CMN 577 Final Exam Questions 2024
A 70-year-old African female presents today for an annual well visit. She has a history of diabetes,
hypertension, and Asthma. During her routine visual exam, abnormalities are noted bilaterally in her
paracentral region. Her Intraocular pressures are elevated (25 mmHg). She reports patches of visual loss
over the last year. She denies any pain. What is this suspected diagnosis?
A. Cataracts
B. Chronic Open-Angle Glaucoma
C. Retinal Detachment
D. Acute Angle-Closure Glaucoma -CORRECT ANS-B. Chronic Open-Angle Glaucoma
You are seeing a 10-year-old female today for an influenza vaccination. Today's visit her BMI is99th
percentile. Past visits report her BMI has been greater than 95th percentile. All the following are
expected complications of childhood obesity except:
A. Type 2 Diabetes
B. GERD
C. Hyperthyroidism
D. Depression -CORRECT ANS-C. Hyperthyroidism
All statins are metabolized by cytochrome P450 enzymes except for ______________
and_____________.
a. atorvastatin and rosuvastatin
b. atorvastatin and simvastatin
c. pravastatin and simvastatin
d. pravastatin and rosuvastatin -CORRECT ANS-d. pravastatin and rosuvastatin
What is the maintenance fluid requirement for a 30 kg child without fever, dehydration, or sickle cell
disease?
a. 1500 ml
b. 1700 ml
c. 2200 ml
d. 3000 ml -CORRECT ANS-b. 1700 ml
, A patient presents to the clinic with a history of advanced CKD, chronic overuse of laxatives, and enema
for a routine visit. Vital signs today are HR 77, BP 96/61, RR 18, and SPO298%. Her recent labs show
elevated BUN and creatine. The patient complained of recent
weakness. You, as a provider, suspect which electrolyte imbalance?
A. Hyperkalemia
B. Hypomagnesemia
C. Hypocalcemia
D. Hypermagnesemia -CORRECT ANS-D. Hypermagnesemia
Which of these statements is not true about potassium disorders?
A. Loop diuretics causes significant renal potassium loss.
B. Hypokalemia does not lead to progressive changes on electrocardiogram.
C. Gastrointestinal loss is the most common cause of non-renal potassium loss.
D. Correction of magnesium deficiency is important in the treatment of hypokalemia -CORRECT ANS-B.
Hypokalemia does not lead to progressive changes on electrocardiogram.
An 86-year-old female recently diagnosed with SIADH presents to theclinic with complaints of falls and
unsteady gait. Which electrolyte imbalance is most likely the cause of this problem?
a. Hyperkalemia
b. Hypernatremia
c. Hyponatremia
d. Hypocalcemia -CORRECT ANS-c. Hyponatremia
A 55-year-old male with a history of diabetes mellitus, acute kidney injury, and hypothyroidism and has
a long history of taking simvastatin for more than 30 years is at risk of which of the following?
a. Rhabdomyolysis
b. Acute kidney injury
c. Hematuria
d. Glomerulonephritis -CORRECT ANS-a. Rhabdomyolysis
A 70-year-old African female presents today for an annual well visit. She has a history of diabetes,
hypertension, and Asthma. During her routine visual exam, abnormalities are noted bilaterally in her
paracentral region. Her Intraocular pressures are elevated (25 mmHg). She reports patches of visual loss
over the last year. She denies any pain. What is this suspected diagnosis?
A. Cataracts
B. Chronic Open-Angle Glaucoma
C. Retinal Detachment
D. Acute Angle-Closure Glaucoma -CORRECT ANS-B. Chronic Open-Angle Glaucoma
You are seeing a 10-year-old female today for an influenza vaccination. Today's visit her BMI is99th
percentile. Past visits report her BMI has been greater than 95th percentile. All the following are
expected complications of childhood obesity except:
A. Type 2 Diabetes
B. GERD
C. Hyperthyroidism
D. Depression -CORRECT ANS-C. Hyperthyroidism
All statins are metabolized by cytochrome P450 enzymes except for ______________
and_____________.
a. atorvastatin and rosuvastatin
b. atorvastatin and simvastatin
c. pravastatin and simvastatin
d. pravastatin and rosuvastatin -CORRECT ANS-d. pravastatin and rosuvastatin
What is the maintenance fluid requirement for a 30 kg child without fever, dehydration, or sickle cell
disease?
a. 1500 ml
b. 1700 ml
c. 2200 ml
d. 3000 ml -CORRECT ANS-b. 1700 ml
, A patient presents to the clinic with a history of advanced CKD, chronic overuse of laxatives, and enema
for a routine visit. Vital signs today are HR 77, BP 96/61, RR 18, and SPO298%. Her recent labs show
elevated BUN and creatine. The patient complained of recent
weakness. You, as a provider, suspect which electrolyte imbalance?
A. Hyperkalemia
B. Hypomagnesemia
C. Hypocalcemia
D. Hypermagnesemia -CORRECT ANS-D. Hypermagnesemia
Which of these statements is not true about potassium disorders?
A. Loop diuretics causes significant renal potassium loss.
B. Hypokalemia does not lead to progressive changes on electrocardiogram.
C. Gastrointestinal loss is the most common cause of non-renal potassium loss.
D. Correction of magnesium deficiency is important in the treatment of hypokalemia -CORRECT ANS-B.
Hypokalemia does not lead to progressive changes on electrocardiogram.
An 86-year-old female recently diagnosed with SIADH presents to theclinic with complaints of falls and
unsteady gait. Which electrolyte imbalance is most likely the cause of this problem?
a. Hyperkalemia
b. Hypernatremia
c. Hyponatremia
d. Hypocalcemia -CORRECT ANS-c. Hyponatremia
A 55-year-old male with a history of diabetes mellitus, acute kidney injury, and hypothyroidism and has
a long history of taking simvastatin for more than 30 years is at risk of which of the following?
a. Rhabdomyolysis
b. Acute kidney injury
c. Hematuria
d. Glomerulonephritis -CORRECT ANS-a. Rhabdomyolysis
