CMN 568 Final - Review of Past Units Questions
And Answers Verified 100% Correct
Palpation of the LLQ causing pain in the RLQ is called what?
Indicative of what? - ANSWER Rovsing sign
Appendicitis
Testicular torsion is suspected in a patient with:
A. Pain alleviated by elevation of scrotum
B. Bilateral edematous scrotum with tender testicles
C. Absent cremasteric reflex on the affected side
D. No pain - ANSWER C. Absent cremasteric reflex on the
affected side
Pedaitric above 3 months with a fever needs a UA for all girls < 2
years old, all males < 6mo and uncircumcised males < 12mo -
ANSWER True
Patients with Celiac Disease must avoid:
A. Wheat
B. Milk
C. Rice
D. Oats - ANSWER a. Wheat
- Gluten free diet, avoid wheat, rye, barley.
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.
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
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
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
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
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.
Used to treat GERD in infants and children:
A. Omeprazole
B. Maalox
C. Mylanta
D. All of the above - ANSWER A. Omeprazole
Diverticulitis pain is usually:
A. LUQ
B. RUQ
C. LLQ
D. RLQ - ANSWER C. LLQ
Hallmark sign of Ulcerative Colitis: - ANSWER Bloody stools.
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
Cruiseship virus: - ANSWER Norwalk
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
And Answers Verified 100% Correct
Palpation of the LLQ causing pain in the RLQ is called what?
Indicative of what? - ANSWER Rovsing sign
Appendicitis
Testicular torsion is suspected in a patient with:
A. Pain alleviated by elevation of scrotum
B. Bilateral edematous scrotum with tender testicles
C. Absent cremasteric reflex on the affected side
D. No pain - ANSWER C. Absent cremasteric reflex on the
affected side
Pedaitric above 3 months with a fever needs a UA for all girls < 2
years old, all males < 6mo and uncircumcised males < 12mo -
ANSWER True
Patients with Celiac Disease must avoid:
A. Wheat
B. Milk
C. Rice
D. Oats - ANSWER a. Wheat
- Gluten free diet, avoid wheat, rye, barley.
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.
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
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
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
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
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.
Used to treat GERD in infants and children:
A. Omeprazole
B. Maalox
C. Mylanta
D. All of the above - ANSWER A. Omeprazole
Diverticulitis pain is usually:
A. LUQ
B. RUQ
C. LLQ
D. RLQ - ANSWER C. LLQ
Hallmark sign of Ulcerative Colitis: - ANSWER Bloody stools.
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
Cruiseship virus: - ANSWER Norwalk
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
