SARAH MICHELLE LIVE REVIEW STUDY
GUIDE WITH ANSWERS
Question 1
What is the screening tool for the thyroid?
Correct Answer
TSH Level
Question 2
What is the normal range for TSH?
Correct Answer
0.5-5.0
Question 3
When do you order a full thyroid profile?
Correct Answer
If thyroid screening of TSH comes back abnormal, then we will reorder TSH and T3,
T4.
Question 4
What disorder demonstrates a low TSH level and high T3 and T4 levels?
Correct Answer
Hyperthyroidism
Question 5
What disorder demonstrates a high TSH level and low T3 and T4 levels?
Correct Answer
Hypothyroidism
Page 1 of 316
,Question 6
What medication is used to treat hypothyroidism?
Correct Answer
Levothyroxine (Synthroid)
Question 7
What dose of Synthroid do you want to start your patient on?
Correct 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 8
After initiation of medication for treatment of hypothyroidism, when do you recheck
TSH level?
Correct Answer
6-8 weeks
Question 9
When TSH level is stabilized, how often do you recheck their level?
Correct Answer
Every 6-12 months
Question 10
What is the go to medication for treatment of hyperthyroidism?
Correct Answer
Tapazole and PTU
Page 2 of 316
,Question 11
How do you manage treatment for hyperthyroidism in a pregnant patient?
Correct 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 12
What medication class is used to treat symptoms of hyperthyroidism?
Correct Answer
Beta-blockers- these help manage tachycardia and palpitations
Question 13
What are 2 other treatments for the hyperthyroidism?
Correct Answer
Thyroidectomy and radioactive iodine
Question 14
What labs are used to measure and evaluate kidney function?
Correct Answer
GFR, BUN, Creatinine
Question 15
What lab value is most accurate description of kidney function?
Correct Answer
GFR- this is going to tell us how the kidneys are filtering the blood and how well
they are removing waste.
Page 3 of 316
, Question 16
What is a normal GFR value?
Correct Answer
>90
Question 17
What GFR value indicates an absolute need to start a patient on dialysis?
Correct Answer
<15- this means that patient is in CKD stage 5
Question 18
What is the second most important lab value to measure kidney function?
Correct Answer
Creatinine
Question 19
What is creatinine?
Correct 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 20
What is a normal creatine value?
Correct Answer
Around 1
Page 4 of 316
GUIDE WITH ANSWERS
Question 1
What is the screening tool for the thyroid?
Correct Answer
TSH Level
Question 2
What is the normal range for TSH?
Correct Answer
0.5-5.0
Question 3
When do you order a full thyroid profile?
Correct Answer
If thyroid screening of TSH comes back abnormal, then we will reorder TSH and T3,
T4.
Question 4
What disorder demonstrates a low TSH level and high T3 and T4 levels?
Correct Answer
Hyperthyroidism
Question 5
What disorder demonstrates a high TSH level and low T3 and T4 levels?
Correct Answer
Hypothyroidism
Page 1 of 316
,Question 6
What medication is used to treat hypothyroidism?
Correct Answer
Levothyroxine (Synthroid)
Question 7
What dose of Synthroid do you want to start your patient on?
Correct 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 8
After initiation of medication for treatment of hypothyroidism, when do you recheck
TSH level?
Correct Answer
6-8 weeks
Question 9
When TSH level is stabilized, how often do you recheck their level?
Correct Answer
Every 6-12 months
Question 10
What is the go to medication for treatment of hyperthyroidism?
Correct Answer
Tapazole and PTU
Page 2 of 316
,Question 11
How do you manage treatment for hyperthyroidism in a pregnant patient?
Correct 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 12
What medication class is used to treat symptoms of hyperthyroidism?
Correct Answer
Beta-blockers- these help manage tachycardia and palpitations
Question 13
What are 2 other treatments for the hyperthyroidism?
Correct Answer
Thyroidectomy and radioactive iodine
Question 14
What labs are used to measure and evaluate kidney function?
Correct Answer
GFR, BUN, Creatinine
Question 15
What lab value is most accurate description of kidney function?
Correct Answer
GFR- this is going to tell us how the kidneys are filtering the blood and how well
they are removing waste.
Page 3 of 316
, Question 16
What is a normal GFR value?
Correct Answer
>90
Question 17
What GFR value indicates an absolute need to start a patient on dialysis?
Correct Answer
<15- this means that patient is in CKD stage 5
Question 18
What is the second most important lab value to measure kidney function?
Correct Answer
Creatinine
Question 19
What is creatinine?
Correct 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 20
What is a normal creatine value?
Correct Answer
Around 1
Page 4 of 316
