1|Page
SARAH MICHELLE LIVE REVIEW EXAM NEWEST
ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT VERIFIED ANSWERS (DETAILED
ANSWERS) ALREADY GRADED A+ 100%
GUARANTEED TO PASS CONCEPTS!!!
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 -
.....ANSWER ...✔✔ 4. The tuning fork lateralizes to
the left ear
What are common signs and symptoms of Meniere's
Disease? - .....ANSWER ...✔✔ Vertigo, tinnitus, ear
pressure, nystagmus
,2|Page
What is our biggest worry for a Meniere's Disease
patient? - .....ANSWER ...✔✔ There is a possibility for
a potential, permanent hearing loss.
What is rhinitis meidcamentosa? - .....ANSWER ...✔✔
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? - .....ANSWER ...✔✔ This is
an infection of the cornea due to herpes simplex virus
How is herpes keratitis diagnosed? - .....ANSWER
...✔✔ 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? - .....ANSWER ...✔✔ Hodgkin's
Lymphoma and Burkitt's Lymphoma, this is due to the
exposure of the Epstein-Barr virus
,3|Page
What types of patients will be at a higher risk of
pneumonia? - .....ANSWER ...✔✔ Patient with chronic
lung diseases: asthma, COPD, cystic fibrosis.
Why are cough suppressants not helpful in pneumonia
patients? - .....ANSWER ...✔✔ 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? - .....ANSWER ...✔✔
Around 8 week mark
What is COPD? - .....ANSWER ...✔✔ 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 common in COPD
patients? - .....ANSWER ...✔✔ Chronic cough
Sputum production
, 4|Page
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency
anemia? - .....ANSWER ...✔✔ Neurological symptoms,
paresthesia (numbness and tingling in hands and feet),
unsteady gait, memory issues
Beefy red tongue
What diet can result in B12 deficiency? - .....ANSWER
...✔✔ Vegan- oral supplements can be used for
treatment
What surgery can result in B12 deficiency? -
.....ANSWER ...✔✔ 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? -
.....ANSWER ...✔✔ Women of childbearing age-
ages 15-45, African Americans are going to be at
higher risk
What is the diagnostic criteria for Lupus? - .....ANSWER
...✔✔ Must have 4/11 diagnostic criteria:
SARAH MICHELLE LIVE REVIEW EXAM NEWEST
ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT VERIFIED ANSWERS (DETAILED
ANSWERS) ALREADY GRADED A+ 100%
GUARANTEED TO PASS CONCEPTS!!!
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 -
.....ANSWER ...✔✔ 4. The tuning fork lateralizes to
the left ear
What are common signs and symptoms of Meniere's
Disease? - .....ANSWER ...✔✔ Vertigo, tinnitus, ear
pressure, nystagmus
,2|Page
What is our biggest worry for a Meniere's Disease
patient? - .....ANSWER ...✔✔ There is a possibility for
a potential, permanent hearing loss.
What is rhinitis meidcamentosa? - .....ANSWER ...✔✔
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? - .....ANSWER ...✔✔ This is
an infection of the cornea due to herpes simplex virus
How is herpes keratitis diagnosed? - .....ANSWER
...✔✔ 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? - .....ANSWER ...✔✔ Hodgkin's
Lymphoma and Burkitt's Lymphoma, this is due to the
exposure of the Epstein-Barr virus
,3|Page
What types of patients will be at a higher risk of
pneumonia? - .....ANSWER ...✔✔ Patient with chronic
lung diseases: asthma, COPD, cystic fibrosis.
Why are cough suppressants not helpful in pneumonia
patients? - .....ANSWER ...✔✔ 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? - .....ANSWER ...✔✔
Around 8 week mark
What is COPD? - .....ANSWER ...✔✔ 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 common in COPD
patients? - .....ANSWER ...✔✔ Chronic cough
Sputum production
, 4|Page
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency
anemia? - .....ANSWER ...✔✔ Neurological symptoms,
paresthesia (numbness and tingling in hands and feet),
unsteady gait, memory issues
Beefy red tongue
What diet can result in B12 deficiency? - .....ANSWER
...✔✔ Vegan- oral supplements can be used for
treatment
What surgery can result in B12 deficiency? -
.....ANSWER ...✔✔ 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? -
.....ANSWER ...✔✔ Women of childbearing age-
ages 15-45, African Americans are going to be at
higher risk
What is the diagnostic criteria for Lupus? - .....ANSWER
...✔✔ Must have 4/11 diagnostic criteria:
