STUDYSAGE
SARAH MICHELLE LIVE REVIEW
STUDY GUIDE|complete study
guide with updated answers|
Graded A
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.
SUCCESS
,STUDYSAGE
What is herpes keratitis? - CORRECT ANSWERS✔️✔️This is an infection of the
cornea due to herpes simplex virus
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 breathe, because the chronic bronchitis leads to mucous build up
and the emphysema portion destroys areas of the lungs.
SUCCESS
,STUDYSAGE
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
What is the diagnostic criteria for Lupus? - CORRECT ANSWERS✔️✔️Must have
4/11 diagnostic criteria:
Malar rash
Discoid rash
SUCCESS
, STUDYSAGE
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
These patients will require routine UA for assessment of their kidneys and protect
them
What is the function of the thyroid? - CORRECT ANSWERS✔️✔️Viral hormone
gland
Metabolism regulation- impacts every SINGLE cell within the body
Proper growth and development across the entire lifespan
SUCCESS
SARAH MICHELLE LIVE REVIEW
STUDY GUIDE|complete study
guide with updated answers|
Graded A
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.
SUCCESS
,STUDYSAGE
What is herpes keratitis? - CORRECT ANSWERS✔️✔️This is an infection of the
cornea due to herpes simplex virus
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 breathe, because the chronic bronchitis leads to mucous build up
and the emphysema portion destroys areas of the lungs.
SUCCESS
,STUDYSAGE
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
What is the diagnostic criteria for Lupus? - CORRECT ANSWERS✔️✔️Must have
4/11 diagnostic criteria:
Malar rash
Discoid rash
SUCCESS
, STUDYSAGE
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
These patients will require routine UA for assessment of their kidneys and protect
them
What is the function of the thyroid? - CORRECT ANSWERS✔️✔️Viral hormone
gland
Metabolism regulation- impacts every SINGLE cell within the body
Proper growth and development across the entire lifespan
SUCCESS
