SARAH MICHELLE LIVE REVIEW
STUDY GUIDE (COMPLETE)
Question : 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?
- AC is 2 times longer than BC
- BC is 2 times longer than AC
- The tuning fork lateralizes to the right ear
- The tuning fork lateralizes to the left ear
CORRECT ANSWER : 4. The tuning fork lateralizes to the
left ear
Question : What are common signs and symptoms of
Meniere's Disease?
CORRECT ANSWER : Vertigo, tinnitus, ear pressure,
nystagmus
Question : What is our biggest worry for a Meniere's Disease
patient?
CORRECT ANSWER : There is a possibility for a potential,
permanent hearing loss.
Question : 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.
Question : What is herpes keratitis?
CORRECT ANSWER : This is an infection of the cornea
due to herpes simplex virus
Question : 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
Question : 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
Question : What types of patients will be at a higher risk of
pneumonia?CORRECT ANSWER : Patient with chronic lung diseases: asthma, COPD, cystic fibrosis.
Question : 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.
Question : When should a follow up chest X-Ray be
completed after treatment of pneumonia?
CORRECT ANSWER : Around 8 week mark
Question : 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.
Question : What signs and symptoms are common in COPD
patients?
CORRECT ANSWER : Chronic cough
Sputum production Dyspnea- difficulty breathing
Question : 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