Final Exam: CMN568\/ CMN 568 (Latest 2023\/ 2024) Intro to Family NP Final Exam Review | Complete Guide with Questions and Verified Answers| | 100% Correct<\/p>\n\n\n\n
Final Exam: CMN568\/ CMN 568 (Latest
2023\/ 2024) Intro to Family NP Final Exam
Review | Complete Guide with Questions and
Verified Answers| | 100% Correct
Q: Does an ear effusion (fluid) mean there is an infection? (MODULE 1)
Answer:
No.
Q: Acute Otitis Media (AOM) treatment? (MODULE 1)
Answer:
1st line: Amoxicillin 90mg\/kg\/day divided BID (MAX 1000mg\/dose)
Child weighs >40kg = 500-875mg PO q12hrs
2nd line:
Augmentin. If patient has taken abx within last 30 days. Fails to improve on amoxicillin
48-72hrs. Otitis-conjunctivitis syndrome
Do NOT use macrolides (azithromycin) after amoxicillin failure
PCN allergic children: erythromycin, clarithromycin, azithromycin
Q: External Otitis\u2026Onset? (MODULE 1)
Answer:
Acute onset of severe ear pain. Clear >j purulent discharge from EC.
Q: External Otitis\u2026 What must you rule out? (MODULE 1)
Answer:
Must rule out AOM
with TM rupture or PE tubes: due to different tx<\/p>\n\n\n\n
Q: External Otitis\u2026What bacterias can cause this? (MODULE 1)
Answer:
–
pseudomonas, or staph
Q: External Otitis treatment if you CAN visualize the tympanic membrane? (MODULE 1)
Answer:
gentle removal of debris
Neomycin polymyxin B\/ hydrocortisone
Q: External Otitis treatment if you CAN’T visualize the tympanic membrane? (MODULE 1)
Answer:
MUST ASSUME PERFORATION
Do NOT give neomycin\/polymyxin B
Use ear wick. If swelling too severe for ear wick, administer abx<\/p>\n\n\n\n
\nRj EFER to otolaryngolist
Give Ciprofloxacin\/dexamethasone
Q: Cerumen Impaction (MODULE 1)
Answer:
Relieved with detergent eat drops (3% hydrogen peroxide, 6.5% carbamide peroxide),
mechanical removal, suction, or irrigation (performed ONLY when TM is known intact).
Do NOT use WaterPik
Q: Pharyngitis \/ Tonsillitis (MODULE 1)
Answer:<\/p>\n<\/blockquote>\n\n\n\nFirst, decide if you are dealing with a viral or a bacterial infection
Over 90% of sore throat and fever = viral infections
CLUE: Pharyngitis (viral infection) is associated with cough and rhinorrhea = AN- TIOBITICS
NOT INDICATED IN MOST CASES OF SORE THROAT
Q: Pharyngitis \/ Tonsillitis : Differentiating viral causes? (MODULE 1)
Answer:
Hand, Foot, & Mouth Disease: ulcers on the tongue and oral mucosa; vesicles, pustules, &
papules on the palms, soles, interdigital areas, and buttocks; caused by enterovirus- es
Herpangina: 2-3 mm ulcers on the anterior pillars and soft palate and uvula; caused by Coxsackie
virus
Infectious mononucleosis: exudative tonsillitis, generalized cervical adenitis, fever, palpable
spleen or axillary adenopathy (you must palpate for splenomegaly)
Pharyngoconjunctival Fever: Exudative tonsillitis, conjunctivitis, lymphadenopathy and fever;
caused by adenovirus
Q: Tonsilitis (MODULE 1)
Answer:
You can diagnose a patient with tonsillitis if he\/she had enlarged tonsils.
Q: Acute bacterial pharyngitis (MODULE 1) Pathogens?
Treatment?
What to do if rapid strep is negative?
Answer:
Although pharyngitis is usually viral (90%),
some may be bacterial.
Pathogens: GABHS – Group A Beta-Hemolytic Streptococcal infection
Treatment: PenV or Amoxicillin.
If PCN allergy, use Cephalexin, Clindamycin, or Azithromycin
Important: if obtain Rapid Strep Test and it is negative >foj llow with culture if you are sending
the patient home without antibiotics
Group A Strep: clyndamycin<\/p>\n\n\n\nQ: Foreign body sensation? (MODULE 1)
Answer:
Pain\/Foreign Body Sensation: foreign bodies, corneal abrasions, lacerations, acute infections of
globe or ocular adnexa, iritis, elevated eye pressure. Large refractive errors or poor
accommodative ability >j headaches or eye strain. Trichiasis (inturned lashes) and contact lens
issues >ojcular discomfort.
Q: Red eye? (MODULE 1)
Answer:
Red eye: mild or localized, diffuse or bilateral. Superfi- cial or penetrating foreign bodies,
trauma, infection, allergy, irritating noxious agents. Inflammation associated with systemic
entities: Stevens-Johnson syndrome, uveitis, Kawasaki disease. Subconjunctival hemorrhage:
may be traumatic, spontaneous, or associated with hematopoietic disease, vascular anomalies,
inflammatory process- es. Intraocular\/orbital tumor (uncommon)
Q: upper respiratory infection (MODULE 2)
Answer:
study guide placeholder
Q: lower respiratory infection (MODULE 2)
Answer:
study guide placeholder
Q: Is hearing loss normal in an elderly person? What can cause he in an elderly patient?
(MODULE 1)
Answer:
Sensorineural hearing loss occurs with age and is common in the elderly. High-frequency sound
is lost. This due to the deterioration of the cochlea. McPhee 2022
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