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CMN 568 Module 1 exam question and answer
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CMN 568 Module 1 exam question andanswer
At 3 months what test do you used to screen for strabismus?
- correct answer corneal light reflex test
At 6 months what test do you use to screen for strabismus? -
correct answer cover test
Who should be referred to ophthalmology for retinopathy of
prematurity (ROP) - correct answer preterm infants and
infants with family history of retinal degeneration
Who should be referred to ophthalmology for increased risk
for refractive error, strabismus, cataracts - correct answer
down syndrome infants
AAP periodicity schedule recommends routine hearing
screening at what years of age? - correct answer 4,5,6,8,10
years old
hearing loss leads to what? - correct answer impairments in
speech, language and cognitive development
Universal hearing screenings for newborns are performed
why? - correct answer due to significant bilateral hearing
loss being a more common major anomalies found at birth
what can be mistaken for hearing loss? - correct answer
inattention
what should be a part of attention problem work-up - correct
answer hearing screening
3 goals of PPE (participation physical examinations) - correct
answer 1. identify med conditions making sports unsafe 2.
screen for underlying illnesses through history/physical 3.
recognize preexisting injuries/medical problems from
previous sport seasons
Important notes of PPE - correct answer suspicion of
cardiac syncope, asthma symptoms, past concussions,
history of unilateral organs (kidneys, testes, etc.)
Define fever - correct answer rectal temp of 38 C / 100.4 F
,CMN 568 Module 1 exam question and
answer
define fever unknown origin - correct answer fever for >8
days without a diagnosis after initial eval
What should be assessed w/ fever of unknown origin -
correct answer connective tissue disease, malignancy and
infectious diseases
define high fever - correct answer >40.5 C
When is a fever harmful? - correct answer 41.7 C and
above
how many febrile illnesses does a preschooler have per year -
correct answer 6-8
most common reasons for fever in infants <1 month -
correct answer Group B Strep & E. Coli
Most common reasons for fever in infants 1-3 months -
correct answer strep pneumoniae, Haemophilus influenzae,
N. meningitidis
Two of the most common causes of invasive bacterial
infections in unimmunized children - correct answer
Haemophilus influenza type b and strep pneumoniae
What age group is at increased risk of serious bacterial illness
- correct answer <3 months old
what history causes increase likelihood of serious bacterial
illness - correct answer prematurity, previous
hospitalizations, chronic medical conditions
(immunodeficiency/asplenia), daycare or household contact
with individual with SBI
What pediatric appearance increases likelihood of serious
bacterial illness? - correct answer toxic vs. non-toxic
Traits of non-toxic appearance - correct answer
***CONSOLABLE***, strong cry, alert, easy to arouse, pink
skin tones, good hydration, smiles responsive to environment
signs of good hydration - correct answer good turgor, tears,
moist mucous membranes
, CMN 568 Module 1 exam question and
answer
traits of toxic appearance - correct answer weak or high
pitched cry, inconsolable, difficult to arouse,
pale/ashen/cyanotic or mottled skin tones, poor hydration, no
smiles, listless, dull, infant wont "alert: to environement
signs of poor hydration - correct answer poor turgor, dry
mucous membranes, no tears
What pediatric patients should be seen immediately -
correct answer <3 months w/ fever >38 C, fever >40.6,
inconsolable/shimpering, crying when touched/moved,
difficult to awaken, stiff neck, purple spots or dots on skin,
breathing is labored, drooling/unable to swallow, convulsion,
any child w/ sickle cell anemia, HIV, splenectomy, chemo,
organ transplant, chronic steroids, acts or looks "very sick"
What pediatric patient should be seen w/in 24 hours? -
correct answer 3-6 months old, fever >40 C, burning or
pain w/ urination, fever >24 hours w/out obvious cause, fever
subsided for >24 hours and then returned, fever present <72
hours
What is the most accurate reflection of core body temp? -
correct answer rectal mercury or digital thermometer
What type of thermometer is not accurate <3 months -
correct answer tympanic
Infant <1 month red flag PE findings - correct answer >40
C temp, petechial rash, meningeal irritation, tachypnea,
strider, increased WOB, crackles, decreased breath sounds,
cyanosis, hypotension
Signs of meningeal irritation - correct answer positive
Kernig sign, positive Brudzinski sign, labile temperature
(neonates)
Define Kernig sign - correct answer inability or reluctance
to fully extend knee when hip is flexed at 90 degree
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