CMN-568 Study Exam Questions With Correct Answers
- Answer---Myopia is nearsightedness
--Hyperopia is farsightedness
/. - Answer-growth in the middle ear that can become chronically infected. a special variety of chronic otitis media. can erode into the inner ear and involve the facial ner...
- Answer---Myopia is nearsightedness
--Hyperopia is farsightedness
/. - Answer-growth in the middle ear that can become chronically infected. a special
variety of chronic otitis media. can erode into the inner ear and involve the facial nerve
and possibly spread intracranially (rare). Requires surgical removal as it can cause
mastoiditis.
/..Which of the following would you include in your treatment plan for a patient with
streptococcus pharyngitis?
A. Penicillin
B. Antivirals
C. Hydration
D. Azithromycin (Zithromax) - Answer--- Penicillin
--Hydration
/.5 y/o presents w/AOM and mother reports a mild rash w/PCN medication. What is an
alternative for treatment? - Answer-2nd or 3rd generation cephalosporins
/.A 12 y/o child comes to the clinic with a complaint of having accidently poked himself
in the eye. It feels "scratchy" and there is excessive tearing of the eye. The correct
sequence of examining the affected eye is:
A. Snellen, ophthalmologic exam tonometry, and Flourescein
B. Flourescein, Snellen, mydiatric, ophthalmoscopic exam
C. Flourescein, Snellen, Opthalmoscopic exam
D. Snellen, Opthalmoscopic, Flourescein - Answer-Snellen, Opthalmoscopic,
Flourescein
/.A 12 y/o girl is complaining of a 2-week history of facial pressure that worsens when
she bends over. She complains of tooth pain in her upper molars on the right side of her
face. On exam, her lung and heart sounds are normal. Which of the following is the
most likely diagnosis?
A. An acute dental abscess
B. Chronic sinusitis
C. Acute sinusitis
D. Severe allergic rhinitis - Answer-Acute sinusitis
/.A 13 y/o patient has a throat culture that is positive for strep throat. She reports that
her younger brother was recently diagnosed with strep throat and treated. The pt has a
severe allergy to penicillin and reports that erythromycin makes her very nauseated.
Which of the following abx is the best choice?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Cefuroxime axetil (Ceftin)
/.A 17 y/o high school student comes to the NP-run clinic with severe sore throat,
malaise, and a fever of 101F. Physical exam reveals red enlarged tonsils with sever
white patches. Ther are several submental nodes. As a child the patient had wheezing
when he took penicillin. Rapid strep test is inconclusive. A throat culture is performed.
The next action is to:
A. Await the culture report before starting antibiotics
B. Start clindamycin 300mg PO QID for 10 days
C. Begin erythromycin 500mg PO QID for 10 days
D. Start tetracycline 500 mg PO QID for 10 days - Answer-Start clindamycin 300mg PO
QID for 10 days
/.A 20 y/o pt complains of right ear pain that started after a trip on a plane. Visualization
of the TM reveals a retracted TM that is slightly red. Bubbles are seen behind the TM.
The diagnosis is:
A. Purulent otitis media
B. Serous otitis media
C. Perforated TM
D. Labyrinthitis - Answer-Serous otitis media
/.A 22 y/o woman presents with a "pimple" on her right eye eyelid. Examination reveals
a 2-mm pustule on the lateral border of the right eyelid margin. This is most consistent
with:
A. a chalazion
B. a hordeolum
C. Blepharitis
D. Cellulitis - Answer-a hordeolum
/.A 24 y/o patient visits the clinic after having reddened, itchy eyes for one week. What
symptom would help differentiate a gonococcal or chlamydial conjunctivitis from a viral
or allergic conjunctivitis?
A. Watery discharge
B. Burning eyes
C. Purulent discharge
D. Excessive tearing - Answer-Purulent discharge
/.A 25 y/o woman has a 3 day history of left ear pain that began after 1 week of URI
symptoms. On physical exam, you find that she has AOM> She is allergic to penicillin
with a flat pink rash rxn only. She took an oral antimicrobial for treatment of a UTI 2
weeks ago. The most appropriate oral antimicrobial option for this patient is:
A. Clarithromycin
B. Cefpodoxime
C. Amoxicillin
D. TMP-SMX - Answer-Cefpodoxime
, /.A 3 y/o patient is brought to your clinic by his mother because his eyelashes have
been crusted over each morning for the last seven days. His mother states he has been
vigorously rubbing his eyes and you notice redness and greasy flakes on both eyes.
How should this be treated?
A. Referral to an ophthalmologist
B. Observation, this is likely viral
C. Topical antibiotics
D. Warm compresses - Answer---Topical antibiotics
--Warm compresses
--(likely blepharitis)
/.A 3 y/o presents with AOM and mother reports severe allergy to PCN. What is an
alternative? - Answer-A macrolide, Bactrim, or clindamycin
/.A 45 yo mail comes the clinic with c/o right eye pain. It has been occuring constantly
over the last two days and is associated with redness. There has been no increase
lacrimation, purulent discharge, or HA. In addition to the fundusocpic exam, it is crucial
that the NP access:
A. visual fields
B. Cranial nerve 7,
C. Visual acuity,
D. The corneal reflex - Answer-visual acuity
/.A 70 y/o female patient was diagnosed with type 2diabetes two years ago and her
diabetes has been well controlled with metformin, diet, and exercise. Over the last three
months, however, it has become difficult to drive at night, because she now experiences
extreme glare from the headlights of other cars. She saw her ophthalmologist two
weeks ago who confirmed that she has no signs of diabetic retinopathy, but did mention
that she may need to have a procedure in the future to alleviate these visual symptoms.
She cannot remember what the procedure was called. What is the name of a common
procedure for this condition?
A. Trabeculectomy (surgery to reduce intraocular pressure)
B. Cataract surgery with intraocular lens (IOL) implantation
C. Laser refractive surgery (Lasik)
D. Intraocular VEGH-inhibitor injection - Answer-Cataract surgery with intraocular lens
(IOL) implantation
/.A 70 y/o male patient complains of a bright red-colored spot in his left eye for 2 days.
He denies eye pain, visual changes, or headaches. He has a new onset cough from a
recent viral upper respiratory infection. The only medicine he is on is a Bayer aspirin, 1
tab daily. Which of the following is most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - Answer-Subconjunctival hemorrhage
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