CMN 577 Final Exam Questions with
Guaranteed Pass Solutions 2025\2026
Version.
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 - 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 - 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 - 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
, 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 - 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 - 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 - 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 - Answer a. Rhabdomyolysis
A 34-year-old female presents to the clinic with a new onset of headaches worse with standing
for the past 3 months. The patient describes the pain as generalized intense pressure. The pain
improves with lying down but does not resolve. Acetaminophen and ibuprofen provide no relief.
Guaranteed Pass Solutions 2025\2026
Version.
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 - 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 - 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 - 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
, 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 - 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 - 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 - 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 - Answer a. Rhabdomyolysis
A 34-year-old female presents to the clinic with a new onset of headaches worse with standing
for the past 3 months. The patient describes the pain as generalized intense pressure. The pain
improves with lying down but does not resolve. Acetaminophen and ibuprofen provide no relief.
