Sarah Michelle Live Review Study Guide |
Newest Questions and Answers | Updated
2026 | Complete Review
• When do you order a full thyroid profile? -✓✓ 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? -✓✓
Hyperthyroidism
• What disorder demonstrates a high TSH level and low T3 and T4 levels? -✓✓
Hypothyroidism
• What medication is used to treat hypothyroidism? -✓✓ Levothyroxine
(Synthroid)
• What dose of Synthroid do you want to start your patient on? -✓✓ 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? -✓✓ 6-8 weeks
• When TSH level is stabilized, how often do you recheck their level? -✓✓ Every
6-12 months
,• What is the go to medication for treatment of hyperthyroidism? -✓✓ Tapazole
and PTU
• How do you manage treatment for hyperthyroidism in a pregnant patient? -✓✓
We need to use PTU instead 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? -✓✓ Beta-
blockers- these help manage tachycardia and palpitations
• What are 2 other treatments for the hyperthyroidism? -✓✓ Thyroidectomy and
radioactive iodine
• What labs are used to measure and evaluate kidney function? -✓✓ GFR, BUN,
Creatinine
• What lab value is most accurate description of kidney function? -✓✓ 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? -✓✓ >90
• What GFR value indicates an absolute need to start a patient on dialysis? -✓✓
<15- this means that patient is in CKD stage 5
• What is the second most important lab value to measure kidney function? -✓✓
Creatinine
,• What is creatinine? -✓✓ 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? -✓✓ Around 1
• Why is BUN least telling for kidney function? -✓✓ 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? -✓✓ 10-20
• With which first-line BP medication do we want to check the BUN/Cr? -✓✓
ACE Inhibitors
• What finding on a UA id indicative of true kidney damage? -✓✓ Casts- WBC or
RBC casts always need to be referred out
• When do we screen for microalbumin in the urine? -✓✓ We're always going to
screen when DM and HTN is first diagnosed.
• What are the most common causes of CKD? -✓✓ HTN and DM
• Why is it important to perform early screening for microalbumin in the urine? -
✓✓ Patients who have mild kidney damage do not have symptoms, this screening
will ideally identify damage early and prevent progression.
, • What stage of CKD do patients show true symptoms? -✓✓ Stage 3 or worse
• How often are we screening for micro albumin? -✓✓ Bare minimum is going to
be annually for patients with DM or HTN or both.
• What is the normal range of microalbumin? -✓✓ < 30
• What is the most common symptom of all anemias? -✓✓ Fatigue
• What is a normal hemoglobin level? -✓✓ 12-18
Women are on the lower end, and men are on the higher end
• What is a normal hemoglobin to hematocrit ratio? -✓✓ 3 to 1
36-54%
• What does MCV stand for? -✓✓ mean corpuscular volume
• What is a normal MCV? -✓✓ 80-100
• What does low MCV indicate? -✓✓ Microcytic anemias
• What is the most common microcytic anemia? -✓✓ Iron deficiency anemia
• What is the biggest risk faction for the development of IDA is int he first year of
life? -✓✓ The ingestion of cow's milk
Newest Questions and Answers | Updated
2026 | Complete Review
• When do you order a full thyroid profile? -✓✓ 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? -✓✓
Hyperthyroidism
• What disorder demonstrates a high TSH level and low T3 and T4 levels? -✓✓
Hypothyroidism
• What medication is used to treat hypothyroidism? -✓✓ Levothyroxine
(Synthroid)
• What dose of Synthroid do you want to start your patient on? -✓✓ 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? -✓✓ 6-8 weeks
• When TSH level is stabilized, how often do you recheck their level? -✓✓ Every
6-12 months
,• What is the go to medication for treatment of hyperthyroidism? -✓✓ Tapazole
and PTU
• How do you manage treatment for hyperthyroidism in a pregnant patient? -✓✓
We need to use PTU instead 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? -✓✓ Beta-
blockers- these help manage tachycardia and palpitations
• What are 2 other treatments for the hyperthyroidism? -✓✓ Thyroidectomy and
radioactive iodine
• What labs are used to measure and evaluate kidney function? -✓✓ GFR, BUN,
Creatinine
• What lab value is most accurate description of kidney function? -✓✓ 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? -✓✓ >90
• What GFR value indicates an absolute need to start a patient on dialysis? -✓✓
<15- this means that patient is in CKD stage 5
• What is the second most important lab value to measure kidney function? -✓✓
Creatinine
,• What is creatinine? -✓✓ 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? -✓✓ Around 1
• Why is BUN least telling for kidney function? -✓✓ 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? -✓✓ 10-20
• With which first-line BP medication do we want to check the BUN/Cr? -✓✓
ACE Inhibitors
• What finding on a UA id indicative of true kidney damage? -✓✓ Casts- WBC or
RBC casts always need to be referred out
• When do we screen for microalbumin in the urine? -✓✓ We're always going to
screen when DM and HTN is first diagnosed.
• What are the most common causes of CKD? -✓✓ HTN and DM
• Why is it important to perform early screening for microalbumin in the urine? -
✓✓ Patients who have mild kidney damage do not have symptoms, this screening
will ideally identify damage early and prevent progression.
, • What stage of CKD do patients show true symptoms? -✓✓ Stage 3 or worse
• How often are we screening for micro albumin? -✓✓ Bare minimum is going to
be annually for patients with DM or HTN or both.
• What is the normal range of microalbumin? -✓✓ < 30
• What is the most common symptom of all anemias? -✓✓ Fatigue
• What is a normal hemoglobin level? -✓✓ 12-18
Women are on the lower end, and men are on the higher end
• What is a normal hemoglobin to hematocrit ratio? -✓✓ 3 to 1
36-54%
• What does MCV stand for? -✓✓ mean corpuscular volume
• What is a normal MCV? -✓✓ 80-100
• What does low MCV indicate? -✓✓ Microcytic anemias
• What is the most common microcytic anemia? -✓✓ Iron deficiency anemia
• What is the biggest risk faction for the development of IDA is int he first year of
life? -✓✓ The ingestion of cow's milk
