A patient is diagnosed with Hashimoto's thyroiditis. Which clinical manifestations are expected?

Tetany of the hands with a positive Chvostek sign

Polyuria, sweating and dry mucous membranes

Forgetfulness, depression and anemia

Nervousness, irritability, and diarrhea

Answer and Explanation

The Correct Answer is C

A. Tetany of the hands with a positive Chvostek sign: Tetany and a positive Chvostek sign are more associated with hypocalcemia rather than Hashimoto's thyroiditis.

B. Polyuria, sweating, and dry mucous membranes: These symptoms are more indicative of hyperthyroidism or diabetes rather than hypothyroidism, which is characteristic of Hashimoto's thyroiditis.

C. Forgetfulness, depression, and anemia: Hashimoto's thyroiditis, which causes hypothyroidism, can lead to symptoms like forgetfulness, depression, and anemia due to reduced thyroid hormone levels.

D. Nervousness, irritability, and diarrhea: These symptoms are associated with hyperthyroidism rather than hypothyroidism.

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Correct Answer is C

Explanation

A. Administer some insulin: Insulin is not appropriate unless there is evidence of hyperglycemia, which is not suggested by the symptoms described.

B. Prepare the patient to receive a blood transfusion: The symptoms described are not indicative of a need for a blood transfusion but rather suggest adrenal insufficiency.

C. Administer IV glucose: Addisonian crisis can be triggered by stress and dehydration, leading to low blood sugar and symptoms such as weakness and confusion. Administering IV glucose can help manage hypoglycemia and provide immediate support.

D. Collect some urine and assess for glucosuria: The symptoms are more acute and related to adrenal insufficiency rather than glucosuria.

A. decrease osteoclastic activity B. increase the kidneys tubular secretion of calcium into the urine. C. increase resorption of calcium D. suppress calcitonin

Correct Answer is A

Explanation

A. Decrease osteoclastic activity: Osteoporosis treatments often focus on reducing osteoclastic activity, which is responsible for bone resorption, thereby helping to maintain or increase bone density.

B. Increase the kidneys' tubular secretion of calcium into the urine: This would decrease calcium levels in the body, which is not desired in osteoporosis treatment, as it would worsen bone density.

C. Increase resorption of calcium: Increasing bone resorption would exacerbate osteoporosis by weakening the bones further.

D. Suppress calcitonin: Calcitonin helps to inhibit bone resorption, so suppressing it would be counterproductive in treating osteoporosis.

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A patient is diagnosed with Hashimoto's thyroiditis. Which clinical manifestations are expected?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

In general, therapeutic interventions for a patient with osteoporosis will probably include drugs that

Correct Answer is A

Explanation

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