– Complete Questions and Expert-Verified Answers
INTRODUCTION:
This document contains the full Sarah Michelle Live Review study
guide for the academic year 2025-2026. It includes 100% complete
solutions with A+ rated questions and correct answers, covering key
nurse practitioner exam review topics such as cardiology,
pulmonology, endocrinology, hematology, women’s health,
pregnancy, pediatrics, pharmacology, and professional practice
guidelines. The material is expert-verified and structured in a Q&A
format, making it highly useful for board preparation and clinical
knowledge reinforcement.
EXAM QUESTIONS AND ANSWERS:
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 answer ---4.
The tuning fork lateralizes to the left ear
What are common signs and symptoms of Meniere's Disease? ---
correct answer ---Vertigo, tinnitus, ear pressure, nystagmus
What is our biggest worry for a Meniere's Disease patient? ---
correct answer ---There is a possibility for a potential, permanent
hearing loss.
What is rhinitis meidcamentosa? --- correct 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? --- correct answer ---This is an infection
of the cornea due to herpes simplex virus
How is herpes keratitis diagnosed? --- correct 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? --- correct
answer ---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 answer ---Patient with chronic lung diseases: asthma,
COPD, cystic fibrosis.
Why are cough suppressants not helpful in pneumonia patients? ---
correct 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? --- correct answer ---Around 8 week mark
What is COPD? --- correct 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? ---
correct answer ---Chronic cough
Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency anemia? ---
correct 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? --- correct answer ---Vegan-
oral supplements can be used for treatment
What surgery can result in B12 deficiency? --- correct 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? --- correct
answer ---Women of childbearing age- ages 15-45, African
Americans are going to be at higher risk
What is the diagnostic criteria for Lupus? --- correct answer ---
Must have 4/11 diagnostic criteria: