SARAH MICHELLE LIVE REVIEW STUDY GUIDE Questions and Correct Answers | Latest Update
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Course
SARAH MICHELLE LIVE
Institution
SARAH MICHELLE LIVE
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 dise...
Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025
SARAH MICHELLE LIVE REVIEW STUDY
GUIDE Questions and Correct Answers |
Latest Update
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
4. The tuning fork lateralizes to the left ear
What are common signs and symptoms of Meniere's Disease?
Vertigo, tinnitus, ear pressure, nystagmus
What is our biggest worry for a Meniere's Disease patient?
There is a possibility for a potential, permanent hearing loss.
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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025
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 corne a, 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?
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?
Patient with chronic lung diseases: asthma, COPD, cystic fibrosis.
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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025
Why are cough suppressants not helpful in pneumonia patients?
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?
Around 8 week mark
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 patie nts 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?
Chronic cough
Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency anemia?
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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025
Neurological symptoms, paresthesia (numbness and tingling in hands and
feet), unsteady gait, memory issues
Beefy red tongue
What diet can result in B12 deficiency?
Vegan- oral supplements can be used for treatment
What surgery can result in B12 deficiency?
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?
Women of childbearing age- ages 15-45, African Americans are going to
be at higher risk
What is the diagnostic criteria for Lupus?
Must have 4/11 diagnostic criteria:
Malar rash
Discoid rash
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