CMN 568 INTRO TO FAMILY NP
FINAL EXAM REVIEW
COMPLETE GUIDE WITH QUESTIONS AND VERIFIED
ANSWERS
1. What is the first line treatment for community acquired pneumonia in
children <5 years?
A) azithromycin
B) amoxicillin
C) metronidazole
D) cefdinir
Answer: 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
2. I'd like to get pregnant... I take Tegretol. How much folic acid do I need
Answer
0.4
mg if healthy, 4 mg for previous Ntd, and 1 mg if IDDM or anticonvulsants
3. What is the recommended daily intake of folic acid for nonpregnant women with
no known risk factors for neural tube defect?
, @LECTJULIESOLUTIONSSTUVIA
4. 568.6 at what age should child with strabismus be referred to opthalmolo- gist?
a. 4 month
b. 6 months
c. 12 months
d. if it doesn't resolve on its own
Answer: B) 6 months
5. What would you diagnose if the xray showed a "thumbprint" and the child
presented with high fever and drooling? What organism causes this
Answer
Epiglot- titis, caused by Hib
6. Bacterial conjunctivitis is treated with
Answer
Erythromycin ointment
7. In viral conjunctivitis, the NP may prescribe a steroid preparation for itching. T/F
Answer: NO, Can result in permanent eye damage by enhancing proliferation of the virus
8. An important sign that differentiates viral from bacterial conjunctivitis is a
palpable pre-auricular lymph node. T/F: True
9. Stringy or watery discharge from the eye is associated with what? And what would
you tx with
Answer
Allergic conjunctivitis.
Treat with Antihistamines or mast cell stabilizers.
10. Blepharitis can be treated with
, Answer: D) all of the above
11. Hallmarks of pneumonia in children
Answer
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:
Answer 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
Answer
-
Adenovirus
14. Ptosis with an S-shaped curve of the eyelid is associated with chronic
trachoma. T/F:
Answer 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
Answer: A) Folic acid @ least 0.4 mg/day 1 month preconception
FINAL EXAM REVIEW
COMPLETE GUIDE WITH QUESTIONS AND VERIFIED
ANSWERS
1. What is the first line treatment for community acquired pneumonia in
children <5 years?
A) azithromycin
B) amoxicillin
C) metronidazole
D) cefdinir
Answer: 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
2. I'd like to get pregnant... I take Tegretol. How much folic acid do I need
Answer
0.4
mg if healthy, 4 mg for previous Ntd, and 1 mg if IDDM or anticonvulsants
3. What is the recommended daily intake of folic acid for nonpregnant women with
no known risk factors for neural tube defect?
, @LECTJULIESOLUTIONSSTUVIA
4. 568.6 at what age should child with strabismus be referred to opthalmolo- gist?
a. 4 month
b. 6 months
c. 12 months
d. if it doesn't resolve on its own
Answer: B) 6 months
5. What would you diagnose if the xray showed a "thumbprint" and the child
presented with high fever and drooling? What organism causes this
Answer
Epiglot- titis, caused by Hib
6. Bacterial conjunctivitis is treated with
Answer
Erythromycin ointment
7. In viral conjunctivitis, the NP may prescribe a steroid preparation for itching. T/F
Answer: NO, Can result in permanent eye damage by enhancing proliferation of the virus
8. An important sign that differentiates viral from bacterial conjunctivitis is a
palpable pre-auricular lymph node. T/F: True
9. Stringy or watery discharge from the eye is associated with what? And what would
you tx with
Answer
Allergic conjunctivitis.
Treat with Antihistamines or mast cell stabilizers.
10. Blepharitis can be treated with
, Answer: D) all of the above
11. Hallmarks of pneumonia in children
Answer
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:
Answer 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
Answer
-
Adenovirus
14. Ptosis with an S-shaped curve of the eyelid is associated with chronic
trachoma. T/F:
Answer 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
Answer: A) Folic acid @ least 0.4 mg/day 1 month preconception
