SARAH MICHELLE BOARD REVIEW
2026 STUDY GUIDE TEST PAPER
QUESTIONS AND SOLUTIONS
GRADED A+
◉ What is the screening tool for the thyroid? Answer: TSH Level
◉ What is the normal range for TSH? Answer: 0.5-5.0
◉ What is the normal range for TSH? Answer: 0.5-5.0
◉ 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.
◉ 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.
◉ What disorder demonstrates a low TSH level and high T3 and T4
levels? Answer: Hyperthyroidism
◉ What disorder demonstrates a low TSH level and high T3 and T4
levels? Answer: Hyperthyroidism
,◉ What disorder demonstrates a high TSH level and low T3 and T4
levels? Answer: Hypothyroidism
◉ What disorder demonstrates a high TSH level and low T3 and T4
levels? Answer: Hypothyroidism
◉ What medication is used to treat hypothyroidism? Answer:
Levothyroxine (Synthroid)
◉ What medication is used to treat hypothyroidism? Answer:
Levothyroxine (Synthroid)
◉ 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.
◉ 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.
◉ After initiation of medication for treatment of hypothyroidism, when
do you recheck TSH level? Answer: 6-8 weeks
,◉ After initiation of medication for treatment of hypothyroidism, when
do you recheck TSH level? Answer: 6-8 weeks
◉ When TSH level is stabilized, how often do you recheck their level?
Answer: Every 6-12 months
◉ When TSH level is stabilized, how often do you recheck their level?
Answer: Every 6-12 months
◉ What is the go to medication for treatment of hyperthyroidism?
Answer: Tapazole and PTU
◉ What is the go to medication for treatment of hyperthyroidism?
Answer: Tapazole and PTU
◉ 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.
◉ 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.
◉ What medication class is used to treat symptoms of hyperthyroidism?
Answer: Beta-blockers- these help manage tachycardia and palpitations
, ◉ What medication class is used to treat symptoms of hyperthyroidism?
Answer: Beta-blockers- these help manage tachycardia and palpitations
◉ What are 2 other treatments for the hyperthyroidism? Answer:
Thyroidectomy and radioactive iodine
◉ What are 2 other treatments for the hyperthyroidism? Answer:
Thyroidectomy and radioactive iodine
◉ What labs are used to measure and evaluate kidney function? Answer:
GFR, BUN, Creatinine
◉ What labs are used to measure and evaluate kidney function? Answer:
GFR, BUN, Creatinine
◉ 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.
◉ 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.
◉ What is a normal GFR value? Answer: >90
◉ What is a normal GFR value? Answer: >90
2026 STUDY GUIDE TEST PAPER
QUESTIONS AND SOLUTIONS
GRADED A+
◉ What is the screening tool for the thyroid? Answer: TSH Level
◉ What is the normal range for TSH? Answer: 0.5-5.0
◉ What is the normal range for TSH? Answer: 0.5-5.0
◉ 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.
◉ 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.
◉ What disorder demonstrates a low TSH level and high T3 and T4
levels? Answer: Hyperthyroidism
◉ What disorder demonstrates a low TSH level and high T3 and T4
levels? Answer: Hyperthyroidism
,◉ What disorder demonstrates a high TSH level and low T3 and T4
levels? Answer: Hypothyroidism
◉ What disorder demonstrates a high TSH level and low T3 and T4
levels? Answer: Hypothyroidism
◉ What medication is used to treat hypothyroidism? Answer:
Levothyroxine (Synthroid)
◉ What medication is used to treat hypothyroidism? Answer:
Levothyroxine (Synthroid)
◉ 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.
◉ 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.
◉ After initiation of medication for treatment of hypothyroidism, when
do you recheck TSH level? Answer: 6-8 weeks
,◉ After initiation of medication for treatment of hypothyroidism, when
do you recheck TSH level? Answer: 6-8 weeks
◉ When TSH level is stabilized, how often do you recheck their level?
Answer: Every 6-12 months
◉ When TSH level is stabilized, how often do you recheck their level?
Answer: Every 6-12 months
◉ What is the go to medication for treatment of hyperthyroidism?
Answer: Tapazole and PTU
◉ What is the go to medication for treatment of hyperthyroidism?
Answer: Tapazole and PTU
◉ 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.
◉ 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.
◉ What medication class is used to treat symptoms of hyperthyroidism?
Answer: Beta-blockers- these help manage tachycardia and palpitations
, ◉ What medication class is used to treat symptoms of hyperthyroidism?
Answer: Beta-blockers- these help manage tachycardia and palpitations
◉ What are 2 other treatments for the hyperthyroidism? Answer:
Thyroidectomy and radioactive iodine
◉ What are 2 other treatments for the hyperthyroidism? Answer:
Thyroidectomy and radioactive iodine
◉ What labs are used to measure and evaluate kidney function? Answer:
GFR, BUN, Creatinine
◉ What labs are used to measure and evaluate kidney function? Answer:
GFR, BUN, Creatinine
◉ 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.
◉ 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.
◉ What is a normal GFR value? Answer: >90
◉ What is a normal GFR value? Answer: >90
