SARAH MICHELLE LIVE REVIEW STUDY

SARAH MICHELLE LIVE REVIEW STUDY

GUIDE Exam Questions and Answer (Latest Update 2025) A new graduate nurse practitioner has a patient presents with a hearing complaint. The patient states that they have had decreased hearing on the right side for the last month that is continuing to get worse. The NP completes both the Rinne and Weber tests. If the patient has Ménière's disease, what would be the expected finding on the Weber test?

• AC is 2 times longer than BC
• BC is 2 times longer than AC
• The tuning fork lateralizes to the right ear
• The tuning fork lateralizes to the left ear - Correct

Answers ✅4. The tuning fork lateralizes to the left ear What are common signs and symptoms of Meniere's Disease?

• Correct Answers ✅Vertigo, tinnitus, ear pressure,

nystagmus What is our biggest worry for a Meniere's Disease patient? - Correct Answers ✅There is a possibility for a potential, permanent hearing loss.What is rhinitis meidcamentosa? - Correct Answers ✅Drug- induced rebound nasal congestion, this can happen after use of nasal decongestants like Afrin. These nasal decongestants should ideally not be used for greater than 3-5 days because of this risk. 1 / 4

SARAH MICHELLE LIVE REVIEW STUDY

GUIDE Exam Questions and Answer (Latest Update 2025) What is herpes keratitis? - Correct Answers ✅This is an infection of the cornea due to herpes simplex virus How is herpes keratitis diagnosed? - Correct Answers ✅By examining the eye under a black lamp and visualized the cornea, in herpes keratitis, fern like lines will be seen on the cornea A child that has a history of mononucleosis is at increased risk for development for what cancer later in life? And why? - Correct Answers ✅Hodgkin's Lymphoma and Burkitt's Lymphoma, this is due to the exposure of the Epstein-Barr virus What types of patients will be at a higher risk of pneumonia?

- Correct Answers ✅Patient with chronic lung diseases:

asthma, COPD, cystic fibrosis.Why are cough suppressants not helpful in pneumonia patients? - Correct Answers ✅Because we WANT them to get that gunk out, we do not want them to hold it in their lungs, an expectorant would be a better option for these patients. 2 / 4

SARAH MICHELLE LIVE REVIEW STUDY

GUIDE Exam Questions and Answer (Latest Update 2025) When should a follow up chest X-Ray be completed after treatment of pneumonia? - Correct Answers ✅Around 8 week mark What is COPD? - Correct Answers ✅Chronic Obstructive Pulmonary Disease. This is a chronic condition that is made up of chronic bronchitis and emphysema. It is a progressive inflammatory lung disease that makes it hard for the patients to breathe, because the chronic bronchitis leads to mucous build up and the emphysema portion destroys areas of the lungs.What signs and symptoms are common in COPD patients? - Correct Answers ✅Chronic cough Sputum production Dyspnea- difficulty breathing What signs and symptoms are specific to B12 deficiency anemia? - Correct Answers ✅Neurological symptoms, paresthesia (numbness and tingling in hands and feet), unsteady gait, memory issues Beefy red tongue What diet can result in B12 deficiency? - Correct Answers ✅Vegan- oral supplements can be used for treatment 3 / 4

SARAH MICHELLE LIVE REVIEW STUDY

GUIDE Exam Questions and Answer (Latest Update 2025) What surgery can result in B12 deficiency? - Correct Answers ✅Gastric surgery- patient will lose intrinsic factor that is required to absorb B12- these patients will require life long IM B12 injections What patient population is lupus commonly seen? - Correct Answers ✅Women of childbearing age- ages 15-45, African Americans are going to be at higher risk What is the diagnostic criteria for Lupus? - Correct Answers

✅Must have 4/11 diagnostic criteria:

Malar rash Discoid rash Photosensitivity Oral/nasal ulcers Non-erosive arthritis Cardio-pulmonary complaints Renal complaints Neurological concerns Immunological disorders

• ANA test
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