Final Exam: CMN568/ CMN 568 (Latest 2023/ 2024) Intro to Family NP Final Exam| 100% Correct| Questions and Verified Answers| Grade A
Final Exam: CMN568/ CMN 568 (Latest
2023/ 2024) Intro to Family NP Final Exam|
100% Correct| Questions and Verified
Answers| Grade A
Q: T/F while WBC >15,000 may indicate SBI. Child with overwhelming sepsis may present
with WBC < 5,000
Answer:
True.
- To help determine cause:
UA/C&S: r/o UTI
CXR: r/o pneumonia
Lumbar Puncture: r/o meningitis
Blood cultures: r/o bacteremia
Stools for C&S: r/o infectious diarrhea - Refer all baby’s under 4 weeks.
Q: Which of the following is contraindicated in a 7 month old?
A. Maltsuprax
B. Mineral Oil
C. Miralax
D. All of the above
Answer:
B. Mineral Oil
Q: T/F: A child 4 weeks to 3 months of age with a fever, Non-toxic appearance, No risks
factors for SBI does not need a full septic workup?
Answer:
False - Full septic work-up
Specific treatment for any diagnosed conditions
- Empiric antibiotics after cultures:
Rocephin 50mg/kg/day
(up to 1 gm max) - Must have reliable caregiver with phone and transportation
- Close follow-up in 24 hours
Q: Workup of fever in a child > 3 months?
Answer: - Fever < 39⁰C (102 ⁰F) no obvious source of infection: Antipyretics Close follow-up by visit or
phone - Fever > 39 ⁰C (102 ⁰F): Antipyretics Consider empiric antibiotics Close follow-up by visit or
phone
Q: What test is used to detect strabismus?
a. visual acuity
b. cover test
c. corneal light reflex
d. both b and c can detect it
Answer:
c. corneal light reflex
Q: Treatment for OME?
Answer: - Wait it out 6 wks – 4 months.
- If the effusion persists in a child longer than 3 months then you should refer to ENT or consider
tube placement.
Q: Used to treat GERD in infants and children:
A. Omeprazole
B. Maalox
C. Mylanta
D. All of the above
Answer:
A. Omeprazole
Q: Diverticulitis pain is usually:
A. LUQ
B. RUQ
C. LLQ
D. RLQ
Answer:
C. LLQ
Q: Hallmark sign of Ulcerative Colitis:
Answer:
Bloody stools.
Q: Extra intestinal manifestion of Crohn’s:
Answer:
- MS: Ankylosing spondylitis, Osteoporosis
- Dermatologic: Erythema nodosum, pyoderma gangrenosum, Aphthous stomatitis
- Ocular: Uveitis (from crossword puzzle)
- Vascular: Thromboembolic events
- Renal: Nephrolithiasis
Q: Cruiseship virus:
Answer:
Norwalk
Q: Diagnosis of AOM is based on what?
Answer:
TM color, translucency and mobility.
- Signs & Symptoms: Fever, pain, decreased sleep, decreased appetite, effusion (fluid in the
middle ear) determined by pneumatic otoscopy or tympanometry - Inflammation: red TM, bulging TM, decreased mobility of TM, decreased light reflex and
visibility of landmarks
Q: If you see a birds beak on the distal esophagus on X-ray what do you suspect?
Answer:
Achalasia – loss of peristalsis in the distal esophagus and impaired relaxation of the LES.
Dysphagia, fullness after eating, weight loss are all symptoms
Q: Example of an osmotic laxative:
Answer:
Miralax, Mag Citrate, Fleets, Golytely Dont give Magnesium to Chronic Renal Dz*
Q: Example of stimulant laxative:
Answer:
Bisacodyl, Senna, Cascara
Q: Your pediatric patient presents with Itching, pain on movement of pinna or tragus, swollen
ear canal, noticeable debris. You can not visualize the TM. You suspect Otits externa. What is
the treatment that you prescribe?
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