NR565 / NR 565 Final Exam Question Bank
(Latest 2025 / 2026):
Advanced Pharmacology Fundamentals - Chamberlain What labs are used to diagnose thyroid problems? - ANSWER Free and total T3 Free and total T4 TSH Anti-TPO Hypothyroidism labs - ANSWER increased TSH, decreased T3 &T4 hyperthyroidism labs - ANSWER decreased TSH and increased T3 &T4 When to recheck labs after starting levothyroxine? - ANSWER 6-8 weeks or after dose change, then 12 months once stabilized 1 / 3
S/S hypothyroidism - ANSWER pale, puffy, and expressionless face, cold and dry skin, brittle hair/hair loss, low heart rate and body temperature, lethargy, fatigue, cold intolerance, mental status changes, thyroid enlargement Think "hypo low and slow" S/S hyperthyroidism - ANSWER strong and rapid heart rate, dysrhythmias, angina, nervousness, insomnia, rapid thought flow and speech, muscle weakness/atrophy, increased metabolic rate (increased heat production, increased body temperature, heat intolerance), warm/moist skin, increased appetite, weight loss despite increased caloric intake think "hyper as in fast" result of not treating hypothyroidism during pregnancy - ANSWER
permanent neuropsychological deficits in the child. First trimester: fetus
unable to produce their own thyroid hormones. Fetal thyroid gland is fully functional in the second trimester.Medication to treat SYMPTOMS of hyperthyroidism - ANSWER beta blocker (decrease HR) 2 / 3
non-radioactive iodine How to take levothyroxine with food? - ANSWER take on an empty stomach in the morning, 30-60 minutes before breakfast Supplement/drug interactions with levothyroxine - ANSWER antacids, iron, calcium Confirm diabetes diagnosis prior to treatment - ANSWER fasting plasma glucose greater than or equal to 126, A random plasma glucose of greater than or equal to 200 plus symptoms of diabetes, an oral glucose tolerance test of two hours, plasma glucose of greater than or equal to 200, or a hemoglobin A1c, a 6.5 or higher (on two occasions) A1c general goal - ANSWER <7% Older adult A1c goal - ANSWER <8%
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