STUDY GUIDE QUESTIONS AND
VERIFIED ANSWERS || FREQUENTLY
TESTED QUESTIONS || ACCURATE
AND PASSED
\.What is the screening tool for the thyroid? - Answer- TSH Level
\.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
\.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 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