CMN 568 unit 1 study questions with
|\ |\ |\ |\ |\ |\ |\
answers
the test used to check for corneal light reflex in each eye, and its
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
symmetry is called - CORRECT ANSWERS ✔✔hirshberg test
|\ |\ |\ |\ |\ |\ |\ |\
What is the difference in recurrent sinusitis and chronic sinusitis -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔recurrent is defined as successive
|\ |\ |\ |\ |\ |\ |\ |\
episodes of bacterial infections of the sinuses each lasting less
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
than 30 days and separated by intervals of at least 10 days.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chronic is defined as episodes of inflammation of the paranasal
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sinuses lasting more than 90 days.
|\ |\ |\ |\ |\
first line of treatment of AOM in children? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔amoxicillin 80-90mg/kg/day divided by 2 doses |\ |\ |\ |\ |\
A 3 y/o presents with AOM and mother reports severe allergy to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
PCN. What is an alternative? - CORRECT ANSWERS ✔✔A
|\ |\ |\ |\ |\ |\ |\ |\ |\
macrolide, Bactrim, or clindamycin |\ |\ |\
5 y/o presents w/AOM and mother reports a mild rash w/PCN
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medication. What is an alternative for treatment? - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔2nd or 3rd generation cephalosporins |\ |\ |\ |\ |\
what disease process may be observed by unequal pupils
|\ |\ |\ |\ |\ |\ |\ |\ |\
(anisocoria), eyelid ptosis, iris heterochromia, and anhidrosis? - |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔horners syndrome |\ |\ |\
,what trait can quickly lead to optic atrophy and permanent vision
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
loss with even moderate elevations of intraocular pressure AND
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should be tested for all African Americans whose status is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unknown when hyphema is observed? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔sickle cell |\
what would be your treatment plan for an anaphylactic reaction
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
due to a bee sting on an upper limb? - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
For anaphylaxis you'll give EPI 1:1000 ).01 mg/kg (max dose 0.3
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in Peds and 0.5 in adults) IM
|\ |\ |\ |\ |\ |\
-Benadryl 1-2mg/kg peds w/max dose 50 mg IV |\ |\ |\ |\ |\ |\ |\
-ranitidine max dose 1 mg/kd peds w/max dose 50mg/kd IV |\ |\ |\ |\ |\ |\ |\ |\ |\
-crystalloid bolus (20mg/kg over 1 hour) |\ |\ |\ |\ |\
-solumedeol 1mg/kg for Peds IV |\ |\ |\ |\
-sometimes also an albuterol neb |\ |\ |\ |\
what are the most common antibiotics to cause anaphylaxis -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔amoxicillin |\ |\
ampicillin
TMP-SMZ (trimethoprim-sulfonamide) |\
what is the 1st line of treatment for allergic rhinitis - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔-non-sedating antihistamines: LORATADINE, |\ |\ |\ |\
CETRIZINE
-intranasal corticosteroids |\
-mast cell stabilizers: CROMOLYN
|\ |\ |\
,-Montelukast: SINGULAR |\
what is the 1st line treatment for Bacterial Rhinosinusitis in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
adults? - CORRECT ANSWERS ✔✔OTC NSAIDS or acetaminophen
|\ |\ |\ |\ |\ |\ |\
nasal corticosteroids
|\
decongestants
-diagnosis is made when symptoms last longer than 10 days w/o
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
improvement OR worsening of symptoms w/in 20 days after |\ |\ |\ |\ |\ |\ |\ |\ |\
initial improvement of symptoms.
|\ |\ |\
-for pts w/focal signs such as periorbital edema, severe sinus
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tenderness, or severe headache--do not wait 10 days for |\ |\ |\ |\ |\ |\ |\ |\ |\
antibiotics
------1st line therapy: amoxicillin, bactrim, doxycycline,
|\ |\ |\ |\ |\ |\
amoxicillian-clavulanate
------1st line therapy after recent abx use: levofloxacin,
|\ |\ |\ |\ |\ |\ |\ |\
amoxicillain-clavulanate
what antibiotic do you avoid if you think the patient may have
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
mono? - CORRECT ANSWERS ✔✔amoxicillin b/c drug often
|\ |\ |\ |\ |\ |\ |\ |\
precipitates a rash |\ |\
every pt who complains of hearing loss should be referred for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
audiologic evaluation except in what scenario? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔when the cause is easily remediable. |\ |\ |\ |\ |\ |\
example: cerumen impaction or otitis media. have child return at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4 wk intervals to check progress of effusion. refer for audiology
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
after 3 mo of continuous effusion in children <3yr or at risk of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
language delay |\
, what is the 1st line treatment for acute bacterial pharyngitis in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
adults? in peds? - CORRECT ANSWERS ✔✔Adults & children >
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
27kg: Penicillin VK 250 mg orally TID or 500 mg BID for 10 days.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Penicillin G IM if compliance or amoxicillin |\ |\ |\ |\ |\ |\
--erythromycin/azithromycin or cephalosporins are used if PCN |\ |\ |\ |\ |\ |\ |\
allergy.
PEDS: penicillin VK 50-70 mg/kg/d in 3 divided doses, benzathine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
penicillin 600,000 units IM in <27kg, 1.2 million units if >27kg,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
single dose. For PCN allergy use azithromycin
|\ |\ |\ |\ |\ |\
A nurse practitioner is examining the eyes of a 5-year-old. On
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
shining a light onto the cornea so that it is seen on both eyes,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the NP notes that is it at the 10 o'clock in the right eye and 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
O'clock in the left eye. Interpretation of this finding is:
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
A. nystagmus
|\ |\
B. Myopia
|\ |\
C. Normal
|\ |\
D. Strabismus - CORRECT ANSWERS ✔✔strabismus
|\ |\ |\ |\ |\
The following statement of strabismus is true except:
|\ |\ |\ |\ |\ |\ |\ |\
A. Esotropia may be intermittent up to age 6 months
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
B. Exotropia is normal after age 2 months
|\ |\ |\ |\ |\ |\ |\ |\
C. Strabismus may be latent (occurs only under binocular vision)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
D. Strabismus requires ophthalmological referral if present after
|\ |\ |\ |\ |\ |\ |\ |\
age 1 year - CORRECT ANSWERS ✔✔--exotropia is normal after 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
mo of age |\ |\
|\ |\ |\ |\ |\ |\ |\
answers
the test used to check for corneal light reflex in each eye, and its
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
symmetry is called - CORRECT ANSWERS ✔✔hirshberg test
|\ |\ |\ |\ |\ |\ |\ |\
What is the difference in recurrent sinusitis and chronic sinusitis -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔recurrent is defined as successive
|\ |\ |\ |\ |\ |\ |\ |\
episodes of bacterial infections of the sinuses each lasting less
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
than 30 days and separated by intervals of at least 10 days.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chronic is defined as episodes of inflammation of the paranasal
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sinuses lasting more than 90 days.
|\ |\ |\ |\ |\
first line of treatment of AOM in children? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔amoxicillin 80-90mg/kg/day divided by 2 doses |\ |\ |\ |\ |\
A 3 y/o presents with AOM and mother reports severe allergy to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
PCN. What is an alternative? - CORRECT ANSWERS ✔✔A
|\ |\ |\ |\ |\ |\ |\ |\ |\
macrolide, Bactrim, or clindamycin |\ |\ |\
5 y/o presents w/AOM and mother reports a mild rash w/PCN
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medication. What is an alternative for treatment? - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔2nd or 3rd generation cephalosporins |\ |\ |\ |\ |\
what disease process may be observed by unequal pupils
|\ |\ |\ |\ |\ |\ |\ |\ |\
(anisocoria), eyelid ptosis, iris heterochromia, and anhidrosis? - |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔horners syndrome |\ |\ |\
,what trait can quickly lead to optic atrophy and permanent vision
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
loss with even moderate elevations of intraocular pressure AND
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should be tested for all African Americans whose status is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unknown when hyphema is observed? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔sickle cell |\
what would be your treatment plan for an anaphylactic reaction
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
due to a bee sting on an upper limb? - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
For anaphylaxis you'll give EPI 1:1000 ).01 mg/kg (max dose 0.3
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in Peds and 0.5 in adults) IM
|\ |\ |\ |\ |\ |\
-Benadryl 1-2mg/kg peds w/max dose 50 mg IV |\ |\ |\ |\ |\ |\ |\
-ranitidine max dose 1 mg/kd peds w/max dose 50mg/kd IV |\ |\ |\ |\ |\ |\ |\ |\ |\
-crystalloid bolus (20mg/kg over 1 hour) |\ |\ |\ |\ |\
-solumedeol 1mg/kg for Peds IV |\ |\ |\ |\
-sometimes also an albuterol neb |\ |\ |\ |\
what are the most common antibiotics to cause anaphylaxis -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔amoxicillin |\ |\
ampicillin
TMP-SMZ (trimethoprim-sulfonamide) |\
what is the 1st line of treatment for allergic rhinitis - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔-non-sedating antihistamines: LORATADINE, |\ |\ |\ |\
CETRIZINE
-intranasal corticosteroids |\
-mast cell stabilizers: CROMOLYN
|\ |\ |\
,-Montelukast: SINGULAR |\
what is the 1st line treatment for Bacterial Rhinosinusitis in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
adults? - CORRECT ANSWERS ✔✔OTC NSAIDS or acetaminophen
|\ |\ |\ |\ |\ |\ |\
nasal corticosteroids
|\
decongestants
-diagnosis is made when symptoms last longer than 10 days w/o
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
improvement OR worsening of symptoms w/in 20 days after |\ |\ |\ |\ |\ |\ |\ |\ |\
initial improvement of symptoms.
|\ |\ |\
-for pts w/focal signs such as periorbital edema, severe sinus
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tenderness, or severe headache--do not wait 10 days for |\ |\ |\ |\ |\ |\ |\ |\ |\
antibiotics
------1st line therapy: amoxicillin, bactrim, doxycycline,
|\ |\ |\ |\ |\ |\
amoxicillian-clavulanate
------1st line therapy after recent abx use: levofloxacin,
|\ |\ |\ |\ |\ |\ |\ |\
amoxicillain-clavulanate
what antibiotic do you avoid if you think the patient may have
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
mono? - CORRECT ANSWERS ✔✔amoxicillin b/c drug often
|\ |\ |\ |\ |\ |\ |\ |\
precipitates a rash |\ |\
every pt who complains of hearing loss should be referred for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
audiologic evaluation except in what scenario? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔when the cause is easily remediable. |\ |\ |\ |\ |\ |\
example: cerumen impaction or otitis media. have child return at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
4 wk intervals to check progress of effusion. refer for audiology
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
after 3 mo of continuous effusion in children <3yr or at risk of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
language delay |\
, what is the 1st line treatment for acute bacterial pharyngitis in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
adults? in peds? - CORRECT ANSWERS ✔✔Adults & children >
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
27kg: Penicillin VK 250 mg orally TID or 500 mg BID for 10 days.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Penicillin G IM if compliance or amoxicillin |\ |\ |\ |\ |\ |\
--erythromycin/azithromycin or cephalosporins are used if PCN |\ |\ |\ |\ |\ |\ |\
allergy.
PEDS: penicillin VK 50-70 mg/kg/d in 3 divided doses, benzathine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
penicillin 600,000 units IM in <27kg, 1.2 million units if >27kg,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
single dose. For PCN allergy use azithromycin
|\ |\ |\ |\ |\ |\
A nurse practitioner is examining the eyes of a 5-year-old. On
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
shining a light onto the cornea so that it is seen on both eyes,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the NP notes that is it at the 10 o'clock in the right eye and 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
O'clock in the left eye. Interpretation of this finding is:
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
A. nystagmus
|\ |\
B. Myopia
|\ |\
C. Normal
|\ |\
D. Strabismus - CORRECT ANSWERS ✔✔strabismus
|\ |\ |\ |\ |\
The following statement of strabismus is true except:
|\ |\ |\ |\ |\ |\ |\ |\
A. Esotropia may be intermittent up to age 6 months
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
B. Exotropia is normal after age 2 months
|\ |\ |\ |\ |\ |\ |\ |\
C. Strabismus may be latent (occurs only under binocular vision)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
D. Strabismus requires ophthalmological referral if present after
|\ |\ |\ |\ |\ |\ |\ |\
age 1 year - CORRECT ANSWERS ✔✔--exotropia is normal after 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
mo of age |\ |\
