HEALTHSTREAM STUDY GUIDE 2026
COMPREHENSIVE QUESTIONS AND STEP
BY STEP SOLUTIONS
◉ The guidelines for use of steroids in the patient with acute adrenal
insufficiency (Addisonian crisis)
Answer: IVF, Steroids, ACTH test, vasopressors
hydrocortisone in divided doses- weaned when stable to
prednisolone
◉ Neuromuscular manifestations of adrenal insufficiency
Answer: -fatigue, muscle weakness, headache skin
hyperpigmentation
◉ key features of infective endocarditis
Answer: heart murmur, fever, chills, night sweats, muscle pain, loss
of appetite, SOB, chest pain
◉ safety profile for the use of combined hormonal contraceptive
(CHC)
pills by the individual with sickle cell anemia-
, Answer: (progesterone only BC pills to decrease incidence of DVT
and bone loss)
◉ actions of nitroglycerin in the management of angina-
Answer: (dilates arteries and veins in the heart- decreasing the
workload of the heart- relaxation of vascular smooth
muscle)
◉ where the upper extremity limb leads are placed for continuous
ECG
monitoring-
Answer: (white- right- directly below the clavicle near the shoulder,
black-left-directly below the clavicle near the shoulder)
◉ The reason that aspirin in high analgesic doses is usually avoided
in the treatment of patients with gout-
Answer: (high dose aspirin can alter the blood level of urid acid)
◉ The type of antidepressant that can block the reuptake of
dopamine when prescribed at higher doses
Answer: -Bupropion(Wellbutrin)
◉ ECG leads in which changes will be seen during an acute lateral
myocardial infarction
COMPREHENSIVE QUESTIONS AND STEP
BY STEP SOLUTIONS
◉ The guidelines for use of steroids in the patient with acute adrenal
insufficiency (Addisonian crisis)
Answer: IVF, Steroids, ACTH test, vasopressors
hydrocortisone in divided doses- weaned when stable to
prednisolone
◉ Neuromuscular manifestations of adrenal insufficiency
Answer: -fatigue, muscle weakness, headache skin
hyperpigmentation
◉ key features of infective endocarditis
Answer: heart murmur, fever, chills, night sweats, muscle pain, loss
of appetite, SOB, chest pain
◉ safety profile for the use of combined hormonal contraceptive
(CHC)
pills by the individual with sickle cell anemia-
, Answer: (progesterone only BC pills to decrease incidence of DVT
and bone loss)
◉ actions of nitroglycerin in the management of angina-
Answer: (dilates arteries and veins in the heart- decreasing the
workload of the heart- relaxation of vascular smooth
muscle)
◉ where the upper extremity limb leads are placed for continuous
ECG
monitoring-
Answer: (white- right- directly below the clavicle near the shoulder,
black-left-directly below the clavicle near the shoulder)
◉ The reason that aspirin in high analgesic doses is usually avoided
in the treatment of patients with gout-
Answer: (high dose aspirin can alter the blood level of urid acid)
◉ The type of antidepressant that can block the reuptake of
dopamine when prescribed at higher doses
Answer: -Bupropion(Wellbutrin)
◉ ECG leads in which changes will be seen during an acute lateral
myocardial infarction