SARAH MICHELLE LIVE REVIEW EXAM NEWEST 700 QUESTIONS AND CORRECT DETAILED ANSWERS

SARAH MICHELLE LIVE REVIEW EXAM NEWEST 700 QUESTIONS AND CORRECT DETAILED ANSWERS ( ANSWERS)

1 P a g e SARAH MICHELLE LIVE REVIEW EXAM NEWEST 2026-2027 700 QUESTIONS AND CORRECT DETAILED ANSWERS ( ANSWERS) What is the purpose of the parathyroid gland? - ANSWER- Releases parathyroid hormone which keeps both our calcium and phosphorus in check What is the relationship between calcium and phosphorus? - ANSWERInverse relationship In hyperparathyroidism- what is going to be the calcium and phosphorus levels? - ANSWER- Calcium level is going to be high and phosphorus level is going to be low What is a major concern with elevated calcium levels? - ANSWERUnderlying malignancy What is going on in Type 1 DM that isn't going on in type 2 DM? - ANSWER- There are antibodies in type 1- this is going to impact type 1 because these antibodies are destroying all of their beta cells and because of that they are going to be insulin dependent 2 P a g e In type 1 diabetes patients, we are worried about them developing what? - ANSWER- DKA When type 1 diabetic patients are sick, should they stop their insulin? - ANSWER- No- continue insulin as normal What is Somogyi Effect? - ANSWER- There is a DIP in the middle of the night in their blood glucose, before it rise in the morning What is Dawn Effect? - ANSWER- The blood glucose steadily rises all night What is the typical cause of the Dawn Effect? - ANSWER- Due to an increase in growth hormone, just need to increase their insulin At what HgbA1c are we going to initiate insulin? - ANSWER- > 9% What physical exam finding may occur due to insulin resistance? - ANSWER- Acanthosis nigricans Do type 2 diabetes patients need to take a daily aspirin? - ANSWERNot necessarily, if they are at increased risk of heart disease then they can take a daily aspirin What is Addison's disease? - ANSWER- Too little cortisol 3 P a g e What is Cushing's disease? - ANSWER- Too much cortisol What lab values would you expect in Addison's disease? - ANSWEREverything is going to be low except their potassium levelhyperkalemia What lab values would you expect in Cushing's disease? - ANSWEREverything is going to be high except their potassium levelhypokalemia What are some signs and symptoms of Cushing's disease? - ANSWERMoon face Purple striae Truncal obesity What anemias are alcoholics at biggest risk for? - ANSWER- Folate and B12 deficiency anemias What is glossitis? - ANSWER- Beefy red tongue- common in B12 deficiency What do we need to limit in children less than 12 months of age to help prevent iron deficiency anemia? - ANSWER- Whole milk 4 P a g e Beside thalassemia, what is another condition that can cause you to absorb too much iron? What is the treatment? - ANSWERHemochromatosis- treatment is regular phlebotomy What is polycythemia vera? How is this treated? - ANSWER- When the body creates too many blood cells and this makes the blood very thick and viscous Treated with regular phlebotomy Patient with polycythemia Vera are at an increased risk of what? - ANSWER- Clotting What are examples of highest levels of evidence? - ANSWER- Metaanalysis and Systematic Reviews Pulling together a lot of research to review it Key word: Review- they are pulling together several studies that have been done What are examples of middle levels of evidence? - ANSWER- All the C's Randomized control trials, cohort studies, case control studies, and cross sectional studies research is being performed What are some examples of studies with the lowest level of evidence? - ANSWER- Editorials, opinions, observational