SARAH MICHELLE CRASH COURSE Study
Guide Exam 3 Questions & Answers Latest
Already Graded A+ 2025|2026
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
4. The tuning fork lateralizes to the left ear
What are common signs and symptoms of Meniere's
Disease?
Vertigo, tinnitus, ear pressure, nystagmus
What is our biggest worry for a Meniere's Disease patient?
There is a possibility for a potential, permanent hearing loss.
What is rhinitis meidcamentosa?
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?
This is an infection of the cornea due to herpes simplex virus
How is herpes keratitis diagnosed?
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?
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?
Patient with chronic lung diseases: asthma, COPD, cystic fibrosis.
Why are cough suppressants not helpful in pneumonia
patients?
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?
Around 8 week mark
What is COPD?
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?
Chronic cough
Sputum production
Dyspnea- difficulty breathing
,What signs and symptoms are specific to B12 deficiency
anemia?
Neurological symptoms, paresthesia (numbness and tingling in
hands and feet), unsteady gait, memory issues
Beefy red tongue
What diet can result in B12 deficiency?
Vegan- oral supplements can be used for treatment
What surgery can result in B12 deficiency?
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?
Women of childbearing age- ages 15-45, African Americans are
going to be at higher risk
What is the diagnostic criteria for Lupus?
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?
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?
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?
Viral hormone gland
Metabolism regulation- impacts every SINGLE cell within the body
Proper growth and development across the entire lifespan
What produces TSH?
Pituitary gland
What is the function of TSH?
Tells your thyroid when to produce and release those critical
thyroid hormones- T3 and T4.
What disorders include hypothyroidism?
Iodine deficiency, Hashimoto's, or thyroiditis
A presence of thyroid peroxidase antibodies indicates that?
Hypothyroidism is caused by an autoimmune process of some
sort
What are some signs and symptoms of hypothyroidism?
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?
Must be taken on an empty stomach before other medications
What are signs and symptoms of a myxedema coma?
Low body temperature, edema, confusion, lethargy, tongue
thickening, difficulty breathing
What medications can precipitate myxedema coma?
Guide Exam 3 Questions & Answers Latest
Already Graded A+ 2025|2026
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
4. The tuning fork lateralizes to the left ear
What are common signs and symptoms of Meniere's
Disease?
Vertigo, tinnitus, ear pressure, nystagmus
What is our biggest worry for a Meniere's Disease patient?
There is a possibility for a potential, permanent hearing loss.
What is rhinitis meidcamentosa?
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?
This is an infection of the cornea due to herpes simplex virus
How is herpes keratitis diagnosed?
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?
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?
Patient with chronic lung diseases: asthma, COPD, cystic fibrosis.
Why are cough suppressants not helpful in pneumonia
patients?
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?
Around 8 week mark
What is COPD?
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?
Chronic cough
Sputum production
Dyspnea- difficulty breathing
,What signs and symptoms are specific to B12 deficiency
anemia?
Neurological symptoms, paresthesia (numbness and tingling in
hands and feet), unsteady gait, memory issues
Beefy red tongue
What diet can result in B12 deficiency?
Vegan- oral supplements can be used for treatment
What surgery can result in B12 deficiency?
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?
Women of childbearing age- ages 15-45, African Americans are
going to be at higher risk
What is the diagnostic criteria for Lupus?
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?
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?
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?
Viral hormone gland
Metabolism regulation- impacts every SINGLE cell within the body
Proper growth and development across the entire lifespan
What produces TSH?
Pituitary gland
What is the function of TSH?
Tells your thyroid when to produce and release those critical
thyroid hormones- T3 and T4.
What disorders include hypothyroidism?
Iodine deficiency, Hashimoto's, or thyroiditis
A presence of thyroid peroxidase antibodies indicates that?
Hypothyroidism is caused by an autoimmune process of some
sort
What are some signs and symptoms of hypothyroidism?
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?
Must be taken on an empty stomach before other medications
What are signs and symptoms of a myxedema coma?
Low body temperature, edema, confusion, lethargy, tongue
thickening, difficulty breathing
What medications can precipitate myxedema coma?
