1|Page
2025 SARAH MICHELLE LIVE REVIEW TEST BANK
WITH 700 PREP QUESTIONS AND CORRECT
ANSWERS (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)
,2|Page
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.
,3|Page
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
, 4|Page
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
2025 SARAH MICHELLE LIVE REVIEW TEST BANK
WITH 700 PREP QUESTIONS AND CORRECT
ANSWERS (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)
,2|Page
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.
,3|Page
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
, 4|Page
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
