SARAH MICHELLE REVIEW EXAM ACTUAL

SARAH MICHELLE REVIEW EXAM ACTUAL

EXAM PAPER WITH DETAILED SOLUTIONS |

UPDATED STUDY GUID

◍ Normal thyroid level. Answer: 0.5-5. Screen with TSH. DO FULL

THYROID PANEL IF TSH ABNORMAL

◍ Hypothyroidism. Answer: T3/T4 is low TSH high. Dry course hair,

thick tounge, cold intolerance, dry skin.

◍ Synthroid. Answer: Recheck TSH 4-8 weeks. Take on empty stomach

with nothing else. Significant cardiac history start slower. Check TSH 6- 12 months. 25-50 mcg normal dose. 12.5-25 good start.

◍ Myxedema coma. Answer: SS- low temp, hallucinations, edema,

confusion, lethargy, coma, difficult breathing. Can happen due to untreated hypothyroidism. Tx. Lithium or amiodorone.

◍ Hyperthyroidism. Answer: Increase appetite, cardiac abnormalities,

amborrhea expothalmus. Treatment: PTU tapazole.

For Graves' disease- radioactive iodine

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◍ Testing for hyperthyroidism. Answer: Thyroid is and radioactive

iodine reuptake test and scan

◍ Hyperthyroidism untreated can lead to. Answer: Heart disease,

osteoporosis, infertility.

◍ Thyroid storm SS. Answer: Dangerously high temp, high heart rate,

high bp, agitated and delirium.

◍ Diabetes differences. Answer: T1: autoimmune destruction of pancreatic beta cells. Insulin dependent

T2: our need is to stop beta cell destruction.

Built up ketones leads to DKA.

◍ Diabetes continued. Answer: Screen at age 35 and every 3 years or

sooner if overweight. Ss- Polaris. Polydipsia, polyphagia, acanthosis nigrans, peripheral neuropathy and blurry vision. A1C 9-10= insulin

◍ Metformin. Answer: Watch for alcohol abuse. Watch for vitamin b 12

deficiency if long term. Contraindicated in GFR less than 30. DC before contrast dye used. Can also be used for PCOS

◍ Prego hyperthyroidism treatment. Answer: PTU if first trimester. Beta

blocker for symptoms. 2 / 3

◍ Kidney function. Answer: Most important labs- GFR we want over 90

dialysis below 15, BUN 10-20 and CR around 1 (over two is BAD)

◍ What UA findings are true indicator or kidney damage. Answer: WBC

OR RBC casts. Screw for microalbumin when HTN or diabetes. Less than 30

◍ Low Mcv microcytic. Answer: Iron deficiency anemia

◍ High mcv macrocytic. Answer: B12 and folate.

◍ INR. Answer: Monitors Warfarin. Normal 2-3. Vitamin k is reversal-

give if INR over 10.

◍ Pancreas labs. Answer: amylase and lipase

◍ Liver labs. Answer: AST & ALT

◍ BNP. Answer: Heart failure

◍ Inflammatory markers. Answer: ESR and CRP

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