Certified Emergency Nurse (CEN) Practice Test

Which metabolic emergency is characterized by hypothyroidism?

1. Thyroid storm

2. Addison's disease

3. Myxedema coma

4. Diabetic ketoacidosis

The correct answer is: Myxedema coma

Myxedema coma is a severe and life-threatening condition that occurs as a result of prolonged hypothyroidism. In this metabolic emergency, the body lacks sufficient thyroid hormones, which play a crucial role in regulating metabolism, energy production, and overall physiological function. When a patient experiences myxedema coma, they may present with significant clinical features including hypothermia, altered mental status, and respiratory depression, reflecting the decreased metabolic rate associated with inadequate thyroid hormone levels. In addition, fluid retention and skin changes typical of hypothyroidism, such as dry and cool skin, can also be observed. Understanding myxedema coma as a metabolic emergency helps healthcare professionals recognize the seriousness of untreated hypothyroidism and the need for urgent management to prevent complications resulting from decreased hormone levels. The condition requires immediate treatment, often including thyroid hormone replacement therapy and supportive care, which contrasts with other conditions listed, such as thyroid storm, Addison's disease, and diabetic ketoacidosis, which have different pathophysiological mechanisms and causes.