CMN 577 FINAL Questions with Correct
Answers | Updated (100% Correct Answers)
An 8-year boy presents to the clinic with 8 light-brown, oval macule
lesions on his skin. One of those lesion measures 1.6 cm. What is
the child at risk for? Answer: Neurofibromatosis
Isotretinoin (Accutane) is commonly used for the treatment of
severe cystic acne that has not responded to standard treatment.
Which of the following considerations is not true for prescribing
Isotretinoin? Answer: Isotretinoin can be prescribed by any
healthcare provider
A 1-month-old female presents to your clinic with her mother for a
well child check. The mother reports a bright red, rubbery appearing
bump that is located on her daughter's neck. She says that it started
out as a flat red area, but now it has grown and is sticking out. This
most likely represents which type of birthmark Answer:
Hemangioma
You are seeing a 6-year-old male who was brought in by his
mother. The mother reports they recently took a family vacation last
week and stayed in a few different hotels. He developed significant
itching and a rash the day of returning home. He is noted to
continuously scratch during the visit. The father and older sister also
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have a similar rash that developed at the same time. On exam, you
note linear burrows around his wrists, ankles, in the webbing of his
fingers, and axillary folds with excoriations present. There is no facial
involvement. He has never had anything like this before. The most
likely diagnosis would be Answer: scabies
A 16-year-old female presents to clinic accompanied by her mother.
She has a rash that appears as erythematous plaques with thick,
white, silvery overlying scales on her elbows, knees, and umbilicus.
She reports this has been going on for about 2 years and tends to
come and go. The mother reports her father has psoriasis. The
patient is not on any medications and she is not currently treating
her rash with anything. She has tried various moisturizers in the past
but has never had a prescription to treat this. She weighs 130
pounds and has no allergies. You diagnose her with psoriasis with
body surface area involvement less than 10%. Which is the best
option as first line therapy Answer: Clobetasol (Temovate) 0.05%
ointment.
A 3-year-old-boy presents to clinic with his mother with honey-
colored crusted sores around his mouth and nose. The mother
states her son started attending daycare a couple of weeks ago and
noticed the sores starting to develop earlier this week. Which highly
contagious childhood illness do you suspect Answer: impegtigo
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Blepharitis that occurs in children has a strong correlation with
which disease Answer: rosacea
A child with Sturge-Weber Syndrome (SWS) will most likely have
what finding on the physical exam Answer: port wine nevous on the
face
What skin disorder is seen with short hyphae and yeast on
microscopic examination of scales Answer: tinea versicolor
A mother brings her two-month-old to your clinic to establish care
after a recent move. She asks you about a raised red "mole-like"
spot on the infant's forehead that has grown in size over the last
few weeks. You determine it is most likely a hemangioma. The
mother then asks what the treatment is. What would be an
appropriate response Answer: Watchful approach is appropriate as
these lesions typically fade as the child ages
At the 6-month checkup a mother is inquiring about a bulge in her
son's right groin. She states it comes and goes and seems to
disappear when he is fussing. The bulge is non tender when
palpated and has a 'silk glove' feel. The findings are most consistent
with which type of hernia Answer: inguinal
A 62-year-old female with osteoarthritis of her left knee is
prescribed meloxicam (Mobic) 7.5mg PO daily for pain; when
reviewing the patient's history and developing the patient's
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treatment plan, the nurse practitioner knows to assess for: Answer:
History of peptic ulcer disease and prescribe a PPI along with an
NSAID
You are evaluating a 4-year-old child for possible Duchenne
muscular dystrophy (DMD). All of the following are characteristic of
DMD except Answer: Increased gastrointestinal motility
Your next patient is a 60-year-old female. At the patient's yearly
wellness exam, she mentions that her hands and fingers have
started having pain. This pain is usually in the mornings and
improves with increased movement as the day goes on. She can
hardly open her bottle of water when the pain is more severe, and
the joints in her fingers appear swollen. She also says as the months
go by, she feels her pain is steadily getting worse. What type of
arthritis does the advanced practice nurse suspect? Answer:
Rheumatoid arthritis
A bone mineral density T score of -1.5 indicates? Answer:
osteopenia
Which of the following statements about slipped capital femoral
epiphysis (SCFE) is TRUE? Answer: The initial treatment includes the
non-weight bearing status with the use of crutches and referral to
an orthopedic surgeon.
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