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SARAH MICHELLE LIVE REVIEW STUDY GUIDE
2026 ACTUAL EXAM QUESTIONS WITH 100%
CORRECT SOLUTIONS | GUARANTEED
SUCCESS.
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
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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 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 answer - Around 1
Why is BUN least telling for kidney function? - correct 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? - correct answer - 10-20
With which first-line BP medication do we want to check the BUN/Cr? -
correct answer - ACE Inhibitors
What finding on a UA id indicative of true kidney damage? - correct answer
- Casts- WBC or RBC casts always need to be referred out
When do we screen for microalbumin in the urine? - correct answer - We're
always going to screen when DM and HTN is first diagnosed.
SARAH MICHELLE LIVE REVIEW STUDY GUIDE
2026 ACTUAL EXAM QUESTIONS WITH 100%
CORRECT SOLUTIONS | GUARANTEED
SUCCESS.
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 | 3
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
What is creatinine? - correct 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? - correct answer - Around 1
Why is BUN least telling for kidney function? - correct 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? - correct answer - 10-20
With which first-line BP medication do we want to check the BUN/Cr? -
correct answer - ACE Inhibitors
What finding on a UA id indicative of true kidney damage? - correct answer
- Casts- WBC or RBC casts always need to be referred out
When do we screen for microalbumin in the urine? - correct answer - We're
always going to screen when DM and HTN is first diagnosed.
