CMN 568 EXAM QUESTIONS WITH 100% CORRECT ANSWERS/NEWEST UPDATE/GRADE A+ ASSURED.
anticipatory guidance ✔️Patient/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? ✔️both 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 ✔️1. 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? ✔️during every health visit
3 components of vision assessment ✔️- visual inspection of eyes/eyelids
- alignment of eyes
- visual acuity
birth to age 3 ophthalmic exam includes: ✔️- eye history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
age 3 and up ophthalmic exam includes: ✔️- 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 ✔️should 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? ✔️visual 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? ✔️20/200-20/400; acuity reaches adult level of 20/20 by age 5
when to refer child to ophthalmologist ✔️- 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 ✔️birth until the child can read eye chart
when should you start to assess fixation and following? ✔️2 months; refer out if fixation and following are poor by 3 months
when to test corneal light reflex (hirschsbergs test)? ✔️3 months- 5 years; refer out for asymmetry in light reflex
when to start cover testing for strabismus ✔️6 months- 5 years
when to start a fundoscopic exam ✔️3 years
, when to start preliterate eye chart testing ✔️3-4 years
minimal visual acuity at age 3-5 ✔️20/40
minimal visual acuity greater than 6 years old ✔️20/30
downs syndrome children have increased risk of what eye disorders? ✔️refractive error, strabismus, cataracts
hearing screening after age 4 ✔️conventional 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? ✔️30%
clinician documentation of acute care visit ✔️document 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? ✔️preparticipation physical examination (PPE)
goal of PPE ✔️identify medical conditions that may make sports unsafe; screen for underlying illness through history and physical; recognize
preexisting injuries or medical problems that affected previous sports seasons
specifics to document in PPE ✔️- sport being played
- previous cardiac, respiratory, musculoskeletal, or neuro problems associated with activity
- CONCUSSIONS, any suspicion of cardiac syncope, asthma, or unilateral organs
- anabolic steroid or nutritional supplements
- relevant family history of cardiac death less than 50 yr old
goal of chronic disease management ✔️optimize quality of life while minimizing the side effects of treatment interventions
medical home ✔️children and their families have an identified, easily accessible primary care provider or group of PCPs within an office; crucial
for children with special healthcare needs or those with one or more chronic health conditions expected to last more than 1 year
AAP 7 characteristics of a medical home ✔️1. must be accessible
2. family-centered
3. continuous
4. comprehensive
5. coordinated
6. compassionate
7. culturally effective
healthy steps for young children program ✔️trains pediatric providers to deliver enhanced developmental services in the primary care setting
most important aspect of telehealth call ✔️deciding which patients need to be seen and how urgently
fever ✔️rectal temp of 38C or 100.4F
fever in infants less than 1 month old ✔️infant should be managed in an inpatient setting
Lumbar puncture is recommended for... ✔️infants less than 30 days old with fever, or infants 1-3 months old who are ill-appearing, or children
3-36 months old if neurological/ meningeal signs are present
what temperature is harmful? ✔️41.7C
fever of unknown origin ✔️fever lasting greater than 8 days without a diagnosis after initial evaluation
anticipatory guidance ✔️Patient/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? ✔️both 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 ✔️1. 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? ✔️during every health visit
3 components of vision assessment ✔️- visual inspection of eyes/eyelids
- alignment of eyes
- visual acuity
birth to age 3 ophthalmic exam includes: ✔️- eye history
- vision assessment
- inspection of eyelids and eyes
- pupil examination
- ocular mobility
- red reflex check
age 3 and up ophthalmic exam includes: ✔️- 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 ✔️should 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? ✔️visual 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? ✔️20/200-20/400; acuity reaches adult level of 20/20 by age 5
when to refer child to ophthalmologist ✔️- 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 ✔️birth until the child can read eye chart
when should you start to assess fixation and following? ✔️2 months; refer out if fixation and following are poor by 3 months
when to test corneal light reflex (hirschsbergs test)? ✔️3 months- 5 years; refer out for asymmetry in light reflex
when to start cover testing for strabismus ✔️6 months- 5 years
when to start a fundoscopic exam ✔️3 years
, when to start preliterate eye chart testing ✔️3-4 years
minimal visual acuity at age 3-5 ✔️20/40
minimal visual acuity greater than 6 years old ✔️20/30
downs syndrome children have increased risk of what eye disorders? ✔️refractive error, strabismus, cataracts
hearing screening after age 4 ✔️conventional 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? ✔️30%
clinician documentation of acute care visit ✔️document 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? ✔️preparticipation physical examination (PPE)
goal of PPE ✔️identify medical conditions that may make sports unsafe; screen for underlying illness through history and physical; recognize
preexisting injuries or medical problems that affected previous sports seasons
specifics to document in PPE ✔️- sport being played
- previous cardiac, respiratory, musculoskeletal, or neuro problems associated with activity
- CONCUSSIONS, any suspicion of cardiac syncope, asthma, or unilateral organs
- anabolic steroid or nutritional supplements
- relevant family history of cardiac death less than 50 yr old
goal of chronic disease management ✔️optimize quality of life while minimizing the side effects of treatment interventions
medical home ✔️children and their families have an identified, easily accessible primary care provider or group of PCPs within an office; crucial
for children with special healthcare needs or those with one or more chronic health conditions expected to last more than 1 year
AAP 7 characteristics of a medical home ✔️1. must be accessible
2. family-centered
3. continuous
4. comprehensive
5. coordinated
6. compassionate
7. culturally effective
healthy steps for young children program ✔️trains pediatric providers to deliver enhanced developmental services in the primary care setting
most important aspect of telehealth call ✔️deciding which patients need to be seen and how urgently
fever ✔️rectal temp of 38C or 100.4F
fever in infants less than 1 month old ✔️infant should be managed in an inpatient setting
Lumbar puncture is recommended for... ✔️infants less than 30 days old with fever, or infants 1-3 months old who are ill-appearing, or children
3-36 months old if neurological/ meningeal signs are present
what temperature is harmful? ✔️41.7C
fever of unknown origin ✔️fever lasting greater than 8 days without a diagnosis after initial evaluation
