CMN 568 Exam 1 – Questions & Precise Solutions
Red reflex Right Ans - reflective phenomenon seen when light passes
through pupil (reddish, orange glow).
noting this bilaterally tells you that there is not an object (tumor) present.
When should red reflex test be conducted? Right Ans - at birth until child
can read the eye chart
estropia Right Ans - inward deviation of the eye (cross-eyed)
hypertropia Right Ans - upward deviation of the eye
exotropia Right Ans - outward deviation of the eye
hypotropia Right Ans - downward deviation of the eye
intermittent strabismus Right Ans - very common in infants, should not
persist past 4 months
when does formal testing of visual accuity begin? Right Ans - age 3
what requires referral to an eye doctor Right Ans - 1. age 3-5: visual acuity
less than 20/40 in either eye
2. greater than 6: visual acuity less than 20/30 in either eye
3. difference of 2 or more lines between the eyes even with passing range in
any pt greater than 3
when does the hearing screening begin? Right Ans - at birth and then 4 yo
what can be mistaken for hearing loss? Right Ans - inattention. ADHD
workup needed
what is considered a fever? Right Ans - rectal temp of 38 or 100.4
group b strep and e. coli would often be found in infants Right Ans - less
than 1 month
strep pneumoniae
, influenzae
meningitis
are often seen in patients Right Ans - between 1-3 months
non toxic child symptoms Right Ans - strong cry, consolable.
pink skin.
alert
tears
toxic child symptoms Right Ans - inconsolable, weak cry, no tears
pale, blue, mottled skin
difficult to arouse.
why do we avoid ceftriaxone in infants less than 1 month Right Ans -
hyperbilirubenemia
what is the Tylenol dose for children
how often Right Ans - 10-15 mg/kg/dose
q 4-6 hrs
max dose of Tylenol Right Ans - 5 doses in 24 hours
what is the dose of ibuprofen in children?
how often Right Ans - 5-10 mg/kg/dose every 6-8 hours
max dose for ibuprofen Right Ans - 40mg/kg/day
why do we not give aspirin to children Right Ans - reyes syndrome
Dacrocystitis- symptoms
what is the treatment?
what is this from? Right Ans - continuous tears, yellowish discharge,
swelling.
medical emergency needs IV abx
tear duct obstruction
any patient with cellulitis from the neck up Right Ans - needs to be seen in
the ER
Red reflex Right Ans - reflective phenomenon seen when light passes
through pupil (reddish, orange glow).
noting this bilaterally tells you that there is not an object (tumor) present.
When should red reflex test be conducted? Right Ans - at birth until child
can read the eye chart
estropia Right Ans - inward deviation of the eye (cross-eyed)
hypertropia Right Ans - upward deviation of the eye
exotropia Right Ans - outward deviation of the eye
hypotropia Right Ans - downward deviation of the eye
intermittent strabismus Right Ans - very common in infants, should not
persist past 4 months
when does formal testing of visual accuity begin? Right Ans - age 3
what requires referral to an eye doctor Right Ans - 1. age 3-5: visual acuity
less than 20/40 in either eye
2. greater than 6: visual acuity less than 20/30 in either eye
3. difference of 2 or more lines between the eyes even with passing range in
any pt greater than 3
when does the hearing screening begin? Right Ans - at birth and then 4 yo
what can be mistaken for hearing loss? Right Ans - inattention. ADHD
workup needed
what is considered a fever? Right Ans - rectal temp of 38 or 100.4
group b strep and e. coli would often be found in infants Right Ans - less
than 1 month
strep pneumoniae
, influenzae
meningitis
are often seen in patients Right Ans - between 1-3 months
non toxic child symptoms Right Ans - strong cry, consolable.
pink skin.
alert
tears
toxic child symptoms Right Ans - inconsolable, weak cry, no tears
pale, blue, mottled skin
difficult to arouse.
why do we avoid ceftriaxone in infants less than 1 month Right Ans -
hyperbilirubenemia
what is the Tylenol dose for children
how often Right Ans - 10-15 mg/kg/dose
q 4-6 hrs
max dose of Tylenol Right Ans - 5 doses in 24 hours
what is the dose of ibuprofen in children?
how often Right Ans - 5-10 mg/kg/dose every 6-8 hours
max dose for ibuprofen Right Ans - 40mg/kg/day
why do we not give aspirin to children Right Ans - reyes syndrome
Dacrocystitis- symptoms
what is the treatment?
what is this from? Right Ans - continuous tears, yellowish discharge,
swelling.
medical emergency needs IV abx
tear duct obstruction
any patient with cellulitis from the neck up Right Ans - needs to be seen in
the ER
