CMN 568 Comprehensive Questions and Answers Latest upload 2024/2025 with 100% verified Solutions
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Course
CMN 568
Institution
CMN 568
anticipatory guidance - ANSWER-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? - ANSWER-both patient and parent;
ob...
CMN 568 Comprehensive Questions and Answers Latest
upload 2024/2025 with 100% verified Solutions
anticipatory guidance - ANSWER-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? - ANSWER-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 - ANSWER-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? - ANSWER-during every health visit
3 components of vision assessment - ANSWER-- visual inspection of eyes/eyelids
- alignment of eyes
- visual acuity
birth to age 3 ophthalmic exam includes: - ANSWER-- eye history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
age 3 and up ophthalmic exam includes: - ANSWER-- 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 - ANSWER-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? - ANSWER-
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? - ANSWER-20/200-20/400; acuity reaches adult level of 20/20 by
age 5
when to refer child to ophthalmologist - ANSWER-- 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 - ANSWER-birth until the child can read eye chart
when should you start to assess fixation and following? - ANSWER-2 months; refer out if fixation and
following are poor by 3 months
when to test corneal light reflex (hirschsbergs test)? - ANSWER-3 months- 5 years; refer out for
asymmetry in light reflex
when to start cover testing for strabismus - ANSWER-6 months- 5 years
when to start a fundoscopic exam - ANSWER-3 years
when to start preliterate eye chart testing - ANSWER-3-4 years
, minimal visual acuity at age 3-5 - ANSWER-20/40
minimal visual acuity greater than 6 years old - ANSWER-20/30
downs syndrome children have increased risk of what eye disorders? - ANSWER-refractive error,
strabismus, cataracts
hearing screening after age 4 - ANSWER-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? - ANSWER-30%
clinician documentation of acute care visit - ANSWER-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? - ANSWER-preparticipation physical examination (PPE)
goal of PPE - ANSWER-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 - ANSWER-- 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 - ANSWER-optimize quality of life while minimizing the side effects
of treatment interventions
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