2025 SARAH MICHELLE LIVE REVIEW STUDY GUIDE TEST WITH 100% COMPLETE SOLUTIONS RATED A (710 QUESTIONS AND CORRECT ANSWERS) | (EXPERT VERIFIED)

2025 SARAH MICHELLE LIVE REVIEW STUDY GUIDE TEST
WITH 100% COMPLETE SOLUTIONS RATED A (710 QUESTIONS
AND CORRECT ANSWERS) | (EXPERT VERIFIED)

A child that has a history of mononucleosis is at increased risk for development for
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what cancer later in life? And why? - ✔✔✔ Correct Answer > Hodgkin's Lymphoma
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and Burkitt's Lymphoma, this is due to the exposure of the Epstein- Barr virus
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A new graduate nurse practitioner has a patient presents with a hearing complaint.
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The patient states that they have had decreased hearing on the right side for the last
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month that is continuing to get worse. The NP completes both the Rinne and Weber
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tests. If the patient has Ménière's disease, what would be the expected finding on the
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Weber test?
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1. AC is 2 times longer than BC
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2. BC is 2 times longer than AC
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3. The tuning fork lateralizes to the right ear
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4. The tuning fork lateralizes to the left ear - ✔✔✔Correct Answer > 4. The tuning fork
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lateralizes to the left ear
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A presence of thyroid peroxidase antibodies indicates that? - ✔✔✔ Correct Answer >
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Hypothyroidism is caused by an autoimmuneprocess of some sort
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A score of 0-10 on the MMSE indicates what? - ✔✔✔Correct Answer > Severe
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cognitive impairment
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A score of 10-20 on the MMSE indicates what? - ✔✔✔CorrectAnswer > Moderate
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decline in cognitive impairment
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Antacidsare most effective when taken how many minutesbefore a meal? -mi mi mi mi mi mi mi mi mi mi mi mi




✔✔✔Correct Answer > 30 minutesi
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,Antacids with calcium or aluminum may cause what? - ✔✔✔Correct Answer > mi mi mi mi mi mi mi mi mi i
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Constipation- this is a consideration especially in the elderly population
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Antacidswith magnesium may cause what? - ✔✔✔Correct Answer > Diarrhea mi mi mi mi mi mi mi i
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Anytime a female of childbearing age is having GUcomplaints, what should we order?
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- ✔✔✔ Correct Answer > Hcg urine pregnancy test
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Are down syndrome patients able to playsports? - ✔✔✔Correct Answer > As long
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as they are cleared prior with a C-Spine XR and it does not show any instability
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Are we able to have collaborative agreements with people otherthen physicians?
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- ✔✔✔Correct Answer > Yes, dentists and DO's, NOT chiropractors
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At what HgbA1c are we going to initiate insulin? - ✔✔✔Correct Answer > > 9%
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Beside thalassemia, what is another condition that can cause you to absorb too much
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iron? What is the treatment? - ✔✔✔Correct Answer > Hemochromatosis- treatment
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is regular phlebotomy
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Can bulk laxatives be taken long term? - ✔✔✔Correct Answer > Yes, they can be used
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to treat and prevent constipation
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Colcrys should be prescribed with caution to those with what condition? - ✔✔✔
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Correct Answer > Renal impairment mi mi mi mi




Colcrys should be prescribed with caution to those with what condition? - ✔✔✔
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Correct Answer > Renal impairment mi mi mi mi




Define autonomy - ✔✔✔Correct Answer > The patient has the ability to make their
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own decisions.
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Define beneficence - ✔✔✔Correct Answer > To do good- an action that is done for the
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benefit of others.
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Define fidelity - ✔✔✔Correct Answer > Loyalty mi mi mi i
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Define justice - ✔✔✔Correct Answer > Fair and equal treatment for all Define
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mi non-maleficence - ✔✔✔ Correct Answer > To do no harm mi mi mi mi mi mi mi mi mi

,Define paternalism - ✔✔✔Correct Answer > You are trying to decide what is best for
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them, because you disagree with what they chose.
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Define veracity - ✔✔✔Correct Answer > Telling the truth
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Describe use of Depo-Provera - ✔✔✔Correct Answer > Injection every 12-13 weeks
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Describe use of Depo-Provera - ✔✔✔Correct Answer > Injection every 12-13 weeks
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Describe use of Ortho-Vera patch - ✔✔✔Correct Answer > Apply once a week for 3
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weeks and then take off for one week for period
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Describe use of Ortho-Vera patch - ✔✔✔Correct Answer > Apply once a week for 3
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weeks and then take off for one week for period
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Describe use of the Nuvaring - ✔✔✔Correct Answer > Keep in place for 3 weeks, then
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remove for one week
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If it falls out, be sure to reinsert ASAP
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Provideslow and steady amounts of hormones- less ups and downs
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Describe use of the Nuvaring - ✔✔✔Correct Answer > Keep in place for 3 weeks, then
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remove for one week
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If it falls out, be sure to reinsert ASAP
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Provideslow and steady amounts of hormones- less ups and downs
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Determining which nerve is the root of the patient's sciatica: L4 - ✔✔✔ Correct mi mi mi mi mi mi mi mi mi mi mi mi mi




Answer > If L4 is the root cause of the sciatica: Squat and rise exam and their knee jerk
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will be diminished
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Determining which nerve is the root of the patient's sciatica: L5 - ✔✔✔ Correct mi mi mi mi mi mi mi mi mi mi mi mi mi




Answer > If L5 is the root cause of the sciatica: Have patient do heel walking and there
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will be numbness at the great toe
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Determining which nerve is the root of the patient's sciatica: S1 - ✔✔✔Correct Answer mi mi mi mi mi mi mi mi mi mi mi mi i
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> If S1 is the root cause of the sciatica: Have patient walk on their toes and there will be
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a diminished or absent ankle jerk
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, Do type 2 diabetes patientsneed to take a daily aspirin? - ✔✔✔Correct Answer > Not
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necessarily, if they are at increased risk of heart disease then they can take a daily
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aspirin
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Do we treat patients that have a UA + for leukocytes/nitrites but no symptoms? -
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✔✔✔ Correct Answer > The only patient that you would treat this is if they are
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pregnant- this would a risk for the baby, all other patient, if asymptomatic there is no
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need to treat
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Do you stop alloipurinol during an acute attack? - ✔✔✔Correct Answer > No, patient
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should continue taking allopurinol during an acute attack
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Does Medicaid coverage vary from state to state? - ✔✔✔Correct Answer > Yes,
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because the states have some control of it.
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Does Metformin cause hypoglycemia? - ✔✔✔ Correct Answer > NO, Metformin
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works in the body by inhibiting glucose production in the liver. Due to that there are
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no issues with hypoglycemia
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Does SGLT-2 inhibitors cause hypoglycemia? - ✔✔✔Correct Answer > SGLT-2
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inhibitors have a LOW risk for hypoglycemia
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DPP-4 inhibitors are contraindicated in patients with a history of what condition?
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- ✔✔✔Correct Answer > Pancreatitis
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DRE-what is the expected assessment of prostate gland of a patient with BPH? -
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✔✔✔Correct Answer > Non tender, enlarged, symmetrical, rubbery prostate
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Gastroenteritis- how do we diagnosis it? - ✔✔✔ Correct Answer > Look at overall mi mi mi mi mi mi mi i
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clinical picture:
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Basic lab work: CBC, CMP, UA
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Stool studies: Stool culture, occult blood,C Dif, and stool for ova and parasites
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Hep A: If BOTH IgM anti-HAV and IgG anti-HAV are negative, what does this mean? -
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✔✔✔Correct Answer > They are susceptible and need immunization!
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Hepatitis D only occurs in whatpopulation? - ✔✔✔Correct Answer > Those who are mi mi mi mi mi mi mi mi i
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also infected with Hepatitis B
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