Page 1 of 332
SARAH MICHELLE LIVE REVIEW STUDY GUIDE LATEST
2025 TEST BANK| COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIIED ANSWERS)
ALREDY GRADED A+|| NEWEST UPDATE|
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
,Page 2 of 332
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
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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
, Page 4 of 332
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
SARAH MICHELLE LIVE REVIEW STUDY GUIDE LATEST
2025 TEST BANK| COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIIED ANSWERS)
ALREDY GRADED A+|| NEWEST UPDATE|
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
,Page 2 of 332
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
,Page 3 of 332
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
, Page 4 of 332
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
