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27 Cards in this Set
- Front
- Back
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Rx for tourettes
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fluphenazine
primozide tetrabenazine |
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Dx
muscle rigidity, fever and rhabdomyolysis in schizophrenic px |
neuroleptic malignant syndrome
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antidiabetic agent a.w lactic acidosis
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metformin
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what Rx should be avoided in a px with thyroid storm
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aspirin
-interferes with thyroid protein binding generation |
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what Rx decrease TH synthesis
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PTU
methimazole iodine glucocorticoids |
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what Rx decreases T4 conversion
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PTU
glucocorticoids |
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what thyroid abnormalities would you expect to find during pregnancy
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increased TBG
increased total TH normal free T4 |
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Dx
px with exophthalmos |
graves
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Rx for graves
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radioactive iodine
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which thyroid disfunction will radioactive iodine result in hypothyroidism
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graves
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what is the first step in a px with a palpable thyroid nodule
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check TFTs
US |
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what should be done in a px with a palpbale thyroid nodule who is hyperthyroid
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radionucleotide uptake scan
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what should be done in a px with a palpbale thyroid nodule who is euthyroid
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FNA
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what should be done in a px with a palpbale thyroid nodule who is hypothyroid
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thyroid replacement
if nodule persists, FNA |
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what should be done in a hyperthyroid px with cold radionucleotide uptake scan
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FNA
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what should be done in a hyperthyroid px with hot radionucleotide uptake scan
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treat as hyperthyroidism
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what should be done if a FNA of thyroid nodule is malignant
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surgery
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what should be done if FNA of thyroid nodule is benign
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repeat sono every 6 months
if increase in size, repeat FNA |
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what lab abnormalities necessitate obtaining a thyroid function test to rule out thyroid disease
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hyperlipidemia
hyponatremia elevated CPK |
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hyperthyroidism a/w:
tender thyroid |
de quervans
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hyperthyroidism a/w:
pretibial myxedema |
graves
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hyperthyroidism a/w:
pride in recent weight loss |
exogenous abuse
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hyperthyroidism a/w:
palpation of single thyroid nodule |
toxic thyroid adenoma
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hyperthyroidism a/w:
palpation of multiple thyroid nodules |
multinodular goiter
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hyperthyroidism a/w:
recent iodine IV contrast study |
jod basedow
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hyperthyroidism a/w:
eye changes |
graves
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history or thyroidectomy
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excess TH replacement
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