CMN 568 TERMS WITH QUESTIONS AND
CORRECT ANSWERS 2024
anticipatory guidance - Correct AnswersPatient/family counseling which includes
information, advice, and suggestions about expected health-related life occurrences,
health maintenance, and preventive plans.
where should pediatric history information be obtained from? - Correct Answersboth
patient and parent; obtain as much as possible from patient to give child a degree of
control over a potentially threatening situation
order of pediatric physical examination - Correct Answers1. inspection first, from afar;
examine skin color and work of breathing before beginning exam; establish trust; allow
child to sit in parents lap; defer otoscopic exam until last
when should eyes and ears be examined? - Correct Answersduring every health visit
3 components of vision assessment - Correct Answers- visual inspection of eyes/eyelids
- alignment of eyes
- visual acuity
birth to age 3 ophthalmic exam includes: - Correct Answers- eye history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
age 3 and up ophthalmic exam includes: - Correct Answers- eye history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
visual acuity test with eye chart; classes should be worn if prescribed and record data
as "corrected"
assessing newborn visual acuity - Correct Answersshould be able to briefly track
mother's face or brightly colored object within an hour after birth (fixation reflex not
developed for several weeks); dont talk while assessing vision, baby may look toward
sound rather than visual stimulus
when patient presents with eye condition (infection, injury, etc), what do you check first?
- Correct Answersvisual acuity; UNLESS there is chemical injury to eye, then you
, should irrigate first and refer to ophthalmologist; when there is decreased acuity, also
refer to ophthalmologist
what is the visual acuity of a newborn? - Correct Answers20/200-20/400; acuity reaches
adult level of 20/20 by age 5
when to refer child to ophthalmologist - Correct Answers- 3-5yr: if acuity is less than
20/40 in either eye, or if theres a difference in two lines in acuity between eyes
- 6yr and older: if acuity is less than 20/30 or if theres a difference in two lines in acuity
between eyes
when to assess red reflex - Correct Answersbirth until the child can read eye chart
when should you start to assess fixation and following? - Correct Answers2 months;
refer out if fixation and following are poor by 3 months
when to test corneal light reflex (hirschsbergs test)? - Correct Answers3 months- 5
years; refer out for asymmetry in light reflex
when to start cover testing for strabismus - Correct Answers6 months- 5 years
when to start a fundoscopic exam - Correct Answers3 years
when to start preliterate eye chart testing - Correct Answers3-4 years
minimal visual acuity at age 3-5 - Correct Answers20/40
minimal visual acuity greater than 6 years old - Correct Answers20/30
downs syndrome children have increased risk of what eye disorders? - Correct
Answersrefractive error, strabismus, cataracts
hearing screening after age 4 - Correct Answersconventional screening audiometry
(raise your hand if you can hear the noise); each ear tested and referred for discrepancy
greater than 20 dB; hearing screening should be part of attention problem workup
what percentage dose acute care visits account for in a primary care office? - Correct
Answers30%
clinician documentation of acute care visit - Correct Answersdocument events related to
presenting problem (describe them in medical record), including supporting physical
data/ diagnostics; treatment, follow up instructions (when to return to work or school);
immunization status screening; anticipatory guidance
sports physicals are also known as what? - Correct Answerspreparticipation physical
examination (PPE)
CORRECT ANSWERS 2024
anticipatory guidance - Correct AnswersPatient/family counseling which includes
information, advice, and suggestions about expected health-related life occurrences,
health maintenance, and preventive plans.
where should pediatric history information be obtained from? - Correct Answersboth
patient and parent; obtain as much as possible from patient to give child a degree of
control over a potentially threatening situation
order of pediatric physical examination - Correct Answers1. inspection first, from afar;
examine skin color and work of breathing before beginning exam; establish trust; allow
child to sit in parents lap; defer otoscopic exam until last
when should eyes and ears be examined? - Correct Answersduring every health visit
3 components of vision assessment - Correct Answers- visual inspection of eyes/eyelids
- alignment of eyes
- visual acuity
birth to age 3 ophthalmic exam includes: - Correct Answers- eye history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
age 3 and up ophthalmic exam includes: - Correct Answers- eye history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
visual acuity test with eye chart; classes should be worn if prescribed and record data
as "corrected"
assessing newborn visual acuity - Correct Answersshould be able to briefly track
mother's face or brightly colored object within an hour after birth (fixation reflex not
developed for several weeks); dont talk while assessing vision, baby may look toward
sound rather than visual stimulus
when patient presents with eye condition (infection, injury, etc), what do you check first?
- Correct Answersvisual acuity; UNLESS there is chemical injury to eye, then you
, should irrigate first and refer to ophthalmologist; when there is decreased acuity, also
refer to ophthalmologist
what is the visual acuity of a newborn? - Correct Answers20/200-20/400; acuity reaches
adult level of 20/20 by age 5
when to refer child to ophthalmologist - Correct Answers- 3-5yr: if acuity is less than
20/40 in either eye, or if theres a difference in two lines in acuity between eyes
- 6yr and older: if acuity is less than 20/30 or if theres a difference in two lines in acuity
between eyes
when to assess red reflex - Correct Answersbirth until the child can read eye chart
when should you start to assess fixation and following? - Correct Answers2 months;
refer out if fixation and following are poor by 3 months
when to test corneal light reflex (hirschsbergs test)? - Correct Answers3 months- 5
years; refer out for asymmetry in light reflex
when to start cover testing for strabismus - Correct Answers6 months- 5 years
when to start a fundoscopic exam - Correct Answers3 years
when to start preliterate eye chart testing - Correct Answers3-4 years
minimal visual acuity at age 3-5 - Correct Answers20/40
minimal visual acuity greater than 6 years old - Correct Answers20/30
downs syndrome children have increased risk of what eye disorders? - Correct
Answersrefractive error, strabismus, cataracts
hearing screening after age 4 - Correct Answersconventional screening audiometry
(raise your hand if you can hear the noise); each ear tested and referred for discrepancy
greater than 20 dB; hearing screening should be part of attention problem workup
what percentage dose acute care visits account for in a primary care office? - Correct
Answers30%
clinician documentation of acute care visit - Correct Answersdocument events related to
presenting problem (describe them in medical record), including supporting physical
data/ diagnostics; treatment, follow up instructions (when to return to work or school);
immunization status screening; anticipatory guidance
sports physicals are also known as what? - Correct Answerspreparticipation physical
examination (PPE)
