SARAH MICHELLE BOARD REVIEW
2026 EXAMINATION TEST SOLVED
QUESTIONS WITH FULL SOLUTION
GRADED A+
◉ Mumps. Answer: Fever, bilateral swelling infront of ears
◉ Rubella (German Measles). Answer: Rash starts on face and then
spreads. Fever, cervical lymph and pink rash
◉ Roseola (Sixth Disease). Answer: High fever. Rash when it breaks.
Rose pink color turns white when you touch it (blanches). When the rash
appears the patient is no longer contagious.
◉ Fifth Disease. Answer: Cold symptoms, lacy rash on trunk, itchy
soles of feet and slapped cheeks
◉ Hand, foot and mouth. Answer: Fever, sore throat, sores in mouth
(THIS IS WHERE IS STARTS), hands, feet and toe peeling.
◉ Migraines. Answer: Unilateral behind eye,l. Prophylactic Tx: beta
blockers
Abortive tx: Triptans! (Don't prescribe to uncontrolled HTN or CAD
pts).
,◉ Diagnosis of Temporal Arteritis. Answer: ESR, C-reactive protein &
temporal artery biopsy. Tx. Long term high dose steroids.
◉ Cluster headaches. Answer: Sudden sharp unilateral headache,
tearing, nasal drainage, pain behind eyes. Prophylactic: verapamil
Abortive: O2 or sumatriptan
◉ Thunderclap headache. Answer: "Worst headache of my life".
Usually associated with hemorrhagic stroke
◉ Stroke. Answer: BE FAST: balance, eyes, face, arm, speech and time.
CT scan. Bleed= hemorrhagic clot= ischemic.
◉ Transient Ischemic Attack (TIA). Answer: interruption in blood
supply to the brain that does not cause permanent brain damage-
increased risk of stroke
◉ Receptive aphasia. Answer: WERNICKES
◉ Expressive aphasia. Answer: Broca's
◉ Bell palsy. Answer: Facial cranial nerve 7. Rule out Lyme disease.
Cause is unknown possibly viral. Tx. Antiviral, steroids with 72 hours
◉ Test for corneal abrasion. Answer: Fluorescein stain
, ◉ Parkinson's. Answer: Bradykinesia, rigidity, resting tremor and
postural instability. Caused by depletion of dopamine progressive neuro.
◉ Essential tremor. Answer: Occurs with intent (reaching for
something). Tx. Beta blockers (propranolol), physical activity and NO
alcohol
◉ Parkinson's treatment. Answer: Dopamine agonists: ropinerole
(requip) for motor symptoms. Levodopa/caridopa (sinemet) better
bradykinesia coverage.
◉ Meningitis. Answer: Inflammation/swelling of protective
membranes/fluid of spinal cord. Causes- bacteria, viruses and parasites.
S/s: early flu like (fever, body aches, fatigue). Later: confusion, different
walking, rash, vomiting, severe headahce and stiff neck
◉ Meningitis checks. Answer: Brudzinski: flex neck, hips knees.
Kernig: lie on back and straighten leg.
◉ Meningitis treatment. Answer: Refer to ER. Lumbar puncture ;
bacteria/WBC. IV abx. And fluids.
◉ absence seizure. Answer: Diagnosed by EEG. Treatment/ should
outgrow. Zarontin
2026 EXAMINATION TEST SOLVED
QUESTIONS WITH FULL SOLUTION
GRADED A+
◉ Mumps. Answer: Fever, bilateral swelling infront of ears
◉ Rubella (German Measles). Answer: Rash starts on face and then
spreads. Fever, cervical lymph and pink rash
◉ Roseola (Sixth Disease). Answer: High fever. Rash when it breaks.
Rose pink color turns white when you touch it (blanches). When the rash
appears the patient is no longer contagious.
◉ Fifth Disease. Answer: Cold symptoms, lacy rash on trunk, itchy
soles of feet and slapped cheeks
◉ Hand, foot and mouth. Answer: Fever, sore throat, sores in mouth
(THIS IS WHERE IS STARTS), hands, feet and toe peeling.
◉ Migraines. Answer: Unilateral behind eye,l. Prophylactic Tx: beta
blockers
Abortive tx: Triptans! (Don't prescribe to uncontrolled HTN or CAD
pts).
,◉ Diagnosis of Temporal Arteritis. Answer: ESR, C-reactive protein &
temporal artery biopsy. Tx. Long term high dose steroids.
◉ Cluster headaches. Answer: Sudden sharp unilateral headache,
tearing, nasal drainage, pain behind eyes. Prophylactic: verapamil
Abortive: O2 or sumatriptan
◉ Thunderclap headache. Answer: "Worst headache of my life".
Usually associated with hemorrhagic stroke
◉ Stroke. Answer: BE FAST: balance, eyes, face, arm, speech and time.
CT scan. Bleed= hemorrhagic clot= ischemic.
◉ Transient Ischemic Attack (TIA). Answer: interruption in blood
supply to the brain that does not cause permanent brain damage-
increased risk of stroke
◉ Receptive aphasia. Answer: WERNICKES
◉ Expressive aphasia. Answer: Broca's
◉ Bell palsy. Answer: Facial cranial nerve 7. Rule out Lyme disease.
Cause is unknown possibly viral. Tx. Antiviral, steroids with 72 hours
◉ Test for corneal abrasion. Answer: Fluorescein stain
, ◉ Parkinson's. Answer: Bradykinesia, rigidity, resting tremor and
postural instability. Caused by depletion of dopamine progressive neuro.
◉ Essential tremor. Answer: Occurs with intent (reaching for
something). Tx. Beta blockers (propranolol), physical activity and NO
alcohol
◉ Parkinson's treatment. Answer: Dopamine agonists: ropinerole
(requip) for motor symptoms. Levodopa/caridopa (sinemet) better
bradykinesia coverage.
◉ Meningitis. Answer: Inflammation/swelling of protective
membranes/fluid of spinal cord. Causes- bacteria, viruses and parasites.
S/s: early flu like (fever, body aches, fatigue). Later: confusion, different
walking, rash, vomiting, severe headahce and stiff neck
◉ Meningitis checks. Answer: Brudzinski: flex neck, hips knees.
Kernig: lie on back and straighten leg.
◉ Meningitis treatment. Answer: Refer to ER. Lumbar puncture ;
bacteria/WBC. IV abx. And fluids.
◉ absence seizure. Answer: Diagnosed by EEG. Treatment/ should
outgrow. Zarontin
