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Exam 2: NU 664B / NU664B (Latest
Update 2025 / 2026) Primary Care of Family I | Questions & Answers | 100% Correct | Grade A - Regis
Question:
hypothyroid in kids
Answer:
most common thyroid abnormality in kids
deficiency can be congenital or acquired
in most pts (95%) the problem is primary hypothyroidism or acquired (thyroid disease) as demonstrated by low T4 and high TSH
majority of children are asymptomatic
**majority cases are due to autoimmune chronic lymphocytic thyroiditis or hashimotots
most common cause world wide is iodin deficiency 1 / 4
Question:
clinical manifestations of hypothyroid in kids
Answer:
declining growth velocity/ short stature. usually insidious in onset over years before other sx if they occur at all. skeletal maturity delayed too so bone age will be delayed
abnormal pubertal development, delayed
decreased functioning in school, decreased energy
other symptoms
Question:
congential hypothyroidism
Answer:
occurs in 1:2000 - 1:4000 newborns, one of the most common preventable causes of intellectual disability world wide
likely have few or no manifestations of thyroid hormone deficiency
majority of cases are sporatic, not predictable or isolated to one part of world
- / 4
detected on newborn screening- as late as possible before discharge to let abnormal compounds develop
one of the more common causes of treatable intelectuable disability
failure of thyroid to fully develop
Question:
s/s of congential hypothyroid
Answer:
large posterior fontanel
umbilical hernia
constipation
prolonged jaundice
hypothermia
hypotonia 3 / 4
Question:
goal of treatment with hypothyroid peds
Answer:
if acquired hypothyroidism is suspected labs ordered includes
free T3 and T4 (unbound) TSH
when T4 and T4 are high, TSH decrease
when T3 and T4 are low, TSH increases
in primary hypothyroid, TSH levels rise because of the low levels of thyroid hormone
higher doses of replacement with younger kids because clears faster
Question:
why do clots occur?
Answer:
blood flow (stasis)
- / 4
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