CMN 577 Final - Module 7
Parkinson disease – answer A 72-year-old patient presents with a shuffling gait,
bradykinesia, and cogwheel rigidity. What
is the most likely diagnosis?
A. Essential tremor
B. Parkinson disease
C. Multiple sclerosis
D. ALS
ACL tear - answerA 14-year-old reports sudden knee pain after hearing a "pop" during
soccer. Lachman test is
positive. What injury is suspected?
A. Meniscal tear
B. ACL tear
C. MCL sprain
D. Patellar fracture
ESR/CRP - answerA patient with SLE presents for routine follow-up. Which lab is most
important to monitor
disease activity?
A. Anti-CCP
B. ESR/CRP
C. TSH
D. HgbA1c
Osteoporosis - answerA 67-year-old with chronic steroid use has atraumatic vertebral
compression fractures. What
is the likely diagnosis?
A. Osteoarthritis
B. Osteoporosis
C. Paget disease
D. Scoliosis
Acute angle-closure glaucoma - answerA 32-year-old male presents with severe
unilateral eye pain, halos around lights, and a mid
dilated pupil. What condition is suspected?
A. Retinal detachment
B. Acute angle-closure glaucoma
C. Optic neuritis
D. Cluster headache
, Croup - answerA 3-year-old with a barking cough, inspiratory stridor, and low-grade
fever most likely has:
A. Epiglottitis
B. Croup
C. Bronchiolitis
D. Asthma
Medication-induced delirium - answerA 75-year-old with dementia becomes acutely
confused after starting diphenhydramine. What is the
most likely cause?
A. Infection
B. Medication-induced delirium
C. Stroke
D. Progression of dementia
Rheumatoid arthritis - answerA patient presents with symmetric swelling and morning
stiffness >1 hour. What condition is
suspected?
A. Osteoarthritis
B. Fibromyalgia
C. Rheumatoid arthritis
D. Gout
Prednisone - answerA 45-year-old with suspected temporal arteritis should immediately
receive:
A. Aspirin
B. Prednisone
C. Ibuprofen
D. Methotrexate
Short course oral steroids + antibiotics - answerA 66-year-old with COPD reports
increased sputum, dyspnea, and cough. What is the
appropriate treatment?
A. Inhaled corticosteroid only
B. Short course oral steroids + antibiotics
C. Montelukast
D. SABA only
Immediate lumbar puncture - answer. A 19-year-old college student has stiff neck,
fever, and photophobia. What is the next best step?
A. Start oral antibiotics
B. Immediate lumbar puncture
C. Outpatient follow-up
D. Head CT only
Parkinson disease – answer A 72-year-old patient presents with a shuffling gait,
bradykinesia, and cogwheel rigidity. What
is the most likely diagnosis?
A. Essential tremor
B. Parkinson disease
C. Multiple sclerosis
D. ALS
ACL tear - answerA 14-year-old reports sudden knee pain after hearing a "pop" during
soccer. Lachman test is
positive. What injury is suspected?
A. Meniscal tear
B. ACL tear
C. MCL sprain
D. Patellar fracture
ESR/CRP - answerA patient with SLE presents for routine follow-up. Which lab is most
important to monitor
disease activity?
A. Anti-CCP
B. ESR/CRP
C. TSH
D. HgbA1c
Osteoporosis - answerA 67-year-old with chronic steroid use has atraumatic vertebral
compression fractures. What
is the likely diagnosis?
A. Osteoarthritis
B. Osteoporosis
C. Paget disease
D. Scoliosis
Acute angle-closure glaucoma - answerA 32-year-old male presents with severe
unilateral eye pain, halos around lights, and a mid
dilated pupil. What condition is suspected?
A. Retinal detachment
B. Acute angle-closure glaucoma
C. Optic neuritis
D. Cluster headache
, Croup - answerA 3-year-old with a barking cough, inspiratory stridor, and low-grade
fever most likely has:
A. Epiglottitis
B. Croup
C. Bronchiolitis
D. Asthma
Medication-induced delirium - answerA 75-year-old with dementia becomes acutely
confused after starting diphenhydramine. What is the
most likely cause?
A. Infection
B. Medication-induced delirium
C. Stroke
D. Progression of dementia
Rheumatoid arthritis - answerA patient presents with symmetric swelling and morning
stiffness >1 hour. What condition is
suspected?
A. Osteoarthritis
B. Fibromyalgia
C. Rheumatoid arthritis
D. Gout
Prednisone - answerA 45-year-old with suspected temporal arteritis should immediately
receive:
A. Aspirin
B. Prednisone
C. Ibuprofen
D. Methotrexate
Short course oral steroids + antibiotics - answerA 66-year-old with COPD reports
increased sputum, dyspnea, and cough. What is the
appropriate treatment?
A. Inhaled corticosteroid only
B. Short course oral steroids + antibiotics
C. Montelukast
D. SABA only
Immediate lumbar puncture - answer. A 19-year-old college student has stiff neck,
fever, and photophobia. What is the next best step?
A. Start oral antibiotics
B. Immediate lumbar puncture
C. Outpatient follow-up
D. Head CT only
