Exploring Sarah Michelle's Live Show:
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Latest Updated Exam Study Guide
2025/2026
What is the screening tool for the thyroid? - ansTSH Level
What is the screening tool for the thyroid? - ansTSH Level
What is the normal range for TSH? - ans0.5-5.0
What is the normal range for TSH? - ans0.5-5.0
When do you order a full thyroid profile? - ansIf thyroid screening of TSH comes back
abnormal, then we will reorder TSH and T3, T4.
When do you order a full thyroid profile? - ansIf 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? -
ansHyperthyroidism
What disorder demonstrates a low TSH level and high T3 and T4 levels? -
ansHyperthyroidism
What disorder demonstrates a high TSH level and low T3 and T4 levels? -
ansHypothyroidism
What disorder demonstrates a high TSH level and low T3 and T4 levels? -
ansHypothyroidism
What medication is used to treat hypothyroidism? - ansLevothyroxine (Synthroid)
What medication is used to treat hypothyroidism? - ansLevothyroxine (Synthroid)
What dose of Synthroid do you want to start your patient on? - ansIf 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? - ansIf 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? - ans6-8 weeks
After initiation of medication for treatment of hypothyroidism, when do you recheck TSH
level? - ans6-8 weeks
When TSH level is stabilized, how often do you recheck their level? - ansEvery 6-12 months
When TSH level is stabilized, how often do you recheck their level? - ansEvery 6-12 months
What is the go to medication for treatment of hyperthyroidism? - ansTapazole and PTU
What is the go to medication for treatment of hyperthyroidism? - ansTapazole and PTU
How do you manage treatment for hyperthyroidism in a pregnant patient? - ansWe 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? - ansWe need to
use PTU instead if they are in their first trimester. After first trimester, then they can be
switched to tapazole.
,Exploring Sarah Michelle's Live Show:
A Comprehensive Exam Guide.
A Top-Rated Exam Study Guide for a
Guaranteed Success
Latest Updated Exam Study Guide
2025/2026
What medication class is used to treat symptoms of hyperthyroidism? - ansBeta-blockers-
these help manage tachycardia and palpitations
What medication class is used to treat symptoms of hyperthyroidism? - ansBeta-blockers-
these help manage tachycardia and palpitations
What are 2 other treatments for the hyperthyroidism? - ansThyroidectomy and radioactive
iodine
What are 2 other treatments for the hyperthyroidism? - ansThyroidectomy and radioactive
iodine
What labs are used to measure and evaluate kidney function? - ansGFR, BUN, Creatinine
What labs are used to measure and evaluate kidney function? - ansGFR, BUN, Creatinine
What lab value is most accurate description of kidney function? - ansGFR- this is going to
tell us how the kidneys are filtering the blood and how well they are removing waste.
What lab value is most accurate description of kidney function? - ansGFR- 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? - ans>90
What is a normal GFR value? - ans>90
What GFR value indicates an absolute need to start a patient on dialysis? - ans<15- this
means that patient is in CKD stage 5
What GFR value indicates an absolute need to start a patient on dialysis? - ans<15- this
means that patient is in CKD stage 5
What is the second most important lab value to measure kidney function? - ansCreatinine
What is the second most important lab value to measure kidney function? - ansCreatinine
What is creatinine? - ansA 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? - ansA 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? - ansAround 1
What is a normal creatine value? - ansAround 1
Why is BUN least telling for kidney function? - ansBlood 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? - ansBlood 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? - ans10-20
What is a normal BUN level? - ans10-20
With which first-line BP medication do we want to check the BUN/Cr? - ansACE Inhibitors
With which first-line BP medication do we want to check the BUN/Cr? - ansACE Inhibitors
,Exploring Sarah Michelle's Live Show:
A Comprehensive Exam Guide.
A Top-Rated Exam Study Guide for a
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Latest Updated Exam Study Guide
2025/2026
What finding on a UA id indicative of true kidney damage? - ansCasts- WBC or RBC casts
always need to be referred out
What finding on a UA id indicative of true kidney damage? - ansCasts- WBC or RBC casts
always need to be referred out
When do we screen for microalbumin in the urine? - ansWe're always going to screen when
DM and HTN is first diagnosed.
When do we screen for microalbumin in the urine? - ansWe're always going to screen when
DM and HTN is first diagnosed.
What are the most common causes of CKD? - ansHTN and DM
What are the most common causes of CKD? - ansHTN and DM
Why is it important to perform early screening for microalbumin in the urine? - ansPatients
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? - ansPatients
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? - ansStage 3 or worse
What stage of CKD do patients show true symptoms? - ansStage 3 or worse
How often are we screening for micro albumin? - ansBare minimum is going to be annually
for patients with DM or HTN or both.
How often are we screening for micro albumin? - ansBare minimum is going to be annually
for patients with DM or HTN or both.
What is the normal range of microalbumin? - ans< 30
What is the normal range of microalbumin? - ans< 30
What is the most common symptom of all anemias? - ansFatigue
What is the most common symptom of all anemias? - ansFatigue
What is a normal hemoglobin level? - ans12-18
Women are on the lower end, and men are on the higher end
What is a normal hemoglobin level? - ans12-18
Women are on the lower end, and men are on the higher end
What is a normal hemoglobin to hematocrit ratio? - ans3 to 1
36-54%
What is a normal hemoglobin to hematocrit ratio? - ans3 to 1
36-54%
What does MCV stand for? - ansmean corpuscular volume
What does MCV stand for? - ansmean corpuscular volume
What is a normal MCV? - ans80-100
What is a normal MCV? - ans80-100
What does low MCV indicate? - ansMicrocytic anemias
What does low MCV indicate? - ansMicrocytic anemias
, Exploring Sarah Michelle's Live Show:
A Comprehensive Exam Guide.
A Top-Rated Exam Study Guide for a
Guaranteed Success
Latest Updated Exam Study Guide
2025/2026
What is the most common microcytic anemia? - ansIron deficiency anemia
What is the most common microcytic anemia? - ansIron deficiency anemia
What is the biggest risk faction for the development of IDA is int he first year of life? -
ansThe ingestion of cow's milk
What is the biggest risk faction for the development of IDA is int he first year of life? -
ansThe ingestion of cow's milk
What does high MCV levels indicate? - ansMicrocytic anemia
What does high MCV levels indicate? - ansMicrocytic anemia
What are the most common microcytic anemias? - ansB12 and folate
What are the most common microcytic anemias? - ansB12 and folate
What symptoms are common with B12 deficiency anemia? - ansNeuro symptoms- the most
common symptom is parasthesia
What symptoms are common with B12 deficiency anemia? - ansNeuro symptoms- the most
common symptom is parasthesia
What surgery typically leads to B12 deficiency anemia? - ansGastrectomy patients- who have
part of their stomach removed
What surgery typically leads to B12 deficiency anemia? - ansGastrectomy patients- who have
part of their stomach removed
Why do gastrectomy patients typically have B12 deficiency anemia? - ansIn order for B12 to
be absorbed, it needs to be able to combine with intrinsic factor, which is produced in the
stomach. If we remove a large portion of the stomach then we lose a lot of that intrinsic
factor.
Why do gastrectomy patients typically have B12 deficiency anemia? - ansIn order for B12 to
be absorbed, it needs to be able to combine with intrinsic factor, which is produced in the
stomach. If we remove a large portion of the stomach then we lose a lot of that intrinsic
factor.
What diabetes medication used long term can also lead to B12 deficiency? - ansMetformin
What diabetes medication used long term can also lead to B12 deficiency? - ansMetformin
What is an abnormal lead level? - ans>5, ideally no lead should be within the body
What is an abnormal lead level? - ans>5, ideally no lead should be within the body
What kind of symptoms may lead intoxication lead to? - ansCognitive delays and behavioral
problems
What kind of symptoms may lead intoxication lead to? - ansCognitive delays and behavioral
problems
What are the 3 microcytic anemias? - ansLIT
Lead
Iron
Thalassemia
What are the 3 microcytic anemias? - ansLIT
Lead
A Comprehensive Exam Guide.
A Top-Rated Exam Study Guide for a
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Latest Updated Exam Study Guide
2025/2026
What is the screening tool for the thyroid? - ansTSH Level
What is the screening tool for the thyroid? - ansTSH Level
What is the normal range for TSH? - ans0.5-5.0
What is the normal range for TSH? - ans0.5-5.0
When do you order a full thyroid profile? - ansIf thyroid screening of TSH comes back
abnormal, then we will reorder TSH and T3, T4.
When do you order a full thyroid profile? - ansIf 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? -
ansHyperthyroidism
What disorder demonstrates a low TSH level and high T3 and T4 levels? -
ansHyperthyroidism
What disorder demonstrates a high TSH level and low T3 and T4 levels? -
ansHypothyroidism
What disorder demonstrates a high TSH level and low T3 and T4 levels? -
ansHypothyroidism
What medication is used to treat hypothyroidism? - ansLevothyroxine (Synthroid)
What medication is used to treat hypothyroidism? - ansLevothyroxine (Synthroid)
What dose of Synthroid do you want to start your patient on? - ansIf 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? - ansIf 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? - ans6-8 weeks
After initiation of medication for treatment of hypothyroidism, when do you recheck TSH
level? - ans6-8 weeks
When TSH level is stabilized, how often do you recheck their level? - ansEvery 6-12 months
When TSH level is stabilized, how often do you recheck their level? - ansEvery 6-12 months
What is the go to medication for treatment of hyperthyroidism? - ansTapazole and PTU
What is the go to medication for treatment of hyperthyroidism? - ansTapazole and PTU
How do you manage treatment for hyperthyroidism in a pregnant patient? - ansWe 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? - ansWe need to
use PTU instead if they are in their first trimester. After first trimester, then they can be
switched to tapazole.
,Exploring Sarah Michelle's Live Show:
A Comprehensive Exam Guide.
A Top-Rated Exam Study Guide for a
Guaranteed Success
Latest Updated Exam Study Guide
2025/2026
What medication class is used to treat symptoms of hyperthyroidism? - ansBeta-blockers-
these help manage tachycardia and palpitations
What medication class is used to treat symptoms of hyperthyroidism? - ansBeta-blockers-
these help manage tachycardia and palpitations
What are 2 other treatments for the hyperthyroidism? - ansThyroidectomy and radioactive
iodine
What are 2 other treatments for the hyperthyroidism? - ansThyroidectomy and radioactive
iodine
What labs are used to measure and evaluate kidney function? - ansGFR, BUN, Creatinine
What labs are used to measure and evaluate kidney function? - ansGFR, BUN, Creatinine
What lab value is most accurate description of kidney function? - ansGFR- this is going to
tell us how the kidneys are filtering the blood and how well they are removing waste.
What lab value is most accurate description of kidney function? - ansGFR- 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? - ans>90
What is a normal GFR value? - ans>90
What GFR value indicates an absolute need to start a patient on dialysis? - ans<15- this
means that patient is in CKD stage 5
What GFR value indicates an absolute need to start a patient on dialysis? - ans<15- this
means that patient is in CKD stage 5
What is the second most important lab value to measure kidney function? - ansCreatinine
What is the second most important lab value to measure kidney function? - ansCreatinine
What is creatinine? - ansA 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? - ansA 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? - ansAround 1
What is a normal creatine value? - ansAround 1
Why is BUN least telling for kidney function? - ansBlood 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? - ansBlood 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? - ans10-20
What is a normal BUN level? - ans10-20
With which first-line BP medication do we want to check the BUN/Cr? - ansACE Inhibitors
With which first-line BP medication do we want to check the BUN/Cr? - ansACE Inhibitors
,Exploring Sarah Michelle's Live Show:
A Comprehensive Exam Guide.
A Top-Rated Exam Study Guide for a
Guaranteed Success
Latest Updated Exam Study Guide
2025/2026
What finding on a UA id indicative of true kidney damage? - ansCasts- WBC or RBC casts
always need to be referred out
What finding on a UA id indicative of true kidney damage? - ansCasts- WBC or RBC casts
always need to be referred out
When do we screen for microalbumin in the urine? - ansWe're always going to screen when
DM and HTN is first diagnosed.
When do we screen for microalbumin in the urine? - ansWe're always going to screen when
DM and HTN is first diagnosed.
What are the most common causes of CKD? - ansHTN and DM
What are the most common causes of CKD? - ansHTN and DM
Why is it important to perform early screening for microalbumin in the urine? - ansPatients
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? - ansPatients
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? - ansStage 3 or worse
What stage of CKD do patients show true symptoms? - ansStage 3 or worse
How often are we screening for micro albumin? - ansBare minimum is going to be annually
for patients with DM or HTN or both.
How often are we screening for micro albumin? - ansBare minimum is going to be annually
for patients with DM or HTN or both.
What is the normal range of microalbumin? - ans< 30
What is the normal range of microalbumin? - ans< 30
What is the most common symptom of all anemias? - ansFatigue
What is the most common symptom of all anemias? - ansFatigue
What is a normal hemoglobin level? - ans12-18
Women are on the lower end, and men are on the higher end
What is a normal hemoglobin level? - ans12-18
Women are on the lower end, and men are on the higher end
What is a normal hemoglobin to hematocrit ratio? - ans3 to 1
36-54%
What is a normal hemoglobin to hematocrit ratio? - ans3 to 1
36-54%
What does MCV stand for? - ansmean corpuscular volume
What does MCV stand for? - ansmean corpuscular volume
What is a normal MCV? - ans80-100
What is a normal MCV? - ans80-100
What does low MCV indicate? - ansMicrocytic anemias
What does low MCV indicate? - ansMicrocytic anemias
, Exploring Sarah Michelle's Live Show:
A Comprehensive Exam Guide.
A Top-Rated Exam Study Guide for a
Guaranteed Success
Latest Updated Exam Study Guide
2025/2026
What is the most common microcytic anemia? - ansIron deficiency anemia
What is the most common microcytic anemia? - ansIron deficiency anemia
What is the biggest risk faction for the development of IDA is int he first year of life? -
ansThe ingestion of cow's milk
What is the biggest risk faction for the development of IDA is int he first year of life? -
ansThe ingestion of cow's milk
What does high MCV levels indicate? - ansMicrocytic anemia
What does high MCV levels indicate? - ansMicrocytic anemia
What are the most common microcytic anemias? - ansB12 and folate
What are the most common microcytic anemias? - ansB12 and folate
What symptoms are common with B12 deficiency anemia? - ansNeuro symptoms- the most
common symptom is parasthesia
What symptoms are common with B12 deficiency anemia? - ansNeuro symptoms- the most
common symptom is parasthesia
What surgery typically leads to B12 deficiency anemia? - ansGastrectomy patients- who have
part of their stomach removed
What surgery typically leads to B12 deficiency anemia? - ansGastrectomy patients- who have
part of their stomach removed
Why do gastrectomy patients typically have B12 deficiency anemia? - ansIn order for B12 to
be absorbed, it needs to be able to combine with intrinsic factor, which is produced in the
stomach. If we remove a large portion of the stomach then we lose a lot of that intrinsic
factor.
Why do gastrectomy patients typically have B12 deficiency anemia? - ansIn order for B12 to
be absorbed, it needs to be able to combine with intrinsic factor, which is produced in the
stomach. If we remove a large portion of the stomach then we lose a lot of that intrinsic
factor.
What diabetes medication used long term can also lead to B12 deficiency? - ansMetformin
What diabetes medication used long term can also lead to B12 deficiency? - ansMetformin
What is an abnormal lead level? - ans>5, ideally no lead should be within the body
What is an abnormal lead level? - ans>5, ideally no lead should be within the body
What kind of symptoms may lead intoxication lead to? - ansCognitive delays and behavioral
problems
What kind of symptoms may lead intoxication lead to? - ansCognitive delays and behavioral
problems
What are the 3 microcytic anemias? - ansLIT
Lead
Iron
Thalassemia
What are the 3 microcytic anemias? - ansLIT
Lead
