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CMN 568-unit 1 study questions Questions and Answers 2024
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CMN 568-unit 1 study questions
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CMN 568-unit 1 study questionsHirsh berg test - answer the test used to check for corneal light reflex in each eye, and
its symmetry is called
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. – answer What is the difference in recurrent sinusitis and chronic sinusitis
amoxicillin 80-90mg/kg/day divided by 2 doses - answer first line of treatment of AOM in
children?
A macrolide, Bactrim, or clindamycin - answerA 3 y/o presents with AOM and mother
reports severe allergy to PCN. What is an alternative?
2nd or 3rd generation cephalosporins - answer5 y/o presents w/AOM and mother
reports a mild rash w/PCN medication. What is an alternative for treatment?
horners syndrome - answerwhat disease process may be observed by unequal pupils
(anisocoria), eyelid ptosis, iris heterochromia, and anhidrosis?
sickle cell - answerwhat 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?
-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 - answerwhat would be your treatment plan for an
anaphylactic reaction due to a bee sting on an upper limb?
amoxicillin
ampicillin
TMP-SMZ (trimethoprim-sulfonamide) - answerwhat are the most common antibiotics to
cause anaphylaxis
-non-sedating antihistamines: LORATADINE, CETRIZINE
-intranasal corticosteroids
,-mast cell stabilizers: CROMOLYN
-Montelukast: SINGULAR - answerwhat is the 1st line of treatment for allergic rhinitis
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 -
answerwhat is the 1st line treatment for Bacterial Rhinosinusitis in adults?
amoxicillin b/c drug often precipitates a rash - answerwhat antibiotic do you avoid if you
think the patient may have mono?
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 - answerevery pt who complains of hearing loss should
be referred for audiologic evaluation except in what scenario?
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 - answerwhat is the 1st line treatment for acute bacterial pharyngitis in
adults? in peds?
strabismus - answerA 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
--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) - answerThe 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
visual acuity - answerA 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
acute glaucoma - answerA 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
instillation of anesthetic ocular drops - answerA 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
herpes - answerA 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
can be managed w/phenylephrine 0.125-1% solution 1 or 2 sprays - answerOn 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
D. signaling an intrinsic coagulation defect
rhinitis medicamentosa (rebound congestion due o using phenylephrine nasal spray
longer than the recommended 3 days) - answerpt complains of worsening nasal
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