CMN Final Exam Answered Study Guide | Practice-Ready Answer Guide

CMN Final Exam Answered Study Guide | Practice-Ready Answer Guide An 18-year-old waitress is diagnosed with pelvic inflammatory disease (PID). The cervical Gen-Probe result is positive for Neisseria gonorrhoeae and negative for Chlamydia trachomatis. All of the following statements are true regarding the management of this patient except: A) This patient should be treated for chlamydia even though the Gen-Probe for chlamydia is negative B) Ceftriaxone 250 mg IM and doxycycline 100 mg PO BID x 14 days are appropriate treatment for this patient C) Advise the patient to return to the clinic for a repeat pelvic exam in 48 hours D) Repeat the Gen-Probe test for Chlamydia Trachomatis to ensure that the previous test was not a false-negative result - answer - D) Repeat the Gen-Probe test for Chlamydia trachomatis to ensure that the previous test was not a false-negative result Common forms of plague transmission - answer - Flea bite, contact with or ingestion of contaminated tissue. Also aerosolization of plague has been discussed as a possible mode of transmission Forum Dry needling: Who can do it and what is it for? - answer - Must be performed by licensed PT (who used to only require a masters degree, but now must have a doctorate). Indications include myofascial release. Forum Which form of plague is most effective as a bioweapon? - answer - Pneumonic plague Forum Which of the following is NOT a risk factor for erectile dysfunction? a. Smoking b. Diabetes c. BPH d. Hypertension - answer - Diabetes, hypertension, and smoking are all risk factors for ED. BPH treatment regimen (alpha blockers) may cause ED; but BPH in and of itself is not a risk factor. McPhee p 975 symptoms of prostate cancer a. firm like the very tip of the nose b. rubbery c. tenderness d. induration - answer - normal gland (firm like the very tip of the nose), rubbery (chronic prostatitis), and tenderness (acute prostatitis). induration is the only choice that suggests prostate cancer Forum A 30 year old female ate at a restaurant and later found out that a worker at the place tested positive for Hep A. She is worried and comes to you for help. What should she do? a. Give her the Hep A vaccine b. Monitor her symptoms c. Give her immunoglobulin - answer - A. What would help YOUR patient the most? She is anxious and worried which is why she came to you with her concerns. Are the potential side effects of giving her the Hepatitis A vaccine worse than not treating at all? You are right, we don't know she was exposed or how long it had been. But you can provide reassurance by giving the vaccine. Forum. A 3-year-old child presents to the clinic with vomiting secondary to viral gastroenteritis. Which child should be referred to the hospital immediately? A. Dry mucous membranes, tachycardia, mild oliguria, normal blood pressure, decreased skin turgor B. Decrease in body weight, Dry mucous membranes, Capillary refill 2-3s C. Capillary refill 4s, tachycardia, oliguria, poor color, no tear production D. Pale color, capillary refll 3-4s, Normal Blood pressure, decreased tear production - answer - C According to Hay, emergent intravenous therapy is indicated where there is evidence of compromised perfusion ( inadequate capillary refill, tachycardia, poor color, oliguria or hypotension) (Ford & Hannah, 2018). Question pool Albert is a 40-year-old male who presents for care. He states he has let his weight go for the last few years because of one thing or the other but is committed to getting into better shape. Today Albert's BMI is 47. All of the following statements about obesity are true except: A: One third of all adults in the U. S. are classified as obese B: Metabolic syndrome includes waist 40 inches for a man C: Obesity is associated with lower all-cause mortality D: Prevention of being obese includes increasing physical activity and dietary modification. - answer - C- Per Papadakis and McPhee, Obesity impacts 1/3 of the U.S. po