SARAH MICHELLE LIVE REVIEW STUDY
GUIDE 700+ Questions and Answers
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.
What is herpes keratitis? - correct answers✅✅This is an
infection of the cornea due to herpes simplex virus
,SARAH MICHELLE LIVE REVIEW STUDY
GUIDE 700+ Questions and Answers
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.
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
,SARAH MICHELLE LIVE REVIEW STUDY
GUIDE 700+ Questions and Answers
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
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
, SARAH MICHELLE LIVE REVIEW STUDY
GUIDE 700+ Questions and Answers
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
Hematologic disorders
What is Sjogren's Syndrome and what is the treatment? - correct
answers✅✅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? - correct answers✅✅Impact on the kidneys- Lupus
nephritis
Be on the look out for glomerularnephritis as well as proteinuria
GUIDE 700+ Questions and Answers
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.
What is herpes keratitis? - correct answers✅✅This is an
infection of the cornea due to herpes simplex virus
,SARAH MICHELLE LIVE REVIEW STUDY
GUIDE 700+ Questions and Answers
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.
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
,SARAH MICHELLE LIVE REVIEW STUDY
GUIDE 700+ Questions and Answers
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
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
, SARAH MICHELLE LIVE REVIEW STUDY
GUIDE 700+ Questions and Answers
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
Hematologic disorders
What is Sjogren's Syndrome and what is the treatment? - correct
answers✅✅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? - correct answers✅✅Impact on the kidneys- Lupus
nephritis
Be on the look out for glomerularnephritis as well as proteinuria
