Exam (elaborations)
CMN 568 Unit 1 Study Exam Questions With Correct Answers 2024
CMN 568 Unit 1 Study Exam Questions With Correct Answers 2024
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cmn 568 unit 1 study exam questions
the test used to check for corneal light reflex in
what is the difference in recurrent sinusitis and
first line of treatment of aom in children
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CMN 568 Unit 1 Study Exam Questions
With Correct Answers 2024
the .test .used .to .check .for .corneal .light .reflex .in .each .eye, .and .its .symmetry .is .called .-
.correct .answer.hirshberg .test
What .is .the .difference .in .recurrent .sinusitis .and .chronic .sinusitis .- .correct
.answer.recurrent .is .defined .as .successive .episodes .of .bacterial .infections .of .the .sinuses
.each .lasting .less .than .30 .days .and .separated .by .intervals .of .at .least .10 .days. .
chronic .is .defined .as .episodes .of .inflammation .of .the .paranasal .sinuses .lasting .more .than
.90 .days.
first .line .of .treatment .of .AOM .in .children? .- .correct .answer.amoxicillin .80-90mg/kg/day
.divided .by .2 .doses
A .3 .yearold .presents .with .AOM .and .mother .reports .severe .allergy .to .PCN. .What .is .an
.alternative? .- .correct .answer.A .macrolide, .Bactrim, .or .clindamycin
5 .yearold .presents .w/AOM .and .mother .reports .a .mild .rash .w/PCN .medication. .What .is .an
.alternative .for .treatment? .- .correct .answer.2nd .or .3rd .generation .cephalosporins
what .disease .process .may .be .observed .by .unequal .pupils .(anisocoria), .eyelid .ptosis, .iris
.heterochromia, .and .anhidrosis? .- .correct .answer.horners .syndrome
what .trait .can .quickly .lead .to .optic .atrophy .and .permanent .vision .loss .with .even .moderate
.elevations .of .intraocular .pressure .AND .should .be .tested .for .all .African .Americans .whose
.status .is .unknown .when .hyphema .is .observed? .- .correct .answer.sickle .cell
what .would .be .your .treatment .plan .for .an .anaphylactic .reaction .due .to .a .bee .sting .on .an
.upper .limb? .- .correct .answer.-For .anaphylaxis .you'll .give .EPI .1:1000 .).01 .mg/kg .(max
.dose .0.3 .in .Peds .and .0.5 .in .adults) .IM
-Benadryl .1-2mg/kg .peds .w/max .dose .50 .mg .IV
-ranitidine .max .dose .1 .mg/kd .peds .w/max .dose .50mg/kd .IV
-crystalloid .bolus .(20mg/kg .over .1 .hour)
-solumedeol .1mg/kg .for .Peds .IV
-sometimes .also .an .albuterol .neb
,what .are .the .most .common .antibiotics .to .cause .anaphylaxis .- .correct .answer.amoxicillin
ampicillin
TMP-SMZ .(trimethoprim-sulfonamide)
what .is .the .1st .line .of .treatment .for .allergic .rhinitis .- .correct .answer.-non-sedating
.antihistamines: .LORATADINE, .CETRIZINE
-intranasal .corticosteroids
-mast .cell .stabilizers: .CROMOLYN
-Montelukast: .SINGULAR
what .is .the .1st .line .treatment .for .Bacterial .Rhinosinusitis .in .adults? .- .correct .answer.OTC
.NSAIDS .or .acetaminophen
nasal .corticosteroids
decongestants
-diagnosis .is .made .when .symptoms .last .longer .than .10 .days .w/o .improvement .OR
.worsening .of .symptoms .w/in .20 .days .after .initial .improvement .of .symptoms.
-for .pts .w/focal .signs .such .as .periorbital .edema, .severe .sinus .tenderness, .or .severe
.headache--do .not .wait .10 .days .for .antibiotics
------1st .line .therapy: .amoxicillin, .bactrim, .doxycycline, .amoxicillian-clavulanate
------1st .line .therapy .after .recent .abx .use: .levofloxacin, .amoxicillain-clavulanate
what .antibiotic .do .you .avoid .if .you .think .the .patient .may .have .mono? .- .correct
.answer.amoxicillin .b/c .drug .often .precipitates .a .rash
every .pt .who .complains .of .hearing .loss .should .be .referred .for .audiologic .evaluation
.except .in .what .scenario? .- .correct .answer.when .the .cause .is .easily .remediable.
example: .cerumen .impaction .or .otitis .media. .have .child .return .at .4 .wk .intervals .to .check
.progress .of .effusion. .refer .for .audiology .after .3 .mo .of .continuous .effusion .in .children .<3yr
.or .at .risk .of .language .delay
what .is .the .1st .line .treatment .for .acute .bacterial .pharyngitis .in .adults? .in .peds? .- .correct
.answer.Adults .& .children .> .27kg: .Penicillin .VK .250 .mg .orally .TID .or .500 .mg .BID .for .10
.days. .Penicillin .G .IM .if .compliance .or .amoxicillin
--erythromycin/azithromycin .or .cephalosporins .are .used .if .PCN .allergy.
PEDS: .penicillin .VK .50-70 .mg/kg/d .in .3 .divided .doses, .benzathine .penicillin .600,000 .units
.IM .in .<27kg, .1.2 .million .units .if .>27kg, .single .dose. .For .PCN .allergy .use .azithromycin
A .nurse .practitioner .is .examining .the .eyes .of .a .5-year-old. .On .shining .a .light .onto .the
.cornea .so .that .it .is .seen .on .both .eyes, .the .NP .notes .that .is .it .at .the .10 .o'clock .in .the .right
.eye .and .2 .O'clock .in .the .left .eye. .Interpretation .of .this .finding .is: .
A. .nystagmus .
B. .Myopia .
C. .Normal .
D. .Strabismus .- .correct .answer.strabismus
The .following .statement .of .strabismus .is .true .except: .
, A. .Esotropia .may .be .intermittent .up .to .age .6 .months .
B. .Exotropia .is .normal .after .age .2 .months .
C. .Strabismus .may .be .latent .(occurs .only .under .binocular .vision) .
D. .Strabismus .requires .ophthalmological .referral .if .present .after .age .1 .year .- .correct
.answer.--exotropia .is .normal .after .2 .mo .of .age
--strabismus .requires .an .ophthalmological .referral .if .present .after .the .age .of .1 .yr .(earlier
.tx .is .better)
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 .- .correct .answer.visual .acuity
A .75 .yo .pt .c/o .intense .eye .pain .and .generalized .HA, .after .watching .a .movie .in .the .theater.
.The .NP .records .the .following .findings .OD .with .red .sclera .and .dilated .pupil, .OD .> .OS,
.decreased .VA .OD, .OS .WNL, .no .temporal .tenderness. .These .findings .are .most
.appropriately .suggest: .A. .Acute .glaucoma, .
B. .Open .angle .glaucoma, .
C. .Temporal .arteritis, .
D. .retinal .detachment .- .correct .answer.acute .glaucoma
A .NP .suspects .that .a .scratchy .feeling .in .a .pt's .eye .is .a .corneal .abrasion. .There .is
.photophobia .and .erythema, .but .no .drainage .or .change .in .visual .acuity. .PERRLA .is
.noted. .An .appropriate .NP .intervention .at .this .time .would .include: .
A. .immediate .referral .
B. .instillation .of .anesthetic .ocular .drops, .
C. .opthalmic .antibiotic .gtts .and .patching .the .eye .
D. .instillation .of .mydriatic .gtts .- .correct .answer.instillation .of .anesthetic .ocular .drops
A .pt .is .suspected .to .have .bacterial .conjunctivitis .OU. .The .NP .performs .flourescein .test
.and .notes .a .dendritic .appearance .on .the .cornea. .This .is .probably: .
A. .glaucoma, .
B .herpes, .
C .a .neisseria .gonorrhea .infection .
D. .hyphema .- .correct .answer.herpes
On .exam .of .a .pt .with .epistaxis .the .NP .note .that .there .is .oozing .of .blood .from .the
.Kisselbach's .plexus. .This .is: .
A. .often .managed .by .pinching .the .nasal .ala .together .for .10 .minutes .while .the .pt .leans
.backward
B. .can .be .managed .with .pheylephrine .0.125-1% .solution .1 .or .2 .sprays .C. .requires
.immediate .ENT .consult .