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CMN 568 Module 1 – Questions And Accurate Answers
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CMN 568 Module 1 – Questions And Accurate Answers
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CMN 568 Module 1 – Questions And Accurate AnswersAnticipatory guidance Right Ans - Patient/family counseling which
includes information, advice, and suggestions about expected health-related
life occurrences, health maintenance, and preventive plans.
Where should pediatric history information be obtained from? Right Ans -
both patient and parent; obtain as much as possible from patient to give child
a degree of control over a potentially threatening situation
Order of pediatric physical examination Right Ans - 1. inspection first, from
afar; examine skin color and work of breathing before beginning exam;
establish trust; allow child to sit in parents lap; defer otoscopic exam until last
When should eyes and ears be examined? Right Ans - during every health
visit
3 components of vision assessment Right Ans - - visual inspection of
eyes/eyelids
- alignment of eyes
- visual acuity
Birth to age 3 ophthalmic exam includes: Right Ans - - eye history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
Age 3 and up ophthalmic exam includes: Right Ans - - eye history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
visual acuity test with eye chart; classes should be worn if prescribed and
record data as "corrected"
,assessing newborn visual acuity Right Ans - should be able to briefly track
mother's face or brightly colored object within an hour after birth (fixation
reflex not developed for several weeks); dont talk while assessing vision, baby
may look toward sound rather than visual stimulus
when patient presents with eye condition (infection, injury, etc), what do you
check first? Right Ans - visual acuity; UNLESS there is chemical injury to
eye, then you should irrigate first and refer to ophthalmologist; when there is
decreased acuity, also refer to ophthalmologist
what is the visual acuity of a newborn? Right Ans - 20/200-20/400; acuity
reaches adult level of 20/20 by age 5
when to refer child to ophthalmologist Right Ans - - 3-5yr: if acuity is less
than 20/40 in either eye, or if theres a difference in two lines in acuity
between eyes
- 6yr and older: if acuity is less than 20/30 or if theres a difference in two lines
in acuity between eyes
when to assess red reflex Right Ans - birth until the child can read eye
chart
when should you start to assess fixation and following? Right Ans - 2
months; refer out if fixation and following are poor by 3 months
when to test corneal light reflex (hirschsbergs test)? Right Ans - 3 months-
5 years; refer out for asymmetry in light reflex
when to start cover testing for strabismus Right Ans - 6 months- 5 years
when to start a fundoscopic exam Right Ans - 3 years
when to start preliterate eye chart testing Right Ans - 3-4 years
minimal visual acuity at age 3-5 Right Ans - 20/40
minimal visual acuity greater than 6 years old Right Ans - 20/30
, downs syndrome children have increased risk of what eye disorders? Right
Ans - refractive error, strabismus, cataracts
hearing screening after age 4 Right Ans - conventional screening
audiometry (raise your hand if you can hear the noise); each ear tested and
referred for discrepancy greater than 20 dB; hearing screening should be part
of attention problem workup
what percentage dose acute care visits account for in a primary care office?
Right Ans - 30%
clinician documentation of acute care visit Right Ans - document events
related to presenting problem (describe them in medical record), including
supporting physical data/ diagnostics; treatment, follow up instructions
(when to return to work or school); immunization status screening;
anticipatory guidance
sports physicals are also known as what? Right Ans - preparticipation
physical examination (PPE)
goal of PPE Right Ans - identify medical conditions that may make sports
unsafe; screen for underlying illness through history and physical; recognize
preexisting injuries or medical problems that affected previous sports seasons
specifics to document in PPE Right Ans - - sport being played
- previous cardiac, respiratory, musculoskeletal, or neuro problems associated
with activity
- CONCUSSIONS, any suspicion of cardiac syncope, asthma, or unilateral
organs
- anabolic steroid or nutritional supplements
- relevant family history of cardiac death less than 50 yr old
goal of chronic disease management Right Ans - optimize quality of life
while minimizing the side effects of treatment interventions
medical home Right Ans - children and their families have an identified,
easily accessible primary care provider or group of PCPs within an office;
crucial for children with special healthcare needs or those with one or more
chronic health conditions expected to last more than 1 year
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