CMN 568 Intro to Family NP Final Exam Review
Complete Guide with Questions and Verified
Answers
1. What is the first line treatment for community acquired pneumonia in children <5 years?
A) azithromycin
B) amoxicillin
C) metronidazole
D) cefdinir
Answer: 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
2. I'd like to get pregnant... I take Tegretol. How much folic acid do I need
Answer
0.4
mg if healthy, 4 mg for previous Ntd, and 1 mg if IDDM or anticonvulsants
3. What is the recommended daily intake of folic acid for nonpregnant women with no known
risk factors for neural tube defect?
a. 40 ¼g
b. 400 ¼g
c. 800 ¼g
,d. 4 mg
Answer: B) 400 ¼g
4. 568.6 at what age should child with strabismus be referred to opthalmolo- gist?
a. 4 month
b. 6 months
c. 12 months
d. if it doesn't resolve on its own
Answer: B) 6 months
5. What would you diagnose if the xray showed a "thumbprint" and the child presented with
high fever and drooling? What organism causes this
Answer
Epiglot- titis, caused by Hib
6. Bacterial conjunctivitis is treated with
Answer
Erythromycin ointment
7. In viral conjunctivitis, the NP may prescribe a steroid preparation for itching.
T/F
Answer: NO, Can result in permanent eye damage by enhancing proliferation of the virus
8. An important sign that differentiates viral from bacterial conjunctivitis is a palpable pre-
auricular lymph node. T/F: True
9. Stringy or watery discharge from the eye is associated with what? And what would you tx
with
Answer
Allergic conjunctivitis.
Treat with Antihistamines or mast cell stabilizers.
, 10. Blepharitis can be treated with
a. eyelid scrubs with baby shampoo
b. Warm compresses
c. ABX gtts
d. all of the above
Answer: D) all of the above
11. Hallmarks of pneumonia in children Answer
Fever over 39C, tachypnea, and cough
- although infants may present with nonspecific findings on history and physical exam
12. Staph usually causes blepharitis. T/F:
Answer If bacterial its caused by staph; If seborrheic dermatitis causes its
termed seborrheic blepharitis.
13. 568.6 What organism is the most common cause of viral conjunctivitis
Answer
-
Adenovirus
14. Ptosis with an S-shaped curve of the eyelid is associated with chronic trachoma. T/F:
Answer True.
- Trachoma = Chlamydia, needs systemic abx.
15. 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
Answer: A) Folic acid @ least 0.4 mg/day 1 month preconception
Complete Guide with Questions and Verified
Answers
1. What is the first line treatment for community acquired pneumonia in children <5 years?
A) azithromycin
B) amoxicillin
C) metronidazole
D) cefdinir
Answer: 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
2. I'd like to get pregnant... I take Tegretol. How much folic acid do I need
Answer
0.4
mg if healthy, 4 mg for previous Ntd, and 1 mg if IDDM or anticonvulsants
3. What is the recommended daily intake of folic acid for nonpregnant women with no known
risk factors for neural tube defect?
a. 40 ¼g
b. 400 ¼g
c. 800 ¼g
,d. 4 mg
Answer: B) 400 ¼g
4. 568.6 at what age should child with strabismus be referred to opthalmolo- gist?
a. 4 month
b. 6 months
c. 12 months
d. if it doesn't resolve on its own
Answer: B) 6 months
5. What would you diagnose if the xray showed a "thumbprint" and the child presented with
high fever and drooling? What organism causes this
Answer
Epiglot- titis, caused by Hib
6. Bacterial conjunctivitis is treated with
Answer
Erythromycin ointment
7. In viral conjunctivitis, the NP may prescribe a steroid preparation for itching.
T/F
Answer: NO, Can result in permanent eye damage by enhancing proliferation of the virus
8. An important sign that differentiates viral from bacterial conjunctivitis is a palpable pre-
auricular lymph node. T/F: True
9. Stringy or watery discharge from the eye is associated with what? And what would you tx
with
Answer
Allergic conjunctivitis.
Treat with Antihistamines or mast cell stabilizers.
, 10. Blepharitis can be treated with
a. eyelid scrubs with baby shampoo
b. Warm compresses
c. ABX gtts
d. all of the above
Answer: D) all of the above
11. Hallmarks of pneumonia in children Answer
Fever over 39C, tachypnea, and cough
- although infants may present with nonspecific findings on history and physical exam
12. Staph usually causes blepharitis. T/F:
Answer If bacterial its caused by staph; If seborrheic dermatitis causes its
termed seborrheic blepharitis.
13. 568.6 What organism is the most common cause of viral conjunctivitis
Answer
-
Adenovirus
14. Ptosis with an S-shaped curve of the eyelid is associated with chronic trachoma. T/F:
Answer True.
- Trachoma = Chlamydia, needs systemic abx.
15. 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
Answer: A) Folic acid @ least 0.4 mg/day 1 month preconception
