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Chapter 52: Thyroid Medications Test Bank

Chapter 52: Thyroid Medications Test Bank

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Chapter 52: Thyroid Medications
Test Bank
MULTIPLE CHOICE
1.   A patient reports fatigue, weight loss, and dry skin. The primary care nurse practitioner (NP) orders thyroid function tests. The patient’s thyroid stimulating hormone (TSH) is 40 microunits/mL, and T4 is 0.1 ng/mL. The NP should refer the patient to an endocrinologist and prescribe:
a.

methimazole.

b.

liothyronine.

c.

levothyroxine.

d.

propylthiouracil.

2.   A patient who has hypothyroidism has been taking levothyroxine 50 mcg daily for 2 weeks. The patient reports continued fatigue. The primary care NP should:
a.

order a T4 level today.

b.

increase the dose to 100 mcg.

c.

check the TSH level in 1 week.

d.

reassure the patient that this will improve in several weeks.

3.   A primary care NP orders thyroid function tests. The patient’s TSH is 1.2 microunits/mL, and T4 is 1.7 ng/mL. The NP should:
a.

assess the patient for symptoms of hyperthyroidism.

b.

ask the patient about the use of medications such as lithium.

c.

tell the patient that the results most likely indicate hypothyroidism.

d.

ask an endocrinologist to evaluate for possible Hashimoto’s thyroiditis.

4.   An 80-year-old female patient with a history of angina has increased TSH and decreased T4. The primary care NP should prescribe _____ mcg of _____.
a.

25; liothyronine

b.

75; liothyronine

c.

25; levothyroxine

d.

75; levothyroxine

5.   A child who has congenital hypothyroidism takes levothyroxine 75 mcg/day. The child weighs 15 kg. The primary care NP sees the child for a 3-year-old check-up. The NP should consult with a pediatric endocrinologist to discuss:
a.

increasing the dose to 90 mcg/day.

b.

decreasing the dose to 30 mcg/day.

c.

stopping the medication and checking TSH and T4 in 4 weeks.

d.

discussing the need for lifetime replacement therapy with the child’s parents.


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