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CPN PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS
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CPN PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS
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CPN PRACTICE QUESTIONS 101-1502024 WITH COMPLETE SOLUTIONS
Hemolyticluremiclsyndromel(HUS)lislalpost-infectiousldisorderlcausinglnephropathy,
hemolyticlanemia,landlthrombocytopenia.lItlislseenlfollowinglupperlrespiratorylillnesseslan
d
followinglGIlinfectionslafterleatinglmeatlcontaminatedlwithlbacteria.lWhatlentericlbacteria
havelbeenllinkedltolHUS?
A.lEscherichialcolilO157:H7.
B.lClostridiumldifficile.
C.lRotavirus.
D.lVibriolcholera.l-lans--
✔✔A:lE.lcolilO157:H7lfromlcontaminatedlgroundlmeatlislthelmostlcommonlbacteriallcausel
oflHUSlalthoughlotherlbacteria,lsuchlaslShigellaldysenteriae,lmaylalsolcauselHUS.
Hypertensionlcanlbelseenlinlthelpediatriclpopulation.lWhatlislthelmostlcommonlcauselof
secondarylhypertensionlinlchildren?
A.lCoarctationloflthelaorta.
B.lRenalldisease.
C.lNeuroblastomas.
D.lDrugltoxicity.l-lans--
✔✔B:lRenalldiseaselislthelmostlcommonlcauseloflsecondarylhypertensionlinlthelpediatriclp
opulation.lCoarctationloflthelaorta,lneuroblastoma,landldrugltoxicitylarellesslcommonlcause
sloflsecondarylhypertension.lPrimarylhypertensionlislalsolonlthelrise,lrelatedltolobesity,llackl
oflexercise,landlpoorlnutrition
Al16-year-oldlfemalelislbroughtlintolthelEDlwithlanlintentionalloverdoseloflacetaminophen.
Inlorderltolpreventlliverltoxicitylwhatlmedicationlcanlbelgiven?
A.lN-Acetylcysteinel(Mucomyst).
B.lActivatedlcharcoal.
C.lIpecaclsyrup.
D.lNaloxonel(Narcan).l-lans--✔✔A:lN-
Acetylcysteinel(Mucomyst)lislthelmedicationlusedlforlacetaminophenloverdoses.lToxicitylo
ccurslwithldosagel>140lmg/kglinloneldoselorl>7.5glinl24lhours.lThel72-hourlN-
lacetylcysteinel(NAC)lprotocollincludesl140lmg/kglinitiallylandl70lmg/
kgleveryl4lhourslforl17lmoreldosesl(orallylorlIV).lNaloxonelislusedlforlopiateloverdoses,landl
activatedlcharcoallislusedlforlnumerouslotherlmedicationloverdoses.
Followinglalseverelmotorlvehiclelaccident,lal10-year-oldlmalelhaslalhemisectionloflthe
spinallcordlwithlassociatedlipsilaterallweaknesslandllossloflproprioceptionlandlcontralateral
, lossloflpainlandltemperaturelsensation.lWhatlislthislspinallcordlsyndromelcalled?
A.lAnteriorlcordlsyndrome
B.lCompletelcordlinjury
C.lBrown-Sequardlsyndrome
D.lPosteriorlcordlsyndromel-lans--
✔✔C:lHemisectionloflthelspinallcord,lseveringlitlonlonelsidelonly,landlitslassociatedlsympto
mslarelreferredltolaslBrown-
Sequardlsyndrome.lAnteriorlcordlsyndromelresultslinllossloflmotorlabilitieslandlsomelsensa
tionsl(temperature,lpain,lvibration)lbelowlinjury.lPosteriorlcordlsyndromelretainslmotorlfunct
ionslbutlsomelsensationlisllostlbelowlinjury.lCompletelcordlinjurylresultslinlbilaterallparalysisl
andllackloflsensationlbelowlinjury.
Al2-year-oldlmalelinadvertentlylingestslsomelopiateslfromlhislparent'slprescription
medication.lWhichloflthelfollowinglwouldlNOTlbelallikelylphysicallfinding?
A.lDecreasedlrespiratorylrate.
B.lLethargy.
C.lDecreasedlbowellsounds.
D.lPupillaryldilation.l-lans--
✔✔D:lPupillarylconstriction,lnotldilation,lislalhallmarkloflopiateloverdose.lDecreasedlrespira
torylrate,llethargy,landldecreasedlbowellsoundslarelcommonlphysicallsymptomsloflopiatelo
verdose.
Al10-year-oldlchildlisltolhavelalvenipunctureldonelatlthelfemorallsite.lWhichloflthe
followinglanatomiclstructureslislmostlmediallinlthelinguinallarea?
A.lFemorallvein.
B.lFemorallartery.
C.lFemorallnerve.
D.lAnteriorlsuperiorliliaclcrest.l-lans--
✔✔A:lThelfemorallveinlislthelmostlmediallstructurelinlthelinguinallcanal,lsolvenipuncturelsh
ouldlbelattemptedlmediallyltolwherelthelfemorallarterylislpalpatedlatlthelfemoralltriangle.
Anlearly-adolescentlfemalelisldescribedlbylherlmotherlaslhavinglnolinterestlinlparticipating
inlanylactivitieslwithlherlparents.lWhatlaspectloflpsychosocialldevelopmentldoeslthislreflect
?
A.lIdentity.
B.lPeerlpressure.
C.lBodylImage.
D.lIndependence.l-lans--
✔✔D:lDecreasedlinterestlinlparentallactivitieslislconsistentlwithlindependencelactivitieslinlw
hichltheladolescentlbeginsltolmovelawaylfromltheldependenceloflchildhoodltolestablishlherl
ownlidentity.lThislperiodlisloftenlcharacterizedlbylrebellionlandlwithdrawallfromlthelfamily.
Al16-year-oldlfemalelpresentsltolthelcliniclaskinglforlorallcontraceptivelpills.lWhichloflthe
followinglmedicallproblemslinlthelpastlwouldlcontraindicateltheluseloflorallcontraceptives?
A.lMigrainelheadaches.
B.lDepression.
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