CMN 568 unit 1 study questions
- ANS---Myopia is nearsightedness
--Hyperopia is farsightedness
- ANS-growth in the middle ear that can become chronically infected. a special variety of
chronic otitis media. can erode into the inner ear and involve the facial nerve and possibly
spread intracranially (rare). Requires surgical removal as it can cause mastoiditis.
.Which of the following would you include in your treatment plan for a patient with
streptococcus pharyngitis?
A. Penicillin
B. Antivirals
C. Hydration
D. Azithromycin (Zithromax) - ANS--- Penicillin
--Hydration
5 y/o presents w/AOM and mother reports a mild rash w/PCN medication. What is an
alternative for treatment? - ANS-2nd or 3rd generation cephalosporins
A 12 y/o child comes to the clinic with a complaint of having accidently poked himself in the
eye. It feels "scratchy" and there is excessive tearing of the eye. The correct sequence of
examining the affected eye is:
A. Snellen, ophthalmologic exam tonometry, and Flourescein
B. Flourescein, Snellen, mydiatric, ophthalmoscopic exam
C. Flourescein, Snellen, Opthalmoscopic exam
D. Snellen, Opthalmoscopic, Flourescein - ANS-Snellen, Opthalmoscopic, Flourescein
A 12 y/o girl is complaining of a 2-week history of facial pressure that worsens when she
bends over. She complains of tooth pain in her upper molars on the right side of her face. On
exam, her lung and heart sounds are normal. Which of the following is the most likely
diagnosis?
A. An acute dental abscess
B. Chronic sinusitis
C. Acute sinusitis
D. Severe allergic rhinitis - ANS-Acute sinusitis
A 13 y/o patient has a throat culture that is positive for strep throat. She reports that her
younger brother was recently diagnosed with strep throat and treated. The pt has a severe
allergy to penicillin and reports that erythromycin makes her very nauseated. Which of the
following abx is the best choice?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Cefuroxime axetil (Ceftin)
D. Levofloxacin (Levaquin) - ANS-Azithromycin (Zithromax)
A 17 y/o high school student comes to the NP-run clinic with severe sore throat, malaise,
and a fever of 101F. Physical exam reveals red enlarged tonsils with sever white patches.
Ther are several submental nodes. As a child the patient had wheezing when he took
penicillin. Rapid strep test is inconclusive. A throat culture is performed. The next action is
to:
, A. Await the culture report before starting antibiotics
B. Start clindamycin 300mg PO QID for 10 days
C. Begin erythromycin 500mg PO QID for 10 days
D. Start tetracycline 500 mg PO QID for 10 days - ANS-Start clindamycin 300mg PO QID
for 10 days
A 20 y/o pt complains of right ear pain that started after a trip on a plane. Visualization of the
TM reveals a retracted TM that is slightly red. Bubbles are seen behind the TM. The
diagnosis is:
A. Purulent otitis media
B. Serous otitis media
C. Perforated TM
D. Labyrinthitis - ANS-Serous otitis media
A 22 y/o woman presents with a "pimple" on her right eye eyelid. Examination reveals a
2-mm pustule on the lateral border of the right eyelid margin. This is most consistent with:
A. a chalazion
B. a hordeolum
C. Blepharitis
D. Cellulitis - ANS-a hordeolum
A 24 y/o patient visits the clinic after having reddened, itchy eyes for one week. What
symptom would help differentiate a gonococcal or chlamydial conjunctivitis from a viral or
allergic conjunctivitis?
A. Watery discharge
B. Burning eyes
C. Purulent discharge
D. Excessive tearing - ANS-Purulent discharge
A 25 y/o woman has a 3 day history of left ear pain that began after 1 week of URI
symptoms. On physical exam, you find that she has AOM> She is allergic to penicillin with a
flat pink rash rxn only. She took an oral antimicrobial for treatment of a UTI 2 weeks ago.
The most appropriate oral antimicrobial option for this patient is:
A. Clarithromycin
B. Cefpodoxime
C. Amoxicillin
D. TMP-SMX - ANS-Cefpodoxime
A 3 y/o patient is brought to your clinic by his mother because his eyelashes have been
crusted over each morning for the last seven days. His mother states he has been vigorously
rubbing his eyes and you notice redness and greasy flakes on both eyes. How should this be
treated?
A. Referral to an ophthalmologist
B. Observation, this is likely viral
C. Topical antibiotics
D. Warm compresses - ANS---Topical antibiotics
--Warm compresses
--(likely blepharitis)
A 3 y/o presents with AOM and mother reports severe allergy to PCN. What is an
alternative? - ANS-A macrolide, Bactrim, or clindamycin
A 45 yo mail comes the clinic with c/o right eye pain. It has been occuring constantly over
the last two days and is associated with redness. There has been no increase lacrimation,
, purulent discharge, or HA. In addition to the fundusocpic exam, it is crucial that the NP
access:
A. visual fields
B. Cranial nerve 7,
C. Visual acuity,
D. The corneal reflex - ANS-visual acuity
A 70 y/o female patient was diagnosed with type 2diabetes two years ago and her diabetes
has been well controlled with metformin, diet, and exercise. Over the last three months,
however, it has become difficult to drive at night, because she now experiences extreme
glare from the headlights of other cars. She saw her ophthalmologist two weeks ago who
confirmed that she has no signs of diabetic retinopathy, but did mention that she may need
to have a procedure in the future to alleviate these visual symptoms. She cannot remember
what the procedure was called. What is the name of a common procedure for this condition?
A. Trabeculectomy (surgery to reduce intraocular pressure)
B. Cataract surgery with intraocular lens (IOL) implantation
C. Laser refractive surgery (Lasik)
D. Intraocular VEGH-inhibitor injection - ANS-Cataract surgery with intraocular lens (IOL)
implantation
A 70 y/o male patient complains of a bright red-colored spot in his left eye for 2 days. He
denies eye pain, visual changes, or headaches. He has a new onset cough from a recent
viral upper respiratory infection. The only medicine he is on is a Bayer aspirin, 1 tab daily.
Which of the following is most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - ANS-Subconjunctival hemorrhage
A 72 y/o female patient presents to the clinic with a new onset of a headache and blurred
vision in her right eye. During the examination, you notice shoulder, hip, and neck stiffness
as well as superficial temporal artery (STA) tenderness. Her temporal artery is
noncompressible. Her neurological examination was otherwise WNL. What is your primary
differential diagnosis for this patient?
A. Migraine
B Transient ischemic attack
C. Giant cell temporal arteritis
D. Polymyalgia rheumatica - ANS-Giant cell temporal arteritis
A 75 yo pt c/o intense eye pain and generalized HA, after watching a movie in the theater.
The NP records the following findings OD with red sclera and dilated pupil, OD > OS,
decreased VA OD, OS WNL, no temporal tenderness. These findings are most appropriately
suggest: A. Acute glaucoma,
B. Open angle glaucoma,
C. Temporal arteritis,
D. retinal detachment - ANS-acute glaucoma
A cauliflower like growth with foul smelling discharge is seen during an otoscopic of the left
ear of an 8 y/o boy with a history of chronic OM. No tympanic membrane or ossicles are
visible and the patient seems to have difficulty hearing the NP's instructions. Which of the
following conditions is best described?
A. Chronic perforation of the TM with secondary bacterial infection
B. Chronic mastoiditis
- ANS---Myopia is nearsightedness
--Hyperopia is farsightedness
- ANS-growth in the middle ear that can become chronically infected. a special variety of
chronic otitis media. can erode into the inner ear and involve the facial nerve and possibly
spread intracranially (rare). Requires surgical removal as it can cause mastoiditis.
.Which of the following would you include in your treatment plan for a patient with
streptococcus pharyngitis?
A. Penicillin
B. Antivirals
C. Hydration
D. Azithromycin (Zithromax) - ANS--- Penicillin
--Hydration
5 y/o presents w/AOM and mother reports a mild rash w/PCN medication. What is an
alternative for treatment? - ANS-2nd or 3rd generation cephalosporins
A 12 y/o child comes to the clinic with a complaint of having accidently poked himself in the
eye. It feels "scratchy" and there is excessive tearing of the eye. The correct sequence of
examining the affected eye is:
A. Snellen, ophthalmologic exam tonometry, and Flourescein
B. Flourescein, Snellen, mydiatric, ophthalmoscopic exam
C. Flourescein, Snellen, Opthalmoscopic exam
D. Snellen, Opthalmoscopic, Flourescein - ANS-Snellen, Opthalmoscopic, Flourescein
A 12 y/o girl is complaining of a 2-week history of facial pressure that worsens when she
bends over. She complains of tooth pain in her upper molars on the right side of her face. On
exam, her lung and heart sounds are normal. Which of the following is the most likely
diagnosis?
A. An acute dental abscess
B. Chronic sinusitis
C. Acute sinusitis
D. Severe allergic rhinitis - ANS-Acute sinusitis
A 13 y/o patient has a throat culture that is positive for strep throat. She reports that her
younger brother was recently diagnosed with strep throat and treated. The pt has a severe
allergy to penicillin and reports that erythromycin makes her very nauseated. Which of the
following abx is the best choice?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Cefuroxime axetil (Ceftin)
D. Levofloxacin (Levaquin) - ANS-Azithromycin (Zithromax)
A 17 y/o high school student comes to the NP-run clinic with severe sore throat, malaise,
and a fever of 101F. Physical exam reveals red enlarged tonsils with sever white patches.
Ther are several submental nodes. As a child the patient had wheezing when he took
penicillin. Rapid strep test is inconclusive. A throat culture is performed. The next action is
to:
, A. Await the culture report before starting antibiotics
B. Start clindamycin 300mg PO QID for 10 days
C. Begin erythromycin 500mg PO QID for 10 days
D. Start tetracycline 500 mg PO QID for 10 days - ANS-Start clindamycin 300mg PO QID
for 10 days
A 20 y/o pt complains of right ear pain that started after a trip on a plane. Visualization of the
TM reveals a retracted TM that is slightly red. Bubbles are seen behind the TM. The
diagnosis is:
A. Purulent otitis media
B. Serous otitis media
C. Perforated TM
D. Labyrinthitis - ANS-Serous otitis media
A 22 y/o woman presents with a "pimple" on her right eye eyelid. Examination reveals a
2-mm pustule on the lateral border of the right eyelid margin. This is most consistent with:
A. a chalazion
B. a hordeolum
C. Blepharitis
D. Cellulitis - ANS-a hordeolum
A 24 y/o patient visits the clinic after having reddened, itchy eyes for one week. What
symptom would help differentiate a gonococcal or chlamydial conjunctivitis from a viral or
allergic conjunctivitis?
A. Watery discharge
B. Burning eyes
C. Purulent discharge
D. Excessive tearing - ANS-Purulent discharge
A 25 y/o woman has a 3 day history of left ear pain that began after 1 week of URI
symptoms. On physical exam, you find that she has AOM> She is allergic to penicillin with a
flat pink rash rxn only. She took an oral antimicrobial for treatment of a UTI 2 weeks ago.
The most appropriate oral antimicrobial option for this patient is:
A. Clarithromycin
B. Cefpodoxime
C. Amoxicillin
D. TMP-SMX - ANS-Cefpodoxime
A 3 y/o patient is brought to your clinic by his mother because his eyelashes have been
crusted over each morning for the last seven days. His mother states he has been vigorously
rubbing his eyes and you notice redness and greasy flakes on both eyes. How should this be
treated?
A. Referral to an ophthalmologist
B. Observation, this is likely viral
C. Topical antibiotics
D. Warm compresses - ANS---Topical antibiotics
--Warm compresses
--(likely blepharitis)
A 3 y/o presents with AOM and mother reports severe allergy to PCN. What is an
alternative? - ANS-A macrolide, Bactrim, or clindamycin
A 45 yo mail comes the clinic with c/o right eye pain. It has been occuring constantly over
the last two days and is associated with redness. There has been no increase lacrimation,
, purulent discharge, or HA. In addition to the fundusocpic exam, it is crucial that the NP
access:
A. visual fields
B. Cranial nerve 7,
C. Visual acuity,
D. The corneal reflex - ANS-visual acuity
A 70 y/o female patient was diagnosed with type 2diabetes two years ago and her diabetes
has been well controlled with metformin, diet, and exercise. Over the last three months,
however, it has become difficult to drive at night, because she now experiences extreme
glare from the headlights of other cars. She saw her ophthalmologist two weeks ago who
confirmed that she has no signs of diabetic retinopathy, but did mention that she may need
to have a procedure in the future to alleviate these visual symptoms. She cannot remember
what the procedure was called. What is the name of a common procedure for this condition?
A. Trabeculectomy (surgery to reduce intraocular pressure)
B. Cataract surgery with intraocular lens (IOL) implantation
C. Laser refractive surgery (Lasik)
D. Intraocular VEGH-inhibitor injection - ANS-Cataract surgery with intraocular lens (IOL)
implantation
A 70 y/o male patient complains of a bright red-colored spot in his left eye for 2 days. He
denies eye pain, visual changes, or headaches. He has a new onset cough from a recent
viral upper respiratory infection. The only medicine he is on is a Bayer aspirin, 1 tab daily.
Which of the following is most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - ANS-Subconjunctival hemorrhage
A 72 y/o female patient presents to the clinic with a new onset of a headache and blurred
vision in her right eye. During the examination, you notice shoulder, hip, and neck stiffness
as well as superficial temporal artery (STA) tenderness. Her temporal artery is
noncompressible. Her neurological examination was otherwise WNL. What is your primary
differential diagnosis for this patient?
A. Migraine
B Transient ischemic attack
C. Giant cell temporal arteritis
D. Polymyalgia rheumatica - ANS-Giant cell temporal arteritis
A 75 yo pt c/o intense eye pain and generalized HA, after watching a movie in the theater.
The NP records the following findings OD with red sclera and dilated pupil, OD > OS,
decreased VA OD, OS WNL, no temporal tenderness. These findings are most appropriately
suggest: A. Acute glaucoma,
B. Open angle glaucoma,
C. Temporal arteritis,
D. retinal detachment - ANS-acute glaucoma
A cauliflower like growth with foul smelling discharge is seen during an otoscopic of the left
ear of an 8 y/o boy with a history of chronic OM. No tympanic membrane or ossicles are
visible and the patient seems to have difficulty hearing the NP's instructions. Which of the
following conditions is best described?
A. Chronic perforation of the TM with secondary bacterial infection
B. Chronic mastoiditis
