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FNP-652 Quiz 2 Exam/18 Q’s and A’s
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FNP-652 Quiz 2 Exam/18 Q’s and A’s
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FNP-652 Quiz 2 Exam/18 Q’s and A’sHYPOthyroidism - -Two types: Congenital (Hashimotos) or Acquired (Iodine
Deficiency)
Symptoms: Growth Failure, goiter, delayed puberty, weight gain, fatigue,
hyperlipidemia, poor school performance, menorrhagia, positive family
history
Pediatric Symptoms: Prolonged jaundice, constipation, umbilical hernia, large
fontanelle, decreased muscle tone, poor feeder, growth delay, overweight for
age/height
Diagnosis: Newborn Screening, if Down Syndrome also test at at 6.5 months
then annually)
Medications:Referral to endocrine specialist for replacement therapy
Synthroid (Levothyroxine)
-HYPERthyroidism - -Graves disease is the most common- excessive thyroid
hormone production. Most common presenting symptom in >60 is Afib.
Symptoms: Palpitations, tremors, hungry, skinny, fatigue, muscle weakness,
emotional, poor concentation, hyper defecation, poor sleep patterns
Pediatric Symptoms: Also add tachycardia, thyroid bruit, hyperreflexia, eyelid
lag, wide pulse pressure, exophthalmos
Diagnosis: free T4, TSh, free T3
Medications/Management: Beta-blockers, anti-thyroid drugs subtotal
thyroidectomy, radioiodine ablation. REFER PEDS
-Thyroid nodules - -If palpable order ultrasound and thyroid function tests.
Refer to a Endocrinologist for a fine needle biopsy and radioactive iodine
studies.
Both benign and malignant nodules are often asymptomatic.
FIXED, FIRM, Non-tender, and LARGE: likely to be malignant
Hashimotos may have multiple.
-Differences between Type 1 and 2 Diabetes: - -Type 1: Caused y
autoimmune destruction of the pancreatic beta cells. Typically gradual onset,
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