Family Nurse Practitioner Exam

Which symptom is commonly seen with thyroid storm?

1. Hypotension

2. Bradycardia

3. Hyperthermia

4. Weight gain

The correct answer is: Hyperthermia

Hyperthermia is a hallmark symptom of thyroid storm, a life-threatening condition characterized by an extreme overproduction of thyroid hormones. In this state, the body's metabolic rate is significantly heightened, causing an increase in body temperature. The elevation in temperature can be substantial, often exceeding 104°F (40°C), and is a direct result of the hypermetabolic state induced by excess thyroid hormones. This is accompanied by other symptoms such as tachycardia, agitation, and potentially even altered mental status. Other options such as hypotension and bradycardia are not consistent with thyroid storm. In fact, patients typically experience increased heart rate (tachycardia) and may present with hypertension rather than hypotension. Weight gain is also not associated with thyroid storm; instead, patients usually experience weight loss due to the increased metabolism and energy expenditure. Understanding these symptoms is crucial for the timely and effective management of this serious condition.