Sarah Michelle Live Review Study Guide (Complete & Answered)-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 fo
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Sarah Michelle Live Review Study Guide (Complete & Answered)-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.
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? – This1 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 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? - 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.
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 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? - Chronic cough
Sputum production
Dyspnea- difficulty breathing
What signs and symptoms are specific to B12 deficiency anemia? - Neurological symptoms, paresthesia (numbness and tingling in hands and feet), unsteady gait, memory issues
Beefy red tongue
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