CMN 568 FINAL EXAMS ACTUAL QUESTIONS AND
ANSWERS RATED A+
✔✔If patient presents with drainage from ears, but has no pain or fever. Along with
having tubes. What do you use to treat the patient? - ✔✔Fluorqionolones
✔✔Group A Step (Bacterial Pharyngitis) diagnosis - ✔✔Sore throat AND 1.)swollen
tonsils 2.)anterior cerivcal adenopathy 3.)fever 4.)lack of cough
✔✔Group A Strep (Bacterial Pharyngitis) treatment - ✔✔First line: PCN V
If allergic: erythromycin
Tylenol or ibuprofen for pain control
✔✔Corneal abrasion - ✔✔Severe unilateral eye pain, tearing, and redness. Use
anesthetic drops to examine the eye. Irrigate for possible foreign body. Use fluorescent
dye to examine. Tx w abx drop or ointment. Pain management. Do not wear contacts
until healed.
✔✔Tx for allergic rhinitis - ✔✔Pt may also have asthma and eczema.
present with sneezing, rubbing nose, allergic shiners, clear drainage
tx with intranasal corticosteroids (-asone), antihistamines (loratadine)
✔✔Chronic HTN in pregnancy - ✔✔>140/90 before pregnancy or before the 20th week
of pregnancy or the present of persistent HTN >12 weeks
Complications: preeclampsia, fetal growth restriction, preterm birth, placenta abruption
Tx: methyldopa
✔✔Pregnancy induced HTN - ✔✔>140/90 AFTER 20 weeks of pregnancy
Negative protein in urine
Tx w rest and methyldopa
✔✔Preeclampsia - ✔✔>140/90 on two occasions + proteinuria
✔✔Initial prenatal labs - ✔✔HSV
Trich
BV
Thrush
, Glucose if high risk
CF
Zika
Sickle Cell
OOD
CBC
Blood type and Rh
UA
✔✔Fibroadenoma - ✔✔Benign
Occurs in young women.
Round, firm, moveable, nontender
Tx with excision
✔✔Tanner stages (female) - ✔✔1. No pubic hair, election of papilla
2. sparse hair on labia, breast bud
3. dark cause and curled hair, enlarged breast and areola
4. adult type hair over small area, projection of areola and papilla
5. hair to thigh, recession of areola to the contour of breast
✔✔Preconception Counseling - Screening - ✔✔Screen for health risk, height, weight,
BMI, BP physical exam, depression, physical abuse, substance abuse, nutritional
status, medications, immunizations, like
✔✔Preconception Counseling - Folic Acid - ✔✔Folic acid 0.4mg/day one month prior to
conception
If IDDM - 1 mg a day
If previous child has neural tube defect - 4 mg day
✔✔Maternal serum alpha fetal protein (MSAFP screening) - ✔✔Aneuploidy screening -
test for any neural deficits and trisomy
First step between 11-13 weeks - u/s to measure fetal nuchal translucency
Second step between 15-18 weeks. MAFP to determine open neural tube defect.
✔✔Fasting blood sugar in pregnancy goals - ✔✔fasting 70-95
1 hour post meal <130-140
2 hr post meal <120
ANSWERS RATED A+
✔✔If patient presents with drainage from ears, but has no pain or fever. Along with
having tubes. What do you use to treat the patient? - ✔✔Fluorqionolones
✔✔Group A Step (Bacterial Pharyngitis) diagnosis - ✔✔Sore throat AND 1.)swollen
tonsils 2.)anterior cerivcal adenopathy 3.)fever 4.)lack of cough
✔✔Group A Strep (Bacterial Pharyngitis) treatment - ✔✔First line: PCN V
If allergic: erythromycin
Tylenol or ibuprofen for pain control
✔✔Corneal abrasion - ✔✔Severe unilateral eye pain, tearing, and redness. Use
anesthetic drops to examine the eye. Irrigate for possible foreign body. Use fluorescent
dye to examine. Tx w abx drop or ointment. Pain management. Do not wear contacts
until healed.
✔✔Tx for allergic rhinitis - ✔✔Pt may also have asthma and eczema.
present with sneezing, rubbing nose, allergic shiners, clear drainage
tx with intranasal corticosteroids (-asone), antihistamines (loratadine)
✔✔Chronic HTN in pregnancy - ✔✔>140/90 before pregnancy or before the 20th week
of pregnancy or the present of persistent HTN >12 weeks
Complications: preeclampsia, fetal growth restriction, preterm birth, placenta abruption
Tx: methyldopa
✔✔Pregnancy induced HTN - ✔✔>140/90 AFTER 20 weeks of pregnancy
Negative protein in urine
Tx w rest and methyldopa
✔✔Preeclampsia - ✔✔>140/90 on two occasions + proteinuria
✔✔Initial prenatal labs - ✔✔HSV
Trich
BV
Thrush
, Glucose if high risk
CF
Zika
Sickle Cell
OOD
CBC
Blood type and Rh
UA
✔✔Fibroadenoma - ✔✔Benign
Occurs in young women.
Round, firm, moveable, nontender
Tx with excision
✔✔Tanner stages (female) - ✔✔1. No pubic hair, election of papilla
2. sparse hair on labia, breast bud
3. dark cause and curled hair, enlarged breast and areola
4. adult type hair over small area, projection of areola and papilla
5. hair to thigh, recession of areola to the contour of breast
✔✔Preconception Counseling - Screening - ✔✔Screen for health risk, height, weight,
BMI, BP physical exam, depression, physical abuse, substance abuse, nutritional
status, medications, immunizations, like
✔✔Preconception Counseling - Folic Acid - ✔✔Folic acid 0.4mg/day one month prior to
conception
If IDDM - 1 mg a day
If previous child has neural tube defect - 4 mg day
✔✔Maternal serum alpha fetal protein (MSAFP screening) - ✔✔Aneuploidy screening -
test for any neural deficits and trisomy
First step between 11-13 weeks - u/s to measure fetal nuchal translucency
Second step between 15-18 weeks. MAFP to determine open neural tube defect.
✔✔Fasting blood sugar in pregnancy goals - ✔✔fasting 70-95
1 hour post meal <130-140
2 hr post meal <120
