CMN 568 unit 1 study questions with
complete solutions graded A+
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
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
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.
-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
what is the 1st line treatment for acute bacterial pharyngitis in adults? in peds? - correct answer
✔✔Adults & children > 27kg: Penicillin VK 250 mg orally TID or 500 mg BID for 10 days. Penicillin G IM if
compliance or amoxicillin
--erythromycin/azithromycin or cephalosporins are used if PCN allergy.
PEDS: penicillin VK 50-70 mg/kg/d in 3 divided doses, benzathine penicillin 600,000 units IM in <27kg,
1.2 million units if >27kg, single dose. For PCN allergy use azithromycin
A nurse practitioner is examining the eyes of a 5-year-old. On shining a light onto the cornea so that it is
seen on both eyes, the NP notes that is it at the 10 o'clock in the right eye and 2 O'clock in the left eye.
Interpretation of this finding is:
A. nystagmus
B. Myopia
C. Normal
D. Strabismus - correct answer ✔✔strabismus
The following statement of strabismus is true except:
A. Esotropia may be intermittent up to age 6 months
B. Exotropia is normal after age 2 months
C. Strabismus may be latent (occurs only under binocular vision)
D. Strabismus requires ophthalmological referral if present after age 1 year - correct answer ✔✔--
exotropia is normal after 2 mo of age
--strabismus requires an ophthalmological referral if present after the age of 1 yr (earlier tx is better)
A 45 yo mail comes the clinic with c/o right eye pain. It has been occuring constantly over the last two
days and is associated with redness. There has been no increase lacrimation, purulent discharge, or HA.
In addition to the fundusocpic exam, it is crucial that the NP access:
A. visual fields
B. Cranial nerve 7,
complete solutions graded A+
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
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
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.
-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
what is the 1st line treatment for acute bacterial pharyngitis in adults? in peds? - correct answer
✔✔Adults & children > 27kg: Penicillin VK 250 mg orally TID or 500 mg BID for 10 days. Penicillin G IM if
compliance or amoxicillin
--erythromycin/azithromycin or cephalosporins are used if PCN allergy.
PEDS: penicillin VK 50-70 mg/kg/d in 3 divided doses, benzathine penicillin 600,000 units IM in <27kg,
1.2 million units if >27kg, single dose. For PCN allergy use azithromycin
A nurse practitioner is examining the eyes of a 5-year-old. On shining a light onto the cornea so that it is
seen on both eyes, the NP notes that is it at the 10 o'clock in the right eye and 2 O'clock in the left eye.
Interpretation of this finding is:
A. nystagmus
B. Myopia
C. Normal
D. Strabismus - correct answer ✔✔strabismus
The following statement of strabismus is true except:
A. Esotropia may be intermittent up to age 6 months
B. Exotropia is normal after age 2 months
C. Strabismus may be latent (occurs only under binocular vision)
D. Strabismus requires ophthalmological referral if present after age 1 year - correct answer ✔✔--
exotropia is normal after 2 mo of age
--strabismus requires an ophthalmological referral if present after the age of 1 yr (earlier tx is better)
A 45 yo mail comes the clinic with c/o right eye pain. It has been occuring constantly over the last two
days and is associated with redness. There has been no increase lacrimation, purulent discharge, or HA.
In addition to the fundusocpic exam, it is crucial that the NP access:
A. visual fields
B. Cranial nerve 7,
