Case Study

Exhibits

What is the expected therapeutic effect of radioactive lodine therapy in hyperthyroidism?

A. Imminent convulsion: While Chvostek's signcan be associated with tetanyor severe hypocalcemia, it is not directly indicative of imminent convulsions. The signs are more suggestive of a calcium imbalance rather than seizures.

B. Hypoparathyroidism: After a total thyroidectomy, the parathyroid glandsmay be inadvertently damaged or removed, leading to hypoparathyroidism. This condition causes hypocalcemia, which can manifest as muscle crampsand a positive Chvostek's sign.

C. Hyperkalemia: Hyperkalemia(high potassium levels) can cause muscle weakness, but it does not cause a positive Chvostek's sign. The symptoms described are more specific to hypocalcemiadue to potential damage to the parathyroid glands.

D. Thyroid storm: Thyroid stormis a rare, life-threatening complication of hyperthyroidism. It is characterized by fever, tachycardia, and altered mental status, but it does not typically cause Chvostek's signor muscle cramps.

A. Abdomen: The abdomen has the fastest and most consistent absorption rate for subcutaneous insulin due to its rich blood supply and less subcutaneous fat. This rapid absorption is often desirable to achieve faster and more predictable absorption.

B. Hips: The hips (or buttocks) have a slower absorption rate compared to the abdomen and are not the preferred site for insulin injection due to the relatively lower blood flow in this area.

C. Thighs: Insulin injected into the thighs also has a slower absorption rate compared to the abdomen. This area is typically used for insulin injections when other sites need to be rotated but is not the fastest for absorption.

D. Arms: The arms (specifically the posterior upper arm) provide a good site for insulin injection, with absorption generally being faster than from the thighs or hips but still slower than from the abdomen. It's a useful site for rotation but not the quickest for absorption.