Author Question: Following the identification of low levels of T3 and T4 coupled with the presence of a goiter, a ... (Read 61 times)

jwb375 · **on:** Jun 25, 2018

Following the identification of low levels of T3 and T4 coupled with the presence of a goiter, a 28-year-old female has been diagnosed with Hashimoto thyroiditis.

In light of this diagnosis, which of the following assessment results would constitute an unexpected finding?
A)
The presence of myxedema in the woman's face and extremities
B)
Recent weight gain despite a loss of appetite and chronic fatigue
C)
Coarse, dry skin and hair with decreased sweat production
D)
Increased white cell count and audible crackles on chest auscultation

Question 2

Which of the following statements about types of obesity is most accurate?

A)
Upper body obesity is often referred to as being shaped like a pear.
B)
A waist-hip ratio greater than 1.0 in men can be interpreted to mean upper body obesity.
C)
Waist circumference is a measurement of subcutaneous abdominal adipose tissue but not intra-abdominal adipose tissue.
D)
A waist circumference of 40 inches or less in women is considered normal and therefore not associated with increased health risk.

adf223 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
D

Feedback:

An increased white cell count and the presence of adventitious fluid in the lungs are not classic findings associated with hypothyroidism. Myxedema, weight gain, lethargy, and dry skin and nails are commonly associated with low levels of thyroid hormones.

Answer to Question 2

Ans:
B

Feedback:

A waist-hip ratio greater than 1.0 in men and 0.8 in women indicates upper body or central (abdominal) obesity. Upper body obesity is referred to as being shaped like an apple. Waist circumference measures mostly subcutaneous and intra-abdominal adipose tissue. In males, a waist circumference greater than 40 inches (or 35 inches in females) is associated with increased health risk.