Which of the following symptoms might indicate that the patient is now experiencing a thyrotoxic crisis following the diagnosis of Graves' disease?

Decreased respirations and CO2 retention

Seizures and extreme tachycardia

Constipation and a swollen abdomen

Hypotension and bradycardia

Answer and Explanation

The Correct Answer is B

A. Decreased respirations and CO2 retention: A thyrotoxic crisis (thyroid storm) typically involves increased, not decreased, respiratory rates and CO2 retention due to increased metabolic activity.

B. Seizures and extreme tachycardia: Thyrotoxic crisis is characterized by severe symptoms including extreme tachycardia, fever, and potentially seizures due to excessive thyroid hormone levels.

C. Constipation and a swollen abdomen: Constipation and abdominal swelling are more typical of hypothyroidism rather than a thyrotoxic crisis.

D. Hypotension and bradycardia: Thyrotoxic crisis usually causes tachycardia and hypertension rather than bradycardia and hypotension.

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Correct Answer is C

Explanation

A. The brain cells became edematous because of a blood to tissue shift of fluid: This describes cerebral edema, which is not typically caused by hyperglycemia.

B. Hyperinsulinemia caused hypoglycemia and a tonic-clonic seizure: The scenario describes hyperglycemia, not hypoglycemia.

C. The brain cells became dehydrated because of fluid shifting out of the cells:. In hyperglycemic hyperosmolar syndrome (HHS), extremely high blood glucose leads to increased serum osmolality, causing water to move out of brain cells, leading to dehydration and altered consciousness.

D. Fluid volume overload caused higher pressure in the brain tissue: Fluid volume overload is not the primary issue in this scenario; rather, dehydration is the concern due to hyperglycemia.

A. There is an imbalance between formation of new bone and the resorption of existing bone. B. An Invasion of a pathogen leads to infection: causing destruction and weakening of the bone. C. A decrease in blood supply to the bone results in bony necrosis or the death of bone cells. D. Increased amounts of estrogen in postmenopausal women contribute to bone loss.

Correct Answer is A

Explanation

A. There is an imbalance between the formation of new bone and the resorption of existing bone: Osteoporosis occurs when bone resorption outpaces bone formation, leading to decreased bone density and increased susceptibility to fractures.

B. An invasion of a pathogen leads to infection, causing destruction and weakening of the bone: This describes osteomyelitis, a bone infection, not osteoporosis.

C. A decrease in blood supply to the bone results in bony necrosis or the death of bone cells: This describes avascular necrosis, not osteoporosis.

D. Increased amounts of estrogen in postmenopausal women contribute to bone loss: In fact, decreased estrogen levels after menopause contribute to bone loss and osteoporosis.

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Which of the following symptoms might indicate that the patient is now experiencing a thyrotoxic crisis following the diagnosis of Graves' disease?

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