SARAH MICHELLE
SARAH MICHELLE LIVE REVIEW STUDY GUIDE EXAM QUESTIONS AND ANSWERS
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 - correct answer 4. The tuning
fork lateralizes to the left ear
What are common signs and symptoms of Meniere's Disease? - correct
answer Vertigo, tinnitus, ear pressure, nystagmus
,SARAH MICHELLE
What is our biggest worry for a Meniere's Disease patient? - correct
answer There is a possibility for a potential, permanent hearing loss.
What is rhinitis meidcamentosa? - correct 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? - correct answer This is an infection of the cornea
due to herpes simplex virus
How is herpes keratitis diagnosed? - correct 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? - correct 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? - correct
answer Patient with chronic lung diseases: asthma, COPD, cystic fibrosis.
,SARAH MICHELLE
Why are cough suppressants not helpful in pneumonia patients? - correct
answer 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.
When should a follow up chest X-Ray be completed after treatment of
pneumonia? - correct answer Around 8 week mark
What is COPD? - correct answer 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 answer
Chronic cough
Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency anemia? -
correct answer Neurological symptoms, paresthesia (numbness and
tingling in hands and feet), unsteady gait, memory issues
Beefy red tongue
, SARAH MICHELLE
What diet can result in B12 deficiency? - correct answer Vegan- oral
supplements can be used for treatment
What surgery can result in B12 deficiency? - correct answer 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 answer
Women of childbearing age- ages 15-45, African Americans are going to
be at higher risk
What is the diagnostic criteria for Lupus? - correct answer 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
SARAH MICHELLE LIVE REVIEW STUDY GUIDE EXAM QUESTIONS AND ANSWERS
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 - correct answer 4. The tuning
fork lateralizes to the left ear
What are common signs and symptoms of Meniere's Disease? - correct
answer Vertigo, tinnitus, ear pressure, nystagmus
,SARAH MICHELLE
What is our biggest worry for a Meniere's Disease patient? - correct
answer There is a possibility for a potential, permanent hearing loss.
What is rhinitis meidcamentosa? - correct 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? - correct answer This is an infection of the cornea
due to herpes simplex virus
How is herpes keratitis diagnosed? - correct 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? - correct 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? - correct
answer Patient with chronic lung diseases: asthma, COPD, cystic fibrosis.
,SARAH MICHELLE
Why are cough suppressants not helpful in pneumonia patients? - correct
answer 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.
When should a follow up chest X-Ray be completed after treatment of
pneumonia? - correct answer Around 8 week mark
What is COPD? - correct answer 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 answer
Chronic cough
Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency anemia? -
correct answer Neurological symptoms, paresthesia (numbness and
tingling in hands and feet), unsteady gait, memory issues
Beefy red tongue
, SARAH MICHELLE
What diet can result in B12 deficiency? - correct answer Vegan- oral
supplements can be used for treatment
What surgery can result in B12 deficiency? - correct answer 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 answer
Women of childbearing age- ages 15-45, African Americans are going to
be at higher risk
What is the diagnostic criteria for Lupus? - correct answer 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
