CMN 577 Final Exam with complete
solution
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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-a. Rhabdomyolysis
solution
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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-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 ANSWER-a. Rhabdomyolysis
