thyroid troubles
the adrenal glands
pituitary pathways
parathyroid and calcium
critical complications
100

This autoimmune disorder is the most common cause of hypothyroidism.

What is Hashimoto's thyroiditis

100

A "bronzed" hyperpigmentation of the skin is a hallmark clinical manifestation of this disease.

What is Addison's Disease (Primary Adrenal Insufficiency)?

100

$100: This condition results from the hypersecretion of growth hormone in children before the closure of the epiphyses.


    • What is Gigantism?



100

$100: This sign is positive if facial twitching occurs when tapping on the cheek.


    • What is Chvostek's Sign?



100

$100: Upon auscultation of an enlarged thyroid in a patient with Hyperthyroidism, a nurse may hear this "swooshing" sound due to increased blood flow.



What is a Thyroid Bruit?

200

Patients with hypothyroidism typically present with these dermatological changes due to a lack of sweating

What is dry, coarse skin (or dry/fragile hair)?

200

Patients in an Addisonian crisis will typically display these two distinct electrolyte imbalances regarding sodium and potassium.


What are Hyponatremia (low sodium) and Hyperkalemia (high potassium)?

200

$200: A patient with Acromegaly may present with this visual change above the eyes.





    • What is Supraorbital bulging?



200

$200: Carpal spasm induced by inflating a blood pressure cuff indicates this sign of tetany.


    • What is Trousseau's Sign?



200

$200: Due to significant bone demineralization and "generalized bone pain," patients with Hyperparathyroidism require safety precautions to prevent these.



What are Pathologic Fractures?

300

This severe crisis state is characterized by hypothermia, bradycardia, hypotension, and CO2 retention.

What is Myxedema Coma?

300

This physical characteristic, described as a fat pad on the upper back, is associated with Cushing's Syndrome.


    • What is a "Buffalo Hump"?



300

$300: For a patient with hypopituitarism, this hormone replacement must be taken in the morning on an empty stomach.





    • What is Levothyroxine?



300

$300: In the hospital setting, IV Calcium Gluconate should be infused over this time frame to prevent cardiac dysfunction.


    • What is 10 to 20 minutes?



300

$300: Patients with Acromegaly often report numbness and tingling in their hands due to this specific compression neuropathy shown in your diagrams.



What is Carpal Tunnel Syndrome?

400

While treating hyperthyroidism, nurses must monitor for acute liver failure when administering this specific antithyroid medication


    • What is Propylthiouracil (PTU)?



400

$400: This antifungal medication is utilized in Cushing's treatment because it blocks glucocorticoid synthesis; however, liver enzymes must be monitored.


    • What is Ketoconazole (Nizoral)?



400

$400: This medication, a somatostatin analog, is administered IV or SubQ to inhibit the release of growth hormone in Acromegaly.


    • What is Octreotide (Sandostatin)?



400

$400: When treating Hyperparathyroidism, this class of diuretics should be avoided because they increase calcium reabsorption in the kidney.





    • What are Thiazide diuretics?



400

$400: In Hypoparathyroidism, hypocalcemia becomes a medical emergency if it progresses from simple numbness to tetany and this airway-compromising spasm.



What is Laryngospasm?

500

To protect the GI tract and improve the taste, this liquid iodine solution should be administered with juice


    • What is SSKI (Potassium Iodide)?

500

$500: To manage the hypertension and hypokalemia seen in hypercortisolism, this potassium-sparing diuretic is often prescribed.


    • What is Spironolactone (Aldactone)?

500

$500: In hyperpituitarism involving ACTH excess, the patient will likely experience this change in blood glucose levels.


    • What is Hyperglycemia?

500

$500: Often coexisting with hypocalcemia, this electrolyte deficiency must be corrected to successfully raise calcium levels.


    • What is Magnesium (Hypomagnesemia)?

500

$500: The sudden discontinuation of long-term corticosteroid therapy can precipitate this life-threatening shock state characterized by vascular collapse.



What is an Adrenal Crisis (or Addisonian Crisis)?

M
e
n
u