Thyroid

Question 1

What are the T4 levels like in hypothyroidism?

Answer 1

Low

Question 2

What are the TSH levels like in hypothyroidism?

Answer 2

High

Question 3

What is the treatment for a myxedema coma?

Answer 3

IV levothyroxine

Question 4

People with hypothyroidism are what temperature?

Answer 4

Cold

Question 5

What are normal T4 levels?

Answer 5

0.9-2.3 ng/dL

Question 6

What are normal TSH levels?

Answer 6

0.3-3 mIU/L

Question 7

Too high of a dose of levothyroxine may cause which 2 side effects?

Answer 7

Afib
Fractures

Question 8

What is the drug of choice for hypothyroidism?

Answer 8

Levothyroxine (Synthroid, Levoxyl, Unithroid)

Question 9

What is the full replacement dose of levothyroxine?

Answer 9

1.6mcg/kg/d

Question 10

If the patient has coronary artery disease, what should their dose of levothyroxine be?

Answer 10

Started at 12.5-25mcg/d

Question 11

What is the IV to PO conversion of levothyroxine?

Answer 11

0.75:1

Question 12

What color is 25mcg levothyroxine?

Answer 12

Orange

Question 13

What color is 50mcg levothyroxine?

Answer 13

White

Question 14

What color is 75mcg levothyroxine?

Answer 14

purple

Question 15

What color is 88mcg levothyroxine?

Answer 15

olive

Question 16

What color is 100mcg levothyroxine?

Answer 16

yellow

Question 17

What color is 112mcg levothyroxine?

Answer 17

rose

Question 18

What color is 125mcg levothyroxine?

Answer 18

brown

Question 19

What color is 137mcg levothyroxine?

Answer 19

turquoise

Question 20

What color is 150mcg levothyroxine?

Answer 20

blue

Question 21

What color is 175mcg levothyroxine?

Answer 21

lilac

Question 22

What color is 200mcg levothyroxine?

Answer 22

pink

Question 23

What color is 300mcg levothyroxine?

Answer 23

green

Question 24

What are the six drugs that decrease levothyroxine absorption?

Answer 24

1. Antacids
2. Polyvalent Cations
3. Multivitamins
4. Cholestyramine
5. Sevelamer
6. Sucralfate

Question 25

How many hours should levothyroxine and the drugs that decrease its absorption be separated by?

Answer 25

4

Question 26

Which has T3 and T4: Thyroid Dessicated or Liothyroinine?

Answer 26

Thyroid Dessicated Liothyroinine is T3 only

Question 27

What are the T4 levels like in hyperthyroidism?

Answer 27

High

Question 28

What are the TSH levels like in hyperthyroidism?

Answer 28

Low

Question 29

People with hyperthyroidism are which temperature?

Answer 29

Hot

Question 30

Which 3 drugs may induce hyperthyroidism?

Answer 30

1. Interferon 2. Amiodarone 3. Iodine

Question 31

What 6 drugs may induce hypothyroidism?

Answer 31

1. Interferon 2. Tyrosine Kinase (-) 3. Amiodarone 4. Lithium 5. Carbamazepine 6. Phenytoin

Question 32

What is the drug of choice for hyperthyroidism?

Answer 32

Methimazole

Question 33

Which drug is best for hyperthyroid-induced palpitations, tremors, and tachycardia?

Answer 33

Propranolol

Question 34

Which drug is best for a thyroid storm?

Answer 34

Propylthiouracil

Question 35

What can be used to block the accumulation of radioactive iodide?

Answer 35

Potassium Iodide

Question 36

What drugs should be added in addition to propylthiouracil for a thyroid storm?

Answer 36

1. SSKI or Lugol's Solution 2. beta blocker 3. steroid 4. tylenol

Question 37

For levothyroxine, how much will you have to increase the dose in pregnancy?

Answer 37

30-50%

Question 38

For a pregnant individual which medication is preferred in the first trimester?

Answer 38

propylthiouracil

Question 39

For a pregnant individual, which medication is preferred in the second and third trimesters?

Answer 39

methimazole

Question 40

Propylthiouracil and methimazole have a black box warning for damage to which organ?

Answer 40

Liver

Question 41

What does methimazole inhibit?

Answer 41

Thyroid gland

Question 42

A butterfly rash may result from methimazole. What is this called?

Answer 42

Lupus