SARAH MICHELLE REVIEW STUDY EXAM
QUESTIONS AND ANSWERS|| LATEST
UPDATE 2025/2026
Rubeola (measles) - (ANSWER)3 C's- cough, conjunctivitis and congestion. White
spots in mouth
Mumps - (ANSWER)Fever, bilateral swelling infront of ears
Rubella (German Measles) - (ANSWER)Rash starts on face and then spreads.
Fever, cervical lymph and pink rash
Roseola (Sixth Disease) - (ANSWER)High fever. Rash when it breaks. Rose pink
color turns white when you touch it (blanches). When the rash appears the
patient is no longer contagious.
Fifth Disease - (ANSWER)Cold symptoms, lacy rash on trunk, itchy soles of feet
and slapped cheeks
Hand, foot and mouth - (ANSWER)Fever, sore throat, sores in mouth (THIS IS
WHERE IS STARTS), hands, feet and toe peeling.
Migraines - (ANSWER)Unilateral behind eye,l. Prophylactic Tx: beta blockers
Abortive tx: Triptans! (Don't prescribe to uncontrolled HTN or CAD pts).
, 2
Diagnosis of Temporal Arteritis - (ANSWER)ESR, C-reactive protein & temporal
artery biopsy. Tx. Long term high dose steroids.
Cluster headaches - (ANSWER)Sudden sharp unilateral headache, tearing, nasal
drainage, pain behind eyes. Prophylactic: verapamil
Abortive: O2 or sumatriptan
Thunderclap headache - (ANSWER)"Worst headache of my life". Usually
associated with hemorrhagic stroke
Stroke - (ANSWER)BE FAST: balance, eyes, face, arm, speech and time. CT scan.
Bleed= hemorrhagic clot= ischemic.
Transient Ischemic Attack (TIA) - (ANSWER)interruption in blood supply to the
brain that does not cause permanent brain damage- increased risk of stroke
Receptive aphasia - (ANSWER)WERNICKES
Expressive aphasia - (ANSWER)Broca's
Bell palsy - (ANSWER)Facial cranial nerve 7. Rule out Lyme disease. Cause is
unknown possibly viral. Tx. Antiviral, steroids with 72 hours
Test for corneal abrasion - (ANSWER)Fluorescein stain
, 3
Parkinson's - (ANSWER)Bradykinesia, rigidity, resting tremor and postural
instability. Caused by depletion of dopamine progressive neuro.
Essential tremor - (ANSWER)Occurs with intent (reaching for something). Tx. Beta
blockers (propranolol), physical activity and NO alcohol
Parkinson's treatment - (ANSWER)Dopamine agonists: ropinerole (requip) for
motor symptoms. Levodopa/caridopa (sinemet) better bradykinesia coverage.
Meningitis - (ANSWER)Inflammation/swelling of protective membranes/fluid of
spinal cord. Causes- bacteria, viruses and parasites. S/s: early flu like (fever, body
aches, fatigue). Later: confusion, different walking, rash, vomiting, severe
headahce and stiff neck
Meningitis checks - (ANSWER)Brudzinski: flex neck, hips knees.
Kernig: lie on back and straighten leg.
Meningitis treatment - (ANSWER)Refer to ER. Lumbar puncture ; bacteria/WBC.
IV abx. And fluids.
absence seizure - (ANSWER)Diagnosed by EEG. Treatment/ should outgrow.
Zarontin