NR601 EXAM 4 TEST PAPER 2026 FULL
QUESTIONS AND ANSWERS VERIFIED STUDY
GUIDE FINAL PREP
◉ ACE/ADA Recommendations.
Answer: Early use of SGLT2/GLP-1 in CVD/CKD.
◉ Hypothyroidism Symptoms.
Answer: Fatigue, cold intolerance, weight gain, constipation,
depression.
◉ Physical Signs of Hypothyroidism.
Answer: Bradycardia, dry skin, coarse hair, non-pitting edema,
delayed reflexes.
◉ Goiter in Hypothyroidism.
Answer: Goiter (Hashimoto's), hoarseness, cognitive slowing.
◉ Pharmacologic Management of Hypothyroidism.
Answer: Levothyroxine: start low and titrate.
◉ Standard for levothyroxine in elderly.
,Answer: 1.6 mcg/kg/day, lower for elderly/CVD (~25-50 mcg/day)
◉ Recheck TSH.
Answer: In 6-8 weeks, adjust dose by 12.5-25 mcg
◉ Differential Diagnosis for hypothyroidism.
Answer: Depression, Anemia, Menopause, Sleep apnea, Cushing's
◉ Levothyroxine education.
Answer: Take on empty stomach, avoid iron/calcium within 4 hrs
◉ TSH reassessment frequency.
Answer: Every 6-12 months once stable
◉ Target TSH for elderly.
Answer: 0.5-4.5 (age-adjusted)
◉ Subclinical hypothyroidism treatment.
Answer: If TSH >10 or symptomatic with TSH 4.5-10 + risk factors
◉ Physical assessment of hyperthyroidism.
, Answer: Weight loss, heat intolerance, tremor, palpitations, anxiety,
diarrhea
◉ Beta-blockers in hyperthyroidism.
Answer: Used for symptom control (e.g., propranolol)
◉ Preferred medication for hyperthyroidism.
Answer: Methimazole or PTU (first trimester pregnancy)
◉ Monitoring during hyperthyroidism treatment.
Answer: Monitor CBC, LFTs with thionamides
◉ Differential Diagnosis for hyperthyroidism.
Answer: Anxiety, Pheochromocytoma, Drug-induced (amiodarone),
Factitious thyrotoxicosis, Thyroiditis
◉ Education for hyperthyroidism.
Answer: Warn about agranulocytosis: report sore throat, fever
◉ TSH/T3/T4 monitoring frequency in hyperthyroidism.
Answer: Every 4-6 weeks during treatment
QUESTIONS AND ANSWERS VERIFIED STUDY
GUIDE FINAL PREP
◉ ACE/ADA Recommendations.
Answer: Early use of SGLT2/GLP-1 in CVD/CKD.
◉ Hypothyroidism Symptoms.
Answer: Fatigue, cold intolerance, weight gain, constipation,
depression.
◉ Physical Signs of Hypothyroidism.
Answer: Bradycardia, dry skin, coarse hair, non-pitting edema,
delayed reflexes.
◉ Goiter in Hypothyroidism.
Answer: Goiter (Hashimoto's), hoarseness, cognitive slowing.
◉ Pharmacologic Management of Hypothyroidism.
Answer: Levothyroxine: start low and titrate.
◉ Standard for levothyroxine in elderly.
,Answer: 1.6 mcg/kg/day, lower for elderly/CVD (~25-50 mcg/day)
◉ Recheck TSH.
Answer: In 6-8 weeks, adjust dose by 12.5-25 mcg
◉ Differential Diagnosis for hypothyroidism.
Answer: Depression, Anemia, Menopause, Sleep apnea, Cushing's
◉ Levothyroxine education.
Answer: Take on empty stomach, avoid iron/calcium within 4 hrs
◉ TSH reassessment frequency.
Answer: Every 6-12 months once stable
◉ Target TSH for elderly.
Answer: 0.5-4.5 (age-adjusted)
◉ Subclinical hypothyroidism treatment.
Answer: If TSH >10 or symptomatic with TSH 4.5-10 + risk factors
◉ Physical assessment of hyperthyroidism.
, Answer: Weight loss, heat intolerance, tremor, palpitations, anxiety,
diarrhea
◉ Beta-blockers in hyperthyroidism.
Answer: Used for symptom control (e.g., propranolol)
◉ Preferred medication for hyperthyroidism.
Answer: Methimazole or PTU (first trimester pregnancy)
◉ Monitoring during hyperthyroidism treatment.
Answer: Monitor CBC, LFTs with thionamides
◉ Differential Diagnosis for hyperthyroidism.
Answer: Anxiety, Pheochromocytoma, Drug-induced (amiodarone),
Factitious thyrotoxicosis, Thyroiditis
◉ Education for hyperthyroidism.
Answer: Warn about agranulocytosis: report sore throat, fever
◉ TSH/T3/T4 monitoring frequency in hyperthyroidism.
Answer: Every 4-6 weeks during treatment
