MN568 FINAL ACTUAL EXAM SCRIPT 2026
VERIFIED SOLUTIONS
◉ How often should the clinician examine the feet of a person with
diabetes?
Question options:
a) Once a year
b) Every 6 months
c) Every 3 months
d) Every visit. Answer: d) Every visit
◉ Mr. S presents in the clinic with pain, tenderness, erythema, and
swelling of his left great toe. The clinician suspects acute gout.
Which of the following should the clinician expect in the initial test
results for this patient?
Question options:
a) Elevated uric acid level
b) Elevated blood urea nitrogen
,c) Decreased urine pH
d) Decreased C-reactive protein. Answer: a) Elevated uric acid level
◉ A patient with type 1 diabetes comes to the clinic complaining of
feeling nervous and clammy. He states that he took his insulin this
morning but was late for work and did not eat breakfast. Which
action should the clinician take first?
Question options:
a) Check his blood sugar.
b) Have him drink 4 ounces of juice.
c) Call 911.
d) Ask him about his usual eating habits.. Answer: b) Have him
drink 4 ounces of juice.
◉ A BMI of 29 kg/m2 is considered obesity.
Question options:
a) True
b) False. Answer: b) false
,◉ Joyce is seen in the clinic complaining of vague symptoms of
nervousness and irritability. She says that her hair will not hold a
permanent wave anymore. On physical examination, the clinician
finds an irregular heartbeat and brisk reflexes. The differential
diagnosis should include which of the following conditions?
Question options:
a) Myxedema
b) Thyrotoxicosis
c) Cushing's syndrome
d) Pan-hypopituitarism. Answer: b) Thyrotoxicosis
◉ A patient is 66 inches in height, weighing 200 pounds, and newly
diagnosed with type 2 diabetes mellitus (DM). Her fasting plasma
glucose level is 215 mg/dL. What is the best initial treatment?
Question options:
a) No treatment at this time
b) Diet and exercise for 6-week trial
, c) Diet, exercise, and oral medication
d) Diet, exercise, and exogenous insulin. Answer: b) Diet and
exercise for 6-week trial
◉ Mrs. Gray is a 55-year-old woman who presents with tightness,
pain, and limited movement in her right shoulder. She denies any
history of trauma. Her examination reveals a 75% reduction in both
active and passive ROM of the right shoulder. Mrs. Gray also is
experiencing tenderness with motion and pain at the deltoid
insertion. Her medical history is significant for type 1 diabetes
mellitus and hypertension. Her social history reveals that she is a
secretary and that she is right-handed. Based on her examination
and medical history, you suspect adhesive capsulitis, or "frozen
shoulder." Which clue in Mrs. Gray's history supports this diagnosis?
Question options:
a) History of hypertension
b) Her affected shoulder is also her dominant arm.
c) Her history of diabetes mellitus
d) Her work as a secretary predisposes her to repetitive motions..
Answer: c) Her history of diabetes mellitus
VERIFIED SOLUTIONS
◉ How often should the clinician examine the feet of a person with
diabetes?
Question options:
a) Once a year
b) Every 6 months
c) Every 3 months
d) Every visit. Answer: d) Every visit
◉ Mr. S presents in the clinic with pain, tenderness, erythema, and
swelling of his left great toe. The clinician suspects acute gout.
Which of the following should the clinician expect in the initial test
results for this patient?
Question options:
a) Elevated uric acid level
b) Elevated blood urea nitrogen
,c) Decreased urine pH
d) Decreased C-reactive protein. Answer: a) Elevated uric acid level
◉ A patient with type 1 diabetes comes to the clinic complaining of
feeling nervous and clammy. He states that he took his insulin this
morning but was late for work and did not eat breakfast. Which
action should the clinician take first?
Question options:
a) Check his blood sugar.
b) Have him drink 4 ounces of juice.
c) Call 911.
d) Ask him about his usual eating habits.. Answer: b) Have him
drink 4 ounces of juice.
◉ A BMI of 29 kg/m2 is considered obesity.
Question options:
a) True
b) False. Answer: b) false
,◉ Joyce is seen in the clinic complaining of vague symptoms of
nervousness and irritability. She says that her hair will not hold a
permanent wave anymore. On physical examination, the clinician
finds an irregular heartbeat and brisk reflexes. The differential
diagnosis should include which of the following conditions?
Question options:
a) Myxedema
b) Thyrotoxicosis
c) Cushing's syndrome
d) Pan-hypopituitarism. Answer: b) Thyrotoxicosis
◉ A patient is 66 inches in height, weighing 200 pounds, and newly
diagnosed with type 2 diabetes mellitus (DM). Her fasting plasma
glucose level is 215 mg/dL. What is the best initial treatment?
Question options:
a) No treatment at this time
b) Diet and exercise for 6-week trial
, c) Diet, exercise, and oral medication
d) Diet, exercise, and exogenous insulin. Answer: b) Diet and
exercise for 6-week trial
◉ Mrs. Gray is a 55-year-old woman who presents with tightness,
pain, and limited movement in her right shoulder. She denies any
history of trauma. Her examination reveals a 75% reduction in both
active and passive ROM of the right shoulder. Mrs. Gray also is
experiencing tenderness with motion and pain at the deltoid
insertion. Her medical history is significant for type 1 diabetes
mellitus and hypertension. Her social history reveals that she is a
secretary and that she is right-handed. Based on her examination
and medical history, you suspect adhesive capsulitis, or "frozen
shoulder." Which clue in Mrs. Gray's history supports this diagnosis?
Question options:
a) History of hypertension
b) Her affected shoulder is also her dominant arm.
c) Her history of diabetes mellitus
d) Her work as a secretary predisposes her to repetitive motions..
Answer: c) Her history of diabetes mellitus
