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What lab value is most accurate description of kidney function? - CORRECT
ANSWERS-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? - CORRECT ANSWERS->90
What is a normal GFR value? - CORRECT ANSWERS->90
What GFR value indicates an absolute need to start a patient on dialysis? - CORRECT
ANSWERS-<15- this means that patient is in CKD stage 5
What GFR value indicates an absolute need to start a patient on dialysis? - CORRECT
ANSWERS-<15- this means that patient is in CKD stage 5
What is the second most important lab value to measure kidney function? - CORRECT
ANSWERS-Creatinine
What is the second most important lab value to measure kidney function? - CORRECT
ANSWERS-Creatinine
What is creatinine? - CORRECT ANSWERS-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 creatinine? - CORRECT ANSWERS-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? - CORRECT ANSWERS-Around 1
What is a normal creatine value? - CORRECT ANSWERS-Around 1
Why is BUN least telling for kidney function? - CORRECT ANSWERS-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.
,Why is BUN least telling for kidney function? - CORRECT ANSWERS-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? - CORRECT ANSWERS-10-20
What is a normal BUN level? - CORRECT ANSWERS-10-20
With which first-line BP medication do we want to check the BUN/Cr? - CORRECT
ANSWERS-ACE Inhibitors
With which first-line BP medication do we want to check the BUN/Cr? - CORRECT
ANSWERS-ACE Inhibitors
What finding on a UA id indicative of true kidney damage? - CORRECT ANSWERS-
Casts- WBC or RBC casts always need to be referred out
What finding on a UA id indicative of true kidney damage? - CORRECT ANSWERS-
Casts- WBC or RBC casts always need to be referred out
When do we screen for microalbumin in the urine? - CORRECT ANSWERS-We're
always going to screen when DM and HTN is first diagnosed.
When do we screen for microalbumin in the urine? - CORRECT ANSWERS-We're
always going to screen when DM and HTN is first diagnosed.
What are the most common causes of CKD? - CORRECT ANSWERS-HTN and DM
What are the most common causes of CKD? - CORRECT ANSWERS-HTN and DM
Why is it important to perform early screening for microalbumin in the urine? -
CORRECT ANSWERS-Patients who have mild kidney damage do not have symptoms,
this screening will ideally identify damage early and prevent progression.
Why is it important to perform early screening for microalbumin in the urine? -
CORRECT ANSWERS-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? - CORRECT ANSWERS-Stage 3
or worse
What stage of CKD do patients show true symptoms? - CORRECT ANSWERS-Stage 3
or worse
How often are we screening for micro albumin? - CORRECT ANSWERS-Bare minimum
is going to be annually for patients with DM or HTN or both.
,How often are we screening for micro albumin? - CORRECT ANSWERS-Bare minimum
is going to be annually for patients with DM or HTN or both.
What is the normal range of microalbumin? - CORRECT ANSWERS-< 30
What is the normal range of microalbumin? - CORRECT ANSWERS-< 30
What is the most common symptom of all anemias? - CORRECT ANSWERS-Fatigue
What is the screening tool for the thyroid? - CORRECT ANSWERS-TSH Level
What is the screening tool for the thyroid? - CORRECT ANSWERS-TSH Level
What is the normal range for TSH? - CORRECT ANSWERS-0.5-5.0
What is the normal range for TSH? - CORRECT ANSWERS-0.5-5.0
When do you order a full thyroid profile? - CORRECT ANSWERS-If thyroid screening of
TSH comes back abnormal, then we will reorder TSH and T3, T4.
When do you order a full thyroid profile? - CORRECT ANSWERS-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? - CORRECT
ANSWERS-Hyperthyroidism
What disorder demonstrates a low TSH level and high T3 and T4 levels? - CORRECT
ANSWERS-Hyperthyroidism
What disorder demonstrates a high TSH level and low T3 and T4 levels? - CORRECT
ANSWERS-Hypothyroidism
What disorder demonstrates a high TSH level and low T3 and T4 levels? - CORRECT
ANSWERS-Hypothyroidism
What medication is used to treat hypothyroidism? - CORRECT ANSWERS-
Levothyroxine (Synthroid)
What medication is used to treat hypothyroidism? - CORRECT ANSWERS-
Levothyroxine (Synthroid)
What dose of Synthroid do you want to start your patient on? - CORRECT ANSWERS-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.
, What dose of Synthroid do you want to start your patient on? - CORRECT ANSWERS-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? - CORRECT ANSWERS-6-8 weeks
After initiation of medication for treatment of hypothyroidism, when do you recheck TSH
level? - CORRECT ANSWERS-6-8 weeks
When TSH level is stabilized, how often do you recheck their level? - CORRECT
ANSWERS-Every 6-12 months
When TSH level is stabilized, how often do you recheck their level? - CORRECT
ANSWERS-Every 6-12 months
What is the go to medication for treatment of hyperthyroidism? - CORRECT
ANSWERS-Tapazole and PTU
What is the go to medication for treatment of hyperthyroidism? - CORRECT
ANSWERS-Tapazole and PTU
How do you manage treatment for hyperthyroidism in a pregnant patient? - CORRECT
ANSWERS-We need to use PTU instead if they are in their first trimester. After first
trimester, then they can be switched to tapazole.
How do you manage treatment for hyperthyroidism in a pregnant patient? - CORRECT
ANSWERS-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? - CORRECT
ANSWERS-Beta-blockers- these help manage tachycardia and palpitations
What medication class is used to treat symptoms of hyperthyroidism? - CORRECT
ANSWERS-Beta-blockers- these help manage tachycardia and palpitations
What are 2 other treatments for the hyperthyroidism? - CORRECT ANSWERS-
Thyroidectomy and radioactive iodine
What are 2 other treatments for the hyperthyroidism? - CORRECT ANSWERS-
Thyroidectomy and radioactive iodine
What labs are used to measure and evaluate kidney function? - CORRECT ANSWERS-
GFR, BUN, Creatinine