SARAH MICHELLE LIVE REVIEW STUDY GUIDE EXAM REVIEW NEWEST 2026/2027 ACTUAL EXAM| COMPLETE 150 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ (MOST RECENT!!)

SARAH MICHELLE LIVE REVIEW
STUDY GUIDE EXAM REVIEW
NEWEST 2026/2027 ACTUAL EXAM|
COMPLETE 150 REAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
(MOST RECENT!!)
Amnewmgraduatemnursempractitionermhasmampatientmpresentsmwithmamhearingmcomplaint.mThempati
entmstatesmthatmtheymhavemhadmdecreasedmhearingmonmthemrightmsidemformthemlastmmonthmthatmism
continuingmtomgetmworse.mThemNPmcompletesmbothmthemRinnemandmWebermtests.mIfmthempatientmh
asmMénière'smdisease,mwhatmwouldmbemthemexpectedmfindingmonmthemWebermtest?



1.mACmism2mtimesmlongermthanmBC

2.mBCmism2mtimesmlongermthanmAC

3.mThemtuningmforkmlateralizesmtomthemrightmear

4.mThemtuningmforkmlateralizesmtomthemleftmearm-
mCORRECTmANSWERm4.mThemtuningmforkmlateralizesmtomthemleftmear




WhatmaremcommonmsignsmandmsymptomsmofmMeniere'smDisease?m-
mCORRECTmANSWERmVertigo,mtinnitus,mearmpressure,mnystagmus




WhatmismourmbiggestmworrymformamMeniere'smDiseasempatient?m-
mCORRECTmANSWERmTheremismampossibilitymformampotential,mpermanentmhearingmloss.




Whatmismrhinitismmeidcamentosa?m-mCORRECTmANSWERmDrug-
inducedmreboundmnasalmcongestion,mthismcanmhappenmaftermusemofmnasalmdecongestantsmlikemAfri

,n.mThesemnasalmdecongestantsmshouldmideallymnotmbemusedmformgreatermthanm3-
5mdaysmbecausemofmthismrisk.



Whatmismherpesmkeratitis?m-
mCORRECTmANSWERmThismismanminfectionmofmthemcorneamduemtomherpesmsimplexmvirus




Howmismherpesmkeratitismdiagnosed?m-
mCORRECTmANSWERmBymexaminingmthemeyemundermamblackmlampmandmvisualizedmthemcornea,minmh


erpesmkeratitis,mfernmlikemlinesmwillmbemseenmonmthemcornea



Amchildmthatmhasmamhistorymofmmononucleosismismatmincreasedmriskmformdevelopmentmformwhatmca
ncermlaterminmlife?mAndmwhy?m-
mCORRECTmANSWERmHodgkin'smLymphomamandmBurkitt'smLymphoma,mthismismduemtomthemexposu


remofmthemEpstein-Barrmvirus



Whatmtypesmofmpatientsmwillmbematmamhighermriskmofmpneumonia?m-
mCORRECTmANSWERmPatientmwithmchronicmlungmdiseases:masthma,mCOPD,mcysticmfibrosis.




Whymaremcoughmsuppressantsmnotmhelpfulminmpneumoniampatients?m-
mCORRECTmANSWERmBecausemwemWANTmthemmtomgetmthatmgunkmout,mwemdomnotmwantmthemmtom


holdmitminmtheirmlungs,manmexpectorantmwouldmbemambettermoptionmformthesempatients.



WhenmshouldmamfollowmupmchestmX-Raymbemcompletedmaftermtreatmentmofmpneumonia?m-
mCORRECTmANSWERmAroundm8mweekmmark




WhatmismCOPD?m-
mCORRECTmANSWERmChronicmObstructivemPulmonarymDisease.mThismismamchronicmconditionmthatmi


smmademupmofmchronicmbronchitismandmemphysema.mItmismamprogressiveminflammatorymlungmdisea
semthatmmakesmitmhardmformthempatientsmtombreathe,mbecausemthemchronicmbronchitismleadsmtomm
ucousmbuildmupmandmthememphysemamportionmdestroysmareasmofmthemlungs.

,WhatmsignsmandmsymptomsmaremcommonminmCOPDmpatients?m-
mCORRECTmANSWERmChronicmcough



Sputummproduction

Dyspnea-mdifficultymbreathing



WhatmsignsmandmsymptomsmaremspecificmtomB12mdeficiencymanemia?m-
mCORRECTmANSWERmNeurologicalmsymptoms,mparesthesiam(numbnessmandmtinglingminmhandsman


dmfeet),munsteadymgait,mmemorymissues

Beefymredmtongue



WhatmdietmcanmresultminmB12mdeficiency?m-mCORRECTmANSWERmVegan-
moralmsupplementsmcanmbemusedmformtreatment




WhatmsurgerymcanmresultminmB12mdeficiency?m-mCORRECTmANSWERmGastricmsurgery-
mpatientmwillmlosemintrinsicmfactormthatmismrequiredmtomabsorbmB12-


mthesempatientsmwillmrequiremlifemlongmIMmB12minjections




Whatmpatientmpopulationmismlupusmcommonlymseen?m-
mCORRECTmANSWERmWomenmofmchildbearingmage-magesm15-


45,mAfricanmAmericansmaremgoingmtombematmhighermrisk



WhatmismthemdiagnosticmcriteriamformLupus?m-
mCORRECTmANSWERmMustmhavem4/11mdiagnosticmcriteria:




Malarmrash

Discoidmrash

Photosensitivity

Oral/nasalmulcers

Non-erosivemarthritis

, Cardio-pulmonarymcomplaints

Renalmcomplaints

Neurologicalmconcerns

Immunologicalmdisorders

+mANAmtest

Hematologicmdisorders



WhatmismSjogren'smSyndromemandmwhatmismthemtreatment?m-
mCORRECTmANSWERmDrymeyesmandmdrymmouth-


mtreatmentmrevolvesmaroundmsymptommmanagement-martificialmtears,mhardmcandies,metc.m



Commonminmlupusmpatients



Whatmismammajormconcernmformlupusmpatients?mHowmdomwemmonitormthis?m-
mCORRECTmANSWERmImpactmonmthemkidneys-mLupusmnephritis



Bemonmthemlookmoutmformglomerularnephritismasmwellmasmproteinuriam

ThesempatientsmwillmrequiremroutinemUAmformassessmentmofmtheirmkidneysmandmprotectmthem



Whatmismthemfunctionmofmthemthyroid?m-mCORRECTmANSWERmViralmhormonemgland

Metabolismmregulation-mimpactsmeverymSINGLEmcellmwithinmthembody

Propermgrowthmandmdevelopmentmacrossmthementiremlifespan



WhatmproducesmTSH?m-mCORRECTmANSWERmPituitarymgland



WhatmismthemfunctionmofmTSH?m-
mCORRECTmANSWERmTellsmyourmthyroidmwhenmtomproducemandmreleasemthosemcriticalmthyroidmhor


mones-mT3mandmT4.