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Exam (elaborations)

Cmn 568 Exam 1 Study Guide & Practice Questions 2026/2027

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CMN 568 EXAM 1 STUDY GUIDE & PRACTICE QUESTIONS 2026/2027

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CMN 568 EXAM 1 STUDY GUIDE &
PRACTICE QUESTIONS 2026/2027
1 of 96




Definition


•
•
PHARYNGITIS/ TONSILLITIS
-First decide if you are dealing with a viral or a bacterial infection.
-Over 90% of sore throat and fever are due to viral infections.
-One clue to a viral infection is that the pharyngitis is associated with
cough and rhinorrhea.
-Antibiotics are NOT indicated in most cases of sore throat.



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Clinical Manifestations of AOM Acute closed-angle glaucoma




•
•

, • • 1. Peritonsillar Cellulitis or Abscess
PHARYNGITIS/ TONSILLITIS –

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2 of 96

Definition



Proper technique:
Note that he is bracing his finger against the child's cheek, if patient
moves, so does otoscope



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ciprofloxicin otic liquid to gel (otiprio) refer for visual acuity




use of an ear wick proper otoscopic technique


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3 of 96

Definition



Cefdinir, Cefuroxime, Cefpodoxime• Ceftriaxone 50mg/kg IM for 1-3
days if unable to take po meds



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, Antibiotic for AOM with penicillin
First-line antibiotic for AOM
allergy




Alternative antibiotic for AOM
Antibiotic for recurrent AOM
causes papular rash


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4 of 96

Definition


-Assessing for malalignment (strabismus) of eyes:
-Perform the Hirschberg test: Check the corneal light reflex . It should
be
in the same position in each eye.
-Perform the Cover Test: watch for movement of the eye after cover is
removed.
Hirschberg Test: note light reflex See Hay pg. 419 is NOT in the same
position bilaterally
-Brief periods of malalignment are normal in NB. Unless strabismus is
very obvious and persistent, generally wait until child is 4 mo old and
then REFER all cases of strabismus to an ophthalmologist. Patching or
surgery is used.



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Acute closed-angle glaucoma Reasons for antibiotic resistance

, Assessing the alignment of eyes Prevention of otitis externa


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5 of 96

Definition



-If canal is swollen, insert a Pope ear wick to allow antibiotic drops to
get deep into canal.
-Insert dry wick, then moisten with ear drops to expand
-Wick will fall out when swelling decreases



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Treatment of AR Is it Pharyngitis or Tonsillitis?




Diagnosis of AR Use of an ear wick


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