Medical Pharmacology: Thyroid Pharmacology Practice Questions
Click on the correct answer.
Thyrotoxicosis occurs in about 0.2% of pregnancies. Most likely in this setting thyrotoxicosis is associated with Graves' disease. Appropriate treatment(s) include/includes:
Anti-thyroid medication
Radioactive iodine
Both
Neither
Propylthiouracil as well as methimazole:
Both readily cross the placental barrier.
Both have been safely used in pregnant patients.
Both
Neither
Because both propylthiouracil and methimazole may be associated with embryopathy during the first trimester, administration of antithyroid agents should be limited to the extent possible during the first trimester.
True
False
Graves' disease often improves with the progression of pregnancy.
True
False
Methimazole or propylthiouracil apparently has no effect on infant thyroid function.
True
False
Ionic inhibitors represent the class of agents that limit thyroid gland concentration of iodide. These agents are anionic (negatively charged) and are similar to iodide. Such (an) agent/agent include/includes:
Fluoroborate
Perchlorate
Thiocyanate
A & B
B & C
A & C
A, B & C
Thyroid ionic inhibitor/inhibitors associated with potentially fatal aplastic anemia.
Fluoroborate
Perchlorate
Both
Neither
Administration of iodide might be helpful in inhibiting thyroid hormone release.
True
False
Administration of propranalol or other
β-adrenergic receptor blockers antagonize the sympathetic nervous system/adrenergic effects of thyrotoxicosis.
True
False
An example of an agent that may be helpful in controlling tachycardia as well as supraventricular tachyarrhythmias associated with thyrotoxicosis would be diltiazem, which belongs to the Ca2+ channel antagonist drug class.
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Source Material:
Koenig RJ Brent GA Chapter 47 Thyroid and
Antithyroid Drugs In Goodman & Gilman's The Pharmacological
Basis of Therapeutics (Brunton LL Knollman BC eds) McGraw
Hill LLC (2023).
Jameson JL Mandel SJ Weetman AP Ch 383
Hypothyroidism in Harrison's Principles of Internal
Medicine, 21e McGraw Hill 2022.
Jameson JL Mandel SJ Weetman AP Ch 384
Hyperthyroidism and Other Causes of Thyrotoxicosis in
Harrison's Principles of Internal Medicine, 21e 2022.
Bong BJ Thyroid Drugs & Anti-thyroid Drugs
Ch 38 in Katzung's Basic & Clinical Pharmacology (Vanderah
TW, ed) 16e McGraw Hill 2023.
Jonklaas J Cooper DS Ch 213 Thyroid in
Goldman-Cecil Medicine E-Book (Goldman L Schafer AI, eds)
26e Elsevier 2020.
Ritter JM Flower R Henderson G Loke YK
MacEwan D Robinson E Fullerton J Chapter 53 Antiviral Drugs
Rand & Dale's Pharmacology 10e Elsevier 2024.
Hollenberg A Chin WW Pharmacology of the
Thyroid Gland Chapter 28 in Principles of Pharmacology: The
Pathophysiologic Basis of Drug Therapy. (Golan DE Armstrong
EJ Armstrong AW, eds) 4e 2017.