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SARAH MICHELLE LIVE REVIEW EXAM NEWEST ACTUAL EXAM 700 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
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SARAH MICHELLE LIVE REVIEW EXAM
NEWEST 2026-2027 ACTUAL EXAM 700
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!
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
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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
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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
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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
already 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
Actual research is being performed
What are some examples of studies with the lowest level of evidence? -
ANSWER- Editorials, opinions, observational
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