SARAH MICHELLE LIVE REVIEW STUDY GUIDE (COMPLETE) |
QUESTIONS AND ANSWERS|GURANTEED PASS | LATEST
UPDATE 2026/2027
1. A 58-year-old patient reports progressive hearing loss in the right ear accompanied by
episodic vertigo, tinnitus, and a sensation of ear fullness. Which diagnosis is most consistent
with this presentation?Answer: Ménière disease
2. During a Weber test, the tuning fork lateralizes to the affected ear in a patient with
unilateral hearing loss. Which type of hearing loss is most likely present?Answer:
Conductive hearing loss
3. A patient has chronic nasal congestion and reports using oxymetazoline nasal spray
several times daily for the past month. Which condition should the nurse practitioner
suspect?Answer: Rhinitis medicamentosa
4. A patient presents with severe eye pain, photophobia, tearing, and a branching corneal
lesion that becomes visible with fluorescein examination. Which condition is most
likely?Answer: Herpes simplex keratitis
5. Which laboratory test is generally used as the initial screening test for suspected primary
thyroid dysfunction?Answer: Thyroid-stimulating hormone (TSH)
6. A patient has a low TSH level with elevated free T4 and T3 levels. Which condition does
this pattern indicate?Answer: Primary hyperthyroidism
7. A patient has fatigue, weight gain, constipation, cold intolerance, elevated TSH, and low
free T4. Which diagnosis is most likely?Answer: Primary hypothyroidism
8. Which medication is the standard first-line thyroid hormone replacement for primary
hypothyroidism?Answer: Levothyroxine
9. A patient taking levothyroxine asks when the medication should be taken for optimal
absorption. Which instruction is most appropriate?Answer: Take it consistently on an empty
stomach, preferably in the morning before breakfast
10. A patient recently started levothyroxine therapy. When should TSH generally be
reassessed after a dosage adjustment?Answer: Approximately 6–8 weeks
11. A 32-year-old patient reports heat intolerance, palpitations, anxiety, weight loss despite
increased appetite, and tremors. Which condition is most likely?Answer: Hyperthyroidism
12. A patient with untreated hyperthyroidism develops fever, severe tachycardia, agitation,
and altered mental status. Which complication should be suspected?Answer: Thyroid storm
QUESTIONS AND ANSWERS|GURANTEED PASS | LATEST
UPDATE 2026/2027
1. A 58-year-old patient reports progressive hearing loss in the right ear accompanied by
episodic vertigo, tinnitus, and a sensation of ear fullness. Which diagnosis is most consistent
with this presentation?Answer: Ménière disease
2. During a Weber test, the tuning fork lateralizes to the affected ear in a patient with
unilateral hearing loss. Which type of hearing loss is most likely present?Answer:
Conductive hearing loss
3. A patient has chronic nasal congestion and reports using oxymetazoline nasal spray
several times daily for the past month. Which condition should the nurse practitioner
suspect?Answer: Rhinitis medicamentosa
4. A patient presents with severe eye pain, photophobia, tearing, and a branching corneal
lesion that becomes visible with fluorescein examination. Which condition is most
likely?Answer: Herpes simplex keratitis
5. Which laboratory test is generally used as the initial screening test for suspected primary
thyroid dysfunction?Answer: Thyroid-stimulating hormone (TSH)
6. A patient has a low TSH level with elevated free T4 and T3 levels. Which condition does
this pattern indicate?Answer: Primary hyperthyroidism
7. A patient has fatigue, weight gain, constipation, cold intolerance, elevated TSH, and low
free T4. Which diagnosis is most likely?Answer: Primary hypothyroidism
8. Which medication is the standard first-line thyroid hormone replacement for primary
hypothyroidism?Answer: Levothyroxine
9. A patient taking levothyroxine asks when the medication should be taken for optimal
absorption. Which instruction is most appropriate?Answer: Take it consistently on an empty
stomach, preferably in the morning before breakfast
10. A patient recently started levothyroxine therapy. When should TSH generally be
reassessed after a dosage adjustment?Answer: Approximately 6–8 weeks
11. A 32-year-old patient reports heat intolerance, palpitations, anxiety, weight loss despite
increased appetite, and tremors. Which condition is most likely?Answer: Hyperthyroidism
12. A patient with untreated hyperthyroidism develops fever, severe tachycardia, agitation,
and altered mental status. Which complication should be suspected?Answer: Thyroid storm
