CPNP-PC BOARDS 2024 QUESTIONS AND 100% VERIFIED
ANSWERS
Hand-foot-mouth disease - CORRECT ANSWER✅✅✅-RNA Virus: Coxsackievirus
-vesicular exanthem on tongue, gums, palate, oral mucosa
-papulovesicular exanthem on hands, feet and diaper area in children still in diapers
-s/s= fever, anorexia, dysphagia
-management= tylenol and ibuprofen, hydration
Herpangina - CORRECT ANSWER✅✅✅-Infection due to coxsackievirus A that is characterized by
acute onset of fever, sore throat, oral discomfort, headache, drooling, anorexia associated with small
ulcers or vesicles on the soft palate-tonsillar pillar area
-management- tylenol, motrin, hydration
Bacterial Pharyngitis - CORRECT ANSWER✅✅✅-Group A beta-hemolytic strep
-s/s- sore throat, fever, headache, n/v, abdominal pain, malaise
-viral pharyngitis: hoarseness, conjunctivitis, runny nose, cough, cold symptoms
-erythema of the pharynx, enlarged tonsils with exudate, , lymphadenopathy
- viral: saline gargles, tylenol and motrin, hydration
-bacterial: amoxicillin, cefdinir or amox-clav
- not contagious after 24 hours on abx
- school- 24 hr fever free
mononucleosis - CORRECT ANSWER✅✅✅-posterior cervical lymph nodes
-suspected: cbc, mono spot, EBV titers
acute nasopharyngitis - CORRECT ANSWER✅✅✅Common Cold. An upper respiratory infection can
be caused by any one of 200 different viruses.
-RVS= most common
-infants: irritability, fever, restless, rhinorrhea, diarrhea, feeding and sleep pattern change
,-children: low grade fever, stuffy nose, watery nasal d/c, sore throat, cough, chills, headache
-management: tylenol, motrin for fever, hydration, cool mist humidifier, saline nose drops or spray with
nasal bulb
Retropharyngeal abscess - CORRECT ANSWER✅✅✅life-threatening infection in the lateral
pharyngeal space that has the potential to occlude the airway; most commonly occurs in children
-inflammation of the posterior aspect of the pharynx with lymphadenopathy
- usually preceded by URIS, pharyngitis, sinusitis, and cervical lymphadenitis
-s/s: high fever, sore throat, drooling, neck and head hyperextension, drooling, stridor, noisy, gurgling
- CT scan
-EMERGENCY
Peritonsillar abscess - CORRECT ANSWER✅✅✅-Collection of pus or fluid around the tonsil
- GABHS
-S. Aureus
s/s: sore throat, high fever, toxic appearance, muffled voice, spasm of jaw muscles, bad breath
- unilateral enlargement of tonsils
- soft palate and uvula edematous with uvula displaced toward unaffected side
-hospital and ENT
Cervical lymphadenitis - CORRECT ANSWER✅✅✅inflammation and infection of one or more cervical
lymph node
-S. Pyogenes and S. Aureus
- s/s: fever, swollen neck or face, rare: stridor, hoarseness, drooling
-2-6cm, overlying erythema
-CBC, PPD, mono spot, throat culture- GABHS
- Oral Abx: amoxicllin clauvulanate, dicloxacillin , cephalexin
- measure and follow size of the node
-tylenol, motrin for pain and fever
-reevaluate in 36-48 hours
,Epiglottits - CORRECT ANSWER✅✅✅-inflammation of the epiglottis
-leads to life threatening airway obstruction
-2-7 years old most often
- Group A strep, H. influenzae
-fever, sore throat, muffled voice, drooling, poor color, labored breathing, wont speak, choking
sensation, restless, irritable, anxious, hyperextension of neck, leaning forward with chin thrust out,
tripod position
- exam: retractions, stridor, nasal flaring , toxic, beefy epiglottis
- DO not visualize epiglottis if epiglottis is suspected
-MEDICAL EMERGENCY
Major cause of microcephaly - CORRECT ANSWER✅✅✅craniosynostosis
what findings may accompany macrocephaly - CORRECT ANSWER✅✅✅widened suture lines
Obtaining a CT scan would be indicated for... - CORRECT ANSWER✅✅✅Macrocephaly
What increases the risk of developing hydrocephalus? - CORRECT ANSWER✅✅✅prematurity
bilateral cephalohematomas - CORRECT ANSWER✅✅✅may result in underlying skull fracture
A conjunctivitis in a 2 day old newborn is likely due to - CORRECT ANSWER✅✅✅chemical irritation
from eye drops
conjunctivitis due to chlamydia can be seen at - CORRECT ANSWER✅✅✅age 2 weeks or later
confirming the diagnosis of chlamydia conjunctivitis in a newborn would be best done by obtaining -
CORRECT ANSWER✅✅✅sample for testing must include epithelial cells since chlamydia is an
intracellular organism
, - culture of the conjunctival scrapings
___ would be considered an ophthalmic emergency - CORRECT ANSWER✅✅✅unilateral vesicular
lesions would indicate a possible herpetic infection of the eye in a 3 week old - concern for spread to the
CNS
chemosis - CORRECT ANSWER✅✅✅swelling on the conjunctiva - often associated with allergies
cobblestone appearance of the inverted upper eyelid - CORRECT ANSWER✅✅✅suggestive of
allergies
blepharitis - CORRECT ANSWER✅✅✅inflammation of the glands and eyelash follicles along the
margin of the eyelids
- bilateral redness along eyelid margins with tiny ulcerated areas
most appropriate management of a 5 year old with a firm non-tender nodule in the mid upper eye for 3
weeks. - CORRECT ANSWER✅✅✅this is a chalazion
-resolves without treatment
-but they can become inflamed and infected
-topical antibiotic ointment is appropriate and recommended treatment
-use warm compresses not cool
daily eyelid cleansing with diluted baby shampoo and a cotton tipped applicator would be appropriate in
the treatment of - CORRECT ANSWER✅✅✅blepharitis
Treatment for dacryostenosis - CORRECT ANSWER✅✅✅time, antibiotic eye ointment and massage
Styes/Hordeolums are ____ - CORRECT ANSWER✅✅✅painful swelling in a gland at the eyelid
margin
-treated with warm compresses and topical ophthalmic ointments
ANSWERS
Hand-foot-mouth disease - CORRECT ANSWER✅✅✅-RNA Virus: Coxsackievirus
-vesicular exanthem on tongue, gums, palate, oral mucosa
-papulovesicular exanthem on hands, feet and diaper area in children still in diapers
-s/s= fever, anorexia, dysphagia
-management= tylenol and ibuprofen, hydration
Herpangina - CORRECT ANSWER✅✅✅-Infection due to coxsackievirus A that is characterized by
acute onset of fever, sore throat, oral discomfort, headache, drooling, anorexia associated with small
ulcers or vesicles on the soft palate-tonsillar pillar area
-management- tylenol, motrin, hydration
Bacterial Pharyngitis - CORRECT ANSWER✅✅✅-Group A beta-hemolytic strep
-s/s- sore throat, fever, headache, n/v, abdominal pain, malaise
-viral pharyngitis: hoarseness, conjunctivitis, runny nose, cough, cold symptoms
-erythema of the pharynx, enlarged tonsils with exudate, , lymphadenopathy
- viral: saline gargles, tylenol and motrin, hydration
-bacterial: amoxicillin, cefdinir or amox-clav
- not contagious after 24 hours on abx
- school- 24 hr fever free
mononucleosis - CORRECT ANSWER✅✅✅-posterior cervical lymph nodes
-suspected: cbc, mono spot, EBV titers
acute nasopharyngitis - CORRECT ANSWER✅✅✅Common Cold. An upper respiratory infection can
be caused by any one of 200 different viruses.
-RVS= most common
-infants: irritability, fever, restless, rhinorrhea, diarrhea, feeding and sleep pattern change
,-children: low grade fever, stuffy nose, watery nasal d/c, sore throat, cough, chills, headache
-management: tylenol, motrin for fever, hydration, cool mist humidifier, saline nose drops or spray with
nasal bulb
Retropharyngeal abscess - CORRECT ANSWER✅✅✅life-threatening infection in the lateral
pharyngeal space that has the potential to occlude the airway; most commonly occurs in children
-inflammation of the posterior aspect of the pharynx with lymphadenopathy
- usually preceded by URIS, pharyngitis, sinusitis, and cervical lymphadenitis
-s/s: high fever, sore throat, drooling, neck and head hyperextension, drooling, stridor, noisy, gurgling
- CT scan
-EMERGENCY
Peritonsillar abscess - CORRECT ANSWER✅✅✅-Collection of pus or fluid around the tonsil
- GABHS
-S. Aureus
s/s: sore throat, high fever, toxic appearance, muffled voice, spasm of jaw muscles, bad breath
- unilateral enlargement of tonsils
- soft palate and uvula edematous with uvula displaced toward unaffected side
-hospital and ENT
Cervical lymphadenitis - CORRECT ANSWER✅✅✅inflammation and infection of one or more cervical
lymph node
-S. Pyogenes and S. Aureus
- s/s: fever, swollen neck or face, rare: stridor, hoarseness, drooling
-2-6cm, overlying erythema
-CBC, PPD, mono spot, throat culture- GABHS
- Oral Abx: amoxicllin clauvulanate, dicloxacillin , cephalexin
- measure and follow size of the node
-tylenol, motrin for pain and fever
-reevaluate in 36-48 hours
,Epiglottits - CORRECT ANSWER✅✅✅-inflammation of the epiglottis
-leads to life threatening airway obstruction
-2-7 years old most often
- Group A strep, H. influenzae
-fever, sore throat, muffled voice, drooling, poor color, labored breathing, wont speak, choking
sensation, restless, irritable, anxious, hyperextension of neck, leaning forward with chin thrust out,
tripod position
- exam: retractions, stridor, nasal flaring , toxic, beefy epiglottis
- DO not visualize epiglottis if epiglottis is suspected
-MEDICAL EMERGENCY
Major cause of microcephaly - CORRECT ANSWER✅✅✅craniosynostosis
what findings may accompany macrocephaly - CORRECT ANSWER✅✅✅widened suture lines
Obtaining a CT scan would be indicated for... - CORRECT ANSWER✅✅✅Macrocephaly
What increases the risk of developing hydrocephalus? - CORRECT ANSWER✅✅✅prematurity
bilateral cephalohematomas - CORRECT ANSWER✅✅✅may result in underlying skull fracture
A conjunctivitis in a 2 day old newborn is likely due to - CORRECT ANSWER✅✅✅chemical irritation
from eye drops
conjunctivitis due to chlamydia can be seen at - CORRECT ANSWER✅✅✅age 2 weeks or later
confirming the diagnosis of chlamydia conjunctivitis in a newborn would be best done by obtaining -
CORRECT ANSWER✅✅✅sample for testing must include epithelial cells since chlamydia is an
intracellular organism
, - culture of the conjunctival scrapings
___ would be considered an ophthalmic emergency - CORRECT ANSWER✅✅✅unilateral vesicular
lesions would indicate a possible herpetic infection of the eye in a 3 week old - concern for spread to the
CNS
chemosis - CORRECT ANSWER✅✅✅swelling on the conjunctiva - often associated with allergies
cobblestone appearance of the inverted upper eyelid - CORRECT ANSWER✅✅✅suggestive of
allergies
blepharitis - CORRECT ANSWER✅✅✅inflammation of the glands and eyelash follicles along the
margin of the eyelids
- bilateral redness along eyelid margins with tiny ulcerated areas
most appropriate management of a 5 year old with a firm non-tender nodule in the mid upper eye for 3
weeks. - CORRECT ANSWER✅✅✅this is a chalazion
-resolves without treatment
-but they can become inflamed and infected
-topical antibiotic ointment is appropriate and recommended treatment
-use warm compresses not cool
daily eyelid cleansing with diluted baby shampoo and a cotton tipped applicator would be appropriate in
the treatment of - CORRECT ANSWER✅✅✅blepharitis
Treatment for dacryostenosis - CORRECT ANSWER✅✅✅time, antibiotic eye ointment and massage
Styes/Hordeolums are ____ - CORRECT ANSWER✅✅✅painful swelling in a gland at the eyelid
margin
-treated with warm compresses and topical ophthalmic ointments
