01
True or false
1 point
A patient’s levothyroxine dose was increased yesterday. True or false: repeating TSH today would generally provide an appropriate assessment of the dose change.
Free Practice Quiz Question List
3 Thyroid Medications Online Quiz Questions
Use this free practice quiz with 20 questions to review 3 Thyroid Medications, test your knowledge, and prepare for your next test or exam.
20 questions
02
Written response
1 point
Which antithyroid medicine can cause severe, sometimes fatal, liver injury and is generally not the default choice for routine use?
03
Fill in the blank
1 point
reduces .
04
Choose one
1 point
A patient has hyperthyroidism caused by Graves’ disease. Which medicine is commonly used to reduce new thyroid hormone production?
- A
Methimazole
- B
Levothyroxine
- C
Propranolol
- D
Calcium
05
True or false
1 point
True or false: PTU is the preferred routine antithyroid medicine for every patient who needs treatment.
- A
True
- B
False
06
Choose one
1 point
A patient taking levothyroxine develops palpitations, tremor, and heat intolerance. Which interpretation is most appropriate?
- A
Excessive thyroid hormone replacement is possible; assess thyroid tests and the dose.
- B
The dose is definitely too low and should be increased immediately.
- C
These symptoms are expected and never require evaluation.
- D
All thyroid treatment should be stopped permanently.
07
Written response
1 point
A patient takes levothyroxine in the morning and also uses a calcium supplement. What is the minimum number of hours by which the doses should be separated?
08
Choose all
1 point
A patient’s TSH remains above target while taking levothyroxine. Which listed administration factors can reduce its absorption? Select all that apply.
- A
Taking it with breakfast
- B
Taking it with calcium
- C
Taking it with iron
- D
Taking it consistently on an empty stomach
09
Fill in the blank
1 point
Antithyroid medicines that block new hormone production do not treat , in which the inflamed gland releases .
10
Choose one
1 point
A patient taking methimazole develops a fever and severe sore throat. What is the priority response?
- A
Reassure the patient that this is an expected effect.
- B
Arrange prompt medical assessment and a white blood cell count, and contact the prescriber before further doses.
- C
Double the next dose.
- D
Take iron and continue the medicine as usual.
11
Choose all
1 point
A patient taking an antithyroid medicine reports new symptoms. Which could indicate liver injury and warrant prompt medical assessment? Select all that apply.
- A
Jaundice
- B
Dark urine
- C
Itching
- D
A brief, mild headache
12
Choose one
1 point
A patient taking methimazole learns they are pregnant. What is the most appropriate next step?
- A
Continue the medication unchanged without contacting a clinician.
- B
Contact the treating clinician promptly to review the medication and pregnancy-specific plan.
- C
Stop all thyroid medicines permanently without advice.
- D
Add levothyroxine without medical guidance.
13
Open ended
1 point
A patient taking methimazole discovers they are pregnant and asks whether to continue the same dose or stop immediately. Explain the safest next step and what treatment consideration may apply during the first trimester.
14
Choose one
1 point
A patient with primary hypothyroidism takes levothyroxine with breakfast and a calcium supplement, and their TSH remains above target. Which instruction is most appropriate?
- A
Take levothyroxine with calcium to improve absorption.
- B
Take levothyroxine on an empty stomach 30–60 minutes before breakfast and separate calcium by at least 4 hours.
- C
Take levothyroxine only when symptoms occur.
- D
Stop levothyroxine because calcium prevents thyroid hormone from working.
15
Choose one
1 point
Which condition is generally an appropriate reason to use methimazole?
- A
Graves’ disease causing hyperthyroidism.
- B
Thyroiditis releasing stored hormone.
- C
Hypothyroidism caused by thyroid removal.
- D
Any low TSH, regardless of its cause.
16
Choose one
1 point
A patient’s levothyroxine dose was increased last week for primary hypothyroidism. When is TSH generally reassessed to evaluate the dose change?
- A
Repeat TSH the next day.
- B
Reassess TSH after about 4–6 weeks.
- C
Reassess TSH only if symptoms worsen.
- D
Stop laboratory monitoring once treatment begins.
17
True or false
1 point
True or false: Soon after methimazole is started, a suppressed TSH by itself does not necessarily mean the medicine should be stopped, because TSH can remain suppressed while treatment response is assessed.
- A
True
- B
False
18
Written response
1 point
When following early response to methimazole, which thyroid hormone measurement is particularly useful because TSH may remain suppressed?
19
Choose one
1 point
A patient taking levothyroxine develops palpitations, tremor, and heat intolerance. Which interpretation and next step are most appropriate?
- A
These symptoms may indicate excessive replacement; assess thyroid tests and the dose.
- B
These symptoms prove the dose is too low, so it should be increased immediately.
- C
These are expected effects that never require evaluation.
- D
All thyroid treatment should be stopped permanently.
20
Written response
1 point
What clinical term describes yellowing of the skin or eyes, a symptom that may signal liver injury during antithyroid treatment?
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