Graves disease Quiz: Ace Your Exams
Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!
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A 37-year-old woman presents to the emergency department with a 2-day history of severe palpitations, dyspnea, restlessness, and fever. She also reports intermittent episodes of diarrhea over the past 2 days. She has a history of Graves' disease but has been taking her prescribed methimazole inconsistently. Temperature is 39.6°C (103.2°F), pulse is 150/min and irregular, blood pressure is 145/95 mm Hg, respiratory rate is 26/min, and oxygen saturation is 92% on room air. She appears agitated and diaphoretic on examination. Her skin is warm and moist to the touch, and she has an enlarged, non-tender thyroid gland. Neurological examination shows the presence of fine tremors and hyperreflexia. Laboratory studies reveal decreased thyroid-stimulating hormone (TSH), increased free thyroxine (T4), and increased triiodothyronine (T3). An ECG shows atrial fibrillation. Intravenous fluids are initiated. Which of the following is the best next step in management?
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