Sarah Michelle’s FNP/AGPCNP Save
Board Exam Mastery Review
2026/2027 Latest Update || SMNP
Live Review Companion
Terms in this set (716)
A new graduate nurse practitioner 4. The tuning fork lateralizes to the left ear
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
What are common signs and Vertigo, tinnitus, ear pressure, nystagmus
symptoms of Meniere's Disease?
What is our biggest worry for a There is a possibility for a potential, permanent
Meniere's Disease patient? 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 Hodgkin's Lymphoma and Burkitt's Lymphoma, this
mononucleosis is at increased risk for is due to the exposure of the Epstein-Barr virus
development for what cancer later in
life? And why?
What types of patients will be at a Patient with chronic lung diseases: asthma, COPD,
higher risk of pneumonia? cystic fibrosis.
Why are cough suppressants not Because we WANT them to get that gunk out, we
helpful in pneumonia patients? 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 Around 8 week mark
be completed after treatment of
pneumonia?
,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 Chronic cough
common in COPD patients? Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are Neurological symptoms, paresthesia (numbness
specific to B12 deficiency anemia? and tingling in hands and feet), unsteady gait,
memory issues
Beefy red tongue
What diet can result in B12 Vegan- oral supplements can be used for
deficiency? treatment
What surgery can result in B12 Gastric surgery- patient will lose intrinsic factor
deficiency? that is required to absorb B12- these patients will
require life long IM B12 injections
What patient population is lupus Women of childbearing age- ages 15-45, African
commonly seen? Americans are going to be at higher risk
, What is the diagnostic criteria for Must have 4/11 diagnostic criteria:
Lupus?
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 Dry eyes and dry mouth- treatment revolves
what is the treatment? around symptom management- artificial tears, hard
candies, etc.
Common in lupus patients
What is a major concern for lupus Impact on the kidneys- Lupus nephritis
patients? How do we monitor this? 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
Board Exam Mastery Review
2026/2027 Latest Update || SMNP
Live Review Companion
Terms in this set (716)
A new graduate nurse practitioner 4. The tuning fork lateralizes to the left ear
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
What are common signs and Vertigo, tinnitus, ear pressure, nystagmus
symptoms of Meniere's Disease?
What is our biggest worry for a There is a possibility for a potential, permanent
Meniere's Disease patient? 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 Hodgkin's Lymphoma and Burkitt's Lymphoma, this
mononucleosis is at increased risk for is due to the exposure of the Epstein-Barr virus
development for what cancer later in
life? And why?
What types of patients will be at a Patient with chronic lung diseases: asthma, COPD,
higher risk of pneumonia? cystic fibrosis.
Why are cough suppressants not Because we WANT them to get that gunk out, we
helpful in pneumonia patients? 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 Around 8 week mark
be completed after treatment of
pneumonia?
,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 Chronic cough
common in COPD patients? Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are Neurological symptoms, paresthesia (numbness
specific to B12 deficiency anemia? and tingling in hands and feet), unsteady gait,
memory issues
Beefy red tongue
What diet can result in B12 Vegan- oral supplements can be used for
deficiency? treatment
What surgery can result in B12 Gastric surgery- patient will lose intrinsic factor
deficiency? that is required to absorb B12- these patients will
require life long IM B12 injections
What patient population is lupus Women of childbearing age- ages 15-45, African
commonly seen? Americans are going to be at higher risk
, What is the diagnostic criteria for Must have 4/11 diagnostic criteria:
Lupus?
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 Dry eyes and dry mouth- treatment revolves
what is the treatment? around symptom management- artificial tears, hard
candies, etc.
Common in lupus patients
What is a major concern for lupus Impact on the kidneys- Lupus nephritis
patients? How do we monitor this? 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
