SARAH MICHELLE LIVE REVIEW STUDY QUESTIONS WITH GUARANTEED ACCURATE ANSWERS
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Course
SARAH
Institution
SARAH
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, w...
SARAH MICHELLE LIVE REVIEW STUDY
QUESTIONS
SARAH MICHELLE LIVE REVIEW STUDY QUESTIONS WITH GUARANTEED ACCURATE
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 - ACCURATE
ANSWERS✔✔ 4. The tuning fork lateralizes to the left ear
,What are common signs and symptoms of Meniere's Disease? -
ACCURATE ANSWERS✔✔ Vertigo, tinnitus, ear pressure, nystagmus
What is our biggest worry for a Meniere's Disease patient? -
ACCURATE ANSWERS✔✔ There is a possibility for a potential,
permanent hearing loss.
What is rhinitis meidcamentosa? - ACCURATE 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.
What is herpes keratitis? - ACCURATE ANSWERS✔✔ This is an
infection of the cornea due to herpes simplex virus
How is herpes keratitis diagnosed? - ACCURATE 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? - ACCURATE
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? -
ACCURATE ANSWERS✔✔ Patient with chronic lung diseases:
asthma, COPD, cystic fibrosis.
,Why are cough suppressants not helpful in pneumonia patients? -
ACCURATE 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? - ACCURATE ANSWERS✔✔ Around 8 week mark
What is COPD? - ACCURATE 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.
What signs and symptoms are common in COPD patients? -
ACCURATE ANSWERS✔✔ Chronic cough
Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency anemia? -
ACCURATE 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? - ACCURATE ANSWERS✔✔
Vegan- oral supplements can be used for treatment
What surgery can result in B12 deficiency? - ACCURATE
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? - ACCURATE
ANSWERS✔✔ Women of childbearing age- ages 15-45, African
Americans are going to be at higher risk
What is the diagnostic criteria for Lupus? - ACCURATE
ANSWERS✔✔ 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
+ ANA test
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