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Comprehensive Final-CMN 568Test EXAM QUESTIONS AND ANSWERS VERIFIED 100% CORECT

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Comprehensive Final-CMN 568Test EXAM QUESTIONS AND ANSWERS VERIFIED 100% CORECT What is the OP therapy for acute pyelonephritis? - ANSWER Quinolone fevers may persist for up to 72 hours, failure to respond warrants imaging (CT or US) to exclude complicating factors that may require intervention. Refer if evidence of complicating factors or no clinical improvement in 48 hours. What is the accepted treatment for mild diverticulitis? - ANSWER Clear liquid diet Amoxicillin/Clav or metronidazole, plus either Cipro or TMP/SMZ until the patient is afebrile for 3-5 d. High fiber diet once acute episode is gone What are common risk factors for urinary stone disease? - ANSWER High humidity and elevated temperatures Sedentary lifestyles high protein High salt inadequate hydration genetic factors An ultrasound would be helpful to diagnose what conditions? - ANSWER Gallstones Ovarian cysts Ectopic pregnancy Hydronephrosis due to renal stone High specificity for appendicitis but not as sensitive as CT What are the medical contraindications for treating a 7 month old with constipation? - ANSWER Mineral oil should not be given to non ambulatory infants, physically handicapped or bed bound children or any child with GE reflux. Because aspiration can cause lipid pneumonia. What is the treatment of constipation n children? - ANSWER Stool softeners such as MOM, lactulose, or Miralax Stimulants like Senokot, Exlax If encopresis present, relieve fecal impaction with hypertonic or saline enemas, mineral oil or Miralax and MOM Behavior mod for retentive constipation What is the presentation and management of Rotavirus? - ANSWER Vomiting followed within 24 hours by low grade fever and watery diarrhea. Diarrhea lasts 4-8 days but may last longer in young infants or immunocompromised patients. Treatment is support, rehydrate, clear liquid diet but not for longer than 48 hours. Early reinitiating of feeding is advisable. May do a short lactose free diet to shorten diarrhea. reduced fat will decrease N?V What are the risk factors for PUD? - ANSWER smoking Nsaid long term STRESS DOES NOT CAUSE PUD What are the SE of SABAs? - ANSWER Tachycardia Angina Tremor What are the SE of LABAs? - ANSWER Increased risk of asthma related eath when used alone What are the SE of Corticosteroids? - ANSWER Adrenal suppression Osteoporosis Hyperglycemia PUD suppression of growth What are the SE of LTRAs? - ANSWER Neuropsychiatric including depression, suicidal thinking and suicidal behavior What are the SE of SSRIs? - ANSWER Nausea Agitation/insomnia Sexual dysfunction Contraindicated with MAOIs What are the SE of SNRIs? - ANSWER Nausea Headache Anorexia Nervousness Sweating Somnolence Insomnia What are the SE of TCAs? - ANSWER Sedation Orthostatic Hypotension Anticholinergic effects Cardiac Toxicity

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Comprehensive Final-CMN 568Test EXAM
QUESTIONS AND ANSWERS VERIFIED 100%
CORECT

What is the OP therapy for acute pyelonephritis? - ANSWER Quinolone-
fevers may persist for up to 72 hours, failure to respond warrants imaging
(CT or US) to exclude complicating factors that may require intervention.
Refer if evidence of complicating factors or no clinical improvement in 48
hours.


What is the accepted treatment for mild diverticulitis? - ANSWER Clear
liquid diet
Amoxicillin/Clav or metronidazole, plus either Cipro or TMP/SMZ until the
patient is afebrile for 3-5 d.
High fiber diet once acute episode is gone


What are common risk factors for urinary stone disease? -
ANSWER High humidity and elevated temperatures
Sedentary lifestyles high protein High salt inadequate
hydration genetic factors


An ultrasound would be helpful to diagnose what conditions? - ANSWER
Gallstones
Ovarian cysts
Ectopic pregnancy
Hydronephrosis due to renal stone
High specificity for appendicitis but not as sensitive as CT

, What are the medical contraindications for treating a 7 month old with
constipation? - ANSWER Mineral oil should not be given to non
ambulatory infants, physically handicapped or bed bound children or any
child with GE reflux. Because aspiration can cause lipid pneumonia.


What is the treatment of constipation n children? - ANSWER
Stool softeners such as MOM, lactulose, or Miralax
Stimulants like Senokot, Exlax
If encopresis present, relieve fecal impaction with hypertonic or saline
enemas, mineral oil or Miralax and MOM
Behavior mod for retentive constipation


What is the presentation and management of Rotavirus? - ANSWER
Vomiting followed within 24 hours by low grade fever and watery diarrhea.
Diarrhea lasts 4-8 days but may last longer in young infants or
immunocompromised patients. Treatment is support, rehydrate, clear liquid
diet but not for longer than 48 hours. Early reinitiating of feeding is
advisable. May do a short lactose free diet to shorten diarrhea. reduced fat
will decrease N?V


What are the risk factors for PUD? - ANSWER smoking
Nsaid long term
STRESS DOES NOT CAUSE PUD


What are the SE of SABAs? - ANSWER Tachycardia
Angina
Tremor


What are the SE of LABAs? - ANSWER Increased risk of asthma related
eath when used alone

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