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CMN 568 unit 1 study Questions and Correct Answers | Latest Update

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  • Course
  • CMN 568
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  • CMN 568

the test used to check for corneal light reflex in each eye, and its symmetry is called  hirshberg test What is the difference in recurrent sinusitis and chronic sinusitis  recurrent is defined as successive episodes of bacterial infections of the sinuses each lasting less than 30 days a...

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  • September 28, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • CMN 568
  • CMN 568
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CMN 568 unit 1 study Questions and
Correct Answers | Latest Update
the test used to check for corneal light reflex in each eye, and its symmetry is called


 hirshberg test




What is the difference in recurrent sinusitis and chronic sinusitis


 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?


 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?


 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?


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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025

 2nd or 3rd generation cephalosporins




what disease process may be observed by unequal pupils (anisocoria), eyelid ptosis, iris

heterochromia, and anhidrosis?


 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?


 sickle cell




what would be your treatment plan for an anaphylactic reaction due to a bee sting on an

upper limb?


 -For anaphylaxis you'll give EPI 1:1000 ).01 mg/kg (m ax 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




~ 1 ~ for inquiry mail me @ supergrades12@gmail.com

, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025

what are the most common antibiotics to cause anaphylaxis


 amoxicillin

ampicillin


TMP-SMZ (trimethoprim-sulfonamide)




what is the 1st line of treatment for allergic rhinitis


 -non-sedating antihistamines: LORATADINE, CETRIZINE

-intranasal corticosteroids


-mast cell stabilizers: CROMOLYN


-Montelukast: SINGULAR




what is the 1st line treatment for Bacterial Rhinosinusitis in adults?


 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


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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025

------1st line therapy after recent abx use: levofloxacin, amoxicillain-clavulanate




what antibiotic do you avoid if you think the patient may have mono?


 amoxicillin b/c drug often precipitates a rash




every pt who complains of hearing loss should be referred for audiologic evaluation except in

what scenario?


 when the cause is easily remediable.

example: cerumen impaction or otitis media. have child return at 4 wk intervals to check

progress of effusion. refer for audiology after 3 mo of continuous effusion in children <3yr or

at risk of language delay




what is the 1st line treatment for acute bacterial pharyngitis in adults? in peds?


 Adults & children > 27kg: Penicillin VK 250 mg orally TID or 500 mg BID

for 10 days. Penicillin G IM if compliance or amoxicillin

--erythromycin/azithromycin or cephalosporins are used if PCN allergy.


PEDS: penicillin VK 50-70 mg/kg/d in 3 divided doses, benzathine penicillin 600,000 units IM

in <27kg, 1.2 million units if >27kg, single dose. For PCN allergy use azithromycin




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