis of thyroid hormones, and it combines with tyrosine in the thyroid gland to form T3 and T4. Without sufficient iodine, the production of T3 and T4 is impaired, leading to thyroid disorders such as hypothyroidism or goiter. Therefore, serum iodine is necessary for the synthesis of T3 and T4 hormones.

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  • 3. 

    A nurse gets back results on a pt who may have hypothyroidism.  What lab values might the nurse expect?

    • Decreased T3 and Increased T4

    • Increased TSH and Increased T3 and T4

    • Increased TSH and decreased T3 and T4

    • Increased T3 and Decreased T4

    Correct Answer
    A. Increased TSH and decreased T3 and T4
    Explanation
    In hypothyroidism, the thyroid gland does not produce enough thyroid hormones (T3 and T4). This leads to an increase in the production of thyroid-stimulating hormone (TSH) by the pituitary gland as it tries to stimulate the thyroid gland to produce more hormones. Therefore, the nurse would expect to see increased TSH levels and decreased levels of both T3 and T4 in a patient with hypothyroidism.

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  • 4. 

    Graves disease is classified as:

    • A consistently under performing pituitary gland.

    • A hyperactive hypothalamus

    • An autoimmune disease

    • A lack of follicles to release T3 and T4.

    Correct Answer
    A. An autoimmune disease
    Explanation
    Graves disease is classified as an autoimmune disease. This means that the body's immune system mistakenly attacks the thyroid gland, causing it to produce excessive amounts of thyroid hormones. This leads to symptoms such as weight loss, rapid heartbeat, and bulging eyes. It is not classified as a consistently under performing pituitary gland, a hyperactive hypothalamus, or a lack of follicles to release T3 and T4.

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  • 5. 

    When a hypothyroid enlarges to compensate for lack of production, it is called:

    • Hashimoto's disease

    • Goiter

    • Lumpy Thyroid

    • Balloon Thyroid

    Correct Answer
    A. Goiter
    Explanation
    When the thyroid gland is not able to produce enough hormones, it may enlarge in order to compensate for the deficiency. This condition is known as a goiter. A goiter can be caused by various factors, including a lack of iodine in the diet, certain medications, or underlying thyroid disorders such as Hashimoto's disease. Therefore, the correct answer in this case is "Goiter."

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  • 6. 

    Thyrotoxicosis is understood when the nurse states:

    • Hypermetabolism from decrease in T3 and T4.

    • Hypometabolism from decrease in T3 and T4.

    • Hypermetabolism from increase in T3 and T4.

    • Hypometabolism from increase in T3 and T4.

    Correct Answer
    A. Hypermetabolism from increase in T3 and T4.
    Explanation
    The nurse's statement indicates that thyrotoxicosis is characterized by hypermetabolism, which means an increase in the body's metabolic rate. This is caused by an increase in the levels of T3 and T4 hormones. Therefore, the correct answer is "Hypermetabolism from increase in T3 and T4."

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  • 7. 

    A nurse gets back results on a pt who may have hyperthyroidism.  What lab values might the nurse expect?

    • Decreased T3 and Increased T4

    • Decreased TSH and Increased T3 and T4

    • Increased TSH and decreased T3 and T4

    • Increased T3 and Decreased T4

    Correct Answer
    A. Decreased TSH and Increased T3 and T4
    Explanation
    When a patient has hyperthyroidism, the thyroid gland is overactive and produces excessive amounts of thyroid hormones T3 and T4. As a result, the levels of T3 and T4 in the blood are increased. However, the increased levels of thyroid hormones cause negative feedback on the pituitary gland, leading to a decrease in the secretion of thyroid-stimulating hormone (TSH). Therefore, the nurse would expect to see decreased TSH levels and increased T3 and T4 levels in a patient with hyperthyroidism.

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  • 8. 

    Mrs. Gilmour is complaining of being hot all the time, sweating, being thirsty, and losing hair.  What could her symptoms indicate?

    • Hypothyroidsim

    • Hyperthyroidism

    • Graves disease

    Correct Answer
    A. Hyperthyroidism
    Explanation
    The symptoms described by Mrs. Gilmour, such as feeling hot all the time, sweating, being thirsty, and losing hair, are indicative of hyperthyroidism. Hyperthyroidism is a condition where the thyroid gland produces an excessive amount of thyroid hormones. This can lead to an increased metabolic rate, causing symptoms such as heat intolerance, excessive sweating, and thirst. Hair loss is also a common symptom of hyperthyroidism. Hypothyroidism, on the other hand, is characterized by an underactive thyroid gland and typically presents with different symptoms. Graves disease is a specific type of hyperthyroidism, so it is a possible cause of Mrs. Gilmour's symptoms.

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  • 9. 

    When T3 and T4 are low, T3 and T4 are released from:

    • Anterior pituitary

    • Hypothalamus

    • Thyroid gland

    Correct Answer
    A. Thyroid gland
    Explanation
    When T3 and T4 are low, it indicates that the levels of thyroid hormones in the body are low. The release of T3 and T4 hormones is regulated by the thyroid gland, which is located in the neck. The anterior pituitary gland and hypothalamus are involved in the regulation of thyroid hormone production, but they do not directly release T3 and T4 hormones. Therefore, the correct answer is the thyroid gland.

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  • 10. 

    When teaching a preop pt for a thrroidectomy, coughing is going to be encouraged to lessen the chances of blood clots forming.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Coughing is discouraged.

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  • 11. 

    When T3 and T4 are low TSH is released from:

    • Anterior pituitary

    • Hypothalamus

    • Thyroid gland

    Correct Answer
    A. Anterior pituitary
    Explanation
    When T3 and T4 levels are low, the hypothalamus releases thyrotropin-releasing hormone (TRH). TRH then stimulates the anterior pituitary gland to release thyroid-stimulating hormone (TSH). TSH, in turn, stimulates the thyroid gland to produce and release T3 and T4 hormones, which are responsible for regulating metabolism and other bodily functions. Therefore, in this scenario, TSH is released from the anterior pituitary gland.

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  • 12. 

    When T3 and T4 are low TRH is excreted from:

    • Anterior pituitary

    • Hypothalamus

    • Thyroid gland

    Correct Answer
    A. Hypothalamus
    Explanation
    When T3 and T4 levels are low, the hypothalamus releases TRH (thyrotropin-releasing hormone). TRH then travels to the anterior pituitary gland, where it stimulates the release of TSH (thyroid-stimulating hormone). TSH, in turn, acts on the thyroid gland, causing it to produce and release more T3 and T4 hormones. Therefore, the correct answer is hypothalamus, as it is the initial source of TRH in response to low T3 and T4 levels.

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  • 13. 

    T3 and T4 are similar, but different produced in equal amounts?

    • True

    • False

    Correct Answer
    A. False
    Explanation
    T3 and T4 are similar, but they are produced in different amounts.

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  • 14. 

    What is the correct order of negative feedback loop for T3 and T4 production?

    • T3/T4, TRH, TSH

    • TRH, TSH, T3/T4

    • TSH, TRH, T3/T4

    Correct Answer
    A. TRH, TSH, T3/T4
    Explanation
    The correct order of negative feedback loop for T3 and T4 production is TRH, TSH, T3/T4. This is because thyrotropin-releasing hormone (TRH) is released from the hypothalamus, which stimulates the release of thyroid-stimulating hormone (TSH) from the anterior pituitary gland. TSH then acts on the thyroid gland to stimulate the production and release of T3 and T4. Once T3 and T4 levels in the blood increase, they exert a negative feedback on the hypothalamus and pituitary gland, inhibiting the release of TRH and TSH, thus completing the negative feedback loop.

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  • 15. 

    Propanol (inderal) main function in therapy is to:

    • Rapidly inhibits the synthesis/release of T3 & T4

    • Blocks conversion of T4 to T3

    • Damages or destroys thyroid tissue

    • Decreases HR, BP, CO2, and O2 requirements

    Correct Answer
    A. Decreases HR, BP, CO2, and O2 requirements
    Explanation
    Propanolol (Inderal) is a beta-blocker medication that is commonly used in therapy to decrease heart rate (HR), blood pressure (BP), and the body's requirements for carbon dioxide (CO2) and oxygen (O2). By blocking the action of adrenaline on beta receptors in the heart and blood vessels, propanolol reduces the workload on the heart, resulting in a decrease in HR and BP. Additionally, it can decrease the body's demand for CO2 and O2, which can be beneficial in certain medical conditions such as angina or hypertension.

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  • 16. 

    A pt has taken radioactive iodine.  What will be a factor in determining hyperthyroidsim?

    • Decreased uptake

    • Increased uptake

    • Increased serum Ca

    • Decreased serum Ca

    Correct Answer
    A. Increased uptake
    Explanation
    When a patient takes radioactive iodine, it is used to treat hyperthyroidism by destroying the overactive thyroid cells. The radioactive iodine is taken up by the thyroid gland, and this uptake is necessary for the treatment to be effective. Therefore, an increased uptake of radioactive iodine would be a factor in determining hyperthyroidism because it indicates that the thyroid gland is still active and taking in the radioactive iodine. Conversely, a decreased uptake would suggest that the thyroid gland is not functioning properly and may not be contributing to hyperthyroidism.

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  • 17. 

    Iodine's main function in therapy is to:

    • Rapidly inhibits the synthesis/release of T3 & T4

    • Blocks conversion of T4 to T3

    • Damages or destroys thyroid tissue

    • Decreases HR, BP, CO2, and O2 requirements

    Correct Answer
    A. Rapidly inhibits the synthesis/release of T3 & T4
    Explanation
    Iodine's main function in therapy is to rapidly inhibit the synthesis/release of T3 & T4. This means that iodine helps to prevent the production and release of thyroid hormones T3 and T4. This can be beneficial in certain medical conditions where there is an overproduction of thyroid hormones, such as in hyperthyroidism. By inhibiting the synthesis and release of these hormones, iodine can help to normalize thyroid function and reduce symptoms associated with excessive thyroid hormone levels.

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  • 18. 

    Radioactive Iodine's main function in therapy is to:

    • Rapidly inhibits the synthesis/release of T3 & T4

    • Blocks conversion of T4 to T3

    • Damages or destroys thyroid tissue

    • Decreases HR, BP, CO2, and O2 requirements

    Correct Answer
    A. Damages or destroys thyroid tissue
    Explanation
    Radioactive iodine is used in therapy to damage or destroy thyroid tissue. This is because the radioactive iodine is taken up by the thyroid gland, which is highly sensitive to radiation. The radiation emitted by the iodine damages the cells in the thyroid gland, leading to the destruction of the tissue. This therapy is commonly used to treat conditions such as hyperthyroidism and thyroid cancer.

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  • 19. 

    T3 and T4 are produced in which type of cell?

    • Follicle

    • Squamous

    • Epithelial

    • Glandular

    Correct Answer
    A. Follicle
    Explanation
    T3 and T4 are hormones produced by the thyroid gland. The thyroid gland consists of follicular cells that are responsible for the production and secretion of these hormones. Therefore, the correct answer is "Follicle."

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  • 20. 

    Hashimoto's disease is when:

    • Rapid degeneration of the thyroid

    • Slow degeneration of the thyroid

    • Excess thyroid tissue growth impair production of T3 and T4

    • Damage to the thyroid through over medicated juvenile pts.

    Correct Answer
    A. Slow degeneration of the thyroid
    Explanation
    Hashimoto's disease is characterized by the slow degeneration of the thyroid. This means that the thyroid gland gradually becomes damaged and is unable to produce enough thyroid hormones, specifically T3 and T4. As a result, the body's metabolism is affected, leading to symptoms such as fatigue, weight gain, and sensitivity to cold. It is an autoimmune disorder where the body's immune system mistakenly attacks the thyroid gland, causing its slow deterioration over time.

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  • 21. 

    PTU's main function is to:

    • Rapidly inhibits the synthesis/release of T3 & T4

    • Blocks conversion of T4 to T3

    • Damages or destroys thyroid tissue

    • Decreases HR, BP, CO2, and O2 requirements

    Correct Answer
    A. Blocks conversion of T4 to T3
    Explanation
    The correct answer is "Blocks conversion of T4 to T3." This means that PTU (propylthiouracil) prevents the conversion of the thyroid hormone T4 (thyroxine) to T3 (triiodothyronine). T3 is the active form of the hormone that has important effects on metabolism, growth, and development. By blocking this conversion, PTU helps to reduce the levels of T3 in the body, which can be beneficial in conditions such as hyperthyroidism where there is an excess of thyroid hormone production.

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  • 22. 

    Treatment for cretinism is :

    • Held until testing is done

    • Initiated when TSH is up and T3 is down.

    • Begun before confirmation testing is completed

    • Treated only in older adults

    Correct Answer
    A. Begun before confirmation testing is completed
    Explanation
    The correct answer is "begun before confirmation testing is completed". This means that treatment for cretinism should be started before the results of confirmation testing are obtained. This is because cretinism is a serious condition caused by congenital hypothyroidism, and delaying treatment can lead to irreversible damage to the child's physical and mental development. Therefore, it is crucial to initiate treatment as soon as possible, even before confirmation testing is completed.

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  • 23. 

    A pt is given radioactive iodine for a thyroid scan.  How often are the tests taken?

    • One hour after ingestion

    • 4-8-24 hours

    • 2-4-24 hours

    • 2-6-24 hours

    Correct Answer
    A. 2-6-24 hours
    Explanation
    The correct answer is 2-6-24 hours. After ingesting radioactive iodine for a thyroid scan, the tests are taken at intervals of 2 hours, 6 hours, and 24 hours. This allows for the evaluation of the uptake and clearance of the radioactive iodine by the thyroid gland over time. The different time points provide valuable information about the functioning and activity of the thyroid gland.

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  • 24. 

    A nurse understand T3 and T4 affects when the nurse states:

    • They help regulate heat.

    • They help protein synthesis.

    • They help metabolism

    • They help break down liver glycogen.

    • None of the above.

    Correct Answer(s)
    A. They help regulate heat.
    A. They help protein synthesis.
    A. They help metabolism
    A. They help break down liver glycogen.
    Explanation
    The nurse understands that T3 and T4 hormones play a role in regulating heat, protein synthesis, metabolism, and breaking down liver glycogen.

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  • 25. 

    When serum Ca is over 11, calcitonin is released and has what affect?

    • Increases Ca released from the bones.

    • Increases renal release of Ca.

    • Decreases amount of Ca in the blood.

    • Increases glucose production.

    Correct Answer(s)
    A. Increases renal release of Ca.
    A. Decreases amount of Ca in the blood.
    Explanation
    When serum Ca (calcium) levels are elevated (over 11), the hormone calcitonin is released. Calcitonin acts to decrease the amount of calcium in the blood by increasing renal release of calcium. This means that more calcium is excreted by the kidneys, leading to a decrease in the concentration of calcium in the blood. Therefore, the correct answer is "Increases renal release of Ca." and "Decreases amount of Ca in the blood."

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  • 26. 

    Cretinism affects infants and young children how?

    • Mental retardation

    • Dwarfism

    • Neurological insufficiency

    • Anorexia

    Correct Answer(s)
    A. Mental retardation
    A. Dwarfism
    Explanation
    Cretinism affects infants and young children by causing mental retardation and dwarfism. Mental retardation refers to a significant impairment in intellectual functioning and adaptive behavior, leading to difficulties in learning, problem-solving, and daily life tasks. Dwarfism, on the other hand, is characterized by abnormally short stature and limbs. These physical and cognitive impairments are the key features of cretinism, which is typically caused by a deficiency in thyroid hormone production during early development.

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  • 27. 

    Serum Ca under 9 will cause the release of parathormone which has what affect on the body?

    • Increased renal and intestinal absorption of Ca.

    • Decreased Ca in the blood

    • Decreased glycogen production

    • Increased Ca stored in bones.

    Correct Answer(s)
    A. Increased renal and intestinal absorption of Ca.
    A. Increased Ca stored in bones.
    Explanation
    When the serum calcium level drops below 9, the body releases parathormone. Parathormone stimulates the kidneys to reabsorb more calcium from the urine, increasing renal absorption of calcium. It also stimulates the intestines to absorb more calcium from the diet, increasing intestinal absorption of calcium. Additionally, parathormone stimulates the release of calcium from the bones, increasing the storage of calcium in bones. Therefore, the correct answer is "Increased renal and intestinal absorption of Ca." and "Increased Ca stored in bones."

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  • 28. 

    A nurse understands calcitonin and parathormone when the nurse states:

    • They work separately on calcium balance.

    • They work together for blood clotting.

    • They work together on bone growth.

    • Calcitonin works on cellular function while parathormone works on neuromuscular function.

    Correct Answer(s)
    A. They work together for blood clotting.
    A. They work together on bone growth.
    Explanation
    The correct answer is "They work together for blood clotting" and "They work together on bone growth." Calcitonin and parathormone are hormones that regulate calcium balance in the body. Calcitonin helps decrease blood calcium levels by inhibiting the release of calcium from bones and promoting its excretion by the kidneys. Parathormone, on the other hand, helps increase blood calcium levels by stimulating the release of calcium from bones and increasing its absorption in the intestines and kidneys. While both hormones play a role in calcium balance, they do not work separately on calcium balance but rather work together to maintain homeostasis. Additionally, neither calcitonin nor parathormone directly affects blood clotting or neuromuscular function.

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  • 29. 

    Thyroxine (Synthroid) is:

    • Synthetic steroid to encourage thyroid T3, T4 production.

    • T3 replacement

    • T4 replacement

    • Increase metabolism and promotes tissue growth

    Correct Answer(s)
    A. T4 replacement
    A. Increase metabolism and promotes tissue growth
    Explanation
    Thyroxine (Synthroid) is a medication that is used as a T4 replacement. T4 is a hormone produced by the thyroid gland that plays a crucial role in regulating metabolism and promoting tissue growth. By replacing T4, Thyroxine helps to increase metabolism and promote tissue growth in individuals who have an underactive thyroid or are unable to produce enough T4 on their own.

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  • Current Version
  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Jan 04, 2009
    Quiz Created by
    Rossj

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