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CMN 568-unit 1 study questions and Answers (Latest Update 2024)
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CMN 568-unit 1 study questions and Answers (Latest Update 2024)
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CMN 568-unit 1 study questions andAnswers (Latest Update 2024)
the test used to check for corneal light reflex in each eye, and
its symmetry is called - Correct Answer ✅ hirshberg test
What is the difference in recurrent sinusitis and chronic
sinusitis - Correct Answer ✅ 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? - Correct Answer
✅ 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? - Correct Answer ✅ 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? - Correct
Answer ✅ 2nd or 3rd generation cephalosporins
,CMN 568-unit 1 study questions and
Answers (Latest Update 2024)
what disease process may be observed by unequal pupils
(anisocoria), eyelid ptosis, iris heterochromia, and anhidrosis?
- Correct Answer ✅ 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? -
Correct Answer ✅ sickle cell
what would be your treatment plan for an anaphylactic
reaction due to a bee sting on an upper limb? - Correct
Answer ✅ -For anaphylaxis you'll give EPI 1:1000 ).01
mg/kg (max 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
,CMN 568-unit 1 study questions and
Answers (Latest Update 2024)
what are the most common antibiotics to cause anaphylaxis -
Correct Answer ✅ amoxicillin
ampicillin
TMP-SMZ (trimethoprim-sulfonamide)
what is the 1st line of treatment for allergic rhinitis - Correct
Answer ✅ -non-sedating antihistamines: LORATADINE,
CETRIZINE
-intranasal corticosteroids
-mast cell stabilizers: CROMOLYN
-Montelukast: SINGULAR
what is the 1st line treatment for Bacterial Rhinosinusitis in
adults? - Correct Answer ✅ 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.
, CMN 568-unit 1 study questions and
Answers (Latest Update 2024)
-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
------1st line therapy after recent abx use: levofloxacin,
amoxicillain-clavulanate
what antibiotic do you avoid if you think the patient may
have mono? - Correct Answer ✅ 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? - Correct
Answer ✅ 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
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