SARAH MICHELLE LIVE REVIEW
STUDY GUIDE
What bis bthe bscreening btool bfor bthe bthyroid? b- bCORRECT bANSWER bTSH bLevel
What bis bthe bnormal brange bfor bTSH? b- bCORRECT bANSWER b0.5-5.0
When bdo byou border ba bfull bthyroid bprofile? b- bCORRECT bANSWER bIf bthyroid
bscreening bof bTSH bcomes bback babnormal, bthen bwe bwill breorder bTSH band bT3, bT4.
What bdisorder bdemonstrates ba blow bTSH blevel band bhigh bT3 band bT4 blevels? b-
bCORRECT bANSWER bHyperthyroidism
What bdisorder bdemonstrates ba bhigh bTSH blevel band blow bT3 band bT4 blevels? b-
bCORRECT bANSWER bHypothyroidism
What bmedication bis bused bto btreat bhypothyroidism? b- bCORRECT bANSWER
bLevothyroxine b(Synthroid)
What bdose bof bSynthroid bdo byou bwant bto bstart byour bpatient bon? b- bCORRECT
bANSWER bIf bpatient bis belderly bor bif bthey bhave ba bsignificant bcardiac bhistory bthen bwe
bare bgoing bto bstart bat ba blower bdose bof b12.5-25 bmcg bpo bdaily. b
In ba bnormal bhealthy bpatient, bwe bwill bstart bat b25-50 bmcg bpo bdaily.
After binitiation bof bmedication bfor btreatment bof bhypothyroidism, bwhen bdo byou brecheck
bTSH blevel? b- bCORRECT bANSWER b6-8 bweeks
When bTSH blevel bis bstabilized, bhow boften bdo byou brecheck btheir blevel? b- bCORRECT
bANSWER bEvery b6-12 bmonths
What bis bthe bgo bto bmedication bfor btreatment bof bhyperthyroidism? b- bCORRECT
bANSWER bTapazole band bPTU
How bdo byou bmanage btreatment bfor bhyperthyroidism bin ba bpregnant bpatient? b-
bCORRECT bANSWER bWe bneed bto buse bPTU binstead bif bthey bare bin btheir bfirst
btrimester. bAfter bfirst btrimester, bthen bthey bcan bbe bswitched bto btapazole.
What bmedication bclass bis bused bto btreat bsymptoms bof bhyperthyroidism? b- bCORRECT
bANSWER bBeta-blockers- bthese bhelp bmanage btachycardia band bpalpitations
,What bare b2 bother btreatments bfor bthe bhyperthyroidism? b- bCORRECT bANSWER
bThyroidectomy band bradioactive biodine
What blabs bare bused bto bmeasure band bevaluate bkidney bfunction? b- bCORRECT
bANSWER bGFR, bBUN, bCreatinine
What blab bvalue bis bmost baccurate bdescription bof bkidney bfunction? b- bCORRECT
bANSWER bGFR- bthis bis bgoing bto btell bus bhow bthe bkidneys bare bfiltering bthe bblood
band bhow bwell bthey bare bremoving bwaste.
What bis ba bnormal bGFR bvalue? b- bCORRECT bANSWER b>90
What bGFR bvalue bindicates ban babsolute bneed bto bstart ba bpatient bon bdialysis? b-
bCORRECT bANSWER b<15- bthis bmeans bthat bpatient bis bin bCKD bstage b5
What bis bthe bsecond bmost bimportant blab bvalue bto bmeasure bkidney bfunction? b-
bCORRECT bANSWER bCreatinine
What bis bcreatinine? b- bCORRECT bANSWER bA bwaste bproduct bin bthe bblood. bIf byour
bkidneys bare bfunctioning bproperly, bthen bthis bwaste bproduct bis bremoved bby byour
bkidneys. bWhen bkidney bfunction bdecreases, byour bcreatinine blevel bstarts bto brise.
What bis ba bnormal bcreatine bvalue? b- bCORRECT bANSWER bAround b1
Why bis bBUN bleast btelling bfor bkidney bfunction? b- bCORRECT bANSWER bBlood burea
bnitrogen bis ba bnormal bwaste bproduct bwhen byour bbody bbreaks bdown burea. bHowever,
bthis bis bnot bspecific bto bthe bkidneys. bIt bcan balso bindicate bliver bissues.
What bis ba bnormal bBUN blevel? b- bCORRECT bANSWER b10-20
With bwhich bfirst-line bBP bmedication bdo bwe bwant bto bcheck bthe bBUN/Cr? b-
bCORRECT bANSWER bACE bInhibitors
What bfinding bon ba bUA bid bindicative bof btrue bkidney bdamage? b- bCORRECT
bANSWER bCasts- bWBC bor bRBC bcasts balways bneed bto bbe breferred bout
When bdo bwe bscreen bfor bmicroalbumin bin bthe burine? b- bCORRECT bANSWER bWe're
balways bgoing bto bscreen bwhen bDM band bHTN bis bfirst bdiagnosed.
What bare bthe bmost bcommon bcauses bof bCKD? b- bCORRECT bANSWER bHTN band
bDM
Why bis bit bimportant bto bperform bearly bscreening bfor bmicroalbumin bin bthe burine? b-
bCORRECT bANSWER bPatients bwho bhave bmild bkidney bdamage bdo bnot bhave
bsymptoms, bthis bscreening bwill bideally bidentify bdamage bearly band bprevent
bprogression.
,What bstage bof bCKD bdo bpatients bshow btrue bsymptoms? b- bCORRECT bANSWER
bStage b3 bor bworse
How boften bare bwe bscreening bfor bmicro balbumin? b- bCORRECT bANSWER bBare
bminimum bis bgoing bto bbe bannually bfor bpatients bwith bDM bor bHTN bor bboth.
What bis bthe bnormal brange bof bmicroalbumin? b- bCORRECT bANSWER b< b30
What bis bthe bmost bcommon bsymptom bof ball banemias? b- bCORRECT bANSWER
bFatigue
What bis ba bnormal bhemoglobin blevel? b- bCORRECT bANSWER b12-18
Women bare bon bthe blower bend, band bmen bare bon bthe bhigher bend
What bis ba bnormal bhemoglobin bto bhematocrit bratio? b- bCORRECT bANSWER b3 bto b1
36-54%
What bdoes bMCV bstand bfor? b- bCORRECT bANSWER bmean bcorpuscular bvolume
What bis ba bnormal bMCV? b- bCORRECT bANSWER b80-100
What bdoes blow bMCV bindicate? b- bCORRECT bANSWER bMicrocytic banemias
What bis bthe bmost bcommon bmicrocytic banemia? b- bCORRECT bANSWER bIron
bdeficiency banemia
What bis bthe bbiggest brisk bfaction bfor bthe bdevelopment bof bIDA bis bint bhe bfirst byear bof
blife? b- bCORRECT bANSWER bThe bingestion bof bcow's bmilk
What bdoes bhigh bMCV blevels bindicate? b- bCORRECT bANSWER bMicrocytic banemia
What bare bthe bmost bcommon bmicrocytic banemias? b- bCORRECT bANSWER bB12 band
bfolate
What bsymptoms bare bcommon bwith bB12 bdeficiency banemia? b- bCORRECT bANSWER
bNeuro bsymptoms- bthe bmost bcommon bsymptom bis bparasthesia
What bsurgery btypically bleads bto bB12 bdeficiency banemia? b- bCORRECT bANSWER
bGastrectomy bpatients- bwho bhave bpart bof btheir bstomach bremoved
Why bdo bgastrectomy bpatients btypically bhave bB12 bdeficiency banemia? b- bCORRECT
bANSWER bIn border bfor bB12 bto bbe babsorbed, bit bneeds bto bbe bable bto bcombine bwith
bintrinsic bfactor, bwhich bis bproduced bin bthe bstomach. bIf bwe bremove ba blarge bportion
bof bthe bstomach bthen bwe blose ba blot bof bthat bintrinsic bfactor.
, What bdiabetes bmedication bused blong bterm bcan balso blead bto bB12 bdeficiency? b-
bCORRECT bANSWER bMetformin
What bis ban babnormal blead blevel? b- bCORRECT bANSWER b>5, bideally bno blead
bshould bbe bwithin bthe bbody
What bkind bof bsymptoms bmay blead bintoxication blead bto? b- bCORRECT bANSWER
bCognitive bdelays band bbehavioral bproblems
What bare bthe b3 bmicrocytic banemias? b- bCORRECT bANSWER bLIT
Lead
Iron
Thalassemia
What bare bthe b2 bmacrocytic banemias? b- bCORRECT bANSWER bFAB
Folate band bB12
What bare bthe bcomponents bof ba blipid bprofile? b- bCORRECT bANSWER bTotal
bcholesterol
HDl
LDL
Triglycerides
What's ba bnormal btotal bcholesterol blevel? b- bCORRECT bANSWER b<200
What bis ba bnormal bHDL blevel? b- bCORRECT bANSWER b40-60, bthe bhigher bthe bbetter
What bis ba bnormal bLDL blevel? b- bCORRECT bANSWER b<100
What bis ba bnormal btriglyceride blevel? b- bCORRECT bANSWER b<150
How boften bshould byou bbe bordering ba bstandard blimpid bprofile bon ba bpatient? b-
bCORRECT bANSWER bEvery b5 byears bunless bthey bare bhaving bsymptoms, brisk
bfactors, bon btreatment, betc.
What bis bLDL? b- bCORRECT bANSWER bBad bcholesterol, bit bis bour bmajor bculprit bin
batherosclerosis bin bclogging bup bthose barteries.
What bis bHDL? b- bCORRECT bANSWER bGood bcholesterol, bit bis bcardio bprotective band
bhelps bremove bexcess bcholesterol bfrom bthe bbody.
What bare bsome bfactors bthat bimpact bour btotal bcholesterol? b- bCORRECT bANSWER
bSmoking, bdiet, bweight, band bphysical bactivity
What bdoes btriglycerides bassist bin bassessing? b- bCORRECT bANSWER bInsulin
bresistance band byour btrue bdietary bintake
STUDY GUIDE
What bis bthe bscreening btool bfor bthe bthyroid? b- bCORRECT bANSWER bTSH bLevel
What bis bthe bnormal brange bfor bTSH? b- bCORRECT bANSWER b0.5-5.0
When bdo byou border ba bfull bthyroid bprofile? b- bCORRECT bANSWER bIf bthyroid
bscreening bof bTSH bcomes bback babnormal, bthen bwe bwill breorder bTSH band bT3, bT4.
What bdisorder bdemonstrates ba blow bTSH blevel band bhigh bT3 band bT4 blevels? b-
bCORRECT bANSWER bHyperthyroidism
What bdisorder bdemonstrates ba bhigh bTSH blevel band blow bT3 band bT4 blevels? b-
bCORRECT bANSWER bHypothyroidism
What bmedication bis bused bto btreat bhypothyroidism? b- bCORRECT bANSWER
bLevothyroxine b(Synthroid)
What bdose bof bSynthroid bdo byou bwant bto bstart byour bpatient bon? b- bCORRECT
bANSWER bIf bpatient bis belderly bor bif bthey bhave ba bsignificant bcardiac bhistory bthen bwe
bare bgoing bto bstart bat ba blower bdose bof b12.5-25 bmcg bpo bdaily. b
In ba bnormal bhealthy bpatient, bwe bwill bstart bat b25-50 bmcg bpo bdaily.
After binitiation bof bmedication bfor btreatment bof bhypothyroidism, bwhen bdo byou brecheck
bTSH blevel? b- bCORRECT bANSWER b6-8 bweeks
When bTSH blevel bis bstabilized, bhow boften bdo byou brecheck btheir blevel? b- bCORRECT
bANSWER bEvery b6-12 bmonths
What bis bthe bgo bto bmedication bfor btreatment bof bhyperthyroidism? b- bCORRECT
bANSWER bTapazole band bPTU
How bdo byou bmanage btreatment bfor bhyperthyroidism bin ba bpregnant bpatient? b-
bCORRECT bANSWER bWe bneed bto buse bPTU binstead bif bthey bare bin btheir bfirst
btrimester. bAfter bfirst btrimester, bthen bthey bcan bbe bswitched bto btapazole.
What bmedication bclass bis bused bto btreat bsymptoms bof bhyperthyroidism? b- bCORRECT
bANSWER bBeta-blockers- bthese bhelp bmanage btachycardia band bpalpitations
,What bare b2 bother btreatments bfor bthe bhyperthyroidism? b- bCORRECT bANSWER
bThyroidectomy band bradioactive biodine
What blabs bare bused bto bmeasure band bevaluate bkidney bfunction? b- bCORRECT
bANSWER bGFR, bBUN, bCreatinine
What blab bvalue bis bmost baccurate bdescription bof bkidney bfunction? b- bCORRECT
bANSWER bGFR- bthis bis bgoing bto btell bus bhow bthe bkidneys bare bfiltering bthe bblood
band bhow bwell bthey bare bremoving bwaste.
What bis ba bnormal bGFR bvalue? b- bCORRECT bANSWER b>90
What bGFR bvalue bindicates ban babsolute bneed bto bstart ba bpatient bon bdialysis? b-
bCORRECT bANSWER b<15- bthis bmeans bthat bpatient bis bin bCKD bstage b5
What bis bthe bsecond bmost bimportant blab bvalue bto bmeasure bkidney bfunction? b-
bCORRECT bANSWER bCreatinine
What bis bcreatinine? b- bCORRECT bANSWER bA bwaste bproduct bin bthe bblood. bIf byour
bkidneys bare bfunctioning bproperly, bthen bthis bwaste bproduct bis bremoved bby byour
bkidneys. bWhen bkidney bfunction bdecreases, byour bcreatinine blevel bstarts bto brise.
What bis ba bnormal bcreatine bvalue? b- bCORRECT bANSWER bAround b1
Why bis bBUN bleast btelling bfor bkidney bfunction? b- bCORRECT bANSWER bBlood burea
bnitrogen bis ba bnormal bwaste bproduct bwhen byour bbody bbreaks bdown burea. bHowever,
bthis bis bnot bspecific bto bthe bkidneys. bIt bcan balso bindicate bliver bissues.
What bis ba bnormal bBUN blevel? b- bCORRECT bANSWER b10-20
With bwhich bfirst-line bBP bmedication bdo bwe bwant bto bcheck bthe bBUN/Cr? b-
bCORRECT bANSWER bACE bInhibitors
What bfinding bon ba bUA bid bindicative bof btrue bkidney bdamage? b- bCORRECT
bANSWER bCasts- bWBC bor bRBC bcasts balways bneed bto bbe breferred bout
When bdo bwe bscreen bfor bmicroalbumin bin bthe burine? b- bCORRECT bANSWER bWe're
balways bgoing bto bscreen bwhen bDM band bHTN bis bfirst bdiagnosed.
What bare bthe bmost bcommon bcauses bof bCKD? b- bCORRECT bANSWER bHTN band
bDM
Why bis bit bimportant bto bperform bearly bscreening bfor bmicroalbumin bin bthe burine? b-
bCORRECT bANSWER bPatients bwho bhave bmild bkidney bdamage bdo bnot bhave
bsymptoms, bthis bscreening bwill bideally bidentify bdamage bearly band bprevent
bprogression.
,What bstage bof bCKD bdo bpatients bshow btrue bsymptoms? b- bCORRECT bANSWER
bStage b3 bor bworse
How boften bare bwe bscreening bfor bmicro balbumin? b- bCORRECT bANSWER bBare
bminimum bis bgoing bto bbe bannually bfor bpatients bwith bDM bor bHTN bor bboth.
What bis bthe bnormal brange bof bmicroalbumin? b- bCORRECT bANSWER b< b30
What bis bthe bmost bcommon bsymptom bof ball banemias? b- bCORRECT bANSWER
bFatigue
What bis ba bnormal bhemoglobin blevel? b- bCORRECT bANSWER b12-18
Women bare bon bthe blower bend, band bmen bare bon bthe bhigher bend
What bis ba bnormal bhemoglobin bto bhematocrit bratio? b- bCORRECT bANSWER b3 bto b1
36-54%
What bdoes bMCV bstand bfor? b- bCORRECT bANSWER bmean bcorpuscular bvolume
What bis ba bnormal bMCV? b- bCORRECT bANSWER b80-100
What bdoes blow bMCV bindicate? b- bCORRECT bANSWER bMicrocytic banemias
What bis bthe bmost bcommon bmicrocytic banemia? b- bCORRECT bANSWER bIron
bdeficiency banemia
What bis bthe bbiggest brisk bfaction bfor bthe bdevelopment bof bIDA bis bint bhe bfirst byear bof
blife? b- bCORRECT bANSWER bThe bingestion bof bcow's bmilk
What bdoes bhigh bMCV blevels bindicate? b- bCORRECT bANSWER bMicrocytic banemia
What bare bthe bmost bcommon bmicrocytic banemias? b- bCORRECT bANSWER bB12 band
bfolate
What bsymptoms bare bcommon bwith bB12 bdeficiency banemia? b- bCORRECT bANSWER
bNeuro bsymptoms- bthe bmost bcommon bsymptom bis bparasthesia
What bsurgery btypically bleads bto bB12 bdeficiency banemia? b- bCORRECT bANSWER
bGastrectomy bpatients- bwho bhave bpart bof btheir bstomach bremoved
Why bdo bgastrectomy bpatients btypically bhave bB12 bdeficiency banemia? b- bCORRECT
bANSWER bIn border bfor bB12 bto bbe babsorbed, bit bneeds bto bbe bable bto bcombine bwith
bintrinsic bfactor, bwhich bis bproduced bin bthe bstomach. bIf bwe bremove ba blarge bportion
bof bthe bstomach bthen bwe blose ba blot bof bthat bintrinsic bfactor.
, What bdiabetes bmedication bused blong bterm bcan balso blead bto bB12 bdeficiency? b-
bCORRECT bANSWER bMetformin
What bis ban babnormal blead blevel? b- bCORRECT bANSWER b>5, bideally bno blead
bshould bbe bwithin bthe bbody
What bkind bof bsymptoms bmay blead bintoxication blead bto? b- bCORRECT bANSWER
bCognitive bdelays band bbehavioral bproblems
What bare bthe b3 bmicrocytic banemias? b- bCORRECT bANSWER bLIT
Lead
Iron
Thalassemia
What bare bthe b2 bmacrocytic banemias? b- bCORRECT bANSWER bFAB
Folate band bB12
What bare bthe bcomponents bof ba blipid bprofile? b- bCORRECT bANSWER bTotal
bcholesterol
HDl
LDL
Triglycerides
What's ba bnormal btotal bcholesterol blevel? b- bCORRECT bANSWER b<200
What bis ba bnormal bHDL blevel? b- bCORRECT bANSWER b40-60, bthe bhigher bthe bbetter
What bis ba bnormal bLDL blevel? b- bCORRECT bANSWER b<100
What bis ba bnormal btriglyceride blevel? b- bCORRECT bANSWER b<150
How boften bshould byou bbe bordering ba bstandard blimpid bprofile bon ba bpatient? b-
bCORRECT bANSWER bEvery b5 byears bunless bthey bare bhaving bsymptoms, brisk
bfactors, bon btreatment, betc.
What bis bLDL? b- bCORRECT bANSWER bBad bcholesterol, bit bis bour bmajor bculprit bin
batherosclerosis bin bclogging bup bthose barteries.
What bis bHDL? b- bCORRECT bANSWER bGood bcholesterol, bit bis bcardio bprotective band
bhelps bremove bexcess bcholesterol bfrom bthe bbody.
What bare bsome bfactors bthat bimpact bour btotal bcholesterol? b- bCORRECT bANSWER
bSmoking, bdiet, bweight, band bphysical bactivity
What bdoes btriglycerides bassist bin bassessing? b- bCORRECT bANSWER bInsulin
bresistance band byour btrue bdietary bintake
