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.
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.