SARAH MICHELLE LIVE REVIEW STUDY GUIDE LATEST QUESTIONS AND ANSWERS 2024

SARAH MICHELLE LIVE REVIEW STUDY GUIDE LATEST QUESTIONS AND ANSWERS 2024 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 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. 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