MN568 FINAL CERTIFICATION EXAM 2026
SOLVED QUESTIONS EXPERT REVIEW
◉ Mr. W, 53 years old, is seen in the clinic with concerns about his
left foot. He has a 40-year history of type 1 diabetes with "fairly
good" control on twice-daily insulin. He denies injury but states that
he tripped a few months ago and that his foot is sore when he walks.
Physical examination reveals an edematous, erythremic, and warm
foot. There is a superficial ulcer on the plantar surface. Which of the
following is the most likely diagnosis?
Question options:
a) Fallen arch
b) Arthritis
c) Charcot joint
d) Sprained ankle. Answer: c) Charcot joint
◉ The clinician suspects that a client has patellar instability. In order
to test for this, the client is seated with the quadriceps relaxed, and
the knee is placed in extension. Next the patella is displaced laterally,
and the knee flexed to 30°. If instability is present, this maneuver
displaces the patella to an abnormal position on the lateral femoral
,condyle, and the client will perceive pain. Testing for patellar
instability in this way is known as:
Question options:
a) Apprehension sign
b) Bulge sign
c) Thumb sign
d) None of the above. Answer: a) Apprehension sign
◉ Mr. Jackson is a 65-year-old man recently diagnosed with
osteoarthritis. The clinician has explained to Mr. Jackson that the
goals for managing osteoarthritis include controlling pain,
maximizing functional independence and mobility, minimizing
disability, and preserving quality of life. Mr. Jackson explains to the
clinician that his first choice would be to use complementary
therapies to control his condition and asks what therapies are most
effective in treating osteoarthritis. What would be the most
appropriate response from the clinician?
Question options:
a) "Complementary therapies should be considered only if surgical
interventions are not successful."
, b) "I am unfamiliar with the available complementary therapies for
osteoarthritis and prefer to discuss more mainstream treatments,
such as NSAIDs and physical therapy, to manage your condition."
c) "I would be happy to discuss all the treatment optio. Answer: c) "I
would be happy to discuss all the treatment options available to you.
Complementary therapies, such as acupuncture, acupressure, and
tai-chi, are being studied for use in the treatment of osteoarthritis
and have shown promise when used with standard medical therapy."
◉ Metformin is the first line of pharmacologic treatment for type 2
DM.
Question options:
a) True
b) False. Answer: a) True
◉ A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months. On
physical examination, the clinician notices a sinus bradycardia;
muscular stiffness; coarse, dry hair; and a delay in relaxation in deep
tendon reflexes. Which of the following tests should be ordered
next?
Question options:
a) Serum calcium
SOLVED QUESTIONS EXPERT REVIEW
◉ Mr. W, 53 years old, is seen in the clinic with concerns about his
left foot. He has a 40-year history of type 1 diabetes with "fairly
good" control on twice-daily insulin. He denies injury but states that
he tripped a few months ago and that his foot is sore when he walks.
Physical examination reveals an edematous, erythremic, and warm
foot. There is a superficial ulcer on the plantar surface. Which of the
following is the most likely diagnosis?
Question options:
a) Fallen arch
b) Arthritis
c) Charcot joint
d) Sprained ankle. Answer: c) Charcot joint
◉ The clinician suspects that a client has patellar instability. In order
to test for this, the client is seated with the quadriceps relaxed, and
the knee is placed in extension. Next the patella is displaced laterally,
and the knee flexed to 30°. If instability is present, this maneuver
displaces the patella to an abnormal position on the lateral femoral
,condyle, and the client will perceive pain. Testing for patellar
instability in this way is known as:
Question options:
a) Apprehension sign
b) Bulge sign
c) Thumb sign
d) None of the above. Answer: a) Apprehension sign
◉ Mr. Jackson is a 65-year-old man recently diagnosed with
osteoarthritis. The clinician has explained to Mr. Jackson that the
goals for managing osteoarthritis include controlling pain,
maximizing functional independence and mobility, minimizing
disability, and preserving quality of life. Mr. Jackson explains to the
clinician that his first choice would be to use complementary
therapies to control his condition and asks what therapies are most
effective in treating osteoarthritis. What would be the most
appropriate response from the clinician?
Question options:
a) "Complementary therapies should be considered only if surgical
interventions are not successful."
, b) "I am unfamiliar with the available complementary therapies for
osteoarthritis and prefer to discuss more mainstream treatments,
such as NSAIDs and physical therapy, to manage your condition."
c) "I would be happy to discuss all the treatment optio. Answer: c) "I
would be happy to discuss all the treatment options available to you.
Complementary therapies, such as acupuncture, acupressure, and
tai-chi, are being studied for use in the treatment of osteoarthritis
and have shown promise when used with standard medical therapy."
◉ Metformin is the first line of pharmacologic treatment for type 2
DM.
Question options:
a) True
b) False. Answer: a) True
◉ A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months. On
physical examination, the clinician notices a sinus bradycardia;
muscular stiffness; coarse, dry hair; and a delay in relaxation in deep
tendon reflexes. Which of the following tests should be ordered
next?
Question options:
a) Serum calcium
