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CMN 568 Unit 1 Test Questions with Verified Answers |Latest 2024/2025
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CMN 568 Unit 1 Test Questions with _`- _`- _`- _`- _`- _`- _`-Verified Answers. _`- _`-
A nurse practitioner is examining the eyes of a 5-year-old. On shining a light
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onto the cornea so that it is seen on both eyes, the NP notes that is it at
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the 10 o'clock in the right eye and 2 O'clock in the left eye. Interpretation
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of this finding is:
_`- _`- _`- _`-
A. nystagmus
_`- _`-
B. Myopia
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C. Normal
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D. Strabismus
_`- _`-_`- _`- strabismus
An 11 y/o is brought to NP clinic with an ear ache. On otoscopic exam the
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ear canal is tender, narrowed, and pale Pulling on the tragus elicits
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discomfort. The TM is pearly gray with a cone of light at 7 o'clock. Weber is
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without lateralization, Rhine AC > BC. These findings suggest the following
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diagnosis:
_`- A. Otitis externa
_`- _`-
_`- B. Purulent otitis media
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_`- C. Serous otitis media
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_`- D. Labyrinthitis
_`- _`-_`- _`- Otitis externa_`-
The following statement of strabismus is true except:
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A. Esotropia may be intermittent up to age 6 months
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B. Exotropia is normal after age 2 months
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,C. Strabismus may be latent (occurs only under binocular vision)
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D. Strabismus requires ophthalmological referral if present after age 1 year
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-_`-
--exotropia is normal after 2 mo of age
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--strabismus requires an ophthalmological referral if present after the age of
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1 yr (earlier tx is better)
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A 45 yo mail comes the clinic with c/o right eye pain. It has been occuring
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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,
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C. Visual acuity,
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D. The corneal reflex
_`- _`- _`- _`-_`- visual acuity
_`- _`-
A 17 y/o high school student comes to the NP-run clinic with severe sore
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
throat, malaise, and a fever of 101F. Physical exam reveals red enlarged
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tonsils with sever white patches. Ther are several submental nodes. As a
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child the patient had wheezing when he took penicillin. Rapid strep test is
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
inconclusive. A throat culture is performed. The next action is to:
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
_`- A. Await the culture report before starting antibiotics
_`- _`- _`- _`- _`- _`- _`-
_`- B. Start clindamycin 300mg PO QID for 10 days
_`- _`- _`- _`- _`- _`- _`- _`-
_`- C. Begin erythromycin 500mg PO QID for 10 days
_`- _`- _`- _`- _`- _`- _`- _`-
D. Start tetracycline 500 mg PO QID for 10 days
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-_`- _`- Start clindamycin _`- _`-
300mg PO QID for 10 days _`- _`- _`- _`- _`-
,Which of the following pharmaceutical options might you classify as a fast-
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
acting therapy for allergies that a patient could start today for quick relief?
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
_`- A. Anticholinergic nasal spray
_`- _`- _`-
_`- B. Oral corticosteroids
_`- _`-
_`- C. Oral antihistamine
_`- _`-
_`- D. Leukotriene modifier (Singulair)
_`- _`- _`- _`-_`- _`- --Anticholinergic nasal spray _`- _`-
-- Oral antihistamine
_`- _`-
A 3 y/o patient is brought to your clinic by his mother because his eyelashes
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
have been crusted over each morning for the last seven days. His mother
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
states he has been vigorously rubbing his eyes and you notice redness and
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greasy flakes on both eyes. How should this be treated?
_`- _`- _`- _`- _`- _`- _`- _`- _`-
_`- A. Referral to an ophthalmologist
_`- _`- _`- _`-
_`- B. Observation, this is likely viral
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_`- C. Topical antibiotics
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_`- D. Warm compresses
_`- _`- _`-_`- _`- --Topical antibiotics _`-
--Warm compresses _`-
--(likely blepharitis) _`-
The test used to check for corneal light reflex in each eye, and its symmetry
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
is called
_`- hirshberg test _`-_`- _`- _`-
What is the difference in recurrent sinusitis and chronic sinusitis
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`-_`- _`-
recurrent is defined as successive episodes of bacterial infections of the
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, sinuses each lasting less than 30 days and separated by intervals of at least
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10 days.
_`- _`-
chronic is defined as episodes of inflammation of the paranasal sinuses
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lasting more than 90 days. _`- _`- _`- _`-
first line of treatment of AOM in children?
_`- _`- _`- _`- _`- _`- _`- _`-_`- 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?
_`- A macrolide, Bactrim, or clindamycin
_`- _`-_`- _`- _`- _`- _`- _`-
5 y/o presents w/AOM and mother reports a mild rash w/PCN medication.
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What is an alternative for treatment?
_`- _`- 2nd or 3rd generation
_`- _`- _`- _`-_`- _`- _`- _`- _`- _`-
cephalosporins
what disease process may be observed by unequal pupils (anisocoria), eyelid
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ptosis, iris heterochromia, and anhidrosis?
_`- 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?
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-_`-
sickle cell
_`- _`-
what would be your treatment plan for an anaphylactic reaction due to a
_`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`- _`-
bee sting on an upper limb?
_`- -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
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