SARAH MICHELLE LIVE REVIEW STUDY
GUIDE TEST QUESTIONS CONTAINING
OVER 1,550 TERMS WITH CERTIFIED
SOLUTIONS 2024-2025.
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 tachycardia and palpitations
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 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 GFR value indicates an absolute need to start a patient on dialysis? -
Answer: <15- this means that patient is in CKD stage 5
What is the second most important lab value to measure kidney function? -
Answer: Creatinine
, 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.
What is a normal creatine value? - Answer: Around 1
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.
What is a normal BUN level? - Answer: 10-20
With which first-line BP medication do we want to check the BUN/Cr? - Answer:
ACE Inhibitors
What finding on a UA id indicative of true kidney damage? - Answer: Casts- WBC
or RBC casts always need to be referred out
When do we screen for microalbumin in the urine? - Answer: We're always going
to screen when DM and HTN is first diagnosed.
What are the most common causes of CKD? - Answer: HTN and DM
GUIDE TEST QUESTIONS CONTAINING
OVER 1,550 TERMS WITH CERTIFIED
SOLUTIONS 2024-2025.
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 tachycardia and palpitations
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 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 GFR value indicates an absolute need to start a patient on dialysis? -
Answer: <15- this means that patient is in CKD stage 5
What is the second most important lab value to measure kidney function? -
Answer: Creatinine
, 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.
What is a normal creatine value? - Answer: Around 1
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.
What is a normal BUN level? - Answer: 10-20
With which first-line BP medication do we want to check the BUN/Cr? - Answer:
ACE Inhibitors
What finding on a UA id indicative of true kidney damage? - Answer: Casts- WBC
or RBC casts always need to be referred out
When do we screen for microalbumin in the urine? - Answer: We're always going
to screen when DM and HTN is first diagnosed.
What are the most common causes of CKD? - Answer: HTN and DM
