CMN 577 - Exam Review
An 18-12 months-vintage waitress is recognized with pelvic inflammatory disorder (PID). The
cervical Gen-Probe result is effective for Neisseria gonorrhoeae and poor for Chlamydia
trachomatis. All of the subsequent statements are genuine regarding the control
of this affected person besides:
A) This patient need to be dealt with for chlamydia despite the fact that the Gen-Probe for
chlamydia is terrible
B) Ceftriaxone 250 mg IM and doxycycline one hundred mg PO BID x 14 days are appropriate
remedy for this affected person
C) Advise the affected person to return to the medical institution for a repeat pelvic exam in forty
eight hours
D) Repeat the Gen-Probe take a look at for Chlamydia Trachomatis to ensure that the previous
take a look at changed into not a false-bad result
D) Repeat the Gen-Probe take a look at for Chlamydia trachomatis to make sure that the
previous check become not a fake-negative result
Common kinds of plague transmission
Flea chew, contact with or ingestion of contaminated tissue. Also aerosolization of plague has
been mentioned as a likely mode of transmission
Forum
Dry needling: Who can do it and what is it for?
Must be accomplished by means of certified PT (who used to most effective require a masters
degree, but now must have a doctorate). Indications include myofascial launch.
Forum
Which shape of plague is only as a bioweapon?
Pneumonic plague
Forum
Which of the following is NOT a danger element for erectile dysfunction?
A. Smoking
b. Diabetes
,c. BPH
d. Hypertension
Diabetes, high blood pressure, and smoking are all hazard factors for ED. BPH remedy regimen
(alpha blockers) might also cause ED; but BPH in and of itself isn't a chance factor.
McPhee p 975
signs of prostate cancer
a. Company like the very tip of the nostril
b. Rubbery
c. Tenderness
d. Induration
everyday gland (company just like the very tip of the nostril), rubbery (continual prostatitis), and
tenderness (acute prostatitis).
Induration is the most effective desire that shows prostate most cancers
Forum
A 30 yr antique woman ate at a eating place and later located out that a employee at the
location examined fantastic for Hep A. She is involved and springs to you for help. What need to
she do?
A. Give her the Hep A vaccine
b. Monitor her signs
c. Give her immunoglobulin
A.
What would help YOUR affected person the maximum? She is traumatic and involved that is
why she came to you along with her issues. Are the potential facet consequences of giving her
the Hepatitis A vaccine worse than now not treating in any respect? You are right, we do not
know she was exposed or how lengthy it were. But you may provide reassurance via giving the
vaccine.
Forum.
A 3-yr-vintage baby affords to the sanatorium with vomiting secondary to viral gastroenteritis.
Which baby have to be referred to the health center at once?
A. Dry mucous membranes, tachycardia, slight oliguria, ordinary blood strain, decreased skin
turgor
B. Decrease in frame weight, Dry mucous membranes, Capillary refill 2-3s
C. Capillary replenish >4s, tachycardia, oliguria, poor coloration, no tear manufacturing
,D. Pale colour, capillary refll 3-4s, Normal Blood stress, reduced tear production
C
According to Hay, emergent intravenous remedy is indicated wherein there may be evidence of
compromised perfusion ( insufficient capillary fill up, tachycardia, negative color, oliguria or
hypotension) (Ford & Hannah, 2018).
Question pool
Albert is a 40-yr-antique male who presents for care. He states he has permit his weight pass
for the last few years due to one component or the other however is devoted to getting into
higher form. Today Albert's BMI is forty seven.
All of the subsequent statements approximately weight problems are proper except:
A: One 1/3 of all adults within the U. S. Are categorised as overweight
B: Metabolic syndrome consists of waist >40 inches for a person
C: Obesity is associated with decrease all-cause mortality
D: Prevention of being obese consists of growing physical pastime and nutritional change.
C- Per Papadakis and McPhee,
Obesity influences 1/3 of the U.S. Population.
Metabolic syndrome consists of waist circumference of greater than or equal to 40(guys) or
35(ladies) inches, triglyceride tiers of 150mg/dL, HDL much less than forty(men) or 50(girls)
mg/dL, BP of 130/85mmHg or extra, and fasting blood glucose of 100mg/dL or greater.
Obesity is related to a better all-motive mortality. Persons whose BMI is 40 or extra have a fifty
two% (men) or sixty two% (girls) death charge from cancer than as compared to men and
women
of everyday weight (BMI below 25).
To prevent being obese or overweight, growing bodily hobby and decreasing caloric
consumption is the pleasant way to prevent weight advantage.
Question pool
Shelly is a 5-year-old toddler who become never vaccinated. Shelly's mother has finished plenty
of discovering on the topic and has decided nowadays that she changed into a fool and Shelly
desires to be immunized. Which of the following combinations of vaccines are suitable for
Shelly, who has no allergic reactions, no immunodeficiency, and no chronic ailments?
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 encouraged for youngsters 5 years and older.
Tdap is not given till the affected person is 7 years old.
DTaP, Varicella, MMR and Hep B are all secure and encouraged as trap up vaccines for patients
aged 5 years.
HPV isn't always endorsed until patient is age eleven (can also begin at age nine).
Question pool
A 4 12 months vintage infant affords to the medical institution for yearly well infant go to in
October. The infant is present day on vaccinations and there aren't any allergic reactions or
contraindications to vaccinations, which vaccinations ought to the kid get hold of?
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 desires her four yr antique photographs plus a flu shot.
Remember four 12 months vintage shots as "Very DIM at 4":
Varicella
DTap
IPV
MMR
According to the CDC, a healthful four-12 months-old with no contraindications or allergies have
to have the Diphtheria, tetanus, and acellular pertussis (DTaP), Poliovirus Inactivated (IPV),
Measles, mumps and rubella (MMR), Varicella and Influenza vaccine(CDC, 2018; Daley,
O'Leary, & Nyquist, 2018
Question pool
A mom brings her 6-12 months antique son for your medical institution for an trouble along with
his pores and skin. She explains that he had a few ant bites on his leg ultimate week, however
