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    Mental Health Northern Kentucky University Proctored Exam 5

    A 29-year-old female patient presents to the nurse practitioner with complaints of an enlarged thyroid gland and protruding eyeballs. The NP learns the patient has hypertension, nervousness, and fine tremors of the hands. Which of the following diagnoses is most consistent with the NP's assessment?

    Explanation & Rationale

    Choice A reason: Graves’ disease is an autoimmune hyperthyroidism characterized by goiter, exophthalmos, tremors, nervousness, and cardiovascular symptoms, consistent with this patient. Choice B reason: Hashimoto’s thyroiditis usually causes hypothyroidism with fatigue and weight gain, not hyperthyroid symptoms. Choice C reason: Hypothyroidism presents with slow metabolism, fatigue, and weight gain, opposite to the patient’s hyperthyroid signs. Choice D reason: Thyroid cancer may present as a nodule, but systemic hyperthyroid symptoms and exophthalmos are not typical.

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