SARAH MICHELLE LIVE REVIEW
STUDY GUIDE QUESTIONS WITH
CORRECT ANSWERS
A bnew bgraduate bnurse bpractitioner bhas ba bpatient bpresents bwith ba bhearing
bcomplaint. bThe bpatient bstates bthat bthey bhave bhad bdecreased bhearing bon bthe bright
bside bfor bthe blast bmonth bthat bis bcontinuing bto bget bworse. bThe bNP bcompletes bboth
bthe bRinne band bWeber btests. bIf bthe bpatient bhas bMénière's bdisease, bwhat bwould
bbe bthe bexpected bfinding bon bthe bWeber btest?
1. bAC bis b2 btimes blonger bthan bBC
2. bBC bis b2 btimes blonger bthan bAC
3. bThe btuning bfork blateralizes bto bthe bright bear
4. bThe btuning bfork blateralizes bto bthe bleft bear b- bCORRECT bANSWER b4. bThe
btuning bfork blateralizes bto bthe bleft bear
What bare bcommon bsigns band bsymptoms bof bMeniere's bDisease? b- bCORRECT
bANSWER bVertigo, btinnitus, bear bpressure, bnystagmus
What bis bour bbiggest bworry bfor ba bMeniere's bDisease bpatient? b- bCORRECT
bANSWER bThere bis ba bpossibility bfor ba bpotential, bpermanent bhearing bloss.
What bis brhinitis bmeidcamentosa? b- bCORRECT bANSWER bDrug-induced brebound
bnasal bcongestion, bthis bcan bhappen bafter buse bof bnasal bdecongestants blike bAfrin.
bThese bnasal bdecongestants bshould bideally bnot bbe bused bfor bgreater bthan b3-5
bdays bbecause bof bthis brisk.
What bis bherpes bkeratitis? b- bCORRECT bANSWER bThis bis ban binfection bof bthe
bcornea bdue bto bherpes bsimplex bvirus
How bis bherpes bkeratitis bdiagnosed? b- bCORRECT bANSWER bBy bexamining bthe beye
bunder ba bblack blamp band bvisualized bthe bcornea, bin bherpes bkeratitis, bfern blike blines
bwill bbe bseen bon bthe bcornea
A bchild bthat bhas ba bhistory bof bmononucleosis bis bat bincreased brisk bfor bdevelopment
bfor bwhat bcancer blater bin blife? bAnd bwhy? b- bCORRECT bANSWER bHodgkin's
,bLymphoma band bBurkitt's bLymphoma, bthis bis bdue bto bthe bexposure bof bthe bEpstein-
Barr bvirus
What btypes bof bpatients bwill bbe bat ba bhigher brisk bof bpneumonia? b- bCORRECT
bANSWER bPatient bwith bchronic blung bdiseases: basthma, bCOPD, bcystic bfibrosis.
Why bare bcough bsuppressants bnot bhelpful bin bpneumonia bpatients? b- bCORRECT
bANSWER bBecause bwe bWANT bthem bto bget bthat bgunk bout, bwe bdo bnot bwant bthem
bto bhold bit bin btheir blungs, ban bexpectorant bwould bbe ba bbetter boption bfor bthese
bpatients.
When bshould ba bfollow bup bchest bX-Ray bbe bcompleted bafter btreatment bof
bpneumonia? b- bCORRECT bANSWER bAround b8 bweek bmark
What bis bCOPD? b- bCORRECT bANSWER bChronic bObstructive bPulmonary bDisease.
bThis bis ba bchronic bcondition bthat bis bmade bup bof bchronic bbronchitis band
bemphysema. bIt bis ba bprogressive binflammatory blung bdisease bthat bmakes bit bhard
bfor bthe bpatients bto bbreathe, bbecause bthe bchronic bbronchitis bleads bto bmucous
bbuild bup band bthe bemphysema bportion bdestroys bareas bof bthe blungs.
What bsigns band bsymptoms bare bcommon bin bCOPD bpatients? b- bCORRECT
bANSWER bChronic bcough
Sputum bproduction
Dyspnea- bdifficulty bbreathing
What bsigns band bsymptoms bare bspecific bto bB12 bdeficiency banemia? b- bCORRECT
bANSWER bNeurological bsymptoms, bparesthesia b(numbness band btingling bin bhands
band bfeet), bunsteady bgait, bmemory bissues
Beefy bred btongue
What bdiet bcan bresult bin bB12 bdeficiency? b- bCORRECT bANSWER bVegan- boral
bsupplements bcan bbe bused bfor btreatment
What bsurgery bcan bresult bin bB12 bdeficiency? b- bCORRECT bANSWER bGastric
bsurgery- bpatient bwill blose bintrinsic bfactor bthat bis brequired bto babsorb bB12- bthese
bpatients bwill brequire blife blong bIM bB12 binjections
What bpatient bpopulation bis blupus bcommonly bseen? b- bCORRECT bANSWER
bWomen bof bchildbearing bage- bages b15-45, bAfrican bAmericans bare bgoing bto bbe bat
bhigher brisk
What bis bthe bdiagnostic bcriteria bfor bLupus? b- bCORRECT bANSWER bMust bhave
b4/11 bdiagnostic bcriteria:
Malar brash
Discoid brash
,Photosensitivity
Oral/nasal bulcers
Non-erosive barthritis
Cardio-pulmonary bcomplaints
Renal bcomplaints
Neurological bconcerns
Immunological bdisorders
+ bANA btest
Hematologic bdisorders
What bis bSjogren's bSyndrome band bwhat bis bthe btreatment? b- bCORRECT bANSWER
bDry beyes band bdry bmouth- btreatment brevolves baround bsymptom bmanagement-
bartificial btears, bhard bcandies, betc. b
Common bin blupus bpatients
What bis ba bmajor bconcern bfor blupus bpatients? bHow bdo bwe bmonitor bthis? b-
bCORRECT bANSWER bImpact bon bthe bkidneys- bLupus bnephritis
Be bon bthe blook bout bfor bglomerularnephritis bas bwell bas bproteinuria b
These bpatients bwill brequire broutine bUA bfor bassessment bof btheir bkidneys band
bprotect bthem
What bis bthe bfunction bof bthe bthyroid? b- bCORRECT bANSWER bViral bhormone bgland
Metabolism bregulation- bimpacts bevery bSINGLE bcell bwithin bthe bbody
Proper bgrowth band bdevelopment bacross bthe bentire blifespan
What bproduces bTSH? b- bCORRECT bANSWER bPituitary bgland
What bis bthe bfunction bof bTSH? b- bCORRECT bANSWER bTells byour bthyroid bwhen bto
bproduce band brelease bthose bcritical bthyroid bhormones- bT3 band bT4.
What bdisorders binclude bhypothyroidism? b- bCORRECT bANSWER bIodine bdeficiency,
bHashimoto's, bor bthyroiditis
A bpresence bof bthyroid bperoxidase bantibodies bindicates bthat? b- bCORRECT
bANSWER bHypothyroidism bis bcaused bby ban bautoimmune bprocess bof bsome bsort
What bare bsome bsigns band bsymptoms bof bhypothyroidism? b- bCORRECT bANSWER
bWeight bgain, bconstipation, bdry bskin, bcold bintolerance, bfatigue, bcourse bhair, bfacial
bpuffiness, bthick btongue, band bmaybe bsome bcardiac bside beffects
What bpatient beducation bmust bbe bincluded bregarding bSynthroid badministration? b-
bCORRECT bANSWER bMust bbe btaken bon ban bempty bstomach bbefore bother
bmedications
, What bare bsigns band bsymptoms bof ba bmyxedema bcoma? b- bCORRECT bANSWER
bLow bbody btemperature, bedema, bconfusion, blethargy, btongue bthickening, bdifficulty
bbreathing
What bmedications bcan bprecipitate bmyxedema bcoma? b- bCORRECT bANSWER
bLithium bor bamiodarone
Your bpatient bwho bis bon b75 bmcg bSynthroid bPO bdaily bcomes bin bfor ba b6 bweek
bfollow bup bto bcheck btheir bTSH blevel. bWhen byou bget bthe bresults, btheir bTSH bis b0.1.
bWhat bshould byou bdo bnext bas bthe bNP? b- bCORRECT bANSWER bAssess bhow bthe
bpatient bis btaking btheir bSynthroid
What bsigns band bsymptoms bare bcommon bin bhyperthyroidism? b- bCORRECT
bANSWER bAnxiety, bpalpitations, bcardiac babnormalities, btachycardia, bdiaphoresis,
bweight bloss, band bincreased bappetite, bmenstrual birregularities, bamenorrhea,
btremors, blid blag, bexophthalmos
What bneeds bto bbe bconsidered bwith bPTU bmedication badministration? b- bCORRECT
bANSWER bNeed bfrequent blab bwork: bCBC, band bThyroid bpanel
Required bto btake bPTU bmultiple btimes ba bday
What bis bthe bmost bcommon btreatment bfor bGrave's bDisease? b- bCORRECT
bANSWER bRadioactive biodine btherapy
Hyperthyroidism bleft buntreated bmay blead bto bwhat bconditions? b- bCORRECT
bANSWER bHeart bdisease- bpatient's bheart bis bin ba bconstant bhigh-output bstate, byour
bheart bcan't bkeep bup bwith bthat ball bof bthe btime, bmay blead bto bheart bfailure
Osteoporosis
Infertility
What bis bworst bcase bscenario bin bhyperthyroid bpatients? b- bCORRECT bANSWER
bThyroid bstorm- bTemperature, bHR, band bBP- bdangerously bHIGH blevels
Puts bbody binto bcompromised bstate, bespecially bimpacting byour bheart. bHeart bstarts
bto bgo binto bLetha bdysrhythmias band beven bheart bfailure.
What bare bthe b8 bmost bcommon bdrug bclasses bfor bdiabetes bmedications? b-
bCORRECT bANSWER bBiguanides b(Metformin)
DPP-4 binhibitors
GLP-1 bAgonists
SGLT-2 binhibitors
Insulin
Sulfonylureas
TZDs
Alpha-glycosides binhibitors
STUDY GUIDE QUESTIONS WITH
CORRECT ANSWERS
A bnew bgraduate bnurse bpractitioner bhas ba bpatient bpresents bwith ba bhearing
bcomplaint. bThe bpatient bstates bthat bthey bhave bhad bdecreased bhearing bon bthe bright
bside bfor bthe blast bmonth bthat bis bcontinuing bto bget bworse. bThe bNP bcompletes bboth
bthe bRinne band bWeber btests. bIf bthe bpatient bhas bMénière's bdisease, bwhat bwould
bbe bthe bexpected bfinding bon bthe bWeber btest?
1. bAC bis b2 btimes blonger bthan bBC
2. bBC bis b2 btimes blonger bthan bAC
3. bThe btuning bfork blateralizes bto bthe bright bear
4. bThe btuning bfork blateralizes bto bthe bleft bear b- bCORRECT bANSWER b4. bThe
btuning bfork blateralizes bto bthe bleft bear
What bare bcommon bsigns band bsymptoms bof bMeniere's bDisease? b- bCORRECT
bANSWER bVertigo, btinnitus, bear bpressure, bnystagmus
What bis bour bbiggest bworry bfor ba bMeniere's bDisease bpatient? b- bCORRECT
bANSWER bThere bis ba bpossibility bfor ba bpotential, bpermanent bhearing bloss.
What bis brhinitis bmeidcamentosa? b- bCORRECT bANSWER bDrug-induced brebound
bnasal bcongestion, bthis bcan bhappen bafter buse bof bnasal bdecongestants blike bAfrin.
bThese bnasal bdecongestants bshould bideally bnot bbe bused bfor bgreater bthan b3-5
bdays bbecause bof bthis brisk.
What bis bherpes bkeratitis? b- bCORRECT bANSWER bThis bis ban binfection bof bthe
bcornea bdue bto bherpes bsimplex bvirus
How bis bherpes bkeratitis bdiagnosed? b- bCORRECT bANSWER bBy bexamining bthe beye
bunder ba bblack blamp band bvisualized bthe bcornea, bin bherpes bkeratitis, bfern blike blines
bwill bbe bseen bon bthe bcornea
A bchild bthat bhas ba bhistory bof bmononucleosis bis bat bincreased brisk bfor bdevelopment
bfor bwhat bcancer blater bin blife? bAnd bwhy? b- bCORRECT bANSWER bHodgkin's
,bLymphoma band bBurkitt's bLymphoma, bthis bis bdue bto bthe bexposure bof bthe bEpstein-
Barr bvirus
What btypes bof bpatients bwill bbe bat ba bhigher brisk bof bpneumonia? b- bCORRECT
bANSWER bPatient bwith bchronic blung bdiseases: basthma, bCOPD, bcystic bfibrosis.
Why bare bcough bsuppressants bnot bhelpful bin bpneumonia bpatients? b- bCORRECT
bANSWER bBecause bwe bWANT bthem bto bget bthat bgunk bout, bwe bdo bnot bwant bthem
bto bhold bit bin btheir blungs, ban bexpectorant bwould bbe ba bbetter boption bfor bthese
bpatients.
When bshould ba bfollow bup bchest bX-Ray bbe bcompleted bafter btreatment bof
bpneumonia? b- bCORRECT bANSWER bAround b8 bweek bmark
What bis bCOPD? b- bCORRECT bANSWER bChronic bObstructive bPulmonary bDisease.
bThis bis ba bchronic bcondition bthat bis bmade bup bof bchronic bbronchitis band
bemphysema. bIt bis ba bprogressive binflammatory blung bdisease bthat bmakes bit bhard
bfor bthe bpatients bto bbreathe, bbecause bthe bchronic bbronchitis bleads bto bmucous
bbuild bup band bthe bemphysema bportion bdestroys bareas bof bthe blungs.
What bsigns band bsymptoms bare bcommon bin bCOPD bpatients? b- bCORRECT
bANSWER bChronic bcough
Sputum bproduction
Dyspnea- bdifficulty bbreathing
What bsigns band bsymptoms bare bspecific bto bB12 bdeficiency banemia? b- bCORRECT
bANSWER bNeurological bsymptoms, bparesthesia b(numbness band btingling bin bhands
band bfeet), bunsteady bgait, bmemory bissues
Beefy bred btongue
What bdiet bcan bresult bin bB12 bdeficiency? b- bCORRECT bANSWER bVegan- boral
bsupplements bcan bbe bused bfor btreatment
What bsurgery bcan bresult bin bB12 bdeficiency? b- bCORRECT bANSWER bGastric
bsurgery- bpatient bwill blose bintrinsic bfactor bthat bis brequired bto babsorb bB12- bthese
bpatients bwill brequire blife blong bIM bB12 binjections
What bpatient bpopulation bis blupus bcommonly bseen? b- bCORRECT bANSWER
bWomen bof bchildbearing bage- bages b15-45, bAfrican bAmericans bare bgoing bto bbe bat
bhigher brisk
What bis bthe bdiagnostic bcriteria bfor bLupus? b- bCORRECT bANSWER bMust bhave
b4/11 bdiagnostic bcriteria:
Malar brash
Discoid brash
,Photosensitivity
Oral/nasal bulcers
Non-erosive barthritis
Cardio-pulmonary bcomplaints
Renal bcomplaints
Neurological bconcerns
Immunological bdisorders
+ bANA btest
Hematologic bdisorders
What bis bSjogren's bSyndrome band bwhat bis bthe btreatment? b- bCORRECT bANSWER
bDry beyes band bdry bmouth- btreatment brevolves baround bsymptom bmanagement-
bartificial btears, bhard bcandies, betc. b
Common bin blupus bpatients
What bis ba bmajor bconcern bfor blupus bpatients? bHow bdo bwe bmonitor bthis? b-
bCORRECT bANSWER bImpact bon bthe bkidneys- bLupus bnephritis
Be bon bthe blook bout bfor bglomerularnephritis bas bwell bas bproteinuria b
These bpatients bwill brequire broutine bUA bfor bassessment bof btheir bkidneys band
bprotect bthem
What bis bthe bfunction bof bthe bthyroid? b- bCORRECT bANSWER bViral bhormone bgland
Metabolism bregulation- bimpacts bevery bSINGLE bcell bwithin bthe bbody
Proper bgrowth band bdevelopment bacross bthe bentire blifespan
What bproduces bTSH? b- bCORRECT bANSWER bPituitary bgland
What bis bthe bfunction bof bTSH? b- bCORRECT bANSWER bTells byour bthyroid bwhen bto
bproduce band brelease bthose bcritical bthyroid bhormones- bT3 band bT4.
What bdisorders binclude bhypothyroidism? b- bCORRECT bANSWER bIodine bdeficiency,
bHashimoto's, bor bthyroiditis
A bpresence bof bthyroid bperoxidase bantibodies bindicates bthat? b- bCORRECT
bANSWER bHypothyroidism bis bcaused bby ban bautoimmune bprocess bof bsome bsort
What bare bsome bsigns band bsymptoms bof bhypothyroidism? b- bCORRECT bANSWER
bWeight bgain, bconstipation, bdry bskin, bcold bintolerance, bfatigue, bcourse bhair, bfacial
bpuffiness, bthick btongue, band bmaybe bsome bcardiac bside beffects
What bpatient beducation bmust bbe bincluded bregarding bSynthroid badministration? b-
bCORRECT bANSWER bMust bbe btaken bon ban bempty bstomach bbefore bother
bmedications
, What bare bsigns band bsymptoms bof ba bmyxedema bcoma? b- bCORRECT bANSWER
bLow bbody btemperature, bedema, bconfusion, blethargy, btongue bthickening, bdifficulty
bbreathing
What bmedications bcan bprecipitate bmyxedema bcoma? b- bCORRECT bANSWER
bLithium bor bamiodarone
Your bpatient bwho bis bon b75 bmcg bSynthroid bPO bdaily bcomes bin bfor ba b6 bweek
bfollow bup bto bcheck btheir bTSH blevel. bWhen byou bget bthe bresults, btheir bTSH bis b0.1.
bWhat bshould byou bdo bnext bas bthe bNP? b- bCORRECT bANSWER bAssess bhow bthe
bpatient bis btaking btheir bSynthroid
What bsigns band bsymptoms bare bcommon bin bhyperthyroidism? b- bCORRECT
bANSWER bAnxiety, bpalpitations, bcardiac babnormalities, btachycardia, bdiaphoresis,
bweight bloss, band bincreased bappetite, bmenstrual birregularities, bamenorrhea,
btremors, blid blag, bexophthalmos
What bneeds bto bbe bconsidered bwith bPTU bmedication badministration? b- bCORRECT
bANSWER bNeed bfrequent blab bwork: bCBC, band bThyroid bpanel
Required bto btake bPTU bmultiple btimes ba bday
What bis bthe bmost bcommon btreatment bfor bGrave's bDisease? b- bCORRECT
bANSWER bRadioactive biodine btherapy
Hyperthyroidism bleft buntreated bmay blead bto bwhat bconditions? b- bCORRECT
bANSWER bHeart bdisease- bpatient's bheart bis bin ba bconstant bhigh-output bstate, byour
bheart bcan't bkeep bup bwith bthat ball bof bthe btime, bmay blead bto bheart bfailure
Osteoporosis
Infertility
What bis bworst bcase bscenario bin bhyperthyroid bpatients? b- bCORRECT bANSWER
bThyroid bstorm- bTemperature, bHR, band bBP- bdangerously bHIGH blevels
Puts bbody binto bcompromised bstate, bespecially bimpacting byour bheart. bHeart bstarts
bto bgo binto bLetha bdysrhythmias band beven bheart bfailure.
What bare bthe b8 bmost bcommon bdrug bclasses bfor bdiabetes bmedications? b-
bCORRECT bANSWER bBiguanides b(Metformin)
DPP-4 binhibitors
GLP-1 bAgonists
SGLT-2 binhibitors
Insulin
Sulfonylureas
TZDs
Alpha-glycosides binhibitors
