Page | 1
SARAH MICHELLE LIVE REVIEW STUDY GUIDE 2025
ACTUAL EXAM QUESTIONS WITH 100% CORRECT
SOLUTIONS
What is the screening tool for the thyroid? - correct answer - TSH Level
What is the normal range for TSH? - correct answer - 0.5-5.0
When do you order a full thyroid profile? - correct answer - 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 answer - Hyperthyroidism
What disorder demonstrates a high TSH level and low T3 and T4 levels? -
correct answer - Hypothyroidism
, Page | 2
What medication is used to treat hypothyroidism? - correct answer -
Levothyroxine (Synthroid)
What dose of Synthroid do you want to start your patient on? - correct
answer - 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 answer - 6-8 weeks
When TSH level is stabilized, how often do you recheck their level? -
correct answer - Every 6-12 months
What is the go to medication for treatment of hyperthyroidism? - correct
answer - Tapazole and PTU
How do you manage treatment for hyperthyroidism in a pregnant patient? -
correct answer - We need to use PTU instead if they are in their first
trimester. After first trimester, then they can be switched to tapazole.
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What medication class is used to treat symptoms of hyperthyroidism? -
correct answer - Beta-blockers- these help manage tachycardia and
palpitations
What are 2 other treatments for the hyperthyroidism? - correct answer -
Thyroidectomy and radioactive iodine
What labs are used to measure and evaluate kidney function? - correct
answer - GFR, BUN, Creatinine
What lab value is most accurate description of kidney function? - correct
answer - 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 answer - >90
What GFR value indicates an absolute need to start a patient on dialysis? -
correct answer - <15- this means that patient is in CKD stage 5
What is the second most important lab value to measure kidney function? -
correct answer - Creatinine
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What is creatinine? - correct answer - A waste product in the blood. If
N N N N N N N N N N N N N
your kidneys are functioning properly, then this waste product is
N N N N N N N N N N
removed by your kidneys. When kidney function decreases, your
N N N N N N N N N
creatinine level starts to rise.
N N N N N
What is a normal creatine value? - correct answer - Around 1
N N N N N N N N N N N
Why is BUN least telling for kidney function? - correct answer - Blood urea
N N N N N N N N N N N N N
nitrogen is a normal waste product when your body breaks down urea.
N N N N N N N N N N N N
However, this is not specific to the kidneys. It can also indicate liver issues.
N N N N N N N N N N N N N
What is a normal BUN level? - correct answer - 10-20
N N N N N N N N N N
With which first-line BP medication do we want to check the BUN/Cr? -
N N N N N N N N N N N N
correct answer - ACE Inhibitors
N N N N N
What finding on a UA id indicative of true kidney damage? - correct answer
N N N N N N N N N N N N N
- Casts- WBC or RBC casts always need to be referred out
N N N N N N N N N N N
When do we screen for microalbumin in the urine? - correct answer - We're
N N N N N N N N N N N N N
always going to screen when DM and HTN is first diagnosed.
N N N N N N N N N N N
SARAH MICHELLE LIVE REVIEW STUDY GUIDE 2025
ACTUAL EXAM QUESTIONS WITH 100% CORRECT
SOLUTIONS
What is the screening tool for the thyroid? - correct answer - TSH Level
What is the normal range for TSH? - correct answer - 0.5-5.0
When do you order a full thyroid profile? - correct answer - 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 answer - Hyperthyroidism
What disorder demonstrates a high TSH level and low T3 and T4 levels? -
correct answer - Hypothyroidism
, Page | 2
What medication is used to treat hypothyroidism? - correct answer -
Levothyroxine (Synthroid)
What dose of Synthroid do you want to start your patient on? - correct
answer - 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 answer - 6-8 weeks
When TSH level is stabilized, how often do you recheck their level? -
correct answer - Every 6-12 months
What is the go to medication for treatment of hyperthyroidism? - correct
answer - Tapazole and PTU
How do you manage treatment for hyperthyroidism in a pregnant patient? -
correct answer - We need to use PTU instead if they are in their first
trimester. After first trimester, then they can be switched to tapazole.
, Page | 3N N
What medication class is used to treat symptoms of hyperthyroidism? -
correct answer - Beta-blockers- these help manage tachycardia and
palpitations
What are 2 other treatments for the hyperthyroidism? - correct answer -
Thyroidectomy and radioactive iodine
What labs are used to measure and evaluate kidney function? - correct
answer - GFR, BUN, Creatinine
What lab value is most accurate description of kidney function? - correct
answer - 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 answer - >90
What GFR value indicates an absolute need to start a patient on dialysis? -
correct answer - <15- this means that patient is in CKD stage 5
What is the second most important lab value to measure kidney function? -
correct answer - Creatinine
, Page | 4 N N
What is creatinine? - correct answer - A waste product in the blood. If
N N N N N N N N N N N N N
your kidneys are functioning properly, then this waste product is
N N N N N N N N N N
removed by your kidneys. When kidney function decreases, your
N N N N N N N N N
creatinine level starts to rise.
N N N N N
What is a normal creatine value? - correct answer - Around 1
N N N N N N N N N N N
Why is BUN least telling for kidney function? - correct answer - Blood urea
N N N N N N N N N N N N N
nitrogen is a normal waste product when your body breaks down urea.
N N N N N N N N N N N N
However, this is not specific to the kidneys. It can also indicate liver issues.
N N N N N N N N N N N N N
What is a normal BUN level? - correct answer - 10-20
N N N N N N N N N N
With which first-line BP medication do we want to check the BUN/Cr? -
N N N N N N N N N N N N
correct answer - ACE Inhibitors
N N N N N
What finding on a UA id indicative of true kidney damage? - correct answer
N N N N N N N N N N N N N
- Casts- WBC or RBC casts always need to be referred out
N N N N N N N N N N N
When do we screen for microalbumin in the urine? - correct answer - We're
N N N N N N N N N N N N N
always going to screen when DM and HTN is first diagnosed.
N N N N N N N N N N N
