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SARAH MICHELLE LIVE REVIEW STUDY GUIDE (716 QUESTIONS AND ANSWERS)
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SARAH MICHELLE LIVE REVIEW STUDY GUIDE (716 QUESTIONS AND ANSWERS)
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SARAH MICHELLE LIVE REVIEWSTUDY GUIDE (716 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 -
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
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
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
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:
Malar rash
Discoid rash
Photosensitivity
Oral/nasal ulcers
Non-erosive arthritis
Cardio-pulmonary complaints
Renal complaints
Neurological concerns
Immunological disorders
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