Endo CE 5

Question 1

suggested levo replacement dose - young, middle age 50-60, older with underlying CV issues

Answer 1

1. 1.6 mcg/kg/day
2. 50 mcg
3. 25 mcg

Question 2

levo - increase by how much how often

Answer 2

increased every 3-6 weeks by 25 mcg until normal TSH

Question 3

TSH normally we want under what value

Answer 3

under 5

Question 4

once you get a normal TSH, how often to check after

Answer 4

annually

Question 5

TSH f/u - when to check after replacement starts

Answer 5

recheck TSH 4-6 weeks after replacement starts, then after each dose change until euthyroid

Question 6

most common cause of hyperthyroid

Answer 6

Graves disease

Question 7

graves disease is to

Answer 7

hyperthyroid

Question 8

hashimotos disease is to

Answer 8

hypothyroid

Question 9

metformin - eGFR 60, what is max dose

Answer 9

2550 mg daily

Question 10

metformin - eGFR 45-59, what is max dose

Answer 10

2000 mg daily

Question 11

metformin - eGFR 30-44, what is max dose

Answer 11

1000 mg daily

Question 12

metformin - eGFR <30

Answer 12

don’t start

Question 13

can cause weight gain and hypoglycemia

Answer 13

SU - glipizide, glyburide, glimepiride

Question 14

delays gastric emptying, weight loss

Answer 14

GLP 1

Question 15

can cause hyperkalemia

Answer 15

SGLT2 inhibitors

Question 16

stop what med when initiating mealtime insulin

Answer 16

SU - glyburide, glipizide, glimepiride