Comprehensive Final-CMN 568-Test Review Questions and Answers | Verified & Updated 2024

Comprehensive Final-CMN 568-Test Review Questions and Answers | Verified & Updated 2024 Diverticulitis-Although broad-spectrum oral antibiotics with anaerobic activity commonly are prescribed, large clinical trials confirm that antibiotics are not beneficial in uncomplicated disease. However, a question on the test was what antibiotic is used to treat it? - Answer ️️ - amoxicillin and clavulanate potassium; or metronidazole; plus either ciprofloxacin, or trimethoprim-sulfamethoxazole or until the patient is afebrile for 3- 5 days. When is symptomatic improvement expected when treating Diverticulitis with antibiotics? B) When can the diet be advanced? C) What type of diet should be prescribed? - Answer ️️ -3 days, at which time the diet may be advanced. Once the acute episode has resolved, a high fiber diet is often recommended. What is the most common organism that causes Otitis externa? - Answer ️️ -Pseudomonas aeruginosa Staphyloccus aureus Aspergillus What is the treatment for keratoconjunctitis sicca (dry eye) that is very common in elderly patients? - Answer ️️ -Artificial tears methylcellulose Polyvinyl alcohol Polyacrylic acid (carbomers) Petroleum ointment mucomimetic hydroxpropyl cellulose (Lacrisert) Cyclosporine (Restasis) Patient with a cold 2 mos ago, symptoms resolved, but continues to have nasal congestion requiring daily use of daily nasal decongestant spray. Nasal mucosa pink (normal), slightly edematous, no drainage. Most likely dx? - Answer ️️ -Allergic Rhinitis possibly rhinitis medicamentosa (long term use of nasal decongestant sprays) Which antibiotic do you avoid if suspect mono? - Answer ️️ -PCN First line tx for child with sinusitis that attends daycare. - Answer ️️ -Amoxicillin Clavunate (Augmentin); alternate is Cefuroxime; Cefpodoxime; Cefdinir Which children diagnosed with AOM are suitable for observation? - Answer ️️ -Only 2yrs with Bilateral AOM without otorrhea or unilateral AOM without otorrhea or 6 mo-2 y with unilateral AOM without Otorrhea p. 506 Hay 6 wk old with cough and mucopurulent conjunctivitis. what type of pneumonia does this most probably represent and what antibiotic would you give? - Answer ️️ -Community acquired bacterial pneumonia, this child would be admitted (admit children 3 mos) IV Ampicillin for 7-10 days Children 4 wks treat with Ampicillin and aminoglycoside Infants 4-12 weeks treat with IV Ampicillin Children 3 mo to 5 y treat with Amoxicillin Children older than 5 y treat with macrolide or amoxicillin or PCN G What conditions cause a decreased TSH? - Answer ️️ -Hyperthyroidism What is the tx for uncomplicated acute bronchitis in the adult? - Answer ️️ -Doxycycline 100 mg every 12 hours for 3-7d What is the first l ine antibiotic for CAP in adult that cares for a child that attends daycare? - Answer ️️ -Fluroquinolone How do you treat influenza? - Answer ️️ -Tamiflu (oseltamivir) 8 yo on ICS and LTRA, symptoms 4-5 day/wk, awakens 1 x/week using SABA 5 day/wk. What level of control? - Answer ️️ -Not well contr