Page 1 of 313
Nurse Practitioner Certification Sarah Michelle Live
Review 2026-2027 COMPLETE 1000+ QUESTIONS AND
VERIFIED SOLUTIONS LATEST UPDATE THIS YEAR
QUESTION: What dose of Synthroid do you want to start your patient on? - ANSWER-If patient
is elderly or if they have a significant cardiac history then we are going to start at a lower dose
of 12.5-25 mcg po daily.
In a normal healthy patient, we will start at 25-50 mcg po daily.
QUESTION: After initiation of medication for treatment of hypothyroidism, when do you
recheck TSH level? - ANSWER-6-8 weeks
QUESTION: When TSH level is stabilized, how often do you recheck their level? - ANSWER-Every
6-12 months
QUESTION: What is the go to medication for treatment of hyperthyroidism? - ANSWER-
Tapazole and PTU
,Page 2 of 313
QUESTION: How do you manage treatment for hyperthyroidism in a pregnant patient? -
ANSWER-We need to use PTU instead if they are in their first trimester. After first trimester,
then they can be switched to tapazole.
QUESTION: What medication class is used to treat symptoms of hyperthyroidism? - ANSWER-
Beta-blockers- these help manage tachycardia and palpitations
QUESTION: What are 2 other treatments for the hyperthyroidism? - ANSWER-Thyroidectomy
and radioactive iodine
QUESTION: What labs are used to measure and evaluate kidney function? - ANSWER-GFR, BUN,
Creatinine
QUESTION: What lab value is most accurate description of kidney function? - ANSWER-GFR- this
is going to tell us how the kidneys are filtering the blood and how well they are removing waste.
QUESTION: What is a normal GFR value? - ANSWER->90
,Page 3 of 313
QUESTION: What GFR value indicates an absolute need to start a patient on dialysis? -
ANSWER-<15- this means that patient is in CKD stage 5
Q;What is the screening tool for the thyroid? - ANSWER-TSH Level
QUESTION: What is the normal range for TSH? - ANSWER-0.5-5.0
QUESTION: When do you order a full thyroid profile? - ANSWER-If thyroid screening of TSH
comes back abnormal, then we will reorder TSH and T3, T4.
QUESTION: What disorder demonstrates a low TSH level and high T3 and T4 levels? - ANSWER-
Hyperthyroidism
QUESTION: What disorder demonstrates a high TSH level and low T3 and T4 levels? - ANSWER-
Hypothyroidism
QUESTION: What medication is used to treat hypothyroidism? - ANSWER-Levothyroxine
(Synthroid)
, Page 4 of 313
QUESTION: What is the second most important lab value to measure kidney function? -
ANSWER-Creatinine
QUESTION: What is creatinine? - ANSWER-A waste product in the blood. If your kidneys are
functioning properly, then this waste product is removed by your kidneys. When kidney
function decreases, your creatinine level starts to rise.
QUESTION: What is a normal creatine value? - ANSWER-Around 1
QUESTION: Why is BUN least telling for kidney function? - ANSWER-Blood urea nitrogen is a
normal waste product when your body breaks down urea. However, this is not specific to the
kidneys. It can also indicate liver issues.
QUESTION: What is a normal BUN level? - ANSWER-10-20
Nurse Practitioner Certification Sarah Michelle Live
Review 2026-2027 COMPLETE 1000+ QUESTIONS AND
VERIFIED SOLUTIONS LATEST UPDATE THIS YEAR
QUESTION: What dose of Synthroid do you want to start your patient on? - ANSWER-If patient
is elderly or if they have a significant cardiac history then we are going to start at a lower dose
of 12.5-25 mcg po daily.
In a normal healthy patient, we will start at 25-50 mcg po daily.
QUESTION: After initiation of medication for treatment of hypothyroidism, when do you
recheck TSH level? - ANSWER-6-8 weeks
QUESTION: When TSH level is stabilized, how often do you recheck their level? - ANSWER-Every
6-12 months
QUESTION: What is the go to medication for treatment of hyperthyroidism? - ANSWER-
Tapazole and PTU
,Page 2 of 313
QUESTION: How do you manage treatment for hyperthyroidism in a pregnant patient? -
ANSWER-We need to use PTU instead if they are in their first trimester. After first trimester,
then they can be switched to tapazole.
QUESTION: What medication class is used to treat symptoms of hyperthyroidism? - ANSWER-
Beta-blockers- these help manage tachycardia and palpitations
QUESTION: What are 2 other treatments for the hyperthyroidism? - ANSWER-Thyroidectomy
and radioactive iodine
QUESTION: What labs are used to measure and evaluate kidney function? - ANSWER-GFR, BUN,
Creatinine
QUESTION: What lab value is most accurate description of kidney function? - ANSWER-GFR- this
is going to tell us how the kidneys are filtering the blood and how well they are removing waste.
QUESTION: What is a normal GFR value? - ANSWER->90
,Page 3 of 313
QUESTION: What GFR value indicates an absolute need to start a patient on dialysis? -
ANSWER-<15- this means that patient is in CKD stage 5
Q;What is the screening tool for the thyroid? - ANSWER-TSH Level
QUESTION: What is the normal range for TSH? - ANSWER-0.5-5.0
QUESTION: When do you order a full thyroid profile? - ANSWER-If thyroid screening of TSH
comes back abnormal, then we will reorder TSH and T3, T4.
QUESTION: What disorder demonstrates a low TSH level and high T3 and T4 levels? - ANSWER-
Hyperthyroidism
QUESTION: What disorder demonstrates a high TSH level and low T3 and T4 levels? - ANSWER-
Hypothyroidism
QUESTION: What medication is used to treat hypothyroidism? - ANSWER-Levothyroxine
(Synthroid)
, Page 4 of 313
QUESTION: What is the second most important lab value to measure kidney function? -
ANSWER-Creatinine
QUESTION: What is creatinine? - ANSWER-A waste product in the blood. If your kidneys are
functioning properly, then this waste product is removed by your kidneys. When kidney
function decreases, your creatinine level starts to rise.
QUESTION: What is a normal creatine value? - ANSWER-Around 1
QUESTION: Why is BUN least telling for kidney function? - ANSWER-Blood urea nitrogen is a
normal waste product when your body breaks down urea. However, this is not specific to the
kidneys. It can also indicate liver issues.
QUESTION: What is a normal BUN level? - ANSWER-10-20
