SARAH MICHELLE LIVE REVIEW STUDY GUIDE 2025
EDITION| QUESTIONS WITH CORRECT VERIFIED
ANSWERS| A+ RATED
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 - ANSWER 4. The tuning fork lateralizes to the left
ear
What are common signs and symptoms of Meniere's Disease? - ANSWER Vertigo, tinnitus, ear
pressure, nystagmus
What is our biggest worry for a Meniere's Disease patient? - ANSWER There is a possibility for a
potential, permanent hearing loss.
What is rhinitis meidcamentosa? - 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? - ANSWER This is an infection of the cornea due to herpes simplex
virus
,How is herpes keratitis diagnosed? - 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? - 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? - ANSWER Patient with chronic
lung diseases: asthma, COPD, cystic fibrosis.
Why are cough suppressants not helpful in pneumonia patients? - 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? - ANSWER
Around 8 week mark
What is COPD? - 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? - ANSWER Chronic cough
Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency anemia? - ANSWER Neurological
symptoms, paresthesia (numbness and tingling in hands and feet), unsteady gait, memory
issues
Beefy red tongue
,What diet can result in B12 deficiency? - ANSWER Vegan- oral supplements can be used for
treatment
What surgery can result in B12 deficiency? - 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? - ANSWER Women of childbearing age- ages
15-45, African Americans are going to be at higher risk
What is the diagnostic criteria for Lupus? - 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
Hematologic disorders
What is Sjogren's Syndrome and what is the treatment? - ANSWER Dry eyes and dry mouth-
treatment revolves around symptom management- artificial tears, hard candies, etc.
Common in lupus patients
, What is a major concern for lupus patients? How do we monitor this? - ANSWER Impact on the
kidneys- Lupus nephritis
Be on the look out for glomerularnephritis as well as proteinuria
These patients will require routine UA for assessment of their kidneys and protect them
What is the function of the thyroid? - ANSWER Viral hormone gland
Metabolism regulation- impacts every SINGLE cell within the body
Proper growth and development across the entire lifespan
What produces TSH? - ANSWER Pituitary gland
What is the function of TSH? - ANSWER Tells your thyroid when to produce and release those
critical thyroid hormones- T3 and T4.
What disorders include hypothyroidism? - ANSWER Iodine deficiency, Hashimoto's, or thyroiditis
A presence of thyroid peroxidase antibodies indicates that? - ANSWER Hypothyroidism is caused
by an autoimmune process of some sort
What are some signs and symptoms of hypothyroidism? - ANSWER Weight gain, constipation,
dry skin, cold intolerance, fatigue, course hair, facial puffiness, thick tongue, and maybe some
cardiac side effects
What patient education must be included regarding Synthroid administration? - ANSWER Must
be taken on an empty stomach before other medications
EDITION| QUESTIONS WITH CORRECT VERIFIED
ANSWERS| A+ RATED
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 - ANSWER 4. The tuning fork lateralizes to the left
ear
What are common signs and symptoms of Meniere's Disease? - ANSWER Vertigo, tinnitus, ear
pressure, nystagmus
What is our biggest worry for a Meniere's Disease patient? - ANSWER There is a possibility for a
potential, permanent hearing loss.
What is rhinitis meidcamentosa? - 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? - ANSWER This is an infection of the cornea due to herpes simplex
virus
,How is herpes keratitis diagnosed? - 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? - 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? - ANSWER Patient with chronic
lung diseases: asthma, COPD, cystic fibrosis.
Why are cough suppressants not helpful in pneumonia patients? - 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? - ANSWER
Around 8 week mark
What is COPD? - 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? - ANSWER Chronic cough
Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency anemia? - ANSWER Neurological
symptoms, paresthesia (numbness and tingling in hands and feet), unsteady gait, memory
issues
Beefy red tongue
,What diet can result in B12 deficiency? - ANSWER Vegan- oral supplements can be used for
treatment
What surgery can result in B12 deficiency? - 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? - ANSWER Women of childbearing age- ages
15-45, African Americans are going to be at higher risk
What is the diagnostic criteria for Lupus? - 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
Hematologic disorders
What is Sjogren's Syndrome and what is the treatment? - ANSWER Dry eyes and dry mouth-
treatment revolves around symptom management- artificial tears, hard candies, etc.
Common in lupus patients
, What is a major concern for lupus patients? How do we monitor this? - ANSWER Impact on the
kidneys- Lupus nephritis
Be on the look out for glomerularnephritis as well as proteinuria
These patients will require routine UA for assessment of their kidneys and protect them
What is the function of the thyroid? - ANSWER Viral hormone gland
Metabolism regulation- impacts every SINGLE cell within the body
Proper growth and development across the entire lifespan
What produces TSH? - ANSWER Pituitary gland
What is the function of TSH? - ANSWER Tells your thyroid when to produce and release those
critical thyroid hormones- T3 and T4.
What disorders include hypothyroidism? - ANSWER Iodine deficiency, Hashimoto's, or thyroiditis
A presence of thyroid peroxidase antibodies indicates that? - ANSWER Hypothyroidism is caused
by an autoimmune process of some sort
What are some signs and symptoms of hypothyroidism? - ANSWER Weight gain, constipation,
dry skin, cold intolerance, fatigue, course hair, facial puffiness, thick tongue, and maybe some
cardiac side effects
What patient education must be included regarding Synthroid administration? - ANSWER Must
be taken on an empty stomach before other medications
