1.
Thyroid hormones have a profound effect on
Correct Answer(s)
A. Metabolism
B. Cardiac function
C. Growth and development
F. Maturation in infancy to childhood
Explanation
Thyroid hormones play a crucial role in regulating metabolism, which refers to the chemical processes that occur within the body to convert food into energy. These hormones also have a significant impact on cardiac function, influencing the heart rate and rhythm. Additionally, they are involved in growth and development, particularly during infancy and childhood. The thyroid hormones are also important for the maturation of various organs and systems in the body during this critical period of development.
2.
Iodine is important to the synthesis of
Correct Answer(s)
A. T3
B. T4
Explanation
Iodine is important for the synthesis of T3 and T4 hormones. T3 (triiodothyronine) and T4 (thyroxine) are both thyroid hormones that play a crucial role in regulating metabolism, growth, and development in the body. These hormones are produced by the thyroid gland, and iodine is an essential component required for their synthesis. Without sufficient iodine, the production of T3 and T4 would be impaired, leading to various health issues related to thyroid dysfunction.
3.
Iodine can be found in salt
Correct Answer
A. True
Explanation
Iodine can be found in salt. This is true because iodized salt, which is commonly used in many households, contains small amounts of iodine. Iodine is added to salt as a way to prevent iodine deficiency, which can lead to thyroid problems. Therefore, consuming iodized salt is a simple and effective way to ensure an adequate intake of iodine in the diet.
4.
Hyperthyroidism can be treated by
Correct Answer(s)
A. Surgical removal of thyroid tissue
C. Destruction of thyroid tissue
D. Medical supression of thyroid hormone synthesis
Explanation
Hyperthyroidism can be treated through surgical removal of thyroid tissue, destruction of thyroid tissue, or medical suppression of thyroid hormone synthesis. Surgical removal of thyroid tissue involves removing all or part of the thyroid gland to reduce hormone production. Destruction of thyroid tissue can be achieved through radioactive iodine treatment or by using medications that destroy thyroid cells. Medical suppression of thyroid hormone synthesis involves taking medications that inhibit the production of thyroid hormones. These treatments aim to reduce the excessive production of thyroid hormones and alleviate the symptoms of hyperthyroidism.
5.
Treatment of hyperthyroidism usually leads to hypothyroidism
Correct Answer
A. True
Explanation
The treatment of hyperthyroidism usually involves the use of medications or radioactive iodine to reduce the production of thyroid hormones. These treatments can often lead to a decrease in thyroid hormone levels, causing the thyroid to become underactive and resulting in hypothyroidism. This is a common occurrence and is closely monitored by healthcare professionals to ensure the patient's thyroid hormone levels are within a healthy range.
6.
Levothyroxine is a Synthroid (synthetic)
Correct Answer
A. True
Explanation
Levothyroxine is indeed a synthetic form of the hormone thyroxine, which is produced naturally by the thyroid gland. It is commonly prescribed to treat hypothyroidism, a condition in which the thyroid gland does not produce enough thyroid hormone. Levothyroxine works by replacing or supplementing the natural hormone in the body, helping to regulate metabolism and energy levels. Synthroid is a brand name for levothyroxine, and they are often used interchangeably. Therefore, the statement "Levothyroxine is a Synthroid (synthetic)" is true.
7.
Levothyroxine is synthetic
Correct Answer
A. T4
Explanation
Levothyroxine is a synthetic hormone that is used to replace or supplement the thyroid hormone T4 in the body. T4, also known as thyroxine, is produced by the thyroid gland and is converted into the active form T3. Levothyroxine is commonly prescribed for individuals with an underactive thyroid gland, or hypothyroidism, to help regulate their metabolism and energy levels. It is not T3, TSH, or TRH, which are all different hormones involved in the regulation of thyroid function.
8.
Levothyroxine is/has
Correct Answer(s)
A. Drug of choice for hypothyroidism
C. A long half life
E. Narrow therapeutic range
Explanation
Levothyroxine is the drug of choice for hypothyroidism because it is a synthetic form of the thyroid hormone thyroxine, which is deficient in individuals with hypothyroidism. It has a long half-life, meaning it stays in the body for a longer duration and provides a sustained release of the hormone. Additionally, levothyroxine has a narrow therapeutic range, meaning that small changes in dosage can significantly affect its effectiveness. Therefore, it is important to closely monitor and adjust the dosage to maintain optimal thyroid hormone levels in patients with hypothyroidism.
9.
It is common to need medication for T3
Correct Answer
B. False
Explanation
The statement suggests that it is common to need medication for T3. However, this is not true. T3 refers to triiodothyronine, which is a hormone produced by the thyroid gland. In most cases, the body is able to produce enough T3 on its own without the need for medication. Medication for T3 is typically only prescribed in cases of thyroid disorders or certain medical conditions where the body is unable to produce sufficient levels of T3. Therefore, the correct answer is False.
10.
AEs of Levothyroxine
Correct Answer(s)
A. Thyrotoxicosis
B. Tachycardia
C. Angina
D. Tremors
Explanation
The given answer correctly identifies the adverse effects (AEs) of Levothyroxine, which is a medication used to treat hypothyroidism. Thyrotoxicosis refers to the condition of having excessive levels of thyroid hormones in the body, which can occur as a result of taking too much Levothyroxine. This can lead to symptoms such as tachycardia (rapid heart rate), angina (chest pain), tremors, and nausea/vomiting. These symptoms are commonly associated with hyperthyroidism, which is the opposite of hypothyroidism and occurs when there is an overproduction of thyroid hormones. Constipation and dizziness are not typically associated with thyrotoxicosis.
11.
Chronic overdosing of levothyroxine can lead to bone loss
Correct Answer
A. True
Explanation
Chronic overdosing of levothyroxine can lead to bone loss because excessive levels of thyroid hormone can increase bone turnover and accelerate bone loss. This can result in decreased bone density and an increased risk of osteoporosis. It is important to carefully monitor and adjust levothyroxine dosage to avoid excessive levels and potential bone loss.
12.
Chronic overdosing of levothyroxine will lead to
Correct Answer(s)
A. Slight "rush"
B. Thyrotoxicosis
Explanation
Chronic overdosing of levothyroxine can lead to a condition called thyrotoxicosis, which is an excess of thyroid hormone in the body. This can cause symptoms such as increased heart rate, sweating, weight loss, and anxiety. The term "slight rush" may refer to the feeling of increased energy or stimulation that can occur with thyrotoxicosis. However, it is important to note that chronic overdosing of levothyroxine can have serious consequences and should be avoided.
13.
Which drugs lead to a decrease in absorption of Levo?
Correct Answer(s)
A. Antacids
B. PUD drugs
C. Calcium
E. Iron
Explanation
Antacids, PUD drugs, calcium, and iron can all lead to a decrease in the absorption of Levo. Antacids can reduce the acidity in the stomach, which can affect the absorption of Levo. PUD drugs, which are used to treat peptic ulcers, can also impact the absorption of Levo. Calcium and iron can form complexes with Levo, making it less available for absorption. Therefore, taking these drugs along with Levo may result in a decrease in its absorption.
14.
Levo intensifies the effects of Warfarin
Correct Answer
A. True
Explanation
Levo, also known as levofloxacin, is a type of antibiotic that can interact with Warfarin, an anticoagulant medication. When taken together, levofloxacin can increase the effects of Warfarin, leading to an increased risk of bleeding. Therefore, the statement "Levo intensifies the effects of Warfarin" is true.
15.
Which drugs increase the hepatic metabolism of Levo?
Correct Answer(s)
A. Depression drugs
D. Seizure drugs
Explanation
Depression drugs and seizure drugs are known to increase the hepatic metabolism of Levo. This means that these drugs can enhance the breakdown and elimination of Levo from the liver, potentially reducing its effectiveness or requiring higher doses to achieve the desired therapeutic effect.
16.
Patients on Levo will need lifelong therapy
Correct Answer
A. True
Explanation
Patients on Levo will need lifelong therapy because Levo refers to Levothyroxine, which is a medication used to treat an underactive thyroid gland (hypothyroidism). Hypothyroidism is a chronic condition that requires lifelong management. Levothyroxine helps to replace or supplement the thyroid hormone in the body, which is necessary for normal bodily functions. Therefore, patients who are prescribed Levo will typically need to continue taking it for the rest of their lives to maintain proper thyroid hormone levels and manage their condition effectively.
17.
What is the goal for patients on Levo?
Correct Answer
A. Resolution of S/S
Explanation
The goal for patients on Levo is to achieve resolution of signs and symptoms (S/S). Levo is a medication used to treat hypothyroidism, a condition characterized by an underactive thyroid gland. By taking Levo, the patient's thyroid hormone levels are regulated, which helps to alleviate the symptoms associated with hypothyroidism such as fatigue, weight gain, and depression. Therefore, the ultimate objective of Levo treatment is to bring about the resolution of these symptoms and improve the patient's overall well-being.
18.
Which complication calls for Immediate Medical Attention when taking Levo?
Correct Answer
A. Myxedema
Explanation
Myxedema is a severe form of hypothyroidism that can lead to a life-threatening condition. It occurs when the body's thyroid hormone levels are extremely low, causing symptoms such as extreme fatigue, cold intolerance, and mental confusion. Without immediate medical attention, myxedema can progress to a myxedema coma, which is a medical emergency. Therefore, myxedema calls for immediate medical attention when taking Levo.
19.
When is the best time to take Levo?
Correct Answer(s)
A. On an empty stomach
B. 4 hours before/ after calcium
D. 30-60 minutes before breakfast
F. Early in the morning
Explanation
The best time to take Levo is on an empty stomach because taking it with food can decrease its absorption. It is also recommended to wait 4 hours before or after taking calcium supplements, as calcium can interfere with the absorption of Levo. Taking it 30-60 minutes before breakfast ensures that there is enough time for the medication to be absorbed before any other food or medications are consumed. Taking it early in the morning is also a good option as it allows for consistent timing and helps to establish a routine.