*On Demand by Aspirants...!!!🌀🌀* *⭕NURSING OFFICER* *MCQ QUIZ NO: 314* *⭕Series: Maha Rationale* *⭕Date: 16/02/2025* *⭕Sub: Endocrine -6(A&P With MSN-49)* *⭕Day: Sunday* *Follow the Maha Nursing✍🏆 channel on WhatsApp:* https://whatsapp.com/channel/0029VakrZS52phHScOsBy63w *Follow the ✍🏻KNO Academy Bangalore channel on WhatsApp:* https://whatsapp.com/channel/0029Va9I7WH5a243XpOnFL0V *🛑 Quiz Link:* https://quizzory.in/id/67aed4b03f811761ed852a9a *1)* Enlargement of the thyroid gland occurs in: (a) Hypothyroidism (c) Tumors of thyroid (b) Hyperthyroidism (d) All of the above *Ans D* Enlargement of thyroid gland (goiter) may occur due to hypothyroidism (called simple goiter), hyperthyroidism (called toxic diffuse goiter or Graves' disease) and any tumor of the thyroid gland. *2)* Exophthalmos of eyes is characteristic sign of: (a) Myxedema (b) Cretinism (c) Grave's disease (d) Cushing's disease *Ans C* Exophthalmos (abnormal anterior protrusion of the eyeball) and goiter are the characteristic features of thyrotoxicosis or hyperthyroidism due to Graves' disease. *3)* Which signs & symptoms would make the nurse suspect that the client is experiencing a thyroid storm? (a) Constipation and hyperactive bowel sounds (b) Hyperpyrexia and tachycardia (c) Hypotension and bradycardia (d) Decreased respiration and hypoxia *Ans B* A thyroid storm or thyroid crisis is a rare but often life-threatening medical emergency resulting from untreated hyperthyroidism. It is marked by fevers, sweating, restlessness, irritability, tachycardia, hypertension, heart failure, shock & arrhythmias, delirium and coma *4)* A 38-year-old woman returns from a subtotal thyroidectomy for the treatment of hyperthyroidism. On assessment immediate priority that the nurse would include in: (a) Assess for pain (b) Assess for neurological status (c) Assess fluid volume status (d) Assess for respiratory distress *Ans D* Postoperative intervention of thyroidectomy are: Assess for respiratory distress, so also keep tracheostomy set, O2 and suction at bed side. Monitor for laryngeal nerve damage, which is evidenced by respiratory obstruction, stridor and dysphagia. Monitor for sign of hypocalcemia, caused by accidental removal of the parathyroid gland. Maintain the client in a semi-fowlers position. *5)* The client has recently returned from having thyroidectomy. The nurse should keep which of the following at bedside? (a) Tracheostomy set (b) Padded tongue blade (c) Endotracheal tube (d) Airway *Ans A* Refer MCQ No 4 *6)* Most common complication of radio iodine therapy for thyrotoxicosis is: (a) Hypothyroidism (b) Hypoparathyroidism (c) Late development of malignancy (d) Recurrence *Ans A* Thyrotoxicosis (hyperthyroidism) means a disease caused by excessive levels of thyroid hormone in the body. Use of radioactive iodine 1311into thyrotoxicosis, destroy thyroid gland cells, which decreases production of thyroid hormone (hypothyroidism) *7)* When a patient receives propylthiouracil, which following need to be promptly reported (a) Constipation (d) Urinary frequency (c) Sore throat (b) Dysmenorrhea *Ans C* Propylthiouracil (PTU) is an antithyroid drug used to treat hyperthyroidism. PTU can cause liver injury, mainly in children, and suppress WBC production by bone marrow Advise the patient to report any symptoms suggestive of pancytopenia like fever, sore throat, interstitial pneumonitis. *8)* Which drug is effective in the treatment of Thyrotoxicosis? (a) Fluconazole (c) Carbimazole (b) Omeprazole (d) Tinidazole *Ans C* Antithyroid medications are use in thyrotoxicosis (hyperthyroidism) to inhibit synthesis of thyroid hormones, e.g., propylthiouracil, carbimazole, methimazole and strong iodine solution. *9)* What is the priority nursing care to a client with severe hyperthyroidism? (a) Assess for recent emotional trauma (b) Provide calm, non-stimulating environment (c) Provide diversional activity (d) Encourage range of motion exercises *Ans B* The priority nursing care to a client with severe hyperthyroidism: Provide adequate rest to decrease BMR, not to encourage for range of motion exercise. Provide cool, non-stimulating and quiet environment because patient is more excited into hyperthyroidism. *10)* Hypothyroidism is caused by secretion of quantity of which hormone: (a) Decreased thyroxine hormone (b) Increased thyroxine hormone (c) Increased growth hormone (d) Decreased insulin hormone *Ans A* Inadequate or decreased levels of both thyroid hormone T4 (thyroxin or tetraiodothyronine) and T3 (triiodothyronine, an active form of thyroid hormone) in the body called hypothyroidism. *11)* Level of which increase into hypothyroidism: (a) T3 (b) T4 (c) TSH (d) All of above *Ans C* In hypothyroidism due to decrease level of T4 and T3 the plasma level of TSH is increased as a negative feedback mechanism. *12)* Patient is on thyroxin. What is the cheap and best way to monitor drug dose? (a) T3 level (b) T4 level (c) TSH level (d) none *Anc C* Sensitive TSH (thyrotropin) test is the preferred method to monitor blood level thyroxin. Its elevated level indicates primary hypothyroidism and decrease level indicate hyperthyroidism and secondary hypothyroidism. *13)* Biochemical test hypothyroidism shows: in sub-clinical (a) raised TSH levels (b) low TSH level (c) no change in TSH level (d) raised T3 levels *Ans A* Refer MCQ No 12 *14)* A 3 months old infant has been diagnosed with congenital hypothyroidism. What is the probable effect on the child's future if treatment is not begun in early infancy? (a) Lifelong myxedema (b) More severe mental retardation (c) Development of spastic paralysis (d) Repeated episodes of thyrotoxicosis *Ans B* Cretinism (also called congenital hypothyroidism) is a congenital condition caused by a lack of thyroid hormones (both T3 & T4) into childhood, which is characterized by arrested physical and mental development and lowered basal metabolism. *15)* Cretinism is found in: (a) Hyperthyroidism' (b) Congenital hypothyroidism (c) Type I DM (diabetes mellitus) (d) Autoimmune RBC destruction *Ans B* Refer MCQ No 14 *16)* In a patient who has a history of hypothyroidism, which of the following characteristics of the skin of the patient is a relevant finding on examination? (a) Smooth (b) Dry (c) Flushed (d) Moist *Ans B* Clinical features of hypothyroidism are: • Myxedema (generalized puffiness and edema of the skin due to deposition of muco-polysaccharides, giving the skin as a waxy appearance) into adults. Diminished basal metabolic rate (BMR). o Intolerance to cold (hypothermia), weight gain, dry skin and hair, loss of hair, bradycardia, constipation, weakness. anorexia, fatigue, loss of memory and apathy, loss of libido (in male & female), irregular menses (in women), impotence (in male) and goiter may or may not be present. Collectively all of these above symptoms also called myxedema (adulthood hypothyroidism) *17)* Deficiency of thyroxin/ Hypothyroidism in adults leads to a condition called: (a) Tetani (c) Myxedema (b) Cretinism (d) Graves' disease *Ans C* Refer MCQ No 16 *18).* Which is the symptom of hypothyroidism? (a) Tachycardia (b) Weight loss (c) Hyperthermia (d) Facial edema *Ans D* Refer MCQ No 16 *19).* Accumulation of hydrophilic mucopolysaccharides in dermis and other tissues is seen in: (a) scleroderma (b) systemic lupus erythematous (c)elephantiasis (d) myxedema *Ans D* Refer MCQ No 16 *20).* During the physical examination of the patient for the endocrine system, diminished axillary and pubic hair may indicate the problem of: (a) cortisol deficiency (b) hyperparathyroidism (c) hyperthyroidism (d) hypothyroidis *Ans D* Refer MCQ No 16 *Regards:* *Maha Nursing ✍️ 🏆*