CMN 568 Final - Review of Past Units Exam Questions and Answers | Verified & Updated 2024

CMN 568 Final - Review of Past Units Exam Questions and Answers | Verified & Updated 2024 I'd like to get pregnant... I take Tegretol. How much folic acid do I need? - Answer️️ - 0.4 mg if healthy, 4 mg for previous Ntd, and 1 mg if IDDM or anticonvulsants What is the recommended daily intake of folic acid for nonpregnant women with no known risk factors for neural tube defect? a. 40 μg b. 400 μg c. 800 μg d. 4 mg - Answer️️ - b. 400 μg 568.6 at what age should child with strabismus be referred to opthalmologist? a. 4 month b. 6 months c. 12 months d. if it doesn't resolve on its own - Answer️️ - b. 6 months What would you diagnose if the xray showed a "thumbprint" and the child presented with high fever and drooling? What organism causes this? - Answer️️ - Epiglottitis, caused by Hib Bacterial conjunctivitis is treated with? - Answer️️ - Erythromycin ointment In viral conjunctivitis, the NP may prescribe a steroid preparation for itching. T/F - Answer️️ - NO, Can result in permanent eye damage by enhancing proliferation of the virus An important sign that differentiates viral from bacterial conjunctivitis is a palpable pre-auricular lymph node. T/F - Answer️️ - True Stringy or watery discharge from the eye is associated with what? And what would you tx with? - Answer️️ - Allergic conjunctivitis. Treat with Antihistamines or mast cell stabilizers. Blepharitis can be treated with a. eyelid scrubs with baby shampoo b. Warm compresses c. ABX gtts d. all of the above - Answer️️ - d. all of the above What is the first line treatment for community acquired pneumonia in children <5 years? A) azithromycin B) amoxicillin C) metronidazole D) cefdinir - Answer️️ - - Amoxicillin 90mg/kg/day. And if they are in day care or have had antibiotics in past 1-3 months then do amoxicillin-cluvanate (Augmentin) You would give a child <5 years amoxicillin because they are more likely to have CAP caused by S pneumonia whereas older kids are more likely to have CAP caused by atypical (ie Mycoplasma) and a macrolide would be better for them Hallmarks of pneumonia in children? - Answer️️ - Fever over 39C, tachypnea, and cough - although infants may present with nonspecific findings on history and physical exam Staph usually causes blepharitis. T/F - Answer️️ - If bacterial its caused by staph; If seborrheic dermatitis causes its termed seborrheic blepharitis. 568.6 What organism is the most common cause of viral conjunctivitis? - Answer️️ - Adenovirus Ptosis with an S-shaped curve of the eyelid is associated with chronic trachoma. T/F - Answer️️ - True. - Trachoma = Chlamydia, needs systemic abx. All women WITHOUT risk factors for neural tube defects should take ____? A. Folic acid @ least 0.4 mg/day 1 month preconception B. Folic acid 1 mg/day 1 month preconception C. Folic acid 4 mg/day 1 month preconception D. No specified requirements for folic acid - Answer️️ - A. Folic acid @ least 0.4 mg/day 1 month preconception First line treatment for AOM with NKA - Answer️️ - Amox 90 mg/kg/d = AOM first line What is one disease that smoking actually helps the symptoms? - Answer️️ - Ulcerative Colitis What is a +Murphy's sign? - Answer️️ - RUQ pain on palpation with inspiration. Cholecystits What's the most sensitive test for diagnosis acute abd pain? - Answer️️ - CT What diagnosis does this patient have? Hypertriglyceridemia, abrupt severe epigastric pain that radiates to his back, N/V, prefers to sit up and lean forward, absent bowel sounds, pallor. - Answer️️ - Pancreatitis What imaging would be appropriate for a patient with acute pancreatitis? - Answer️️ - KUB, CT if unsure, per PPT What should you test for when you suspect PUD in your patient? - Answer️️ - H. pylori Currant, jelly stools make you think: - Answer️️ - Intussception What might you palpate in the stomach of a child with intussception - Answer️️ - Sausage shaped mass in abdomen What is the preferred diagnostic test for intussception? - Answer️️ - Air contrast enema heals and diagnosis Bilious vomit: consider what? - Answer️️ - Malrotation - Confirm with UGI Pain in RLQ on internal rotation of the rt hip is called _____ and seen with ____. - Answer️️ - Pain in RLQ on internal rotation of the rt hip is called _obturator_ and seen with _appendicitis_. Palpation of the LLQ causing pain in the RLQ is called what? Indicative of what? - Answer️️ - Rovsing sign Appendicitis Testicular torsion is suspected in a patient with: A. Pain alleviated by elevation of scrotum B. Bilateral edematous scrotum with tender testicles C. Absent cremasteric reflex on the affected side D. No pain - Answer️️ - C. Absent cremasteric reflex on the affected side Pedaitric above 3 months with a fever needs a UA for all girls < 2 years old, all males < 6mo and uncircumcised males < 12mo - Answer️️ - True Patients with Celiac Disease must