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CMN 568 UNIT 1 STUDY QUESTIONS AND ANSWERS
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CMN 568 UNIT 1 STUDY QUESTIONS AND ANSWERS
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CMN 568 UNIT 1 STUDY QUESTIONSAND ANSWERS
theatestausedatoacheckaforacornealalightareflexainaeachaeye,aandaitsasymmetryaisacalleda-
aans--hirshbergatest
Whataisatheadifferenceainarecurrentasinusitisaandachronicasinusitisa-aans--
recurrentaisadefinedaasasuccessiveaepisodesaofabacterialainfectionsaofatheasinusesaeachalas
tingalessathana30adaysaandaseparatedabyaintervalsaofaataleasta10adays.a
chronicaisadefinedaasaepisodesaofainflammationaofatheaparanasalasinusesalastingamoreathan
a90adays.
firstalineaofatreatmentaofaAOMainachildren?a-aans--amoxicillina80-90mg/kg/
dayadividedabya2adoses
Aa3ay/
oapresentsawithaAOMaandamotherareportsasevereaallergyatoaPCN.aWhataisaanaalternative?a-
aans--Aamacrolide,aBactrim,aoraclindamycin
5ay/oapresentsaw/AOMaandamotherareportsaaamildarashaw/
PCNamedication.aWhataisaanaalternativeaforatreatment?a-aans--
2ndaora3rdagenerationacephalosporins
whatadiseaseaprocessamayabeaobservedabyaunequalapupilsa(anisocoria),aeyelidaptosis,airisa
heterochromia,aandaanhidrosis?a-aans--hornersasyndrome
whatatraitacanaquicklyaleadatoaopticaatrophyaandapermanentavisionalossawithaevenamoderate
aelevationsaofaintraocularapressureaANDashouldabeatestedaforaallaAfricanaAmericansawhosea
statusaisaunknownawhenahyphemaaisaobserved?a-aans--sickleacell
whatawouldabeayouratreatmentaplanaforaanaanaphylacticareactionadueatoaaabeeastingaonaanau
pperalimb?a-aans---Foraanaphylaxisayou'llagiveaEPIa1:1000a).01amg/
kga(maxadosea0.3ainaPedsaanda0.5ainaadults)aIM
-Benadryla1-2mg/kgapedsaw/maxadosea50amgaIV
-ranitidineamaxadosea1amg/kdapedsaw/maxadosea50mg/kdaIV
-crystalloidabolusa(20mg/kgaovera1ahour)
,-solumedeola1mg/kgaforaPedsaIV
-sometimesaalsoaanaalbuterolaneb
whataareatheamostacommonaantibioticsatoacauseaanaphylaxisa-aans--amoxicillin
ampicillin
TMP-SMZa(trimethoprim-sulfonamide)
whataisathea1stalineaofatreatmentaforaallergicarhinitisa-aans---non-
sedatingaantihistamines:aLORATADINE,aCETRIZINE
-intranasalacorticosteroids
-mastacellastabilizers:aCROMOLYN
-Montelukast:aSINGULAR
whataisathea1stalineatreatmentaforaBacterialaRhinosinusitisainaadults?a-aans--
OTCaNSAIDSaoraacetaminophen
nasalacorticosteroids
decongestants
-
diagnosisaisamadeawhenasymptomsalastalongerathana10adaysaw/
oaimprovementaORaworseningaofasymptomsaw/
ina20adaysaafterainitialaimprovementaofasymptoms.
-foraptsaw/
focalasignsasuchaasaperiorbitalaedema,asevereasinusatenderness,aorasevereaheadache--
doanotawaita10adaysaforaantibiotics
------1stalineatherapy:aamoxicillin,abactrim,adoxycycline,aamoxicillian-clavulanate
------1stalineatherapyaafterarecentaabxause:alevofloxacin,aamoxicillain-clavulanate
whataantibioticadoayouaavoidaifayouathinkatheapatientamayahaveamono?a-aans--
amoxicillinab/cadrugaoftenaprecipitatesaaarash
everyaptawhoacomplainsaofahearingalossashouldabeareferredaforaaudiologicaevaluationaexce
ptainawhatascenario?a-aans--whenatheacauseaisaeasilyaremediable.
example:acerumenaimpactionaoraotitisamedia.ahaveachildareturnaata4awkaintervalsatoacheckap
rogressaofaeffusion.areferaforaaudiologyaaftera3amoaofacontinuousaeffusionainachildrena<3yrao
raatariskaofalanguageadelay
whataisathea1stalineatreatmentaforaacuteabacterialapharyngitisainaadults?ainapeds?a-aans--
Adultsa&achildrena>a27kg:aPenicillinaVKa250amgaorallyaTIDaora500amgaBIDafora10adays.aPeni
cillinaGaIMaifacomplianceaoraamoxicillin
--erythromycin/azithromycinaoracephalosporinsaareausedaifaPCNaallergy.
PEDS:apenicillinaVKa50-70amg/
kg/
daina3adividedadoses,abenzathineapenicillina600,000aunitsaIMaina<27kg,a1.2amillionaunitsaifa>
27kg,asingleadose.aForaPCNaallergyauseaazithromycin
, Aanurseapractitioneraisaexaminingatheaeyesaofaaa5-year-
old.aOnashiningaaalightaontoatheacorneaasoathataitaisaseenaonabothaeyes,atheaNPanotesathataisa
itaatathea10ao'clockainathearightaeyeaanda2aO'clockainathealeftaeye.aInterpretationaofathisafindin
gais:a
A.anystagmusa
B.aMyopiaa
C.aNormala
D.aStrabismusa-aans--strabismus
Theafollowingastatementaofastrabismusaisatrueaexcept:a
A.aEsotropiaamayabeaintermittentaupatoaagea6amonthsa
B.aExotropiaaisanormalaafteraagea2amonthsa
C.aStrabismusamayabealatenta(occursaonlyaunderabinocularavision)a
D.aStrabismusarequiresaophthalmologicalareferralaifapresentaafteraagea1ayeara-aans----
exotropiaaisanormalaaftera2amoaofaage
--
strabismusarequiresaanaophthalmologicalareferralaifapresentaafteratheaageaofa1ayra(earlieratxai
sabetter)
Aa45ayoamailacomesatheaclinicawithac/
oarightaeyeapain.aItahasabeenaoccuringaconstantlyaoverathealastatwoadaysaandaisaassociateda
witharedness.aThereahasabeenanoaincreasealacrimation,apurulentadischarge,aoraHA.aInaaddit
ionatoatheafundusocpicaexam,aitaisacrucialathatatheaNPaaccess:a
A.avisualafieldsa
B.aCranialanervea7,a
C.aVisualaacuity,a
D.aTheacornealareflexa-aans--visualaacuity
Aa75ayoaptac/
oaintenseaeyeapainaandageneralizedaHA,aafterawatchingaaamovieainatheatheater.aTheaNParec
ordsatheafollowingafindingsaODawitharedascleraaandadilatedapupil,aODa>aOS,adecreasedaVAa
OD,aOSaWNL,anoatemporalatenderness.aTheseafindingsaareamostaappropriatelyasuggest:aA
.aAcuteaglaucoma,a
B.aOpenaangleaglaucoma,a
C.aTemporalaarteritis,a
D.aretinaladetachmenta-aans--acuteaglaucoma
AaNPasuspectsathataaascratchyafeelingainaaapt'saeyeaisaaacornealaabrasion.aThereaisaphotoph
obiaaandaerythema,abutanoadrainageaorachangeainavisualaacuity.aPERRLAaisanoted.aAnaapp
ropriateaNPainterventionaatathisatimeawouldainclude:a
A.aimmediateareferrala
B.ainstillationaofaanestheticaocularadrops,a
C.aopthalmicaantibioticagttsaandapatchingatheaeyea
D.ainstillationaofamydriaticagttsa-aans--instillationaofaanestheticaocularadrops
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