SARAH MICHELLE LIVE REVIEW EXAM 2024 WITH 100% CORRECT ANSWERS

What is the screening tool for the thyroid? Answer - TSH Level 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. 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 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. 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 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. What medication class is used to treat symptoms of hyperthyroidism? Answer - Beta-blockers- these help manage tachycardi