pg. 1 Latest Sarah Mitchelle Live Review Exam 2025 Review Test Bank 2 With 1500 Questions and Correct Verified Answers/ Sarah Mitchelle Live Review Test 2025 (Brand New!)
If a patient says that they have this mass that shows up under their chin whenever they're eating meals or a snack, what is this most likely going to be? - ANSWER- Salivary gland stone
If a patient is allergic to PCN, can they still receive cephalosporins? - ANSWER- Yes, there is a cross allergy between PCN and cephalosporins, if there is NOT amen anaphylactic allergy then you can try the other class. If patient is anaphylactic-ally reaction to either/or, we are NOT going to try the other class.
What might happen if a patient needs steroids long-term? - ANSWER-Edema- cause sodium and water retention Osteoporosis Hyperglycemia Immune system issues Agitation/personality changes
What finding on a UA id indicative of true kidney damage? - ANSWER-Casts- WBC or RBC casts always need to be referred out
When do we screen for microalbumin in the urine? - ANSWER-We're always going to screen when DM and HTN is first diagnosed.
What are the most common causes of CKD? - ANSWER-HTN and DM
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pg. 2 Why is it important to perform early screening for microalbumin in the urine? - ANSWER-Patients who have mild kidney damage do not have symptoms, this screening will ideally identify damage early and prevent progression.
What stage of CKD do patients show true symptoms? - ANSWER-Stage 3 or worse
How often are we screening for micro albumin? - ANSWER-Bare minimum is going to be annually for patients with DM or HTN or both.
What is the normal range of microalbumin? - ANSWER-< 30
What is the most common symptom of all anemias? - ANSWER-Fatigue
What is a normal hemoglobin level? - ANSWER-12-18 Women are on the lower end, and men are on the higher end
What is a normal hemoglobin to hematocrit ratio? - ANSWER-3 to 1
36-54%
What does MCV stand for? - ANSWER-mean corpuscular volume
What is a normal MCV? - ANSWER-80-100
What does low MCV indicate? - ANSWER-Microcytic anemias
What is the most common microcytic anemia? - ANSWER-Iron deficiency anemia
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pg. 3 What is the biggest risk faction for the development of IDA is int he first year of life? - ANSWER-The ingestion of cow's milk
What does high MCV levels indicate? - ANSWER-Microcytic anemia
What are the most common microcytic anemias? - ANSWER-B12 and folate
What symptoms are common with B12 deficiency anemia? - ANSWER-Neuro symptoms- the most common symptom is paresthesia
What surgery typically leads to B12 deficiency anemia? - ANSWER-Gastrectomy patients- who have part of their stomach removed
Why do gastrectomy patients typically have B12 deficiency anemia? - ANSWER- In order for B12 to be absorbed, it needs to be able to combine with intrinsic factor, which is produced in the stomach. If we remove a large portion of the stomach then we lose a lot of that intrinsic factor.
What diabetes medication used long term can also lead to B12 deficiency? - ANSWER-Metformin
What is an abnormal lead level? - ANSWER->5, ideally no lead should be within the body
What kind of symptoms may lead intoxication lead to? - ANSWER-Cognitive delays and behavioral problems
What are the 3 microcytic anemias? - ANSWER-LIT Lead Iron 3 / 4
pg. 4 Thalassemia
What are the 2 macrocytic anemias? - ANSWER-FAB Folate and B12
What are the components of a lipid profile? - ANSWER-Total cholesterol HDl LDL Triglycerides
What's a normal total cholesterol level? - ANSWER-<200
What is a normal HDL level? - ANSWER-40-60, the higher the better
What is a normal LDL level? - ANSWER-<100
What is a normal triglyceride level? - ANSWER-<150
How often should you be ordering a standard limpid profile on a patient? - ANSWER-Every 5 years unless they are having symptoms, risk factors, on treatment, etc.
What is the screening tool for the thyroid? - ANSWER-TSH Level
What is the normal range for TSH? - ANSWER-0.5-5.0
When do you order a full thyroid profile? - ANSWER-If thyroid screening of TSH comes back abnormal, then we will reorder TSH and T3, T4.
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