CMN 568 - TEST REVIEW QUESTIONS AND ANSWERS

CMN 568 - TEST REVIEW QUESTIONS
AND ANSWERS


Reviewxthexcriteriaxforxobservationxorx"watchfulxwaiting"xinxaxchildxdiagnosedxwithxAOMx-
xans--

Watchfulxwaitingxisxappropriatexforxpatientsxwithoutxseverexsymptoms,x>x2xyrxold,xwithxunila
teralxorxbilateralxAOMxwithoutxotorrhea.x

Itxisxalsoxacceptablexforx6mo-
x2yrxwithxunilateralxAOMxwithoutxotorrhea.x10xyrxoldxhadxotorrhea,x4xmoxoldxtooxyoung,x16x

moxoldxhadxbilateralxAOM.x6xyrxoldxwasxonlyxonexthatxfitxcriteria.

USA

Reviewxthexcharacteristicsxofxviralxconjunctivitisx(causes,xsignsx&xsymptoms,xetc)x-xans--
ViralxconjunctivitisxhasxwateryxD/
C,xnotxpurulent,xdoesxnotxcausexseverexeyexpain,xandxisxnotxcausedxbyxthexbacteria,xH.xflu.

USA

Reviewxthextreatmentxofxepistaxisx(nosexbleed)x-xans--
Nasalxdecongestantsxarexusedxtoxtreatxpersistentxepistaxisx(afterxapplyingxpressure).xHayx(
pg.x488)xlistsxthexmedicationxasxoxymetazoline,xwhichxisxAfrin.xMcPheex(pg.x221)xlistsxanot
herxmedication,xphenylephrinexandxalsoxlistsxoxumetazoline.xTheyxstatex"short-
actingxtopicalxnasalxdecongestants,xwhichxactxasxvasoconstrictors,xmayxbexhelpful".xReme
mberxmyxannouncementxaboutxmedicationsxforxUnitx1x(andxallxfuturexunits):xforxeachxdrug,x
youxshouldxknowxthexgenericxname,xCLASSxofxmedication,xindications,xcontraindications,x
andxsidexeffects.xItxisximportantxtoxlookxupxmedicationsxthatxyouxarexnotxfamiliarxwith.xKnowi
ngxthexclassxisximportantxbecausexsidexeffectxandxcontraindicationsxarexusuallyxthexsamexa
crossxthexwholexclassxofxmedications.xThisxwillxmakexlearningxsidexeffectsxandxcontraindica
tionsxmuchxeasier.xEx:xBetaxBlockers,xaxcommonxmedicationxusedxforxhypertensionxandxar
rhythmias,xcausexbronchoconstrictionxandxarexcontraindicatedxinxseverexasthmaxorxCOPD
.xIfxyouxknowxthatxallxofxthex"lol"xdrugsx(metoprolol,xpropranolol,xetc)xarexbetaxblockers,xyoux
knowxthexsidexeffectsxforxallxofxthosexmeds.

Reviewxthexsignsx&xsymptomsxofxpresbyacusisx(age-relatedxhearingxloss)x-xans--
Presbycusisxisxaxtypexofxage-
relatedxsensoryx(notxconductive)xhearxlossxthatxmakexitxdifficultxtoxhearxinxaxnoisyxroomxorxh
earxhighxfrequencies.

, USA

Reviewxthexsignsx&xsymptomsxofxvasomotorxrhinitisx-xans--
Vasomotorxrhinitisxcausesxclearxrhinorrheaxwithxexposurextoxcoldxorxwarmxair,xlights,xscent
sx(likexperfume)xorxparticulatexmatter.xThisxisxcommonxinxelderlyxpatientsxandxdoesxnotxresp
ondxtoxantihistaminesxasxallergicxrhinitisxdoes.xTheyxdoxnotxhavexthexitchingxofxnosexorxeye,x
eyexirritationxorxtearingxthatxyouxseexwithxallergicxrhinitisxandxthatxwasxnotxmentionedxinxthisx
question.

USA

Reviewxthex1st-linextreatmentxforxax10xyrxoldxwithxmoderate-severexallergicxrhinitisx-xans--
First-
linextreatmentxofxmoderatextoxseverexallergicxrhinitisxinxax10xyrxoldxwouldxbexnasalxcorticost
eroids.xSeexHayxpg.x1133x"Forxmoderate-
severexpersistentxdiseasex(allergicxrhinitis),xusexofxintranasalxcorticosteroidsxasxfirst-
linextreatmentxisxrecommended."xAlso,xHayxpg.x487:xRecentxstudiesxindicatexthatxusexofxint
ranasalxcorticosteroidsxmayxnotxonlyxdecreasextheximpairmentxcausedxbyxallergicxrhinitisxs
ymptoms,xbutxalsoxhelpxtoxpreventxprogressionxtoxmorexseverexdiseasexandxdecreasexthexr
iskxofxrelatedxcomorbiditiesxsuchxasxasthmaxorxsleep-disorderedxbreathing."

ReviewxtreatmentxforxadultxwithxABRSxthatxhasxrecentlyxbeenxtreatedxwithxAmoxicillinxforxA
OMx-xans--SeexMcPheexTablex8-4:xFirstxlinexafterxantibioticxusexinxpastx4-
6xweeks:xLevafloxicinx(Levoquin)xorxamoxicillin-
clavulantex(Augmentin).xAugmentinxwasxnotxanxanswerxchoice,xleavingxonlyxLevaquin.xYo
uxwouldxnotxusexamoxicillinxagainxduextoxlikelyxresistancexfromxrecentxuse.xTrimethoprim-
sulfamethoxazolex(Bactrim)xandxdoxycyclinexarexbothxfirst-
linexmedications,xbutxshouldxnotxbexusedxwhenxresistancexisxlikelyxsuchxasxafterxrecentxanti
bioticxuse.

USA

Reviewxcausativexorganismsxforxotitisxexternax-xans--
Thexcorrectxanswerxisxpseudomonas.xThexquestionxspecificallyxsaidxotitisxexterna.xStaphxw
asxnotxanxanswerxchoice.

Whenxtreatingxpharyngitis,xwhatxantibioticxshouldxyouxAVOIDxifxyouxsuspectxmono?x-xans--
YouxshouldxavoidxAmoxilxifxyouxsuspectxmon.xItxwillxcausexaxmaculopapularxrash,xwhichxwh
ilexnotxharmful,xwillxlikelyxbexconfusedxforxaxPCNxallergyxandxlabelxthatxpersonxasxPCNxaller
gicxforxlife.xThatxseverelyxlimitsxyourxantibioticxchoicesxforxseveralxinfections.xAzithromycinxi
sxaxsafexchoicextoxtreatxthexstrep.

ReviewxthexantibioticxusedxtoxtreatxCAPxinxax10yrxoldxifxyouxwantxtoxcoverxtoxMycoplasmaxp
neumoniax-xans--
EMPIRICxtreatmentxofxaxchildxwithxCAPxisxAmoxicillinxbecausexs.xpneumoniaxisxthexmostxc
ommonxcause.xIfxyouxreadxthexPP,xyouxwillxseexthatxitxsaysxinxchildrenxoverx5xyr,xwherexatypi