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CMN 568 Exam Questions and Answers – Updated 2024 $12.49   Add to cart

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CMN 568 Exam Questions and Answers – Updated 2024

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CMN 568 Exam Questions and Answers – Updated 2024 anticipatory 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 ...

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  • October 16, 2024
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CMN 568 Exam Questions and Answers –
Updated 2024

anticipatory 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


birth to age 3 ophthalmic exam includes: - Answer✔✔-- eye history


- vision assessment

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- inspection of eyelids and eyes


- pupil examination


- ocular mobility


- red reflex check


age 3 and up ophthalmic exam includes: - Answer✔✔-- eye history


- vision assessment


- inspection of eyelids and eyes


- pupil examination


- ocular mobility


- red reflex check


visual acuity test with eye chart; classes should be worn if prescribed and record data as

"corrected"


assessing newborn visual acuity - Answer✔✔-should be able to briefly track mother's face or

brightly colored object within an hour after birth (fixation reflex not developed for several

weeks); dont talk while assessing vision, baby may look toward sound rather than visual

stimulus


when patient presents with eye condition (infection, injury, etc), what do you check first? -

Answer✔✔-visual acuity; UNLESS there is chemical injury to eye, then you should irrigate first

and refer to ophthalmologist; when there is decreased acuity, also refer to ophthalmologist
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what is the visual acuity of a newborn? - Answer✔✔-20/200-20/400; 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


when should you start to assess fixation and following? - Answer✔✔-2 months; refer out if

fixation and following are poor by 3 months


when to test corneal light reflex (hirschsbergs test)? - Answer✔✔-3 months- 5 years; refer out

for asymmetry in light reflex


when to start cover testing for strabismus - Answer✔✔-6 months- 5 years


when to start a fundoscopic exam - Answer✔✔-3 years


when to start preliterate eye chart testing - Answer✔✔-3-4 years


minimal visual acuity at age 3-5 - Answer✔✔-20/40


minimal visual acuity greater than 6 years old - Answer✔✔-20/30


downs syndrome children have increased risk of what eye disorders? - Answer✔✔-refractive

error, strabismus, cataracts


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hearing screening after age 4 - Answer✔✔-conventional screening audiometry (raise your hand

if you can hear the noise); each ear tested and referred for discrepancy greater than 20 dB;

hearing screening should be part of attention problem workup


what percentage dose acute care visits account for in a primary care office? - Answer✔✔-30%


clinician documentation of acute care visit - Answer✔✔-document events related to presenting

problem (describe them in medical record), including supporting 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


- previous cardiac, respiratory, musculoskeletal, or neuro problems associated with activity


- CONCUSSIONS, any suspicion of cardiac syncope, asthma, or unilateral organs


- anabolic steroid or nutritional supplements


- relevant family history of cardiac death less than 50 yr old




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