CPN Practice Questions 101 -150 Latest Update 2024 -2025 50 Questions and 100% Verified Correct Answers Guaranteed A+ A 10-year-old child is to have a venipuncture done at the femoral site. Which of the following anatomic structures is most medial in the inguinal area? A. Femoral vein. B. Femoral artery. C. Femoral nerve. D. Anterior superior iliac crest. - CORRECT ANSWER: A: The femoral vein is the most medial structure in the inguinal canal, so venipuncture should be attempted medially to where the femoral artery is palpated at the femoral triangle. A 10-year-old male has a repetitive and persistent dysfunctional pattern of aggressive behavior and violation of the law, social norms, and the rights of others. With which psychological disorder is this most consistent? A. Oppositional -defiant disorder. B. Conduct disorder. C. ADHD. D. Autism. - CORRECT ANSWER: B: A pattern of aggressive behavior with violation of the law and social norms is typical of conduct disorder. DSM -IV-TR criteria also include aggressive behavior to people or animals, destruction of property, lying or stealing, and serious rule violations . A 13-year-old male has had nasal congestion, rhinorrhea, and headaches for the past 6 months. He uses an OTC nasal spray that alleviates the symptoms but has prompt recurrence once the spray wears off. What is his likely diagnosis? A. Nonallergic rhinitis with eosinophilia syndrome (NARES). B. Rhinitis medicamentosa. C. Vasomotor rhinitis. D. Nasal polyps. - CORRECT ANSWER: B: Rhinitis medicamentosa is rebound rhinitis caused from the prolonged use (usually about a week) of nasal vasoconstrictors. Discontinuation of the offending OTC medication is necessary to reduce symptoms. A 15-year-old female has been diagnosed with hyperthyroidism due to Graves's disease. Which of the following symptoms would NOT likely be present in this patient? A. Bradycardia. B. Insomnia. C. Heat intolerance. D. Weight loss. - CORRECT ANSWER: A: Tachycardia, not bradycardia is a common symptom of hyperthyroidism due to increase in circulating thyroid hormone levels. Insomnia, heat intolerance, and weight loss are common symptoms. Ophthalmic changes, including bulging of the eyeball, may also oc cur. A 16-year-old female is brought into the ED with an intentional overdose of acetaminophen. In order to prevent liver toxicity what medication can be given? A. N-Acetylcysteine (Mucomyst). B. Activated charcoal. C. Ipecac syrup. D. Naloxone (Narcan). - CORRECT ANSWER: A: N-Acetylcysteine (Mucomyst) is the medication used for acetaminophen overdoses. Toxicity occurs with dosage >140 mg/kg in one dose or >7.5g in 24 hours. The 72 -hour N - acetylcysteine (NAC) protocol includes 140 mg/kg initially and 70 mg/kg every 4 hours for 17 more doses (orally or IV). Naloxone is used for opiate overdoses, and activated charcoal is used for numerous other medication overdoses. A 16-year-old female presents to the clinic asking for oral contraceptive pills. Which of the following medical problems in the past would contraindicate the use of oral contraceptives? A. Migraine headaches. B. Depression. C. Deep vein thrombosis. D. Pneumonia. - CORRECT ANSWER: C: A history of thromboembolic disease, such as deep vein thrombosis, is a contraindication to the use of oral contraceptive pills, as this is a side effect of the drugs. A 16-year-old male is found to have a tall stature, small penis and testes, scoliosis, and decreased testosterone levels. On genetic typing, he is found to have an extra X chromosome (47XXY). What is this syndrome called? A. Trisomy 21. B. Trisomy 18. C. Turner's syndrome. D. Klinefelter's syndrome. - CORRECT ANSWER: D: The 47XXY genetic typing is Klinefelter's syndrome. Turner's syndrome is 45XO. Trisomy 18 occurs with 3 copies of the 18th chromosome, causing many medical disorders. Trisomy 21 occurs with an extra 21st chromosome, resulting in intellectual disability as well as physical abnormalities. A 2-year-old male inadvertently ingests some opiates from his parent's prescription medication. Which of the following would NOT be a likely physical finding? A. Decreased respiratory rate. B. Lethargy. C. Decreased bowel sounds. D. Pupillary dilation. - CORRECT ANSWER: D: Pupillary constriction, not dilation, is a hallmark of opiate overdose. Decreased respiratory rate, lethargy, and decreased bowel sounds are common physical symptoms of opiate overdose. A 4-year-old child is found to have a lateral bowing of the tibia that does not increase after walking. What is this condition known as?
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