CMSRN LATEST 2026 TEST PAPER QUESTIONS AND
ANSWERS GRADED A+
✔✔Hodgkin's lymphoma - ✔✔Peak yrs 25-35
90% cure rate if caught early
First symptom- Painless enlarged lymph node then night sweats and fatigue
Reed Sternberg cells
Tx: chemo, radiation, surgery for staging
✔✔Non Hodgkins Lymphoma - ✔✔Peak years 50-75
Poor cure rate
First symptom- enlarged, painless lymph node then fatigue and night sweats
No hallmark diagnostic
Treatment- chemo, radiation, surgery for staging
✔✔Deep Tissue Injury - ✔✔Looks intact
Purple or maroon due to pressure or shear
✔✔Stage I - ✔✔In tact skin
Nonblanchable usually over bony prominence
✔✔Stage II - ✔✔Partial thickness, loss of dermis
✔✔Stage III - ✔✔Full thickness
✔✔Stage IV - ✔✔Full thickness with exposed bone, tendon etc
✔✔Unstageable - ✔✔Covered with eschar cannot see base of wound
✔✔Cardiac output - ✔✔Amount of blood leaving the heart per min
✔✔Stroke volume - ✔✔Amount of blood leaving the ventricles with each contraction
✔✔S3 - ✔✔Ventricular gallop
Indicative of pulmonary edema
✔✔S4 - ✔✔Atrial gallop
✔✔Nitro - ✔✔Chest pain
Q5 min 3 times- unrelieved go to ER
Sublingual
Light sensitive
✔✔ST depression indicates - ✔✔Ischemia- tissue is still viable and may be rescued
, ✔✔ST elevation indicates - ✔✔MI
Tissue death, tissue no longer viable
✔✔MI treatment - ✔✔Morphine
Oxygen
Nitro
ASA
Caused by plaque buildup
✔✔Causes of CHF - ✔✔Long-term, uncontrolled HTN
MI
CAD
Cardiomyopathies
Valvular disease
Tachydysrhythmias
✔✔CHF - ✔✔Heart loses ability to pump blood effectively and supply oxygen to rest of
body
Heart enlarged but weak
✔✔Left Ventricular Failure - ✔✔"left is lung"
Orthopnea
Crackles
S3 S4
Systolic murmur
Fatigue
Activity intolerance
✔✔Right ventricular failure - ✔✔"R is rest of body"
JVD
Dependent edema
Hepatomegaly
Abd distention
Fatigue
Activity intolerance
✔✔BB - ✔✔"lol"
Decreases workload of the heart by decreasing BP and HR
✔✔ACE Inhibitors - ✔✔"pril"
decrease afterload and preload in heart failure
Prevents action of angiotensin two which causes vasoconstriction- med relaxes vessels
ANSWERS GRADED A+
✔✔Hodgkin's lymphoma - ✔✔Peak yrs 25-35
90% cure rate if caught early
First symptom- Painless enlarged lymph node then night sweats and fatigue
Reed Sternberg cells
Tx: chemo, radiation, surgery for staging
✔✔Non Hodgkins Lymphoma - ✔✔Peak years 50-75
Poor cure rate
First symptom- enlarged, painless lymph node then fatigue and night sweats
No hallmark diagnostic
Treatment- chemo, radiation, surgery for staging
✔✔Deep Tissue Injury - ✔✔Looks intact
Purple or maroon due to pressure or shear
✔✔Stage I - ✔✔In tact skin
Nonblanchable usually over bony prominence
✔✔Stage II - ✔✔Partial thickness, loss of dermis
✔✔Stage III - ✔✔Full thickness
✔✔Stage IV - ✔✔Full thickness with exposed bone, tendon etc
✔✔Unstageable - ✔✔Covered with eschar cannot see base of wound
✔✔Cardiac output - ✔✔Amount of blood leaving the heart per min
✔✔Stroke volume - ✔✔Amount of blood leaving the ventricles with each contraction
✔✔S3 - ✔✔Ventricular gallop
Indicative of pulmonary edema
✔✔S4 - ✔✔Atrial gallop
✔✔Nitro - ✔✔Chest pain
Q5 min 3 times- unrelieved go to ER
Sublingual
Light sensitive
✔✔ST depression indicates - ✔✔Ischemia- tissue is still viable and may be rescued
, ✔✔ST elevation indicates - ✔✔MI
Tissue death, tissue no longer viable
✔✔MI treatment - ✔✔Morphine
Oxygen
Nitro
ASA
Caused by plaque buildup
✔✔Causes of CHF - ✔✔Long-term, uncontrolled HTN
MI
CAD
Cardiomyopathies
Valvular disease
Tachydysrhythmias
✔✔CHF - ✔✔Heart loses ability to pump blood effectively and supply oxygen to rest of
body
Heart enlarged but weak
✔✔Left Ventricular Failure - ✔✔"left is lung"
Orthopnea
Crackles
S3 S4
Systolic murmur
Fatigue
Activity intolerance
✔✔Right ventricular failure - ✔✔"R is rest of body"
JVD
Dependent edema
Hepatomegaly
Abd distention
Fatigue
Activity intolerance
✔✔BB - ✔✔"lol"
Decreases workload of the heart by decreasing BP and HR
✔✔ACE Inhibitors - ✔✔"pril"
decrease afterload and preload in heart failure
Prevents action of angiotensin two which causes vasoconstriction- med relaxes vessels
