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
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
what cancer later in life? And why? - ✔✔✔ Correct Answer > Hodgkin's Lymphoma
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
and Burkitt's Lymphoma, this is due to the exposure of the Epstein- Barr virus
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
A new graduate nurse practitioner has a patient presents with a hearing complaint.
mi mi mi mi mi mi mi mi mi mi mi mi
The patient states that they have had decreased hearing on the right side for the last
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
month that is continuing to get worse. The NP completes both the Rinne and Weber
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
tests. If the patient has Ménière's disease, what would be the expected finding on the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
Weber test?
mi mi
1. AC is 2 times longer than BC
mi mi mi mi mi mi
2. BC is 2 times longer than AC
mi mi mi mi mi mi
3. The tuning fork lateralizes to the right ear
mi mi mi mi mi mi mi
4. The tuning fork lateralizes to the left ear - ✔✔✔Correct Answer > 4. The tuning fork
mi mi mi mi mi mi mi mi mi i
m mi mi mi mi mi mi
lateralizes to the left ear
mi mi mi mi mi
A presence of thyroid peroxidase antibodies indicates that? - ✔✔✔ Correct Answer >
mi mi mi mi mi mi mi mi mi mi mi mi
Hypothyroidism is caused by an autoimmuneprocess of some sort
mi mi mi mi mi mi mi mi mi mi
A score of 0-10 on the MMSE indicates what? - ✔✔✔Correct Answer > Severe
mi mi mi mi mi mi mi mi mi mi i
m mi mi mi
cognitive impairment
mi mi
A score of 10-20 on the MMSE indicates what? - ✔✔✔CorrectAnswer > Moderate
mi mi mi mi mi mi mi mi mi mi i
m mi mi mi
decline in cognitive impairment
mi mi mi mi
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
m mi mi mi mi
,Antacids with calcium or aluminum may cause what? - ✔✔✔Correct Answer > mi mi mi mi mi mi mi mi mi i
m mi mi
Constipation- this is a consideration especially in the elderly population
mi mi mi mi mi mi mi mi mi mi
Antacidswith magnesium may cause what? - ✔✔✔Correct Answer > Diarrhea mi mi mi mi mi mi mi i
m mi mi mi
Anytime a female of childbearing age is having GUcomplaints, what should we order?
mi mi mi mi mi mi mi mi mi mi mi mi mi
- ✔✔✔ Correct Answer > Hcg urine pregnancy test
mi mi mi mi mi mi mi mi mi
Are down syndrome patients able to playsports? - ✔✔✔Correct Answer > As long
mi mi mi mi mi mi mi mi mi i
m mi mi mi mi
as they are cleared prior with a C-Spine XR and it does not show any instability
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
Are we able to have collaborative agreements with people otherthen physicians?
mi mi mi mi mi mi mi mi mi mi mi
- ✔✔✔Correct Answer > Yes, dentists and DO's, NOT chiropractors
mi i
m mi mi mi mi mi mi mi mi
At what HgbA1c are we going to initiate insulin? - ✔✔✔Correct Answer > > 9%
mi mi mi mi mi mi mi mi mi mi i
m mi mi mi mi
Beside thalassemia, what is another condition that can cause you to absorb too much
mi mi mi mi mi mi mi mi mi mi mi mi mi
iron? What is the treatment? - ✔✔✔Correct Answer > Hemochromatosis- treatment
mi mi mi mi mi mi mi i
m mi mi mi mi
is regular phlebotomy
mi mi mi
Can bulk laxatives be taken long term? - ✔✔✔Correct Answer > Yes, they can be used
mi mi mi mi mi mi mi mi i
m mi mi mi mi mi mi mi
to treat and prevent constipation
mi mi mi mi mi
Colcrys should be prescribed with caution to those with what condition? - ✔✔✔
mi mi mi mi mi mi mi mi mi mi mi mi
Correct Answer > Renal impairment mi mi mi mi
Colcrys should be prescribed with caution to those with what condition? - ✔✔✔
mi mi mi mi mi mi mi mi mi mi mi mi
Correct Answer > Renal impairment mi mi mi mi
Define autonomy - ✔✔✔Correct Answer > The patient has the ability to make their
mi mi mi i
m mi mi mi mi mi mi mi mi mi mi
own decisions.
mi mi
Define beneficence - ✔✔✔Correct Answer > To do good- an action that is done for the
mi mi mi i
m mi mi mi mi mi mi mi mi mi mi mi mi
benefit of others.
mi mi mi
Define fidelity - ✔✔✔Correct Answer > Loyalty mi mi mi i
m mi mi mi
Define justice - ✔✔✔Correct Answer > Fair and equal treatment for all Define
mi mi mi i
m mi mi mi mi mi mi mi mi mi
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
mi mi mi i
m mi mi mi mi mi mi mi mi mi mi mi
them, because you disagree with what they chose.
mi mi mi mi mi mi mi mi
Define veracity - ✔✔✔Correct Answer > Telling the truth
mi mi mi i
m mi mi mi mi mi
Describe use of Depo-Provera - ✔✔✔Correct Answer > Injection every 12-13 weeks
mi mi mi mi mi i
m mi mi mi mi mi mi
Describe use of Depo-Provera - ✔✔✔Correct Answer > Injection every 12-13 weeks
mi mi mi mi mi i
m mi mi mi mi mi mi
Describe use of Ortho-Vera patch - ✔✔✔Correct Answer > Apply once a week for 3
mi mi mi mi mi mi i
m mi mi mi mi mi mi mi mi
weeks and then take off for one week for period
mi mi mi mi mi mi mi mi mi mi
Describe use of Ortho-Vera patch - ✔✔✔Correct Answer > Apply once a week for 3
mi mi mi mi mi mi i
m mi mi mi mi mi mi mi mi
weeks and then take off for one week for period
mi mi mi mi mi mi mi mi mi mi
Describe use of the Nuvaring - ✔✔✔Correct Answer > Keep in place for 3 weeks, then
mi mi mi mi mi mi i
m mi mi mi mi mi mi mi mi mi
remove for one week
mi mi mi mi
If it falls out, be sure to reinsert ASAP
mi mi mi mi mi mi mi mi
Provideslow and steady amounts of hormones- less ups and downs
mi mi mi mi mi mi mi mi mi mi
Describe use of the Nuvaring - ✔✔✔Correct Answer > Keep in place for 3 weeks, then
mi mi mi mi mi mi i
m mi mi mi mi mi mi mi mi mi
remove for one week
mi mi mi mi
If it falls out, be sure to reinsert ASAP
mi mi mi mi mi mi mi mi
Provideslow and steady amounts of hormones- less ups and downs
mi mi mi mi mi mi mi mi mi mi
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
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
will be diminished
mi mi mi
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
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
will be numbness at the great toe
mi mi mi mi mi mi mi
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
m mi
> If S1 is the root cause of the sciatica: Have patient walk on their toes and there will be
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a diminished or absent ankle jerk
mi mi mi mi mi mi
, Do type 2 diabetes patientsneed to take a daily aspirin? - ✔✔✔Correct Answer > Not
mi mi mi mi mi mi mi mi mi mi mi mi i
m mi mi mi
necessarily, if they are at increased risk of heart disease then they can take a daily
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
aspirin
mi
Do we treat patients that have a UA + for leukocytes/nitrites but no symptoms? -
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
✔✔✔ Correct Answer > The only patient that you would treat this is if they are
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
pregnant- this would a risk for the baby, all other patient, if asymptomatic there is no
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
need to treat
mi mi mi
Do you stop alloipurinol during an acute attack? - ✔✔✔Correct Answer > No, patient
mi mi mi mi mi mi mi mi mi i
m mi mi mi mi
should continue taking allopurinol during an acute attack
mi mi mi mi mi mi mi mi
Does Medicaid coverage vary from state to state? - ✔✔✔Correct Answer > Yes,
mi mi mi mi mi mi mi mi mi i
m mi mi mi
because the states have some control of it.
mi mi mi mi mi mi mi mi
Does Metformin cause hypoglycemia? - ✔✔✔ Correct Answer > NO, Metformin
mi mi mi mi mi m
i mi mi mi mi
works in the body by inhibiting glucose production in the liver. Due to that there are
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
no issues with hypoglycemia
mi mi mi mi
Does SGLT-2 inhibitors cause hypoglycemia? - ✔✔✔Correct Answer > SGLT-2
mi mi mi mi mi mi i
m mi mi mi
inhibitors have a LOW risk for hypoglycemia
mi mi mi mi mi mi mi
DPP-4 inhibitors are contraindicated in patients with a history of what condition?
mi mi mi mi mi mi mi mi mi mi mi
- ✔✔✔Correct Answer > Pancreatitis
mi i
m mi mi mi
DRE-what is the expected assessment of prostate gland of a patient with BPH? -
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
✔✔✔Correct Answer > Non tender, enlarged, symmetrical, rubbery prostate
i
m mi mi mi mi mi mi mi mi
Gastroenteritis- how do we diagnosis it? - ✔✔✔ Correct Answer > Look at overall mi mi mi mi mi mi mi i
m mi mi mi mi mi
clinical picture:
mi mi
Basic lab work: CBC, CMP, UA
mi mi mi mi mi
Stool studies: Stool culture, occult blood,C Dif, and stool for ova and parasites
mi mi mi mi mi mi mi mi mi mi mi mi mi
Hep A: If BOTH IgM anti-HAV and IgG anti-HAV are negative, what does this mean? -
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
✔✔✔Correct Answer > They are susceptible and need immunization!
mi i
m mi mi mi mi mi mi mi mi
Hepatitis D only occurs in whatpopulation? - ✔✔✔Correct Answer > Those who are mi mi mi mi mi mi mi mi i
m mi mi mi mi mi
also infected with Hepatitis B
mi mi mi mi mi
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
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
what cancer later in life? And why? - ✔✔✔ Correct Answer > Hodgkin's Lymphoma
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
and Burkitt's Lymphoma, this is due to the exposure of the Epstein- Barr virus
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
A new graduate nurse practitioner has a patient presents with a hearing complaint.
mi mi mi mi mi mi mi mi mi mi mi mi
The patient states that they have had decreased hearing on the right side for the last
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
month that is continuing to get worse. The NP completes both the Rinne and Weber
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
tests. If the patient has Ménière's disease, what would be the expected finding on the
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
Weber test?
mi mi
1. AC is 2 times longer than BC
mi mi mi mi mi mi
2. BC is 2 times longer than AC
mi mi mi mi mi mi
3. The tuning fork lateralizes to the right ear
mi mi mi mi mi mi mi
4. The tuning fork lateralizes to the left ear - ✔✔✔Correct Answer > 4. The tuning fork
mi mi mi mi mi mi mi mi mi i
m mi mi mi mi mi mi
lateralizes to the left ear
mi mi mi mi mi
A presence of thyroid peroxidase antibodies indicates that? - ✔✔✔ Correct Answer >
mi mi mi mi mi mi mi mi mi mi mi mi
Hypothyroidism is caused by an autoimmuneprocess of some sort
mi mi mi mi mi mi mi mi mi mi
A score of 0-10 on the MMSE indicates what? - ✔✔✔Correct Answer > Severe
mi mi mi mi mi mi mi mi mi mi i
m mi mi mi
cognitive impairment
mi mi
A score of 10-20 on the MMSE indicates what? - ✔✔✔CorrectAnswer > Moderate
mi mi mi mi mi mi mi mi mi mi i
m mi mi mi
decline in cognitive impairment
mi mi mi mi
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
m mi mi mi mi
,Antacids with calcium or aluminum may cause what? - ✔✔✔Correct Answer > mi mi mi mi mi mi mi mi mi i
m mi mi
Constipation- this is a consideration especially in the elderly population
mi mi mi mi mi mi mi mi mi mi
Antacidswith magnesium may cause what? - ✔✔✔Correct Answer > Diarrhea mi mi mi mi mi mi mi i
m mi mi mi
Anytime a female of childbearing age is having GUcomplaints, what should we order?
mi mi mi mi mi mi mi mi mi mi mi mi mi
- ✔✔✔ Correct Answer > Hcg urine pregnancy test
mi mi mi mi mi mi mi mi mi
Are down syndrome patients able to playsports? - ✔✔✔Correct Answer > As long
mi mi mi mi mi mi mi mi mi i
m mi mi mi mi
as they are cleared prior with a C-Spine XR and it does not show any instability
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
Are we able to have collaborative agreements with people otherthen physicians?
mi mi mi mi mi mi mi mi mi mi mi
- ✔✔✔Correct Answer > Yes, dentists and DO's, NOT chiropractors
mi i
m mi mi mi mi mi mi mi mi
At what HgbA1c are we going to initiate insulin? - ✔✔✔Correct Answer > > 9%
mi mi mi mi mi mi mi mi mi mi i
m mi mi mi mi
Beside thalassemia, what is another condition that can cause you to absorb too much
mi mi mi mi mi mi mi mi mi mi mi mi mi
iron? What is the treatment? - ✔✔✔Correct Answer > Hemochromatosis- treatment
mi mi mi mi mi mi mi i
m mi mi mi mi
is regular phlebotomy
mi mi mi
Can bulk laxatives be taken long term? - ✔✔✔Correct Answer > Yes, they can be used
mi mi mi mi mi mi mi mi i
m mi mi mi mi mi mi mi
to treat and prevent constipation
mi mi mi mi mi
Colcrys should be prescribed with caution to those with what condition? - ✔✔✔
mi mi mi mi mi mi mi mi mi mi mi mi
Correct Answer > Renal impairment mi mi mi mi
Colcrys should be prescribed with caution to those with what condition? - ✔✔✔
mi mi mi mi mi mi mi mi mi mi mi mi
Correct Answer > Renal impairment mi mi mi mi
Define autonomy - ✔✔✔Correct Answer > The patient has the ability to make their
mi mi mi i
m mi mi mi mi mi mi mi mi mi mi
own decisions.
mi mi
Define beneficence - ✔✔✔Correct Answer > To do good- an action that is done for the
mi mi mi i
m mi mi mi mi mi mi mi mi mi mi mi mi
benefit of others.
mi mi mi
Define fidelity - ✔✔✔Correct Answer > Loyalty mi mi mi i
m mi mi mi
Define justice - ✔✔✔Correct Answer > Fair and equal treatment for all Define
mi mi mi i
m mi mi mi mi mi mi mi mi mi
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
mi mi mi i
m mi mi mi mi mi mi mi mi mi mi mi
them, because you disagree with what they chose.
mi mi mi mi mi mi mi mi
Define veracity - ✔✔✔Correct Answer > Telling the truth
mi mi mi i
m mi mi mi mi mi
Describe use of Depo-Provera - ✔✔✔Correct Answer > Injection every 12-13 weeks
mi mi mi mi mi i
m mi mi mi mi mi mi
Describe use of Depo-Provera - ✔✔✔Correct Answer > Injection every 12-13 weeks
mi mi mi mi mi i
m mi mi mi mi mi mi
Describe use of Ortho-Vera patch - ✔✔✔Correct Answer > Apply once a week for 3
mi mi mi mi mi mi i
m mi mi mi mi mi mi mi mi
weeks and then take off for one week for period
mi mi mi mi mi mi mi mi mi mi
Describe use of Ortho-Vera patch - ✔✔✔Correct Answer > Apply once a week for 3
mi mi mi mi mi mi i
m mi mi mi mi mi mi mi mi
weeks and then take off for one week for period
mi mi mi mi mi mi mi mi mi mi
Describe use of the Nuvaring - ✔✔✔Correct Answer > Keep in place for 3 weeks, then
mi mi mi mi mi mi i
m mi mi mi mi mi mi mi mi mi
remove for one week
mi mi mi mi
If it falls out, be sure to reinsert ASAP
mi mi mi mi mi mi mi mi
Provideslow and steady amounts of hormones- less ups and downs
mi mi mi mi mi mi mi mi mi mi
Describe use of the Nuvaring - ✔✔✔Correct Answer > Keep in place for 3 weeks, then
mi mi mi mi mi mi i
m mi mi mi mi mi mi mi mi mi
remove for one week
mi mi mi mi
If it falls out, be sure to reinsert ASAP
mi mi mi mi mi mi mi mi
Provideslow and steady amounts of hormones- less ups and downs
mi mi mi mi mi mi mi mi mi mi
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
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
will be diminished
mi mi mi
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
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
will be numbness at the great toe
mi mi mi mi mi mi mi
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
m mi
> If S1 is the root cause of the sciatica: Have patient walk on their toes and there will be
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
a diminished or absent ankle jerk
mi mi mi mi mi mi
, Do type 2 diabetes patientsneed to take a daily aspirin? - ✔✔✔Correct Answer > Not
mi mi mi mi mi mi mi mi mi mi mi mi i
m mi mi mi
necessarily, if they are at increased risk of heart disease then they can take a daily
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
aspirin
mi
Do we treat patients that have a UA + for leukocytes/nitrites but no symptoms? -
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
✔✔✔ Correct Answer > The only patient that you would treat this is if they are
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
pregnant- this would a risk for the baby, all other patient, if asymptomatic there is no
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
need to treat
mi mi mi
Do you stop alloipurinol during an acute attack? - ✔✔✔Correct Answer > No, patient
mi mi mi mi mi mi mi mi mi i
m mi mi mi mi
should continue taking allopurinol during an acute attack
mi mi mi mi mi mi mi mi
Does Medicaid coverage vary from state to state? - ✔✔✔Correct Answer > Yes,
mi mi mi mi mi mi mi mi mi i
m mi mi mi
because the states have some control of it.
mi mi mi mi mi mi mi mi
Does Metformin cause hypoglycemia? - ✔✔✔ Correct Answer > NO, Metformin
mi mi mi mi mi m
i mi mi mi mi
works in the body by inhibiting glucose production in the liver. Due to that there are
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
no issues with hypoglycemia
mi mi mi mi
Does SGLT-2 inhibitors cause hypoglycemia? - ✔✔✔Correct Answer > SGLT-2
mi mi mi mi mi mi i
m mi mi mi
inhibitors have a LOW risk for hypoglycemia
mi mi mi mi mi mi mi
DPP-4 inhibitors are contraindicated in patients with a history of what condition?
mi mi mi mi mi mi mi mi mi mi mi
- ✔✔✔Correct Answer > Pancreatitis
mi i
m mi mi mi
DRE-what is the expected assessment of prostate gland of a patient with BPH? -
mi mi mi mi mi mi mi mi mi mi mi mi mi mi
✔✔✔Correct Answer > Non tender, enlarged, symmetrical, rubbery prostate
i
m mi mi mi mi mi mi mi mi
Gastroenteritis- how do we diagnosis it? - ✔✔✔ Correct Answer > Look at overall mi mi mi mi mi mi mi i
m mi mi mi mi mi
clinical picture:
mi mi
Basic lab work: CBC, CMP, UA
mi mi mi mi mi
Stool studies: Stool culture, occult blood,C Dif, and stool for ova and parasites
mi mi mi mi mi mi mi mi mi mi mi mi mi
Hep A: If BOTH IgM anti-HAV and IgG anti-HAV are negative, what does this mean? -
mi mi mi mi mi mi mi mi mi mi mi mi mi mi mi
✔✔✔Correct Answer > They are susceptible and need immunization!
mi i
m mi mi mi mi mi mi mi mi
Hepatitis D only occurs in whatpopulation? - ✔✔✔Correct Answer > Those who are mi mi mi mi mi mi mi mi i
m mi mi mi mi mi
also infected with Hepatitis B
mi mi mi mi mi
