CMN 568 EXAM 1 STUDY GUIDE &
PRACTICE QUESTIONS 2026/2027
1 of 96
Definition
•
•
PHARYNGITIS/ TONSILLITIS
-First decide if you are dealing with a viral or a bacterial infection.
-Over 90% of sore throat and fever are due to viral infections.
-One clue to a viral infection is that the pharyngitis is associated with
cough and rhinorrhea.
-Antibiotics are NOT indicated in most cases of sore throat.
Give this one a try later!
Clinical Manifestations of AOM Acute closed-angle glaucoma
•
•
, • • 1. Peritonsillar Cellulitis or Abscess
PHARYNGITIS/ TONSILLITIS –
Don't know?
2 of 96
Definition
Proper technique:
Note that he is bracing his finger against the child's cheek, if patient
moves, so does otoscope
Give this one a try later!
ciprofloxicin otic liquid to gel (otiprio) refer for visual acuity
use of an ear wick proper otoscopic technique
Don't know?
3 of 96
Definition
Cefdinir, Cefuroxime, Cefpodoxime• Ceftriaxone 50mg/kg IM for 1-3
days if unable to take po meds
Give this one a try later!
, Antibiotic for AOM with penicillin
First-line antibiotic for AOM
allergy
Alternative antibiotic for AOM
Antibiotic for recurrent AOM
causes papular rash
Don't know?
4 of 96
Definition
-Assessing for malalignment (strabismus) of eyes:
-Perform the Hirschberg test: Check the corneal light reflex . It should
be
in the same position in each eye.
-Perform the Cover Test: watch for movement of the eye after cover is
removed.
Hirschberg Test: note light reflex See Hay pg. 419 is NOT in the same
position bilaterally
-Brief periods of malalignment are normal in NB. Unless strabismus is
very obvious and persistent, generally wait until child is 4 mo old and
then REFER all cases of strabismus to an ophthalmologist. Patching or
surgery is used.
Give this one a try later!
Acute closed-angle glaucoma Reasons for antibiotic resistance
, Assessing the alignment of eyes Prevention of otitis externa
Don't know?
5 of 96
Definition
-If canal is swollen, insert a Pope ear wick to allow antibiotic drops to
get deep into canal.
-Insert dry wick, then moisten with ear drops to expand
-Wick will fall out when swelling decreases
Give this one a try later!
Treatment of AR Is it Pharyngitis or Tonsillitis?
Diagnosis of AR Use of an ear wick
Don't know?
PRACTICE QUESTIONS 2026/2027
1 of 96
Definition
•
•
PHARYNGITIS/ TONSILLITIS
-First decide if you are dealing with a viral or a bacterial infection.
-Over 90% of sore throat and fever are due to viral infections.
-One clue to a viral infection is that the pharyngitis is associated with
cough and rhinorrhea.
-Antibiotics are NOT indicated in most cases of sore throat.
Give this one a try later!
Clinical Manifestations of AOM Acute closed-angle glaucoma
•
•
, • • 1. Peritonsillar Cellulitis or Abscess
PHARYNGITIS/ TONSILLITIS –
Don't know?
2 of 96
Definition
Proper technique:
Note that he is bracing his finger against the child's cheek, if patient
moves, so does otoscope
Give this one a try later!
ciprofloxicin otic liquid to gel (otiprio) refer for visual acuity
use of an ear wick proper otoscopic technique
Don't know?
3 of 96
Definition
Cefdinir, Cefuroxime, Cefpodoxime• Ceftriaxone 50mg/kg IM for 1-3
days if unable to take po meds
Give this one a try later!
, Antibiotic for AOM with penicillin
First-line antibiotic for AOM
allergy
Alternative antibiotic for AOM
Antibiotic for recurrent AOM
causes papular rash
Don't know?
4 of 96
Definition
-Assessing for malalignment (strabismus) of eyes:
-Perform the Hirschberg test: Check the corneal light reflex . It should
be
in the same position in each eye.
-Perform the Cover Test: watch for movement of the eye after cover is
removed.
Hirschberg Test: note light reflex See Hay pg. 419 is NOT in the same
position bilaterally
-Brief periods of malalignment are normal in NB. Unless strabismus is
very obvious and persistent, generally wait until child is 4 mo old and
then REFER all cases of strabismus to an ophthalmologist. Patching or
surgery is used.
Give this one a try later!
Acute closed-angle glaucoma Reasons for antibiotic resistance
, Assessing the alignment of eyes Prevention of otitis externa
Don't know?
5 of 96
Definition
-If canal is swollen, insert a Pope ear wick to allow antibiotic drops to
get deep into canal.
-Insert dry wick, then moisten with ear drops to expand
-Wick will fall out when swelling decreases
Give this one a try later!
Treatment of AR Is it Pharyngitis or Tonsillitis?
Diagnosis of AR Use of an ear wick
Don't know?