Saturday, May 18, 2013

NCLEX Review Question for Hypothyroidism with Answer and Rationale

,
The following are clinical manifestations of nontoxic goiter (hypothyroidism), EXCEPT:
A.       dry skin
B.       lethargy
C.       insomnia
D.       sensitivity to cold

The correct answer is C. 
Rationale: Hypothyroidism causes a decrease in thyroid hormones, which in turn causes decreased metabolism. Options A, B and D are all consistent with decreased metabolism. Option C is a symptom of increased metabolism found in hyperthyroidism. 

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