10 free PANCE practice questions in the real exam format, covering the official content areas, with an explanation for every answer.
PANCE Practice Test 10Tutor mode
Question 1 of 10
Endocrine System
A 58-year-old woman with Hashimoto thyroiditis has had a stable TSH on levothyroxine 100 µg daily for 5 years. Three months ago she began calcium carbonate for osteopenia and ferrous sulfate for iron deficiency, and she takes all three with breakfast and coffee. She now reports fatigue and constipation. Pulse is 62/min, and blood pressure is 124/80 mm Hg. TSH is 9.8 µU/mL (0.5–4.5), and free T4 is low-normal. Which of the following is the most appropriate counseling?