1|Page
SARAH MICHELLE LIVE REVIEW AND STUDY GUIDE
NEWEST 2025/2026 TEST BANK| COMPLETE 2000
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (BRAND NEW
VERSION!!)
What produces TSH? - ANSWER - Pituitary gland
What is the function of TSH? - ANSWER - Tells your thyroid when to
produce and release those critical thyroid hormones- T3 and T4.
What disorders include hypothyroidism? - ANSWER - Iodine
deficiency, Hashimoto's, or thyroiditis
A presence of thyroid peroxidase antibodies indicates that? - ANSWER -
Hypothyroidism is caused by an autoimmune process of some sort
What are some signs and symptoms of hypothyroidism? - ANSWER -
Weight gain, constipation, dry skin, cold intolerance, fatigue, course
hair, facial puffiness, thick tongue, and maybe some cardiac side effects
What patient education must be included regarding Synthroid
administration? - ANSWER - Must be taken on an empty stomach
before other medications
pg. 1
,2|Page
What are signs and symptoms of a myxedema coma? - ANSWER - Low
body temperature, edema, confusion, lethargy, tongue thickening,
difficulty breathing
What medications can precipitate myxedema coma? - ANSWER -
Lithium or amiodarone
Your patient who is on 75 mcg Synthroid PO daily comes in for a 6
week follow up to check their TSH level. When you get the results, their
TSH is 0.1. What should you do next as the NP? - ANSWER - Assess
how the patient is taking their Synthroid
What signs and symptoms are common in hyperthyroidism? - ANSWER
- Anxiety, palpitations, cardiac abnormalities, tachycardia, diaphoresis,
weight loss, and increased appetite, menstrual irregularities, amenorrhea,
tremors, lid lag, exophthalmos
What needs to be considered with PTU medication administration? -
ANSWER - Need frequent lab work: CBC, and Thyroid panel
Required to take PTU multiple times a day
What is the most common treatment for Grave's Disease? - ANSWER -
Radioactive iodine therapy
pg. 2
,3|Page
Hyperthyroidism left untreated may lead to what conditions? -
ANSWER - Heart disease- patient's heart is in a constant high-output
state, your heart can't keep up with that all of the time, may lead to heart
failure
Osteoporosis
Infertility
What is worst case scenario in hyperthyroid patients? - ANSWER -
Thyroid storm- Temperature, HR, and BP- dangerously HIGH levels
Puts body into compromised state, especially impacting your heart.
Heart starts to go into Letha dysrhythmias and even heart failure.
What are the 8 most common drug classes for diabetes medications? -
ANSWER - Biguanides (Metformin)
DPP-4 inhibitors
GLP-1 Agonists
SGLT-2 inhibitors
Insulin
Sulfonylureas
TZDs
Alpha-glycosides inhibitors
Why are type 1 diabetics insulin dependent? - ANSWER - They have an
autoimmune destruction of their beta cells
pg. 3
, 4|Page
What are some examples of rapid acting insulin? - ANSWER -
Humalog, Novalog, Apidra
What is the onset, peak, and duration of rapid acting insulin? -
ANSWER - Onset: 15 minutes
Peak: 1 hour
Duration: 2-4 hours
What are some examples of short acting insulin? - ANSWER - Regular
insulin (Humulin R, Novolin R)
What is the onset, peak and duration of short acting insulin? - ANSWER
- Onset: 30 min- 1 hour
Peak: 2-4 hours
Duration: 6-8 hours
What are some examples of intermediate insulin? - ANSWER - NPH
(Humulin N, Novolin N)
What is the onset, peak, and duration of intermediate insulin? -
ANSWER - Onset: 1-2 hours
Peak: 6-12 hours
Duration: 24 hours
pg. 4
SARAH MICHELLE LIVE REVIEW AND STUDY GUIDE
NEWEST 2025/2026 TEST BANK| COMPLETE 2000
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (BRAND NEW
VERSION!!)
What produces TSH? - ANSWER - Pituitary gland
What is the function of TSH? - ANSWER - Tells your thyroid when to
produce and release those critical thyroid hormones- T3 and T4.
What disorders include hypothyroidism? - ANSWER - Iodine
deficiency, Hashimoto's, or thyroiditis
A presence of thyroid peroxidase antibodies indicates that? - ANSWER -
Hypothyroidism is caused by an autoimmune process of some sort
What are some signs and symptoms of hypothyroidism? - ANSWER -
Weight gain, constipation, dry skin, cold intolerance, fatigue, course
hair, facial puffiness, thick tongue, and maybe some cardiac side effects
What patient education must be included regarding Synthroid
administration? - ANSWER - Must be taken on an empty stomach
before other medications
pg. 1
,2|Page
What are signs and symptoms of a myxedema coma? - ANSWER - Low
body temperature, edema, confusion, lethargy, tongue thickening,
difficulty breathing
What medications can precipitate myxedema coma? - ANSWER -
Lithium or amiodarone
Your patient who is on 75 mcg Synthroid PO daily comes in for a 6
week follow up to check their TSH level. When you get the results, their
TSH is 0.1. What should you do next as the NP? - ANSWER - Assess
how the patient is taking their Synthroid
What signs and symptoms are common in hyperthyroidism? - ANSWER
- Anxiety, palpitations, cardiac abnormalities, tachycardia, diaphoresis,
weight loss, and increased appetite, menstrual irregularities, amenorrhea,
tremors, lid lag, exophthalmos
What needs to be considered with PTU medication administration? -
ANSWER - Need frequent lab work: CBC, and Thyroid panel
Required to take PTU multiple times a day
What is the most common treatment for Grave's Disease? - ANSWER -
Radioactive iodine therapy
pg. 2
,3|Page
Hyperthyroidism left untreated may lead to what conditions? -
ANSWER - Heart disease- patient's heart is in a constant high-output
state, your heart can't keep up with that all of the time, may lead to heart
failure
Osteoporosis
Infertility
What is worst case scenario in hyperthyroid patients? - ANSWER -
Thyroid storm- Temperature, HR, and BP- dangerously HIGH levels
Puts body into compromised state, especially impacting your heart.
Heart starts to go into Letha dysrhythmias and even heart failure.
What are the 8 most common drug classes for diabetes medications? -
ANSWER - Biguanides (Metformin)
DPP-4 inhibitors
GLP-1 Agonists
SGLT-2 inhibitors
Insulin
Sulfonylureas
TZDs
Alpha-glycosides inhibitors
Why are type 1 diabetics insulin dependent? - ANSWER - They have an
autoimmune destruction of their beta cells
pg. 3
, 4|Page
What are some examples of rapid acting insulin? - ANSWER -
Humalog, Novalog, Apidra
What is the onset, peak, and duration of rapid acting insulin? -
ANSWER - Onset: 15 minutes
Peak: 1 hour
Duration: 2-4 hours
What are some examples of short acting insulin? - ANSWER - Regular
insulin (Humulin R, Novolin R)
What is the onset, peak and duration of short acting insulin? - ANSWER
- Onset: 30 min- 1 hour
Peak: 2-4 hours
Duration: 6-8 hours
What are some examples of intermediate insulin? - ANSWER - NPH
(Humulin N, Novolin N)
What is the onset, peak, and duration of intermediate insulin? -
ANSWER - Onset: 1-2 hours
Peak: 6-12 hours
Duration: 24 hours
pg. 4
