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SARAH MICHELLE REVIEW STUDY EXAM QUESTIONS AND ANSWERS|| LATEST UPDATE 2025/2026

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SARAH MICHELLE REVIEW STUDY EXAM QUESTIONS AND ANSWERS|| LATEST UPDATE 2025/2026

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SARAH MICHELLE REVIEW STUDY EXAM
QUESTIONS AND ANSWERS|| LATEST
UPDATE 2025/2026
Rubeola (measles) - (ANSWER)3 C's- cough, conjunctivitis and congestion. White
spots in mouth



Mumps - (ANSWER)Fever, bilateral swelling infront of ears



Rubella (German Measles) - (ANSWER)Rash starts on face and then spreads.
Fever, cervical lymph and pink rash



Roseola (Sixth Disease) - (ANSWER)High fever. Rash when it breaks. Rose pink
color turns white when you touch it (blanches). When the rash appears the
patient is no longer contagious.



Fifth Disease - (ANSWER)Cold symptoms, lacy rash on trunk, itchy soles of feet
and slapped cheeks



Hand, foot and mouth - (ANSWER)Fever, sore throat, sores in mouth (THIS IS
WHERE IS STARTS), hands, feet and toe peeling.



Migraines - (ANSWER)Unilateral behind eye,l. Prophylactic Tx: beta blockers

Abortive tx: Triptans! (Don't prescribe to uncontrolled HTN or CAD pts).

, 2


Diagnosis of Temporal Arteritis - (ANSWER)ESR, C-reactive protein & temporal
artery biopsy. Tx. Long term high dose steroids.



Cluster headaches - (ANSWER)Sudden sharp unilateral headache, tearing, nasal
drainage, pain behind eyes. Prophylactic: verapamil

Abortive: O2 or sumatriptan



Thunderclap headache - (ANSWER)"Worst headache of my life". Usually
associated with hemorrhagic stroke



Stroke - (ANSWER)BE FAST: balance, eyes, face, arm, speech and time. CT scan.
Bleed= hemorrhagic clot= ischemic.



Transient Ischemic Attack (TIA) - (ANSWER)interruption in blood supply to the
brain that does not cause permanent brain damage- increased risk of stroke



Receptive aphasia - (ANSWER)WERNICKES



Expressive aphasia - (ANSWER)Broca's



Bell palsy - (ANSWER)Facial cranial nerve 7. Rule out Lyme disease. Cause is
unknown possibly viral. Tx. Antiviral, steroids with 72 hours



Test for corneal abrasion - (ANSWER)Fluorescein stain

, 3




Parkinson's - (ANSWER)Bradykinesia, rigidity, resting tremor and postural
instability. Caused by depletion of dopamine progressive neuro.



Essential tremor - (ANSWER)Occurs with intent (reaching for something). Tx. Beta
blockers (propranolol), physical activity and NO alcohol



Parkinson's treatment - (ANSWER)Dopamine agonists: ropinerole (requip) for
motor symptoms. Levodopa/caridopa (sinemet) better bradykinesia coverage.



Meningitis - (ANSWER)Inflammation/swelling of protective membranes/fluid of
spinal cord. Causes- bacteria, viruses and parasites. S/s: early flu like (fever, body
aches, fatigue). Later: confusion, different walking, rash, vomiting, severe
headahce and stiff neck



Meningitis checks - (ANSWER)Brudzinski: flex neck, hips knees.

Kernig: lie on back and straighten leg.



Meningitis treatment - (ANSWER)Refer to ER. Lumbar puncture ; bacteria/WBC.
IV abx. And fluids.



absence seizure - (ANSWER)Diagnosed by EEG. Treatment/ should outgrow.
Zarontin

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