CMN 568 unit 5 Exam Questions With Collect Solutions
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Course
CMN 568
Institution
CMN 568
CMN 568 unit 5 Exam Questions With Collect Solutions
a child has sudden onset of symptoms of OCD. what must you screen for? - Answer-group A strep infections
.A patient presents with Ha with nausea and neck stiffness. What do you suspect could be the cause and what is the name of these sympto...
a child has sudden onset of symptoms of OCD. what must you screen for? - Answer-
group A strep infections
.A patient presents with Ha with nausea and neck stiffness. What do you suspect could
be the cause and what is the name of these symptoms together? - Answer-aneurysms.
can be asymptomatic until rupture but sometimes will have these symptoms few hours
to days before rupture. called the "warning leak"
.a pt comes to clinic with complaints for the LAST MONTH she has been
"reexperiencing" a traumatic event and having decreased responsiveness and avoiding
going to the same location where this took place. What dx does she have? - Answer-
PTSD
.AAP recommends screening for depression in kids what age? - Answer-12 yo and over
.at risk drinking is defined as how many drinks for men and how many for women? -
Answer-men: more than 4 drinks per day or 14 per week. women: more than 3 drinks
per day or 7 drinks per week
.at what level is lithium toxicity present? and what can cause it? - Answer-greater than 2
mEq/L. any Na loss, like diarrhea, use of diuretics, excessive sweating
.essentials for diagnosis for acute HA? - Answer-older than 40, rapid onset and
SEVERE intensity, "thunderclap", fever, vision changes, neck stiffness, HIV infection,
current or past hx HTN, neuro findings
.every kid with depression should be asked directly about what? - Answer-suicidal
ideation and physical/sexual abuse
.examples of stressors for elderly? - Answer-retirement, loss of physical and mental
capacity, major personal losses, thoughts of death
.examples of stressors for middle years? - Answer-spousal relationships, aging parents,
having young adult kids you worry about
.First line tx of cluster HAs? - Answer-sumatriptan sub-q/intranasal or inhaled 100% o2
via 12-15 L/min non-rebreather for 15 mins
.Fluoxetine has delay in response. How long does it take when used for depression?
panic disorder? OCD? - Answer-depression-2-4 wks, panic 4-8 wks, OCD 6-12 wks
, .Fluoxetine has longest half life. how long after stopping fluoxetine can you start MAOI?
If stopping MAOI how long do you have to wait before starting Fluoxetine? - Answer-5
wks to start MAOI. 2wks to start fluoxetine
.For pt with renal salt wasting in SAH, what do you measure daily and why? - Answer-
Na daily because renal salt wasting can lead to hyponatremia which then leads to
cerebral edema and worsens intracranial HTN
.generalized anxiety disorder - Answer-Characterized by excessive anxiety or worry
about numerous things, lasting for 6 months or longer.
.how are tension type HA described? - Answer-vise-like or tight, not pulsatile, not
associated with focal neuro symptoms.
.how do kids/teens with bipolar disorder often show mood instability with what? -
Answer-aggressivens and impulsivity
.how do you tx lithium overdose? - Answer-hemodialysis because it is only excreted by
the kidneys
.how is acute stress disorder different from PTSD? - Answer-Acute stress disorder
occurs WITHIN 1 month of traumatic event, and can last from 2 days to 4 weeks.
-Has similar symptom profile, just shortened in duration
.How is mania characterized? - Answer-elation of hyperactivity, increased irritability,
flight of idea, easy distratibility, little need for sleep
.how long does seperation anxiety need to be present before being dx? - Answer-more
than 4 wks for kids and lead to impairment or significant distress
.how much sleep do 6-13 yo need? - Answer-9-11 hours
.if a patient presents with emotional or behavioral distressing symptomatology in
response to stress with an identifiable stressor that occured with 3 months, what would
you suspect as the dx? - Answer-adjustment disorder
.if a patient presents with somatic symptom disorder, what dx must also be considered?
- Answer-depression
.if child has agoraphobia, how is it likely to present itself? - Answer-refusal to go to
school
.if IH left untreated, it can cause what? - Answer-secondary optic atrophy, permanent
vision loss
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