CMN568 Unit 1 Review Questions With Complete
Solutions
Review the criteria for observation or "watchful waiting" in a child diagnosed with AOM –
correct answer Watchful waiting is appropriate for patients without severe symptoms, >
2 yr old, with unilateral or bilateral AOM without otorrhea.
It is also acceptable for 6mo- correct answer 2yr with unilateral AOM without otorrhea.
10 yr old had otorrhea, 4 mo old too young, 16 mo old had bilateral AOM. 6 yr old was
only one that fit criteria.
USA
Review the characteristics of viral conjunctivitis (causes, signs & symptoms, etc) correct
answer - Viral conjunctivitis has watery D/C, not purulent, does not cause severe eye
pain, and is not caused by the bacteria, H. flu.
USA
, Review the treatment of epistaxis (nose bleed) - correct answer Nasal decongestants
are used to treat persistent epistaxis (after applying pressure). Hay (pg. 488) lists the
medication as oxymetazoline, which is Afrin. McPhee (pg. 221) lists another medication,
phenylephrine and also lists oxumetazoline. They state "short-acting topical nasal
decongestants, which act as vasoconstrictors, may be helpful". Remember my
announcement about medications for Unit 1 (and all future units): for each drug, you
should know the generic name, CLASS of medication, indications, contraindications,
and side effects. It is important to look up medications that you are not familiar with.
Knowing the class is important because side effect and contraindications are usually the
same across the whole class of medications. This will make learning side effects and
contraindications much easier. Ex: Beta Blockers, a common medication used for
hypertension and arrhythmias, cause bronchoconstriction and are contraindicated in
severe asthma or COPD. If you know that all of the "lol" drugs (metoprolol, propranolol,
etc) are beta blockers, you know the side effects for all of those meds.
Review the signs & symptoms of presbyacusis (age-related hearing loss) correct
answer - Presbycusis is a type of age-related sensory (not conductive) hear loss that
make it difficult to hear in a noisy room or hear high frequencies.
Solutions
Review the criteria for observation or "watchful waiting" in a child diagnosed with AOM –
correct answer Watchful waiting is appropriate for patients without severe symptoms, >
2 yr old, with unilateral or bilateral AOM without otorrhea.
It is also acceptable for 6mo- correct answer 2yr with unilateral AOM without otorrhea.
10 yr old had otorrhea, 4 mo old too young, 16 mo old had bilateral AOM. 6 yr old was
only one that fit criteria.
USA
Review the characteristics of viral conjunctivitis (causes, signs & symptoms, etc) correct
answer - Viral conjunctivitis has watery D/C, not purulent, does not cause severe eye
pain, and is not caused by the bacteria, H. flu.
USA
, Review the treatment of epistaxis (nose bleed) - correct answer Nasal decongestants
are used to treat persistent epistaxis (after applying pressure). Hay (pg. 488) lists the
medication as oxymetazoline, which is Afrin. McPhee (pg. 221) lists another medication,
phenylephrine and also lists oxumetazoline. They state "short-acting topical nasal
decongestants, which act as vasoconstrictors, may be helpful". Remember my
announcement about medications for Unit 1 (and all future units): for each drug, you
should know the generic name, CLASS of medication, indications, contraindications,
and side effects. It is important to look up medications that you are not familiar with.
Knowing the class is important because side effect and contraindications are usually the
same across the whole class of medications. This will make learning side effects and
contraindications much easier. Ex: Beta Blockers, a common medication used for
hypertension and arrhythmias, cause bronchoconstriction and are contraindicated in
severe asthma or COPD. If you know that all of the "lol" drugs (metoprolol, propranolol,
etc) are beta blockers, you know the side effects for all of those meds.
Review the signs & symptoms of presbyacusis (age-related hearing loss) correct
answer - Presbycusis is a type of age-related sensory (not conductive) hear loss that
make it difficult to hear in a noisy room or hear high frequencies.
