CMN 568 Final Review Of Past Units Questions And Answers

CMN 568 Final Review Of Past Units Questions And Answers
1. I'd like to get pregnant... I take Tegretol. How much folic acid do I need?:
0.4 mg if healthy, 4 mg for previous Ntd, and 1 mg if IDDM or anticonvulsants
2. What is the recommended daily intake of folic acid for nonpregnant
women with no known risk factors for neural tube defect? a. 40 g¼
b. 400 g¼
c. 800 g¼
d. 4 mg: b. 400 g¼
3. 568.6 at what age should child with strabismus be referred to
opthalmologist?
a. 4 month
b. 6 months
c. 12 months
d. if it doesn't resolve on its own: b. 6 months
4. What would you diagnose if the xray showed a "thumbprint" and the child
presented with high fever and drooling? What organism causes this?:
Epiglottitis, caused by Hib
5. Bacterial conjunctivitis is treated with?: Erythromycin ointment
6. In viral conjunctivitis, the NP may prescribe a steroid preparation for
itching.
T/F: NO, Can result in permanent eye damage by enhancing proliferation of the
virus 7. An important sign that differentiates viral from bacterial conjunctivitis
is a palpable pre-auricular lymph node. T/F: True
8. Stringy or watery discharge from the eye is associated with what? And what
would you tx with?: Allergic conjunctivitis. Treat with Antihistamines or mast cell
stabilizers.
9. Blepharitis can be treated with
a. eyelid scrubs with baby shampoo
b. Warm compresses
c. ABX gtts
d. all of the above: d. all of the above
10. What is the first line treatment for community acquired pneumonia in
children <5 years?
A) azithromycin
B) amoxicillin
C) metronidazole
D) cefdinir: - Amoxicillin 90mg/kg/day. And if they are in day care or have had
antibiotics in past 1-3 months then do amoxicillin-cluvanate (Augmentin) You
would give a child <5 years amoxicillin because they are more likely to have CAP
caused by S pneumonia whereas older kids are more likely to have CAP caused
by atypical
(ie Mycoplasma) and a macrolide would be better for them
11. Hallmarks of pneumonia in children?: Fever over 39C, tachypnea, and
cough
- although infants may present with nonspecific findings on history and physical
exam
12. Staph usually causes blepharitis. T/F: If bacterial its caused by staph; If
seborrheic dermatitis causes its termed seborrheic blepharitis.
13. 568.6 What organism is the most common cause of viral conjunctivitis?:
Adenovirus
14. Ptosis with an S-shaped curve of the eyelid is associated with chronic
trachoma. T/F: True.
- Trachoma = Chlamydia, needs systemic abx.
15. All women WITHOUT risk factors for neural tube defects should take ____?
A. Folic acid @ least 0.4 mg/day 1 month preconception
B. Folic acid 1 mg/day 1 month preconception
C. Folic acid 4 mg/day 1 month preconception
D. No specified requirements for folic acid: A. Folic acid @ least 0.4 mg/day 1
month preconception
16. First line treatment for AOM with NKA: Amox 90 mg/kg/d = AOM first line
17. What is one disease that smoking actually helps the symptoms?:
Ulcerative Colitis
18. What is a +Murphy's sign?: RUQ pain on palpation with inspiration.
Cholecystits
19. What's the most sensitive test for diagnosis acute abd pain?: CT
20. What diagnosis does this patient have? Hypertriglyceridemia, abrupt
severe epigastric pain that radiates to his back, N/V, prefers to sit up and
lean forward, absent bowel sounds, pallor.: Pancreatitis
21. What imaging would be appropriate for a patient with acute pancreatitis?-

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