2025 SARAH MICHELLE LIVE REVIEW
STUDY GUIDE |2025 Update Actual
exam|Complete Frequently Tested
Questions And Verified Answers With
Rationales|100% Accurate Answers |
Already Graded A+
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?
1. AC is 2 times longer than BC
2. BC is 2 times longer than AC
3. The tuning fork lateralizes to the right ear
4. The tuning fork lateralizes to the left ear – answer 4. The tuning fork lateralizes to
the left ear
What are common signs and symptoms of Meniere's Disease? – answer Vertigo,
tinnitus, ear pressure, nystagmus
What is our biggest worry for a Meniere's Disease patient? - answerThere is a
possibility for a potential, permanent hearing loss.
What is rhinitis meidcamentosa? – answer 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.
What is herpes keratitis? – answer This is an infection of the cornea due to herpes
simplex virus
How is herpes keratitis diagnosed? – answer 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? – answer 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? –
xc xc xc xc xc xc xc xc xc xc xc xc
answer Patient with chronic lung diseases: asthma, COPD, cystic fibrosis.
xc xc xc xc xc xc xc xc xc xc
Why are cough suppressants not helpful in pneumonia patients? –
xc xc xc xc xc xc xc xc xc
answer Because we WANT them to get that gunk out, we do not want them to hold it i
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
n their lungs, an expectorant would be a better option for these patients.
xc xc xc xc xc xc xc xc xc xc xc xc
When should a follow up chest X-Ray be completed after treatment of pneumonia? –
xc xc xc xc xc xc xc xc xc xc xc xc xc
answer Around 8 week mark xc xc xc xc
What is COPD? – xc xc xc
answer Chronic Obstructive Pulmonary Disease. This is a chronic condition that is
xc xc xc xc xc xc xc xc xc xc xc xc xc
made up of chronic bronchitis and emphysema. It is a progressive inflammatory lun
xc xc xc xc xc xc xc xc xc xc xc xc
g disease that makes it hard for the patients to breathe, because the chronic bronch
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
itis leads to mucous build up and the emphysema portion destroys areas of the lun
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
gs.
What signs and symptoms are common in COPD patients? –
xc xc xc xc xc xc xc xc xc
answer Chronic cough
xc xc xc
Sputum production xc
Dyspnea- difficulty breathing xc xc
What signs and symptoms are specific to B12 deficiency anemia? –
xc xc xc xc xc xc xc xc xc xc
answer Neurological symptoms,
xc xc xc
paresthesia (numbness and tingling in hands and feet), u xc xc xc xc xc xc xc xc
nsteady gait, xc
memory issues B xc xc
eefyred tongue xc xc
What diet can result in B12 deficiency? – answer Vegan-
xc xc xc xc xc xc xc xc xc
oral supplements can be used for treatment
xc xc xc xc xc xc xc
What surgery can result in B12 deficiency? – answer Gastric surgery-
xc xc xc xc xc xc xc xc xc xc
patient will lose intrinsic factor that is required to absorb B12-
xc xc xc xc xc xc xc xc xc xc xc
these patients will require life long IM B12 injections
xc xc xc xc xc xc xc xc xc
What patient population is lupus commonly seen? –
xc xc xc xc xc xc xc
answer Women of childbearing age- ages 15-
xc xc xc xc xc xc xc
45, African Americans are going to be at higher risk
xc xc xc xc xc xc xc xc xc
What is the diagnostic criteria for Lupus? – answer Must have 4/11 diagnostic criteria:
xc xc xc xc xc xc xc xc xc xc xc xc xc
Malar rash Disco xc xc
id rash Photosen
xc xc
sitivity Oral/nasa xc
l ulcers
xc
,Non-erosive arthritis xc
Cardio-
pulmonarycomplaints Renal c xc xc xc
omplaints Neurological conce xc xc
rns Immunological disorders
xc xc
+ ANA test Hematologi
xc xc xc
c disorders
xc
What is Sjogren's Syndrome and what is the treatment? –
xc xc xc xc xc xc xc xc xc
answer Dry eyes and dry mouth-
xc xc xc xc xc xc
treatment revolves around symptom management-
xc xc xc xc xc
artificial tears, hard candies, etc.
xc xc xc xc xc
Common in lupus patients xc xc xc
What is a major concern for lupus patients? How do we monitor this? –
xc xc xc xc xc xc xc xc xc xc xc xc xc
answer Impact on the kidneys- Lupus nephritis
xc xc xc xc xc xc xc
Be on the look out for glomerularnephritis as well as proteinuria
xc xc xc xc xc xc xc xc xc xc
These patients will require routine UA for assessment of their kidneys and protect the
xc xc xc xc xc xc xc xc xc xc xc xc xc
m
What is the function of the thyroid? –
xc xc xc xc xc xc xc
answer Viral hormone gland Metabolism regulation-
xc xc xc xc xc xc
impacts every SINGLE cell within the body Proper growth and devel
xc xc xc xc xc xc xc xc xc xc xc
opment across the entire lifespan xc xc xc xc
What produces TSH? – answer Pituitary gland
xc xc xc xc xc xc
What is the function of TSH? –
xc xc xc xc xc xc
answer Tells your thyroid when to produce and release those critical thyroid hormo
xc xc xc xc xc xc xc xc xc xc xc xc xc
nes- T3 and T4. xc xc xc
What disorders include hypothyroidism? –
xc xc xc xc
answer Iodine deficiency, Hashimoto's, or thyroiditis
xc xc xc xc xc xc
A presence of thyroid peroxidase antibodies indicates that? –
xc xc xc xc xc xc xc xc
answer Hypothyroidism is caused by an autoimmune process of some sort
xc xc xc xc xc xc xc xc xc xc xc
What are some signs and symptoms of hypothyroidism? –
xc xc xc xc xc xc xc xc
answer Weight gain, constipation, dry skin, cold intolerance, fatigue, course hair,
xc xc xc xc xc xc xc xc xc xc xc xc
facial puffiness, thick tongue, and maybe some cardiac side effects
xc xc xc xc xc xc xc xc xc
What patient education must be included regarding Synthroid administration? –
xc xc xc xc xc xc xc xc xc
answer Must be taken on an empty stomach before other medications
xc xc xc xc xc xc xc xc xc xc xc
What are signs and symptoms of a myxedema coma? –
xc xc xc xc xc xc xc xc xc
answer Low body temperature, edema, confusion, lethargy, tongue thickening, diffi
xc xc xc xc xc xc xc xc xc xc
culty breathing xc
What medications can precipitate myxedema coma? – answer Lithium or amiodarone
xc xc xc xc xc xc xc xc xc xc
, Downloaded by Jex Jenga ()
xc xc xc xc
STUDY GUIDE |2025 Update Actual
exam|Complete Frequently Tested
Questions And Verified Answers With
Rationales|100% Accurate Answers |
Already Graded A+
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?
1. AC is 2 times longer than BC
2. BC is 2 times longer than AC
3. The tuning fork lateralizes to the right ear
4. The tuning fork lateralizes to the left ear – answer 4. The tuning fork lateralizes to
the left ear
What are common signs and symptoms of Meniere's Disease? – answer Vertigo,
tinnitus, ear pressure, nystagmus
What is our biggest worry for a Meniere's Disease patient? - answerThere is a
possibility for a potential, permanent hearing loss.
What is rhinitis meidcamentosa? – answer 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.
What is herpes keratitis? – answer This is an infection of the cornea due to herpes
simplex virus
How is herpes keratitis diagnosed? – answer 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? – answer 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? –
xc xc xc xc xc xc xc xc xc xc xc xc
answer Patient with chronic lung diseases: asthma, COPD, cystic fibrosis.
xc xc xc xc xc xc xc xc xc xc
Why are cough suppressants not helpful in pneumonia patients? –
xc xc xc xc xc xc xc xc xc
answer Because we WANT them to get that gunk out, we do not want them to hold it i
xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
n their lungs, an expectorant would be a better option for these patients.
xc xc xc xc xc xc xc xc xc xc xc xc
When should a follow up chest X-Ray be completed after treatment of pneumonia? –
xc xc xc xc xc xc xc xc xc xc xc xc xc
answer Around 8 week mark xc xc xc xc
What is COPD? – xc xc xc
answer Chronic Obstructive Pulmonary Disease. This is a chronic condition that is
xc xc xc xc xc xc xc xc xc xc xc xc xc
made up of chronic bronchitis and emphysema. It is a progressive inflammatory lun
xc xc xc xc xc xc xc xc xc xc xc xc
g disease that makes it hard for the patients to breathe, because the chronic bronch
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
itis leads to mucous build up and the emphysema portion destroys areas of the lun
xc xc xc xc xc xc xc xc xc xc xc xc xc xc
gs.
What signs and symptoms are common in COPD patients? –
xc xc xc xc xc xc xc xc xc
answer Chronic cough
xc xc xc
Sputum production xc
Dyspnea- difficulty breathing xc xc
What signs and symptoms are specific to B12 deficiency anemia? –
xc xc xc xc xc xc xc xc xc xc
answer Neurological symptoms,
xc xc xc
paresthesia (numbness and tingling in hands and feet), u xc xc xc xc xc xc xc xc
nsteady gait, xc
memory issues B xc xc
eefyred tongue xc xc
What diet can result in B12 deficiency? – answer Vegan-
xc xc xc xc xc xc xc xc xc
oral supplements can be used for treatment
xc xc xc xc xc xc xc
What surgery can result in B12 deficiency? – answer Gastric surgery-
xc xc xc xc xc xc xc xc xc xc
patient will lose intrinsic factor that is required to absorb B12-
xc xc xc xc xc xc xc xc xc xc xc
these patients will require life long IM B12 injections
xc xc xc xc xc xc xc xc xc
What patient population is lupus commonly seen? –
xc xc xc xc xc xc xc
answer Women of childbearing age- ages 15-
xc xc xc xc xc xc xc
45, African Americans are going to be at higher risk
xc xc xc xc xc xc xc xc xc
What is the diagnostic criteria for Lupus? – answer Must have 4/11 diagnostic criteria:
xc xc xc xc xc xc xc xc xc xc xc xc xc
Malar rash Disco xc xc
id rash Photosen
xc xc
sitivity Oral/nasa xc
l ulcers
xc
,Non-erosive arthritis xc
Cardio-
pulmonarycomplaints Renal c xc xc xc
omplaints Neurological conce xc xc
rns Immunological disorders
xc xc
+ ANA test Hematologi
xc xc xc
c disorders
xc
What is Sjogren's Syndrome and what is the treatment? –
xc xc xc xc xc xc xc xc xc
answer Dry eyes and dry mouth-
xc xc xc xc xc xc
treatment revolves around symptom management-
xc xc xc xc xc
artificial tears, hard candies, etc.
xc xc xc xc xc
Common in lupus patients xc xc xc
What is a major concern for lupus patients? How do we monitor this? –
xc xc xc xc xc xc xc xc xc xc xc xc xc
answer Impact on the kidneys- Lupus nephritis
xc xc xc xc xc xc xc
Be on the look out for glomerularnephritis as well as proteinuria
xc xc xc xc xc xc xc xc xc xc
These patients will require routine UA for assessment of their kidneys and protect the
xc xc xc xc xc xc xc xc xc xc xc xc xc
m
What is the function of the thyroid? –
xc xc xc xc xc xc xc
answer Viral hormone gland Metabolism regulation-
xc xc xc xc xc xc
impacts every SINGLE cell within the body Proper growth and devel
xc xc xc xc xc xc xc xc xc xc xc
opment across the entire lifespan xc xc xc xc
What produces TSH? – answer Pituitary gland
xc xc xc xc xc xc
What is the function of TSH? –
xc xc xc xc xc xc
answer Tells your thyroid when to produce and release those critical thyroid hormo
xc xc xc xc xc xc xc xc xc xc xc xc xc
nes- T3 and T4. xc xc xc
What disorders include hypothyroidism? –
xc xc xc xc
answer Iodine deficiency, Hashimoto's, or thyroiditis
xc xc xc xc xc xc
A presence of thyroid peroxidase antibodies indicates that? –
xc xc xc xc xc xc xc xc
answer Hypothyroidism is caused by an autoimmune process of some sort
xc xc xc xc xc xc xc xc xc xc xc
What are some signs and symptoms of hypothyroidism? –
xc xc xc xc xc xc xc xc
answer Weight gain, constipation, dry skin, cold intolerance, fatigue, course hair,
xc xc xc xc xc xc xc xc xc xc xc xc
facial puffiness, thick tongue, and maybe some cardiac side effects
xc xc xc xc xc xc xc xc xc
What patient education must be included regarding Synthroid administration? –
xc xc xc xc xc xc xc xc xc
answer Must be taken on an empty stomach before other medications
xc xc xc xc xc xc xc xc xc xc xc
What are signs and symptoms of a myxedema coma? –
xc xc xc xc xc xc xc xc xc
answer Low body temperature, edema, confusion, lethargy, tongue thickening, diffi
xc xc xc xc xc xc xc xc xc xc
culty breathing xc
What medications can precipitate myxedema coma? – answer Lithium or amiodarone
xc xc xc xc xc xc xc xc xc xc
, Downloaded by Jex Jenga ()
xc xc xc xc
