CMN 577 - Exam Review
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
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
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?
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?
Pneumonic plague
Forum
,Which of the following is NOT a risk factor for erectile dysfunction?
a. Smoking
b. Diabetes
c. BPH
d. Hypertension
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
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
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
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.
C- Per Papadakis and McPhee,
Obesity impacts 1/3 of the U.S. population.
, Metabolic syndrome consists of waist circumference of greater than or equal to
40(men) or 35(women) inches, triglyceride levels of 150mg/dL, HDL less than
40(men) or 50(women) mg/dL, BP of 130/85mmHg or greater, and fasting blood
glucose of 100mg/dL or greater.
Obesity is associated with a higher all-cause mortality. Persons whose BMI is 40
or greater have a 52% (men) or 62% (women) death rate from cancer than
compared to men and women
of normal weight (BMI under 25).
To prevent being overweight or obese, increasing physical activity and
decreasing caloric intake is the best way to prevent weight gain.
Question pool
Shelly is a 5-year-old child who was never vaccinated. Shelly's mom has done a
lot of researching on the topic and has decided today that she was a fool and
Shelly needs to be immunized. Which of the following combinations of vaccines
are appropriate for Shelly, who has no allergies, no immunodeficiency, and no
chronic illnesses?
A: Hep B, Hib, Varicella, and PCV13
B: Tdap, Varicella, MMR
C: DTaP, Varicella, MMR, and Hep B
D: Hep B, Hep A, PCV13, and HPV
C
Hib is not recommended for children 5 years and older.
Tdap is not given until the patient is 7 years old.
DTaP, Varicella, MMR and Hep B are all safe and recommended as catch up
vaccines for patients aged 5 years.
HPV is not recommended until patient is age 11 (may start at age 9).
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
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
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?
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?
Pneumonic plague
Forum
,Which of the following is NOT a risk factor for erectile dysfunction?
a. Smoking
b. Diabetes
c. BPH
d. Hypertension
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
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
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
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.
C- Per Papadakis and McPhee,
Obesity impacts 1/3 of the U.S. population.
, Metabolic syndrome consists of waist circumference of greater than or equal to
40(men) or 35(women) inches, triglyceride levels of 150mg/dL, HDL less than
40(men) or 50(women) mg/dL, BP of 130/85mmHg or greater, and fasting blood
glucose of 100mg/dL or greater.
Obesity is associated with a higher all-cause mortality. Persons whose BMI is 40
or greater have a 52% (men) or 62% (women) death rate from cancer than
compared to men and women
of normal weight (BMI under 25).
To prevent being overweight or obese, increasing physical activity and
decreasing caloric intake is the best way to prevent weight gain.
Question pool
Shelly is a 5-year-old child who was never vaccinated. Shelly's mom has done a
lot of researching on the topic and has decided today that she was a fool and
Shelly needs to be immunized. Which of the following combinations of vaccines
are appropriate for Shelly, who has no allergies, no immunodeficiency, and no
chronic illnesses?
A: Hep B, Hib, Varicella, and PCV13
B: Tdap, Varicella, MMR
C: DTaP, Varicella, MMR, and Hep B
D: Hep B, Hep A, PCV13, and HPV
C
Hib is not recommended for children 5 years and older.
Tdap is not given until the patient is 7 years old.
DTaP, Varicella, MMR and Hep B are all safe and recommended as catch up
vaccines for patients aged 5 years.
HPV is not recommended until patient is age 11 (may start at age 9).
