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CMN 568 Clinical Medicine 2026 – 130 Questions on Pediatrics, Infectious Disease & GI Disorders Exam

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This document contains approximately 130 multiple-choice exam questions with detailed answers based on core clinical content commonly taught in advanced nursing and medical programs, aligned with standard textbooks such as Bates’ Guide to Physical Examination and History Taking and Current Medical Diagnosis & Treatment. It provides extensive coverage of pediatric conditions, infectious diseases, gastrointestinal disorders, neurological conditions, mental health disorders, and primary care assessment techniques. The material is presented in a structured question-and-answer format to support both deep understanding and exam-focused revision. As shown in the document (pages 1–7), foundational pediatric topics such as fever assessment, risk factors for serious bacterial infections, and age-specific management protocols are thoroughly covered. Mid-sections (pages 8–30) explore ENT conditions like otitis externa and otitis media, as well as headache disorders including migraines, cluster headaches, and red flag symptoms requiring urgent evaluation. Later sections (pages 50–65) focus on gastrointestinal and abdominal conditions such as appendicitis, pancreatitis, GERD, peptic ulcer disease, and diverticulitis, along with diagnostic approaches and treatment strategies. Additional content includes urinary tract disorders, mental health conditions (anxiety, depression, OCD), and chronic disease management, ensuring comprehensive exam preparation. This resource is ideal for students enrolled in advanced practice nursing programs, family nurse practitioner (FNP) courses, physician assistant (PA) programs, and medical school clinical rotations. It is particularly useful for courses such as Advanced Clinical Medicine (CMN 568), Primary Care Medicine, Pediatrics, Adult-Gerontology, and Pathophysiology. Additionally, it benefits healthcare professionals preparing for certification exams (FNP, NCLEX-RN advanced levels, PA boards) or seeking to strengthen clinical reasoning and diagnostic skills in primary care and acute care settings. Keywords: clinical medicine exam questions, pediatric fever management, otitis media externa, headache disorders migraine cluster, abdominal pain assessment, appendicitis pancreatitis GERD, urinary tract infections UTI, mental health disorders anxiety depression OCD, physical examination techniques, primary care diagnosis, infectious diseases pediatrics, GI disorders management, advanced nursing exam prep, FNP study guide, clinical case questions

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Institution
CMN 568
Course
CMN 568

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CMN 568 Final 2026 Exam
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Incidence of Fever - 🧠ANSWER ✔✔One of most common reasons for

parents to seek medical care.

Preschoolers have an average 6-8 febrile illnesses a year.


Definition of fever - 🧠ANSWER ✔✔Rectal temperature ≥ 100.4°F

,Tympanic temperature - 🧠ANSWER ✔✔Not accurate in infants under 3

months


Fever Causes - 🧠ANSWER ✔✔Most common Benign viral illness, can also

caused by bacterial or fungal infections, drug reactions including

immunizations, malignancies, autoimmune or metabolic disorders, CNS

disorders, excessive environmental temperatures.

Factors that increase likelihood of serious bacterial illness - 🧠ANSWER

✔✔Age under 3 months, history of prematurity, chronic medical conditions

such as immunosupression or aspenia, previous hospitalizations, daycare.

Toxic appearance


Non-Toxic appearance - 🧠ANSWER ✔✔Strong cry


Consolable

Alert and easy to arouse

Pink skin tones

Good hydration; good turgor, tears, moist mucous membranes

Smiles, responsive to environment


Toxic appearance - 🧠ANSWER ✔✔Weak or high pitched cry

,Inconsolable

Difficult to arouse

Pale, ashen, cyanotic, or mottled skin tones

Poor hydration; poor turgor, dry mucous membranes, no tears

No smile, listless, dull, infant won't alert to environment


Signs of serious illness - 🧠ANSWER ✔✔Fever greater than 40 (105)


Nuchal rigidity

Petechial skin rash

Seizure activity

Stridor or increased WOB


Physical exam signs of serious infection: Skin - 🧠ANSWER ✔✔Petechiae,

rashes

Physical exam signs of serious infection: head/neck - 🧠ANSWER

✔✔Sunken or bulging fontanelles, nuchal rigidity


Physical exam signs of serious infection: ears - 🧠ANSWER ✔✔Bulging TM,

AOM, mastoiditis



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, Physical exam signs of serious infection: Chest - 🧠ANSWER

✔✔Tachypnea, wheezing, rales, rhonchi


Physical exam signs of serious infection: Heart - 🧠ANSWER ✔✔Murmurs


Physical exam signs of serious infection: Abdomen - 🧠ANSWER

✔✔Tenderness, distension


Physical exam signs of serious infection: Musculoskeletal - 🧠ANSWER

✔✔Refusal to bear weight or use an extremity, erythema/warmth over joint


Diagnostic tests for fever in infant and young child - 🧠ANSWER ✔✔CBC w/

Diff (WBC > 15,000 may indicate SBI. Child with overwhelming sepsis my

have WBC <5,000)

UA/ C&S: R/O UTI

CXR: R/O Pneumonia

Lumbar Puncture: R/O meningitis

Blood cultures: R/O Bacteremia

Stools for C&S: R/O Infectious diarrhea

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