Comprehensive Final-CMN 568- Test ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS

Comprehensive Final-CMN 568- Test ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS Diverticulitis-Although broad-spectrum oral antibiotics with anaerobic activity commonly are prescribed, large clinical trials confirm that antibiotics are not beneficial in uncomplicated disease. However, a question on the test was what antibiotic is used to treat it? - ANSWER amoxicillin and clavulanate potassium; or metronidazole; plus either ciprofloxacin, or trimethoprim-sulfamethoxazole or until the patient is afebrile for 3- 5 days. When is symptomatic improvement expected when treating Diverticulitis with antibiotics? B) When can the diet be advanced? C) What type of diet should be prescribed? - ANSWER 3 days, at which time the diet may be advanced. Once the acute episode has resolved, a high fiber diet is often recommended. What is the most common organism that causes Otitis externa? - ANSWER Pseudomonas aeruginosa Staphyloccus aureus Aspergillus What is the treatment for keratoconjunctitis sicca (dry eye) that is very common in elderly patients? - ANSWER Artificial tears methylcellulose Polyvinyl alcohol Polyacrylic acid (carbomers) Petroleum ointment mucomimetic hydroxpropyl cellulose (Lacrisert) Cyclosporine (Restasis) Patient with a cold 2 mos ago, symptoms resolved, but continues to have nasal congestion requiring daily use of daily nasal decongestant spray. Nasal mucosa pink (normal), slightly edematous, no drainage. Most likely dx? - ANSWER Allergic Rhinitis possibly rhinitis medicamentosa (long term use of nasal decongestant sprays) Which antibiotic do you avoid if suspect mono? - ANSWER PCN First line tx for child with sinusitis that attends daycare. - ANSWER Amoxicillin Clavunate (Augmentin); alternate is Cefuroxime; Cefpodoxime; Cefdinir Which children diagnosed with AOM are suitable for observation? - ANSWER Only 2yrs with Bilateral AOM without otorrhea or unilateral AOM without otorrhea or 6 mo-2 y with unilateral AOM without Otorrhea p. 506 Hay 6 wk old with cough and mucopurulent conjunctivitis. what type of pneumonia does this most probably represent and what antibiotic would you give? - ANSWER Community acquired bacterial pneumonia, this child would be admitted (admit children 3 mos) IV Ampicillin for 7-10 days Children 4 wks treat with Ampicillin and aminoglycoside Infants 4-12 weeks treat with IV Ampicillin Children 3 mo to 5 y treat with Amoxicillin Children older than 5 y treat with macrolide or amoxicillin or PCN G What conditions cause a decreased TSH? - ANSWER Hyperthyro