WorksheetsThyroid and Antithyroid Drugs
Total questions: 18
Worksheet time: 9mins
The thyroid gland secretes the hormones:
T4
T3
glucagon
Calcitonin
Signs and Symptoms: decreased metabolism, weight gain, lethargy/fatigue, cold intolerance, (eeyore)
hypothyroidism (Hashimoto's)
Hyperglycemia
Hyperthyroidism (Grave's)
Hypoglycemia
How is the secretion of thyroid hormones controlled ?
pancreas
liver
pituitary gland
thyroid gland
Signs and Symptoms: increased metabolism, weight loss, heat intolerance, exophthalmus, excitability, anxiety (tiger)
hyperglycemia
hyperthyroidism (Grave's)
Hypothyroidism (Hashimoto's)
hypocalcemia
define euthyroid
normal thyroid function
abnormal pancreas function
abnormal thyroid function
normal hormone production
What drug is used to treat hypothyroidism ?
scopolamine
Levothyroxine (synthroid)
Cimetidine
Methimizole (tapazole)
Which of these are the signs and symptoms of Thyrotoxicosis ("thyroid storm")
extreme tachycardia
high fever
decreased metabolism
altered mental status
When should you administer the thyroid hormone for hypothyroidism ?
once in the afternoon with lunch
twice a day
in the evening with dinner
once in the morning before breakfast
What anti-thyroid drug treats hyperthyroidism ?
Methimazole (Tapazole)
Levemir
Levothyroxine (Synthroid)
omeprazole
How long does it take for anti-thyroid drug to reach therapeutic effect ?
1-2 weeks
3-4 weeks
2 months
1 week
The potential for bleeding increases when anti-thyroid drugs are taken with:
thyroid drugs
anticoagulants
anticholinergics
antidiarrheals
When should you take anti thyroid medication ?
immediately after waking up then every 8 hrs afterwards
before breakfast
immediately after waking then every 6 hrs afterwards
after lunch
Patient teaching if patient is on levothyroxine:
weigh yourself weekly
take with meals
report wt gain or loss
take fsbs
Adverse Reactions of levothyroxine(synthroid):
increased appetite
wt gain
tremors
irregular menses
tachycardia
Adverse Reactions of Methimazole (Tapazole):
sore throat
wt gain
high metabolism
agranulocytosis
cold intolerance
What is a thyroid drug ?
lowers thyroid hormones in bloodstream
hormone replacement (increases thyroid hormones)
does not affect thyroid hormones at all
treats thyrotoxicosis
Would you give levothyroxine to a pt who is experiencing thyrotoxicosis ?
Yes
No
What does an anti-thyroid drug do ?
does not affect thyroid hormones at all
increases thyroid hormones in the blood
controls the pituitary gland
lowers thyroid hormones in the blood
