CMN 577 - Exam Review
An 18-year-old waitress is diagnosed with pelvic inflammatory disease (PID). The cervical
Gen-Probe result is positive for Neisseria gonorrhoeae and negative for Chlamydia trachomatis.
All of the following statements are true regarding the management
of this patient except:
A) This patient should be treated for chlamydia even though the Gen-Probe for chlamydia is
negative
B) Ceftriaxone 250 mg IM and doxycycline 100 mg PO BID x 14 days are appropriate treatment
for this patient
C) Advise the patient to return to the clinic for a repeat pelvic exam in 48 hours
D) Repeat the Gen-Probe test for Chlamydia Trachomatis to ensure that the previous test was
not a false-negative result
D) Repeat the Gen-Probe test for Chlamydia trachomatis to ensure that the previous test was
not a false-negative result
Common forms of plague transmission
Flea bite, contact with or ingestion of contaminated tissue. Also aerosolization of plague has
been discussed as a possible mode of transmission
Forum
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Dry needling: Who can do it and what is it for?
Must be performed by licensed PT (who used to only require a masters degree, but now must
have a doctorate). Indications include myofascial release.
,Forum
Which form of plague is most effective as a bioweapon?
Pneumonic plague
Forum
Which of the following is NOT a risk factor for erectile dysfunction?
a. Smoking
b. Diabetes
c. BPH
d. Hypertension
Diabetes, hypertension, and smoking are all risk factors for ED. BPH treatment regimen (alpha
blockers) may cause ED; but BPH in and of itself is not a risk factor.
McPhee p 975
symptoms of prostate cancer
a. firm like the very tip of the nose
b. rubbery
c. tenderness
d. induration
normal gland (firm like the very tip of the nose), rubbery (chronic prostatitis), and tenderness
(acute prostatitis).
induration is the only choice that suggests prostate cancer
Forum
A 30 year old female ate at a restaurant and later found out that a worker at the place tested
positive for Hep A. She is worried and comes to you for help. What should she do?
a. Give her the Hep A vaccine
b. Monitor her symptoms
c. Give her immunoglobulin
A.
What would help YOUR patient the most? She is anxious and worried which is why she came to
you with her concerns. Are the potential side effects of giving her the Hepatitis A vaccine worse
than not treating at all? You are right, we don't know she was exposed or how long it had been.
But you can provide reassurance by giving the vaccine.
,Forum.
A 3-year-old child presents to the clinic with vomiting secondary to viral gastroenteritis. Which
child should be referred to the hospital immediately?
A. Dry mucous membranes, tachycardia, mild oliguria, normal blood pressure, decreased skin
turgor
B. Decrease in body weight, Dry mucous membranes, Capillary refill 2-3s
C. Capillary refill >4s, tachycardia, oliguria, poor color, no tear production
D. Pale color, capillary refll 3-4s, Normal Blood pressure, decreased tear production
C
According to Hay, emergent intravenous therapy is indicated where there is evidence of
compromised perfusion ( inadequate capillary refill, tachycardia, poor color, oliguria or
hypotension) (Ford & Hannah, 2018).
Question pool
Albert is a 40-year-old male who presents for care. He states he has let his weight go for the
last few years because of one thing or the other but is committed to getting into better shape.
Today Albert's BMI is 47.
All of the following statements about obesity are true except:
A: One third of all adults in the U. S. are classified as obese
B: Metabolic syndrome includes waist >40 inches for a man
C: Obesity is associated with lower all-cause mortality
D: Prevention of being obese includes increasing physical activity and dietary modification.
C- Per Papadakis and McPhee,
Obesity impacts 1/3 of the U.S. population.
Metabolic syndrome consists of waist circumference of greater than or equal to 40(men) or
35(women) inches, triglyceride levels of 150mg/dL, HDL less than 40(men) or 50(women)
mg/dL, BP of 130/85mmHg or greater, and fasting blood glucose of 100mg/dL or greater.
Obesity is associated with a higher all-cause mortality. Persons whose BMI is 40 or greater have
a 52% (men) or 62% (women) death rate from cancer than compared to men and women
of normal weight (BMI under 25).
To prevent being overweight or obese, increasing physical activity and decreasing caloric intake
is the best way to prevent weight gain.
, Question pool
Shelly is a 5-year-old child who was never vaccinated. Shelly's mom has done a lot of
researching on the topic and has decided today that she was a fool and Shelly needs to be
immunized. Which of the following combinations of vaccines are appropriate for Shelly, who has
no allergies, no immunodeficiency, and no chronic illnesses?
A: Hep B, Hib, Varicella, and PCV13
B: Tdap, Varicella, MMR
C: DTaP, Varicella, MMR, and Hep B
D: Hep B, Hep A, PCV13, and HPV
C
Hib is not recommended for children 5 years and older.
Tdap is not given until the patient is 7 years old.
DTaP, Varicella, MMR and Hep B are all safe and recommended as catch up vaccines for
patients aged 5 years.
HPV is not recommended until patient is age 11 (may start at age 9).
Question pool
A four year old child presents to the clinic for yearly well child visit in October. The child is
current on vaccinations and there are no allergies or contraindications to vaccinations, which
vaccinations should the child receive?
a. DTaP, MMR, Varicella, Influenza
b. DTaP, MMR, IPV, Varicella, Influenza
c. DTaP, MMR, IPV, Varicella
d. DTaP, MMR, IPV, Varicella, PCV 13, Influenza
B. She needs her 4 year old shots plus a flu shot.
Remember 4 year old shots as "Very DIM at 4":
Varicella
DTap
IPV
MMR
According to the CDC, a healthy four-year-old with no contraindications or allergies should have
the Diphtheria, tetanus, and acellular pertussis (DTaP), Poliovirus Inactivated (IPV), Measles,
An 18-year-old waitress is diagnosed with pelvic inflammatory disease (PID). The cervical
Gen-Probe result is positive for Neisseria gonorrhoeae and negative for Chlamydia trachomatis.
All of the following statements are true regarding the management
of this patient except:
A) This patient should be treated for chlamydia even though the Gen-Probe for chlamydia is
negative
B) Ceftriaxone 250 mg IM and doxycycline 100 mg PO BID x 14 days are appropriate treatment
for this patient
C) Advise the patient to return to the clinic for a repeat pelvic exam in 48 hours
D) Repeat the Gen-Probe test for Chlamydia Trachomatis to ensure that the previous test was
not a false-negative result
D) Repeat the Gen-Probe test for Chlamydia trachomatis to ensure that the previous test was
not a false-negative result
Common forms of plague transmission
Flea bite, contact with or ingestion of contaminated tissue. Also aerosolization of plague has
been discussed as a possible mode of transmission
Forum
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:01
/
0:15
Full screen
Brainpower
Read More
Dry needling: Who can do it and what is it for?
Must be performed by licensed PT (who used to only require a masters degree, but now must
have a doctorate). Indications include myofascial release.
,Forum
Which form of plague is most effective as a bioweapon?
Pneumonic plague
Forum
Which of the following is NOT a risk factor for erectile dysfunction?
a. Smoking
b. Diabetes
c. BPH
d. Hypertension
Diabetes, hypertension, and smoking are all risk factors for ED. BPH treatment regimen (alpha
blockers) may cause ED; but BPH in and of itself is not a risk factor.
McPhee p 975
symptoms of prostate cancer
a. firm like the very tip of the nose
b. rubbery
c. tenderness
d. induration
normal gland (firm like the very tip of the nose), rubbery (chronic prostatitis), and tenderness
(acute prostatitis).
induration is the only choice that suggests prostate cancer
Forum
A 30 year old female ate at a restaurant and later found out that a worker at the place tested
positive for Hep A. She is worried and comes to you for help. What should she do?
a. Give her the Hep A vaccine
b. Monitor her symptoms
c. Give her immunoglobulin
A.
What would help YOUR patient the most? She is anxious and worried which is why she came to
you with her concerns. Are the potential side effects of giving her the Hepatitis A vaccine worse
than not treating at all? You are right, we don't know she was exposed or how long it had been.
But you can provide reassurance by giving the vaccine.
,Forum.
A 3-year-old child presents to the clinic with vomiting secondary to viral gastroenteritis. Which
child should be referred to the hospital immediately?
A. Dry mucous membranes, tachycardia, mild oliguria, normal blood pressure, decreased skin
turgor
B. Decrease in body weight, Dry mucous membranes, Capillary refill 2-3s
C. Capillary refill >4s, tachycardia, oliguria, poor color, no tear production
D. Pale color, capillary refll 3-4s, Normal Blood pressure, decreased tear production
C
According to Hay, emergent intravenous therapy is indicated where there is evidence of
compromised perfusion ( inadequate capillary refill, tachycardia, poor color, oliguria or
hypotension) (Ford & Hannah, 2018).
Question pool
Albert is a 40-year-old male who presents for care. He states he has let his weight go for the
last few years because of one thing or the other but is committed to getting into better shape.
Today Albert's BMI is 47.
All of the following statements about obesity are true except:
A: One third of all adults in the U. S. are classified as obese
B: Metabolic syndrome includes waist >40 inches for a man
C: Obesity is associated with lower all-cause mortality
D: Prevention of being obese includes increasing physical activity and dietary modification.
C- Per Papadakis and McPhee,
Obesity impacts 1/3 of the U.S. population.
Metabolic syndrome consists of waist circumference of greater than or equal to 40(men) or
35(women) inches, triglyceride levels of 150mg/dL, HDL less than 40(men) or 50(women)
mg/dL, BP of 130/85mmHg or greater, and fasting blood glucose of 100mg/dL or greater.
Obesity is associated with a higher all-cause mortality. Persons whose BMI is 40 or greater have
a 52% (men) or 62% (women) death rate from cancer than compared to men and women
of normal weight (BMI under 25).
To prevent being overweight or obese, increasing physical activity and decreasing caloric intake
is the best way to prevent weight gain.
, Question pool
Shelly is a 5-year-old child who was never vaccinated. Shelly's mom has done a lot of
researching on the topic and has decided today that she was a fool and Shelly needs to be
immunized. Which of the following combinations of vaccines are appropriate for Shelly, who has
no allergies, no immunodeficiency, and no chronic illnesses?
A: Hep B, Hib, Varicella, and PCV13
B: Tdap, Varicella, MMR
C: DTaP, Varicella, MMR, and Hep B
D: Hep B, Hep A, PCV13, and HPV
C
Hib is not recommended for children 5 years and older.
Tdap is not given until the patient is 7 years old.
DTaP, Varicella, MMR and Hep B are all safe and recommended as catch up vaccines for
patients aged 5 years.
HPV is not recommended until patient is age 11 (may start at age 9).
Question pool
A four year old child presents to the clinic for yearly well child visit in October. The child is
current on vaccinations and there are no allergies or contraindications to vaccinations, which
vaccinations should the child receive?
a. DTaP, MMR, Varicella, Influenza
b. DTaP, MMR, IPV, Varicella, Influenza
c. DTaP, MMR, IPV, Varicella
d. DTaP, MMR, IPV, Varicella, PCV 13, Influenza
B. She needs her 4 year old shots plus a flu shot.
Remember 4 year old shots as "Very DIM at 4":
Varicella
DTap
IPV
MMR
According to the CDC, a healthy four-year-old with no contraindications or allergies should have
the Diphtheria, tetanus, and acellular pertussis (DTaP), Poliovirus Inactivated (IPV), Measles,
