Final Exam: CMN568 / CMN 568
(Latest ) Intro to Family
NP Final Exam Review | Complete
Guide with Questions and Verified
Answers | 100% Correct - South
Alabama
Question:
External Otitis...Onset? (MODULE 1)
Answer:
Acute onset of severe ear pain. Clear 🡪 purulent discharge from EC.
Question:
External Otitis... What must you rule out? (MODULE 1)
Answer:
Must rule out AOM with TM rupture or PE tubes: due to different tx
,Question:
External Otitis...What bacteria’s can cause this? (MODULE 1)
Answer:
pseudomonas, or staph
Question:
External Otitis treatment if you CAN visualize the tympanic membrane?
(MODULE 1)
Answer:
gentle removal of debris
Neomycin polymyxin B/ hydrocortisone
Question:
External Otitis treatment if you CAN'T visualize the tympanic membrane?
(MODULE 1)
Answer:
MUST ASSUME PERFORATION
Do NOT give neomycin/polymyxin B
Use ear wick. If swelling too severe for ear wick, administer abx
🡪 REFER to otolaryngolist
Give Ciprofloxacin/dexamethasone
,Question:
Cerumen Impaction (MODULE 1)
Answer:
Relieved with detergent eat drops (3% hydrogen peroxide, 6.5% carbamide
peroxide), mechanical removal, suction, or irrigation (performed ONLY when
TM is known intact).
Do NOT use WaterPik
Question:
Pharyngitis / Tonsillitis (MODULE 1)
Answer:
First, decide if you are dealing with a viral or a bacterial infection
Over 90% of sore throat and fever = viral infections
CLUE: Pharyngitis (viral infection) is associated with cough and rhinorrhea =
ANTIOBITICS NOT INDICATED IN MOST CASES OF SORE THROAT
Question:
Pharyngitis / Tonsillitis: Differentiating viral causes? (MODULE 1)
Answer:
Hand, Foot, & Mouth Disease: ulcers on the tongue and oral mucosa; vesicles,
pustules, & papules on the palms, soles, interdigital areas, and buttocks;
caused by enteroviruses
, Herpangina: 2-3 mm ulcers on the anterior pillars and soft palate and uvula;
caused by Coxsackie virus
Infectious mononucleosis: exudative tonsillitis, generalized cervical adenitis,
fever, palpable spleen or axillary adenopathy (you must palpate for
splenomegaly)
Pharyngoconjunctival Fever: Exudative tonsillitis, conjunctivitis,
lymphadenopathy and fever; caused by adenovirus
Question:
Tonsilitis (MODULE 1)
Answer:
You can diagnose a patient with tonsillitis if he/she had enlarged tonsils.
Question:
Acute bacterial pharyngitis (MODULE 1)
Pathogens?
Treatment?
What to do if rapid strep is negative?
Answer:
Although pharyngitis is usually viral (90%), some may be bacterial.
(Latest ) Intro to Family
NP Final Exam Review | Complete
Guide with Questions and Verified
Answers | 100% Correct - South
Alabama
Question:
External Otitis...Onset? (MODULE 1)
Answer:
Acute onset of severe ear pain. Clear 🡪 purulent discharge from EC.
Question:
External Otitis... What must you rule out? (MODULE 1)
Answer:
Must rule out AOM with TM rupture or PE tubes: due to different tx
,Question:
External Otitis...What bacteria’s can cause this? (MODULE 1)
Answer:
pseudomonas, or staph
Question:
External Otitis treatment if you CAN visualize the tympanic membrane?
(MODULE 1)
Answer:
gentle removal of debris
Neomycin polymyxin B/ hydrocortisone
Question:
External Otitis treatment if you CAN'T visualize the tympanic membrane?
(MODULE 1)
Answer:
MUST ASSUME PERFORATION
Do NOT give neomycin/polymyxin B
Use ear wick. If swelling too severe for ear wick, administer abx
🡪 REFER to otolaryngolist
Give Ciprofloxacin/dexamethasone
,Question:
Cerumen Impaction (MODULE 1)
Answer:
Relieved with detergent eat drops (3% hydrogen peroxide, 6.5% carbamide
peroxide), mechanical removal, suction, or irrigation (performed ONLY when
TM is known intact).
Do NOT use WaterPik
Question:
Pharyngitis / Tonsillitis (MODULE 1)
Answer:
First, decide if you are dealing with a viral or a bacterial infection
Over 90% of sore throat and fever = viral infections
CLUE: Pharyngitis (viral infection) is associated with cough and rhinorrhea =
ANTIOBITICS NOT INDICATED IN MOST CASES OF SORE THROAT
Question:
Pharyngitis / Tonsillitis: Differentiating viral causes? (MODULE 1)
Answer:
Hand, Foot, & Mouth Disease: ulcers on the tongue and oral mucosa; vesicles,
pustules, & papules on the palms, soles, interdigital areas, and buttocks;
caused by enteroviruses
, Herpangina: 2-3 mm ulcers on the anterior pillars and soft palate and uvula;
caused by Coxsackie virus
Infectious mononucleosis: exudative tonsillitis, generalized cervical adenitis,
fever, palpable spleen or axillary adenopathy (you must palpate for
splenomegaly)
Pharyngoconjunctival Fever: Exudative tonsillitis, conjunctivitis,
lymphadenopathy and fever; caused by adenovirus
Question:
Tonsilitis (MODULE 1)
Answer:
You can diagnose a patient with tonsillitis if he/she had enlarged tonsils.
Question:
Acute bacterial pharyngitis (MODULE 1)
Pathogens?
Treatment?
What to do if rapid strep is negative?
Answer:
Although pharyngitis is usually viral (90%), some may be bacterial.
