SARAH MICHELLE LIVE REVIEW STUDY
GUIDE Exam Questions and Answer
(Latest Update 2025)
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
Answers ✅4. The tuning fork lateralizes to the left ear
What are common signs and symptoms of Meniere's Disease?
- Correct Answers ✅Vertigo, tinnitus, ear pressure,
nystagmus
What is our biggest worry for a Meniere's Disease patient? -
Correct Answers ✅There is a possibility for a potential,
permanent hearing loss.
What is rhinitis meidcamentosa? - Correct Answers ✅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.
,SARAH MICHELLE LIVE REVIEW STUDY
GUIDE Exam Questions and Answer
(Latest Update 2025)
What is herpes keratitis? - Correct Answers ✅This is an
infection of the cornea due to herpes simplex virus
How is herpes keratitis diagnosed? - Correct Answers ✅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 Answers ✅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 Answers ✅Patient with chronic lung diseases:
asthma, COPD, cystic fibrosis.
Why are cough suppressants not helpful in pneumonia
patients? - Correct Answers ✅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.
,SARAH MICHELLE LIVE REVIEW STUDY
GUIDE Exam Questions and Answer
(Latest Update 2025)
When should a follow up chest X-Ray be completed after
treatment of pneumonia? - Correct Answers ✅Around 8
week mark
What is COPD? - Correct Answers ✅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 Answers ✅Chronic cough
Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency
anemia? - Correct Answers ✅Neurological symptoms,
paresthesia (numbness and tingling in hands and feet),
unsteady gait, memory issues
Beefy red tongue
What diet can result in B12 deficiency? - Correct Answers
✅Vegan- oral supplements can be used for treatment
, SARAH MICHELLE LIVE REVIEW STUDY
GUIDE Exam Questions and Answer
(Latest Update 2025)
What surgery can result in B12 deficiency? - Correct
Answers ✅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
Answers ✅Women of childbearing age- ages 15-45, African
Americans are going to be at higher risk
What is the diagnostic criteria for Lupus? - Correct Answers
✅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
GUIDE Exam Questions and Answer
(Latest Update 2025)
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
Answers ✅4. The tuning fork lateralizes to the left ear
What are common signs and symptoms of Meniere's Disease?
- Correct Answers ✅Vertigo, tinnitus, ear pressure,
nystagmus
What is our biggest worry for a Meniere's Disease patient? -
Correct Answers ✅There is a possibility for a potential,
permanent hearing loss.
What is rhinitis meidcamentosa? - Correct Answers ✅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.
,SARAH MICHELLE LIVE REVIEW STUDY
GUIDE Exam Questions and Answer
(Latest Update 2025)
What is herpes keratitis? - Correct Answers ✅This is an
infection of the cornea due to herpes simplex virus
How is herpes keratitis diagnosed? - Correct Answers ✅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 Answers ✅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 Answers ✅Patient with chronic lung diseases:
asthma, COPD, cystic fibrosis.
Why are cough suppressants not helpful in pneumonia
patients? - Correct Answers ✅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.
,SARAH MICHELLE LIVE REVIEW STUDY
GUIDE Exam Questions and Answer
(Latest Update 2025)
When should a follow up chest X-Ray be completed after
treatment of pneumonia? - Correct Answers ✅Around 8
week mark
What is COPD? - Correct Answers ✅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 Answers ✅Chronic cough
Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency
anemia? - Correct Answers ✅Neurological symptoms,
paresthesia (numbness and tingling in hands and feet),
unsteady gait, memory issues
Beefy red tongue
What diet can result in B12 deficiency? - Correct Answers
✅Vegan- oral supplements can be used for treatment
, SARAH MICHELLE LIVE REVIEW STUDY
GUIDE Exam Questions and Answer
(Latest Update 2025)
What surgery can result in B12 deficiency? - Correct
Answers ✅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
Answers ✅Women of childbearing age- ages 15-45, African
Americans are going to be at higher risk
What is the diagnostic criteria for Lupus? - Correct Answers
✅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
