CMN 568 unit 1 Study Questions Answered Correctly | Complete Set 2023

CMN 568 unit 1 Study Questions Answered Correctly | Complete Set 2023 The test used to check for corneal light reflex in each eye, and its symmetry is called - ANSWER hirshberg test What is the difference in recurrent sinusitis and chronic sinusitis - ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER 2nd or 3rd generation cephalosporins What disease process may be observed by unequal pupils (anisocoria), eyelid ptosis, iris heterochromia, and anhidrosis? - ANSWER 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? - ANSWER sickle cell What would be your treatment plan for an anaphylactic reaction due to a bee sting on an upper limb? - ANSWER -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 - ANSWER amoxicillin ampicillin TMP-SMZ (trimethoprim-sulfonamide) What is the 1st line of treatment for allergic rhinitis - ANSWER - non-sedating antihistamines: LORATADINE, CETRIZINE -intranasal corticosteroids -mast cell stabilizers: CROMOLYN -Montelukast: SINGULAR What is the 1st line treatment for Bacterial Rhinosinusitis in adults? - ANSWER 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? - ANSWER amoxicillin b/c drug often precipitates a rash