CMN 577 - Exam Review Questions With
Correct Answers
An |18-year-old |waitress |is |diagnosed |with |pelvic |inflammatory |disease |(PID). |The |cervical |Gen-
Probe |result |is |positive |for |Neisseria |gonorrhoeae |and |negative |for |Chlamydia |trachomatis. |All |
of |the |following |statements |are |true |regarding |the |management
of |this |patient |except:
A) |This |patient |should |be |treated |for |chlamydia |even |though |the |Gen-Probe |for |chlamydia |is |
negative
B) |Ceftriaxone |250 |mg |IM |and |doxycycline |100 |mg |PO |BID |x |14 |days |are |appropriate |
treatment |for |this |patient
C) |Advise |the |patient |to |return |to |the |clinic |for |a |repeat |pelvic |exam |in |48 |hours
D) |Repeat |the |Gen-Probe |test |for |Chlamydia |Trachomatis |to |ensure |that |the |previous |test |was |
not |a |false-negative |result
D) |Repeat |the |Gen-Probe |test |for |Chlamydia |trachomatis |to |ensure |that |the |previous |test |was |
not |a |false-negative |result
Common |forms |of |plague |transmission
Flea |bite, |contact |with |or |ingestion |of |contaminated |tissue. |Also |aerosolization |of |plague |has |
been |discussed |as |a |possible |mode |of |transmission
Forum
Dry |needling: |Who |can |do |it |and |what |is |it |for?
Must |be |performed |by |licensed |PT |(who |used |to |only |require |a |masters |degree, |but |now |must
|have |a |doctorate). |Indications |include |myofascial |release.
Forum
Which |form |of |plague |is |most |effective |as |a |bioweapon?
Pneumonic |plague
Forum
,Which |of |the |following |is |NOT |a |risk |factor |for |erectile |dysfunction?
a. |Smoking
b. |Diabetes
c. |BPH
d. |Hypertension
Diabetes, |hypertension, |and |smoking |are |all |risk |factors |for |ED. |BPH |treatment |regimen |(alpha |
blockers) |may |cause |ED; |but |BPH |in |and |of |itself |is |not |a |risk |factor.
McPhee |p |975
symptoms |of |prostate |cancer
a. |firm |like |the |very |tip |of |the |nose
b. |rubbery
c. |tenderness
d. |induration
normal |gland |(firm |like |the |very |tip |of |the |nose), |rubbery |(chronic |prostatitis), |and |tenderness |
(acute |prostatitis).
induration |is |the |only |choice |that |suggests |prostate |cancer
Forum
A |30 |year |old |female |ate |at |a |restaurant |and |later |found |out |that |a |worker |at |the |place |tested |
positive |for |Hep |A. |She |is |worried |and |comes |to |you |for |help. |What |should |she |do?
a. |Give |her |the |Hep |A |vaccine
b. |Monitor |her |symptoms
c. |Give |her |immunoglobulin
A.
What |would |help |YOUR |patient |the |most? |She |is |anxious |and |worried |which |is |why |she |came |
to |you |with |her |concerns. |Are |the |potential |side |effects |of |giving |her |the |Hepatitis |A |vaccine |
worse |than |not |treating |at |all? |You |are |right, |we |don't |know |she |was |exposed |or |how |long |it |
had |been. |But |you |can |provide |reassurance |by |giving |the |vaccine.
Forum.
A |3-year-old |child |presents |to |the |clinic |with |vomiting |secondary |to |viral |gastroenteritis. |Which
|child |should |be |referred |to |the |hospital |immediately?
,A. |Dry |mucous |membranes, |tachycardia, |mild |oliguria, |normal |blood |pressure, |decreased |skin |
turgor
B. |Decrease |in |body |weight, |Dry |mucous |membranes, |Capillary |refill |2-3s
C. |Capillary |refill |>4s, |tachycardia, |oliguria, |poor |color, |no |tear |production
D. |Pale |color, |capillary |refll |3-4s, |Normal |Blood |pressure, |decreased |tear |production
C
According |to |Hay, |emergent |intravenous |therapy |is |indicated |where |there |is |evidence |of |
compromised |perfusion |( |inadequate |capillary |refill, |tachycardia, |poor |color, |oliguria |or |
hypotension) |(Ford |& |Hannah, |2018).
Question |pool
Albert |is |a |40-year-old |male |who |presents |for |care. |He |states |he |has |let |his |weight |go |for |the |
last |few |years |because |of |one |thing |or |the |other |but |is |committed |to |getting |into |better |
shape. |Today |Albert's |BMI |is |47.
All |of |the |following |statements |about |obesity |are |true |except:
A: |One |third |of |all |adults |in |the |U. |S. |are |classified |as |obese
B: |Metabolic |syndrome |includes |waist |>40 |inches |for |a |man
C: |Obesity |is |associated |with |lower |all-cause |mortality
D: |Prevention |of |being |obese |includes |increasing |physical |activity |and |dietary |modification.
C- |Per |Papadakis |and |McPhee,
Obesity |impacts |1/3 |of |the |U.S. |population.
Metabolic |syndrome |consists |of |waist |circumference |of |greater |than |or |equal |to |40(men) |or |
35(women) |inches, |triglyceride |levels |of |150mg/dL, |HDL |less |than |40(men) |or |50(women) |
mg/dL, |BP |of |130/85mmHg |or |greater, |and |fasting |blood |glucose |of |100mg/dL |or |greater.
Obesity |is |associated |with |a |higher |all-cause |mortality. |Persons |whose |BMI |is |40 |or |greater |
have |a |52% |(men) |or |62% |(women) |death |rate |from |cancer |than |compared |to |men |and |
women
of |normal |weight |(BMI |under |25).
To |prevent |being |overweight |or |obese, |increasing |physical |activity |and |decreasing |caloric |
intake |is |the |best |way |to |prevent |weight |gain.
, Question |pool
Shelly |is |a |5-year-old |child |who |was |never |vaccinated. |Shelly's |mom |has |done |a |lot |of |
researching |on |the |topic |and |has |decided |today |that |she |was |a |fool |and |Shelly |needs |to |be |
immunized. |Which |of |the |following |combinations |of |vaccines |are |appropriate |for |Shelly, |who |
has |no |allergies, |no |immunodeficiency, |and |no |chronic |illnesses?
A: |Hep |B, |Hib, |Varicella, |and |PCV13
B: |Tdap, |Varicella, |MMR
C: |DTaP, |Varicella, |MMR, |and |Hep |B
D: |Hep |B, |Hep |A, |PCV13, |and |HPV
C
Hib |is |not |recommended |for |children |5 |years |and |older.
Tdap |is |not |given |until |the |patient |is |7 |years |old.
DTaP, |Varicella, |MMR |and |Hep |B |are |all |safe |and |recommended |as |catch |up |vaccines |for |
patients |aged |5 |years.
HPV |is |not |recommended |until |patient |is |age |11 |(may |start |at |age |9).
Question |pool
A |four |year |old |child |presents |to |the |clinic |for |yearly |well |child |visit |in |October. |The |child |is |
current |on |vaccinations |and |there |are |no |allergies |or |contraindications |to |vaccinations, |which |
vaccinations |should |the |child |receive?
a. |DTaP, |MMR, |Varicella, |Influenza
b. |DTaP, |MMR, |IPV, |Varicella, |Influenza
c. |DTaP, |MMR, |IPV, |Varicella
d. |DTaP, |MMR, |IPV, |Varicella, |PCV |13, |Influenza
B. |She |needs |her |4 |year |old |shots |plus |a |flu |shot.
Remember |4 |year |old |shots |as |"Very |DIM |at |4":
Varicella
DTap
Correct Answers
An |18-year-old |waitress |is |diagnosed |with |pelvic |inflammatory |disease |(PID). |The |cervical |Gen-
Probe |result |is |positive |for |Neisseria |gonorrhoeae |and |negative |for |Chlamydia |trachomatis. |All |
of |the |following |statements |are |true |regarding |the |management
of |this |patient |except:
A) |This |patient |should |be |treated |for |chlamydia |even |though |the |Gen-Probe |for |chlamydia |is |
negative
B) |Ceftriaxone |250 |mg |IM |and |doxycycline |100 |mg |PO |BID |x |14 |days |are |appropriate |
treatment |for |this |patient
C) |Advise |the |patient |to |return |to |the |clinic |for |a |repeat |pelvic |exam |in |48 |hours
D) |Repeat |the |Gen-Probe |test |for |Chlamydia |Trachomatis |to |ensure |that |the |previous |test |was |
not |a |false-negative |result
D) |Repeat |the |Gen-Probe |test |for |Chlamydia |trachomatis |to |ensure |that |the |previous |test |was |
not |a |false-negative |result
Common |forms |of |plague |transmission
Flea |bite, |contact |with |or |ingestion |of |contaminated |tissue. |Also |aerosolization |of |plague |has |
been |discussed |as |a |possible |mode |of |transmission
Forum
Dry |needling: |Who |can |do |it |and |what |is |it |for?
Must |be |performed |by |licensed |PT |(who |used |to |only |require |a |masters |degree, |but |now |must
|have |a |doctorate). |Indications |include |myofascial |release.
Forum
Which |form |of |plague |is |most |effective |as |a |bioweapon?
Pneumonic |plague
Forum
,Which |of |the |following |is |NOT |a |risk |factor |for |erectile |dysfunction?
a. |Smoking
b. |Diabetes
c. |BPH
d. |Hypertension
Diabetes, |hypertension, |and |smoking |are |all |risk |factors |for |ED. |BPH |treatment |regimen |(alpha |
blockers) |may |cause |ED; |but |BPH |in |and |of |itself |is |not |a |risk |factor.
McPhee |p |975
symptoms |of |prostate |cancer
a. |firm |like |the |very |tip |of |the |nose
b. |rubbery
c. |tenderness
d. |induration
normal |gland |(firm |like |the |very |tip |of |the |nose), |rubbery |(chronic |prostatitis), |and |tenderness |
(acute |prostatitis).
induration |is |the |only |choice |that |suggests |prostate |cancer
Forum
A |30 |year |old |female |ate |at |a |restaurant |and |later |found |out |that |a |worker |at |the |place |tested |
positive |for |Hep |A. |She |is |worried |and |comes |to |you |for |help. |What |should |she |do?
a. |Give |her |the |Hep |A |vaccine
b. |Monitor |her |symptoms
c. |Give |her |immunoglobulin
A.
What |would |help |YOUR |patient |the |most? |She |is |anxious |and |worried |which |is |why |she |came |
to |you |with |her |concerns. |Are |the |potential |side |effects |of |giving |her |the |Hepatitis |A |vaccine |
worse |than |not |treating |at |all? |You |are |right, |we |don't |know |she |was |exposed |or |how |long |it |
had |been. |But |you |can |provide |reassurance |by |giving |the |vaccine.
Forum.
A |3-year-old |child |presents |to |the |clinic |with |vomiting |secondary |to |viral |gastroenteritis. |Which
|child |should |be |referred |to |the |hospital |immediately?
,A. |Dry |mucous |membranes, |tachycardia, |mild |oliguria, |normal |blood |pressure, |decreased |skin |
turgor
B. |Decrease |in |body |weight, |Dry |mucous |membranes, |Capillary |refill |2-3s
C. |Capillary |refill |>4s, |tachycardia, |oliguria, |poor |color, |no |tear |production
D. |Pale |color, |capillary |refll |3-4s, |Normal |Blood |pressure, |decreased |tear |production
C
According |to |Hay, |emergent |intravenous |therapy |is |indicated |where |there |is |evidence |of |
compromised |perfusion |( |inadequate |capillary |refill, |tachycardia, |poor |color, |oliguria |or |
hypotension) |(Ford |& |Hannah, |2018).
Question |pool
Albert |is |a |40-year-old |male |who |presents |for |care. |He |states |he |has |let |his |weight |go |for |the |
last |few |years |because |of |one |thing |or |the |other |but |is |committed |to |getting |into |better |
shape. |Today |Albert's |BMI |is |47.
All |of |the |following |statements |about |obesity |are |true |except:
A: |One |third |of |all |adults |in |the |U. |S. |are |classified |as |obese
B: |Metabolic |syndrome |includes |waist |>40 |inches |for |a |man
C: |Obesity |is |associated |with |lower |all-cause |mortality
D: |Prevention |of |being |obese |includes |increasing |physical |activity |and |dietary |modification.
C- |Per |Papadakis |and |McPhee,
Obesity |impacts |1/3 |of |the |U.S. |population.
Metabolic |syndrome |consists |of |waist |circumference |of |greater |than |or |equal |to |40(men) |or |
35(women) |inches, |triglyceride |levels |of |150mg/dL, |HDL |less |than |40(men) |or |50(women) |
mg/dL, |BP |of |130/85mmHg |or |greater, |and |fasting |blood |glucose |of |100mg/dL |or |greater.
Obesity |is |associated |with |a |higher |all-cause |mortality. |Persons |whose |BMI |is |40 |or |greater |
have |a |52% |(men) |or |62% |(women) |death |rate |from |cancer |than |compared |to |men |and |
women
of |normal |weight |(BMI |under |25).
To |prevent |being |overweight |or |obese, |increasing |physical |activity |and |decreasing |caloric |
intake |is |the |best |way |to |prevent |weight |gain.
, Question |pool
Shelly |is |a |5-year-old |child |who |was |never |vaccinated. |Shelly's |mom |has |done |a |lot |of |
researching |on |the |topic |and |has |decided |today |that |she |was |a |fool |and |Shelly |needs |to |be |
immunized. |Which |of |the |following |combinations |of |vaccines |are |appropriate |for |Shelly, |who |
has |no |allergies, |no |immunodeficiency, |and |no |chronic |illnesses?
A: |Hep |B, |Hib, |Varicella, |and |PCV13
B: |Tdap, |Varicella, |MMR
C: |DTaP, |Varicella, |MMR, |and |Hep |B
D: |Hep |B, |Hep |A, |PCV13, |and |HPV
C
Hib |is |not |recommended |for |children |5 |years |and |older.
Tdap |is |not |given |until |the |patient |is |7 |years |old.
DTaP, |Varicella, |MMR |and |Hep |B |are |all |safe |and |recommended |as |catch |up |vaccines |for |
patients |aged |5 |years.
HPV |is |not |recommended |until |patient |is |age |11 |(may |start |at |age |9).
Question |pool
A |four |year |old |child |presents |to |the |clinic |for |yearly |well |child |visit |in |October. |The |child |is |
current |on |vaccinations |and |there |are |no |allergies |or |contraindications |to |vaccinations, |which |
vaccinations |should |the |child |receive?
a. |DTaP, |MMR, |Varicella, |Influenza
b. |DTaP, |MMR, |IPV, |Varicella, |Influenza
c. |DTaP, |MMR, |IPV, |Varicella
d. |DTaP, |MMR, |IPV, |Varicella, |PCV |13, |Influenza
B. |She |needs |her |4 |year |old |shots |plus |a |flu |shot.
Remember |4 |year |old |shots |as |"Very |DIM |at |4":
Varicella
DTap
