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CMN 568 Exam Questions With 100% Correct Answers
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CMN 568 Exam Questions With 100% Correct Answersanticipatory guidance - Answer Patient/family counseling which includes information,
advice, and suggestions about expected health-related life occurrences, health
maintenance, and preventive plans.
where should pediatric history information be obtained from? - Answer both patient and
parent; obtain as much as possible from patient to give child a degree of control over a
potentially threatening situation
order of pediatric physical examination - Answer 1. inspection first, from afar; examine
skin color and work of breathing before beginning exam; establish trust; allow child to
sit in parents lap; defer otoscopic exam until last
when should eyes and ears be examined? - Answer during every health visit
3 components of vision assessment - Answer - visual inspection of eyes/eyelids
- alignment of eyes
- visual acuity
ophthalmic exam birth to age 3 includes: - Answer - history of eye
- visual acuity check
- examination of lids and eyes
- pupil reaction
- EOMs
- red reflex
ophthalmic exam age 3 and up includes: - Answer - history of eye
,- visual acuity check
- examination of lids and eyes
- pupil reaction
- EOMs
- red reflex
visual acuity test with eye chart; classes should be worn if prescribed and record data
as "corrected"
Evaluating infant visual acuity: Infant may briefly track mother's face or brightly colored
object within an hour after birth (fixation reflex not developed for several weeks); do not
talk while evaluating vision, infant may look toward sound rather than visual stimulus
when pt presents w/ eye condition (infection, trauma, etc), what do you assess first? Anx
visual acuity; UNLESS there is chemical injury to the eye then you should irrigate and
refer to ophthalmologist; w/ decrease acuity, also refer to ophthalmologist
what is the visual acuity of a new born? Anx 20/200-20/400; the acuity reaches adult
level of 20/20 by age 5
when to refer child to ophthalmologist - Answer - 3-5yr: if acuity is less than 20/40 in
either eye, or if theres a difference in two lines in acuity between eyes
- 6yr and older: if acuity is less than 20/30 or if theres a difference in two lines in acuity
between eyes
when to assess red reflex - Answer birth until the child can read eye chart
At what age do you start checking for fixation and following? -Age 2 months; refer for
ophthalmological evaluation if fixation and following is poor at age 3 months.
At what age to check corneal light reflex (Hirschsbergs test)? - Age 3 months-5 years;
refer for asymmetry in light reflex
, At what age to start cover test for strabismus -Age 6 months-5 years
At what age to start a fundoscopic examination -Age 3 years
when to start preliterate eye chart testing - Answer 3-4 years
minimum visual acuity at age 3-5 - Answer 20/40
minimum visual acuity over 6 years of age- Answer 20/30
downs syndrome children are at an increased risk of what eye disorders? - Answer
refractive error, strabismus, cataracts
Hearing screen > age 4-Response traditional screening audiometry-raising your hand
when you hear the noise; each ear is tested and referred for any difference >20 dB.
Hearing screening should be a part of work up for attention problems
What % of dose does acute care visit account for in a primary care office? -Response
30%
Clinician documentation of acute care visit-Answer document events related to
presenting problem-describe in medical record including support with physical
data/diagnostics; treatment, follow up instructions-when to return to work or school;
immunization status screening; anticipatory guidance
Sports physicals are also known as what? -Answer preparticipation physical
examination (PPE)
goal of PPE - Answer identify medical conditions that may make sports unsafe; screen
for underlying illness through history and physical; recognize preexisting injuries or
medical problems that affected previous sports seasons
specifics to document in PPE - Answer - sport being played
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