SARAH MICHELLE LIVE REVIEW QUIZ STUDY
GUIDE EXPERT VERIFIED ACTUAL QUESTIONS
AND ANSWERS FOR GUARANTEED PASS
NEWEST UPDATE 2026
◉What is the normal range for TSH? Answer: 0.5-5.0
◉When do you order a full thyroid profile? 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? Answer: Hyperthyroidism
◉What disorder demonstrates a high TSH level and low T3 and T4
levels? Answer: Hypothyroidism
◉What medication is used to treat hypothyroidism? Answer:
Levothyroxine (Synthroid)
,◉What dose of Synthroid do you want to start your patient on? 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? Answer: 6-8 weeks
◉When TSH level is stabilized, how often do you recheck their level?
Answer: Every 6-12 months
◉What is the go to medication for treatment of hyperthyroidism?
Answer: Tapazole and PTU
◉How do you manage treatment for hyperthyroidism in a pregnant
patient? Answer: 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?
Answer: Beta-blockers- these help manage tachycardia and palpitations
◉What are 2 other treatments for the hyperthyroidism? Answer:
Thyroidectomy and radioactive iodine
,◉What labs are used to measure and evaluate kidney function? Answer:
GFR, BUN, Creatinine
◉What lab value is most accurate description of kidney function?
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? Answer: >90
◉What GFR value indicates an absolute need to start a patient on
dialysis? Answer: <15- this means that patient is in CKD stage 5
◉What is the second most important lab value to measure kidney
function? Answer: Creatinine
◉What is creatinine? Answer: 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? Answer: Around 1
◉Why is BUN least telling for kidney function? Answer: 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? Answer: 10-20
◉With which first-line BP medication do we want to check the
BUN/Cr? Answer: ACE Inhibitors
◉What finding on a UA id indicative of true kidney damage? Answer:
Casts- WBC or RBC casts always need to be referred out
◉When do we screen for microalbumin in the urine? Answer: We're
always going to screen when DM and HTN is first diagnosed.
◉What are the most common causes of CKD? Answer: HTN and DM
◉Why is it important to perform early screening for microalbumin in the
urine? Answer: 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? Answer: Stage
3 or worse
GUIDE EXPERT VERIFIED ACTUAL QUESTIONS
AND ANSWERS FOR GUARANTEED PASS
NEWEST UPDATE 2026
◉What is the normal range for TSH? Answer: 0.5-5.0
◉When do you order a full thyroid profile? 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? Answer: Hyperthyroidism
◉What disorder demonstrates a high TSH level and low T3 and T4
levels? Answer: Hypothyroidism
◉What medication is used to treat hypothyroidism? Answer:
Levothyroxine (Synthroid)
,◉What dose of Synthroid do you want to start your patient on? 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? Answer: 6-8 weeks
◉When TSH level is stabilized, how often do you recheck their level?
Answer: Every 6-12 months
◉What is the go to medication for treatment of hyperthyroidism?
Answer: Tapazole and PTU
◉How do you manage treatment for hyperthyroidism in a pregnant
patient? Answer: 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?
Answer: Beta-blockers- these help manage tachycardia and palpitations
◉What are 2 other treatments for the hyperthyroidism? Answer:
Thyroidectomy and radioactive iodine
,◉What labs are used to measure and evaluate kidney function? Answer:
GFR, BUN, Creatinine
◉What lab value is most accurate description of kidney function?
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? Answer: >90
◉What GFR value indicates an absolute need to start a patient on
dialysis? Answer: <15- this means that patient is in CKD stage 5
◉What is the second most important lab value to measure kidney
function? Answer: Creatinine
◉What is creatinine? Answer: 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? Answer: Around 1
◉Why is BUN least telling for kidney function? Answer: 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? Answer: 10-20
◉With which first-line BP medication do we want to check the
BUN/Cr? Answer: ACE Inhibitors
◉What finding on a UA id indicative of true kidney damage? Answer:
Casts- WBC or RBC casts always need to be referred out
◉When do we screen for microalbumin in the urine? Answer: We're
always going to screen when DM and HTN is first diagnosed.
◉What are the most common causes of CKD? Answer: HTN and DM
◉Why is it important to perform early screening for microalbumin in the
urine? Answer: 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? Answer: Stage
3 or worse
