CMN 568 Final Exam Solved 100% Correct

What is the order in which a baby/child's physical exam should be performed? (MODULE 1) - ANSWER-A pediatric physical exam should proceed efficiently and systematically with the child's emotional response potentially dictating the order of the physical exam. The exam can begin with the inspection of the child's respiratory rate and work of breathing from across the room before moving closer to the child. The rest of the exam can be performed with the child on the parent's lap or on the exam table, the child's age depending, deferring unpleasant procedures till the end. Is hearing loss normal in an elderly person? What can cause hearing loss in an elderly patient? (MODULE 1) - ANSWER-Sensorineural hearing loss occurs gradually with age and is common in the elderly. High-frequency sound is lost. This occurs due to the deterioration of the cochlea. McPhee 2022 A teenager has a fever and appears to have exudative pharyngitis/tonsillitis and was empirically treated with Amoxicillin, then develops a rash. What could be causing the rash? (MODULE 1) - ANSWER-The teenager was misdiagnosed. 90% of sore throats and fever are due to a viral infection. Antibiotics should be reserved for bacterial infections. The teenager more than likely has infectious mononucleosis. Amoxicillin is contraindicated in patients suspected of having mono because it precipitates a rash. (Refer to pp. 493-494 Hay 25th ed.) About 1/3 of patients with diabetes mellitus have this eye disease. What is the name of the disease and what does your eye exam look like to diagnose this eye disease? (MODULE 1) - ANSWER-Diabetic retinopathy is seen within 33% of patients with DM. Proliferative - causes more severe visual loss, less common - growth of new capillaries and fibrous tissue on surface of the retina cotton wool spots on the retina - small areas of infarct neovascularization Non proliferative - more common, can be mild, moderate, or severe - retinal capillaries leak protein, red cells, or lipids into retina - interference with visual acuity - most common cause of visual impairment in T2DM (retinal hemorrhages, micro aneurysms, venous bleeding, retinal edema , hard exudates) Adults and adolescents with DM should undergo regular screening by fundus photography - computer detection programs or slit lamp examination - Type 1 should be screened 5 years after diagnosis, type 2 should be screened at diagnosis or shortly after. more frequent monitoring should occur in women who are pregnant or planning to be pregnant for both types of DM