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SARAH MICHELLE LIVE REVIEW STUDY GUIDE Questions and Answers (100% Correct Answers) Already Graded A+

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SARAH MICHELLE LIVE REVIEW STUDY GUIDE Questions and Answers (100% Correct Answers) Already Graded A+

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Institution
SARAH MICHELLE LIVE
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SARAH MICHELLE LIVE

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December 3, 2025
Number of pages
249
Written in
2025/2026
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SARAH MICHELLE LIVE REVIEW STUDY
GUIDE Questions and Answers (100%
Correct Answers) Already Graded A+

What is the screening tool for the thyroid? Ans: TSH Level
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What is the normal range for TSH? Ans: 0.5-5.0


When do you order a full thyroid profile? Ans: If thyroid screening
of TSH comes back abnormal, then we will reorder TSH and T3, T4.
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What disorder demonstrates a low TSH level and high T3 and T4
levels? Ans: Hyperthyroidism


What disorder demonstrates a high TSH level and low T3 and T4
levels? Ans: Hypothyroidism


What medication is used to treat hypothyroidism? Ans:
Levothyroxine (Synthroid)


What dose of Synthroid do you want to start your patient on? Ans:
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.

, 2




After initiation of medication for treatment of hypothyroidism,
when do you recheck TSH level? Ans: 6-8 weeks


When TSH level is stabilized, how often do you recheck their level?
Ans: Every 6-12 months


What is the go to medication for treatment of hyperthyroidism?
Ans: Tapazole and PTU
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How do you manage treatment for hyperthyroidism in a pregnant
patient? Ans: We need to use PTU instead if they are in their first
trimester. After first trimester, then they can be switched to
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tapazole.


What medication class is used to treat symptoms of
hyperthyroidism? Ans: Beta-blockers- these help manage
tachycardia and palpitations


What are 2 other treatments for the hyperthyroidism? Ans:
Thyroidectomy and radioactive iodine


What labs are used to measure and evaluate kidney function?
Ans: GFR, BUN, Creatinine


What lab value is most accurate description of kidney function?
Ans: GFR- this is going to tell us how the kidneys are filtering the
blood and how well they are removing waste.

, 3




What is a normal GFR value? Ans: >90


What GFR value indicates an absolute need to start a patient on
dialysis? Ans: <15- this means that patient is in CKD stage 5


What is the second most important lab value to measure kidney
function? Ans: Creatinine
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What is creatinine? Ans: 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.
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What is a normal creatine value? Ans: Around 1


Why is BUN least telling for kidney function? Ans: 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? Ans: 10-20


With which first-line BP medication do we want to check the
BUN/Cr? Ans: ACE Inhibitors


What finding on a UA id indicative of true kidney damage? Ans:
Casts- WBC or RBC casts always need to be referred out

, 4




When do we screen for microalbumin in the urine? Ans: We're
always going to screen when DM and HTN is first diagnosed.


What are the most common causes of CKD? Ans: HTN and DM


Why is it important to perform early screening for microalbumin in
the urine? Ans: Patients who have mild kidney damage do not
have symptoms, this screening will ideally identify damage early
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and prevent progression.


What stage of CKD do patients show true symptoms? Ans: Stage
3 or worse
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How often are we screening for micro albumin? Ans: Bare
minimum is going to be annually for patients with DM or HTN or
both.


What is the normal range of microalbumin? Ans: < 30


What is the most common symptom of all anemias? Ans: Fatigue


What is a normal hemoglobin level? Ans: 12-18


Women are on the lower end, and men are on the higher end


What is a normal hemoglobin to hematocrit ratio? Ans: 3 to 1

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