What is the medical emergency related to hyperthyroidism that is characterized by fever, a decrease in consciousness, and abdominal pain?
Thyroid storm (thyrotoxicosis)
Addisonian crisis
Ketoacidosis
Myxedema coma
The Correct Answer is A
Choice A rationale
Thyroid storm, also known as thyrotoxicosis, is a severe complication of hyperthyroidism characterized by high fever, a decrease in consciousness, and abdominal pain.
Choice B rationale
Addisonian crisis, also known as adrenal crisis, is a potentially life-threatening situation that requires immediate medical care. It’s characterized by symptoms such as abdominal pain, dehydration, low blood pressure, and changes in mental status, but it’s not directly related to hyperthyroidism.
Choice C rationale
Ketoacidosis is a serious complication of diabetes that occurs when your body produces high levels of blood acids called ketones. It’s not specifically related to hyperthyroidism.
Choice D rationale
Myxedema coma is a rare but life-threatening condition that can occur in people with long-term, untreated hypothyroidism (low thyroid levels), not hyperthyroidism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
An insufficient amount of triiodothyronine (T3) and thyroxine (T4) leads to hypothyroidism, not severe manifestations in adrenocortical insufficiencies.
Choice B rationale
Decreased levels of all the adrenocortical hormones can lead to Addison’s disease, not the most severe manifestations in adrenocortical insufficiencies.
Choice C rationale
Deficiencies in the renin-angiotensin system can lead to problems with blood pressure regulation, not the most severe manifestations in adrenocortical insufficiencies.
Choice D rationale
An insufficient amount of circulating cortisol is a key feature of Addison’s disease, which is an adrenocortical insufficiency. This can lead to severe manifestations such as fatigue, muscle weakness, loss of appetite, and weight loss.
Correct Answer is A
Explanation
Choice A rationale
Hemoglobin A1c (HbA1c) test measures a person’s average blood glucose levels over the past 2-3 months.
Choice B rationale
Fasting blood glucose test measures current blood glucose level and does not provide information about the average levels of blood glucose over the past 2-3 months.
Choice C rationale
Hemoglobin and hematocrit tests are used to diagnose anemia and other blood disorders, not to measure blood glucose levels.
Choice D rationale
Capillary blood glucose test measures the current blood glucose level, not the average levels over the past 2-3 months.
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