CP2 FINAL EXAM QUESTIONS AND VERIFIED
ACCURATE SOLUTION |GET IT 100% ACCURATE
Dog bites - ANSWER-60-90% of mammalian bites, infection rate 15-20%, bite to hand=40% infection
rate. 1/2 victims <12y, majority are from a domestic pet known to the victim. Pit Bulls responsible for
most human deaths r/t dog bites
eczema (atopic dermatitis) - ANSWER-Doxepin-TCA; potent AH activity, singulair with other forms of
therapy. Topical Corticosteriods-first line therapy, systemic rarely necessary
epistaxis - ANSWER-nasal pleget soaked w 0.25% phenylephrine/1:1000 epi/0.1% xylometatoline/4%
cocaine solution for 5-10m. if this fails -->cauterize anesthesia first 4% cocaine or lidocaine, if this failr--
>nasal packing, gauze soaked in petrolatum jelly, or nasal tampon
epistaxis 2 - ANSWER-any pt >40y with h/o CV, hepatic, renal, pulm disorders should have anterior
packing as temp. stabilization but should be referred to ER.
epistaxis complications - ANSWER-Rhinitis, sinusitis, OM, pressure necrosis of nasal membranes from
packing, iatrogenic sleep apnea, hemotympanum, bacteremia, resp distress, Cardiac arryhtmia, balloon
rupture w/ aspiration of saline
epistaxis method 1 - ANSWER-cotton applicator technique-superficial anterior bleed. Saturate cotton
tipped applicator with chosen VC agent, apply pressure x 5m, keep patient upright for 5 additional
minutes.
Epistaxis method 2 - ANSWER-dental/tonsillar packing-superficial anterior bleed. saturate nasal packing
with chosen VC agent (NO silver nitate), insert the packing as far as possible into nares. have pt. pinch
nose foe 5-10m then remove packing
epistaxis method 3 - ANSWER-anterior nasal packing-heavy anterior hemorrhage. using sterile gloves,
and petrolatum atbx impregnated gauze-fold gauze in half and insert into nares in layered fashion until
no further packing can be inserted. check VS p 5-10m, remove p 48h
epistaxis method 4 - ANSWER-posterior nasal packing-heavy posterior hemorrhage. spray nare with
benzocaine spray (advise pateint about possible choking sensation and hoarsness), Sterile gloves, verify
, balloon in intact, lubricate with antibiotic ointment, insert catheter until choana; inflate with 5mL, then
ask pt to open mouth to confirm position. Complete inlflation 10-15Ml, stbilize with tape. insert anterior
packing to stabilize. deflate balloon in 5-10m if no bleeding. leave catheter in place for 12h
Examples of awareness raising activities include: - ANSWER-• Holding an anti-bullying day in schools •
Creating a local fund for businesses to support bullying prevention • Creating a community newsletter •
Providing information on state/local bullying laws • Creating an interfaith alliance • Hosting a town hall
or community event • Submitting op-eds and letters to the editor to local media • Helping youth
develop a media campaign • Holding a PSA contest
Examples of prevention and response steps include: - ANSWER-• Developing a taskforce to assess
bullying in schools • Conducting team building exercises with youth • Creating a safety plan for children
who are bullied • Developing screening processes to promote early detection and response • Training
adults on gathering and using bullying data • Developing a follow-up procedure to monitor youth who
have been bullied • Establishing in-school committees • Monitoring internet activities and mobile
devices • Sponsoring training sessions for adults on best practices in bullying prevention, response, and
crisis planning
eye exposure to alkali chemicals - ANSWER-lye, lime, mortar, cement, plaster, ammonia-occular
emergency-seek emergency care
eye irrigation procedure - ANSWER-rule out perf-complete exam should be done but this should not
delay irrigation. NO fluorescein stain until irrigation completed. administer ocular anesthesia, gently
retract upper eyelid and insert tip of irrigation tube beneath. flow 2l NS/LR/H20 for irrigation to be
completed in 20m.
Federal Laws and Bullying and Harassment - ANSWER-Title VI of the Civil Rights Act of 1964, Title IX of
the Education Amendments of 1972 (title 9), Section 504 of the Rehabilitation Act of 1973 and Title II of
the ADA (1990) prohibits ' discrimination based on disability
Group treatment with children who bully - ANSWER-May involve anger management, skill-building,
empathy-building, self-esteem enhancement. • Well-intentioned but often counter-productive. Why? -
Group members can serve as poor role models and reinforce each others' antisocial and bullying
behavior
ACCURATE SOLUTION |GET IT 100% ACCURATE
Dog bites - ANSWER-60-90% of mammalian bites, infection rate 15-20%, bite to hand=40% infection
rate. 1/2 victims <12y, majority are from a domestic pet known to the victim. Pit Bulls responsible for
most human deaths r/t dog bites
eczema (atopic dermatitis) - ANSWER-Doxepin-TCA; potent AH activity, singulair with other forms of
therapy. Topical Corticosteriods-first line therapy, systemic rarely necessary
epistaxis - ANSWER-nasal pleget soaked w 0.25% phenylephrine/1:1000 epi/0.1% xylometatoline/4%
cocaine solution for 5-10m. if this fails -->cauterize anesthesia first 4% cocaine or lidocaine, if this failr--
>nasal packing, gauze soaked in petrolatum jelly, or nasal tampon
epistaxis 2 - ANSWER-any pt >40y with h/o CV, hepatic, renal, pulm disorders should have anterior
packing as temp. stabilization but should be referred to ER.
epistaxis complications - ANSWER-Rhinitis, sinusitis, OM, pressure necrosis of nasal membranes from
packing, iatrogenic sleep apnea, hemotympanum, bacteremia, resp distress, Cardiac arryhtmia, balloon
rupture w/ aspiration of saline
epistaxis method 1 - ANSWER-cotton applicator technique-superficial anterior bleed. Saturate cotton
tipped applicator with chosen VC agent, apply pressure x 5m, keep patient upright for 5 additional
minutes.
Epistaxis method 2 - ANSWER-dental/tonsillar packing-superficial anterior bleed. saturate nasal packing
with chosen VC agent (NO silver nitate), insert the packing as far as possible into nares. have pt. pinch
nose foe 5-10m then remove packing
epistaxis method 3 - ANSWER-anterior nasal packing-heavy anterior hemorrhage. using sterile gloves,
and petrolatum atbx impregnated gauze-fold gauze in half and insert into nares in layered fashion until
no further packing can be inserted. check VS p 5-10m, remove p 48h
epistaxis method 4 - ANSWER-posterior nasal packing-heavy posterior hemorrhage. spray nare with
benzocaine spray (advise pateint about possible choking sensation and hoarsness), Sterile gloves, verify
, balloon in intact, lubricate with antibiotic ointment, insert catheter until choana; inflate with 5mL, then
ask pt to open mouth to confirm position. Complete inlflation 10-15Ml, stbilize with tape. insert anterior
packing to stabilize. deflate balloon in 5-10m if no bleeding. leave catheter in place for 12h
Examples of awareness raising activities include: - ANSWER-• Holding an anti-bullying day in schools •
Creating a local fund for businesses to support bullying prevention • Creating a community newsletter •
Providing information on state/local bullying laws • Creating an interfaith alliance • Hosting a town hall
or community event • Submitting op-eds and letters to the editor to local media • Helping youth
develop a media campaign • Holding a PSA contest
Examples of prevention and response steps include: - ANSWER-• Developing a taskforce to assess
bullying in schools • Conducting team building exercises with youth • Creating a safety plan for children
who are bullied • Developing screening processes to promote early detection and response • Training
adults on gathering and using bullying data • Developing a follow-up procedure to monitor youth who
have been bullied • Establishing in-school committees • Monitoring internet activities and mobile
devices • Sponsoring training sessions for adults on best practices in bullying prevention, response, and
crisis planning
eye exposure to alkali chemicals - ANSWER-lye, lime, mortar, cement, plaster, ammonia-occular
emergency-seek emergency care
eye irrigation procedure - ANSWER-rule out perf-complete exam should be done but this should not
delay irrigation. NO fluorescein stain until irrigation completed. administer ocular anesthesia, gently
retract upper eyelid and insert tip of irrigation tube beneath. flow 2l NS/LR/H20 for irrigation to be
completed in 20m.
Federal Laws and Bullying and Harassment - ANSWER-Title VI of the Civil Rights Act of 1964, Title IX of
the Education Amendments of 1972 (title 9), Section 504 of the Rehabilitation Act of 1973 and Title II of
the ADA (1990) prohibits ' discrimination based on disability
Group treatment with children who bully - ANSWER-May involve anger management, skill-building,
empathy-building, self-esteem enhancement. • Well-intentioned but often counter-productive. Why? -
Group members can serve as poor role models and reinforce each others' antisocial and bullying
behavior
