CMN 572 ACTUAL 2026 STUDY GUIDE QUESTIONS AND
ANSWERS GRADED A+
✔✔What should be done for a patient with pre-existing HTN wanting BC? - ✔✔Refer to
OB/GYN- COC's increase angiotensin II and may cause fluid retention. Consider non-
hormonal forms of BC, such as Paragard
✔✔Mucopurulent endocervical discharge indicates? - ✔✔C. Trachomatis
✔✔How do we treat uncomplicated C. Trachomatis? - ✔✔Azithromycin 1 G x Single
Dose
OR
Doxycycline 100mg po BID x 7 days
✔✔How is C. Trachomatis treated in pregnant women? - ✔✔Azithromycin 1 G x
SINGLE DOSE
✔✔Flora is a pregnant women who has been treated for Chlamydia. Do we need to
repeat testing for Flora? - ✔✔Yes, preferably by NAAT in 3 weeks after completion of
treatment, and again in 3 months
✔✔Regina is a non-pregnant adult who has recently been treated for chlamydia. Should
we test for cure? - ✔✔test of cure not recommended, but repeat testing is
recommended 3-4 months after treatment (b/c re-infection is common)
✔✔What are the screening recommendations for chlamydia? - ✔✔Screen all women
</= 25 y.o Annually.
Women > 25- only if high risk
Pregnant women- Screen at first prenatal visit and if < 25 w/ increased risk, screen
again in third trimester
✔✔What is the treatment for uncomplicated gonorrhea? - ✔✔Ceftriaxone 250 mg IM x
single dose PLUS Azithromycin 1 G x Single dose
✔✔What is the treatment for gonorrhea, in pregnancy? - ✔✔Ceftriaxone 250mg IM x
single dose PLUS Azithromycin 1 G x Single dose
✔✔What is the treatment for primary, secondary, and early latent syphilis? - ✔✔PCN G
If NON-PREGNANT and allergic to PCN, use Doxy or Tetracycline
✔✔What is the treatment for syphilis in pregnancy? - ✔✔PCN
✔✔Treatment of genital warts? - ✔✔Removal
Podofilox, Imiquimod (external, patient-applied)
,Cryotherapy
Surgical Removal
✔✔What are the most common pathogens associated with PID? - ✔✔N.Gonorrhoeae
and C. Trachomatis
✔✔What is the treatment for PID? - ✔✔Ceftriaxone 250mg IM x Single Dose PLUS
Doxycycline 100mg po BID x 14 days WITH OR WITHOUT Metronidazole 500mg BID x
14 days
✔✔PRIMARY- Multiple lesions, more severe, last longer; fever, HA, malaise, myalgia,
itching may occur
RECURRENT (SECONDARY)- Prodromal symptoms (tingling, irritation), less severe -
✔✔In HSV, what differentiates primary from secondary infection, clinically?
✔✔Most common sites of asymptomatic shedding of HSV are? - ✔✔vulva and perianal
areas in women and penile skin and perianal areas in men
✔✔Treatment of primary HSV? - ✔✔Acyclovir TID x 7-10 days
✔✔Suppressive HSV treatment? - ✔✔Acyclovir BID
✔✔Episodic HSV treatment? - ✔✔Acyclovir TID x 5 days
✔✔What is REM sleep characterized by? - ✔✔Occurs in second half of night;
Characterized by dreaming/nightmares, absent muscle tone, eye movements, muscle
twitching, low body temperature
✔✔Sleepwalking and night terrors occur in? - ✔✔Non- REM sleep
✔✔What is the "gold standard" for objective measurement of sleep? -
✔✔Polysomnography
✔✔A neck circumference > 40cm increases the risk of? - ✔✔Obstructive Sleep Apnea
✔✔What do we treat OSA with? - ✔✔C-PAP
✔✔What are medication classes used to commonly treat sleep disturbances? -
✔✔Melatonin, Alpha Agonists, hypnotics/sedatives, antidepressants, antipsychotics,
antiepileptics, stimulannts, antiparkinson drugs, iron supplements
✔✔BP should be measured annually among all children age ___ and older. - ✔✔3
, ✔✔A normal BP is children is considered? - ✔✔Less than 90th percentile based on
age, sex, height
✔✔An elevated BP in children? - ✔✔90th to less than 95th percentile
OR 120/80 to less than 95th percentile (whichever is lower)
✔✔In children, stage I HTN includes: - ✔✔More than 95th percentile to less than 95th
percentile + 12 mm Hg
130/80-139/89
✔✔Stage II HTN in children is: - ✔✔More than 95th percentile + 12 mm Hg or
140/90
✔✔In children, HTN should only be diagnosed after how many episodes of elevated Bp
on auscultation? - ✔✔3
✔✔In children, what should be done to confirm the diagnosis of HTN/ - ✔✔Ambulatory
Bp measurement
✔✔Lifestyle management in the child with HTN includes: - ✔✔DASH diet, vigorous
physical activity for at least 30 minutes for 3-5 days/week
✔✔If pharmacologic therapy is needed for the hypertensive child, what drugs are
preferred? - ✔✔ACE inhibitors, ARBs, long-acting CCB's, or thiazide diuretics
✔✔In children with HTN, what level of HTN is a contraindication to play sports? - ✔✔At
or beyond stage II HTN
✔✔JNC 8 recommends drug therapy in adults < 60y.o for BP >/= ? - ✔✔140/90
✔✔JNC 8 recommends a goal BP of _____ for patient's >/= 60y.o - ✔✔<150/90
✔✔For patients with diabetes and CKD, JNC 8 recommends a goal BP of ? - ✔✔<
140/90
✔✔in non-black patients with HTN, what are acceptable drug class choices? -
✔✔Thiazide type diuretics, CCB's, ACEI's, and ARBs
✔✔In black patient's with HTN, what are acceptable initial drug class choices? -
✔✔Thiazide Diuretics or CCB's
ANSWERS GRADED A+
✔✔What should be done for a patient with pre-existing HTN wanting BC? - ✔✔Refer to
OB/GYN- COC's increase angiotensin II and may cause fluid retention. Consider non-
hormonal forms of BC, such as Paragard
✔✔Mucopurulent endocervical discharge indicates? - ✔✔C. Trachomatis
✔✔How do we treat uncomplicated C. Trachomatis? - ✔✔Azithromycin 1 G x Single
Dose
OR
Doxycycline 100mg po BID x 7 days
✔✔How is C. Trachomatis treated in pregnant women? - ✔✔Azithromycin 1 G x
SINGLE DOSE
✔✔Flora is a pregnant women who has been treated for Chlamydia. Do we need to
repeat testing for Flora? - ✔✔Yes, preferably by NAAT in 3 weeks after completion of
treatment, and again in 3 months
✔✔Regina is a non-pregnant adult who has recently been treated for chlamydia. Should
we test for cure? - ✔✔test of cure not recommended, but repeat testing is
recommended 3-4 months after treatment (b/c re-infection is common)
✔✔What are the screening recommendations for chlamydia? - ✔✔Screen all women
</= 25 y.o Annually.
Women > 25- only if high risk
Pregnant women- Screen at first prenatal visit and if < 25 w/ increased risk, screen
again in third trimester
✔✔What is the treatment for uncomplicated gonorrhea? - ✔✔Ceftriaxone 250 mg IM x
single dose PLUS Azithromycin 1 G x Single dose
✔✔What is the treatment for gonorrhea, in pregnancy? - ✔✔Ceftriaxone 250mg IM x
single dose PLUS Azithromycin 1 G x Single dose
✔✔What is the treatment for primary, secondary, and early latent syphilis? - ✔✔PCN G
If NON-PREGNANT and allergic to PCN, use Doxy or Tetracycline
✔✔What is the treatment for syphilis in pregnancy? - ✔✔PCN
✔✔Treatment of genital warts? - ✔✔Removal
Podofilox, Imiquimod (external, patient-applied)
,Cryotherapy
Surgical Removal
✔✔What are the most common pathogens associated with PID? - ✔✔N.Gonorrhoeae
and C. Trachomatis
✔✔What is the treatment for PID? - ✔✔Ceftriaxone 250mg IM x Single Dose PLUS
Doxycycline 100mg po BID x 14 days WITH OR WITHOUT Metronidazole 500mg BID x
14 days
✔✔PRIMARY- Multiple lesions, more severe, last longer; fever, HA, malaise, myalgia,
itching may occur
RECURRENT (SECONDARY)- Prodromal symptoms (tingling, irritation), less severe -
✔✔In HSV, what differentiates primary from secondary infection, clinically?
✔✔Most common sites of asymptomatic shedding of HSV are? - ✔✔vulva and perianal
areas in women and penile skin and perianal areas in men
✔✔Treatment of primary HSV? - ✔✔Acyclovir TID x 7-10 days
✔✔Suppressive HSV treatment? - ✔✔Acyclovir BID
✔✔Episodic HSV treatment? - ✔✔Acyclovir TID x 5 days
✔✔What is REM sleep characterized by? - ✔✔Occurs in second half of night;
Characterized by dreaming/nightmares, absent muscle tone, eye movements, muscle
twitching, low body temperature
✔✔Sleepwalking and night terrors occur in? - ✔✔Non- REM sleep
✔✔What is the "gold standard" for objective measurement of sleep? -
✔✔Polysomnography
✔✔A neck circumference > 40cm increases the risk of? - ✔✔Obstructive Sleep Apnea
✔✔What do we treat OSA with? - ✔✔C-PAP
✔✔What are medication classes used to commonly treat sleep disturbances? -
✔✔Melatonin, Alpha Agonists, hypnotics/sedatives, antidepressants, antipsychotics,
antiepileptics, stimulannts, antiparkinson drugs, iron supplements
✔✔BP should be measured annually among all children age ___ and older. - ✔✔3
, ✔✔A normal BP is children is considered? - ✔✔Less than 90th percentile based on
age, sex, height
✔✔An elevated BP in children? - ✔✔90th to less than 95th percentile
OR 120/80 to less than 95th percentile (whichever is lower)
✔✔In children, stage I HTN includes: - ✔✔More than 95th percentile to less than 95th
percentile + 12 mm Hg
130/80-139/89
✔✔Stage II HTN in children is: - ✔✔More than 95th percentile + 12 mm Hg or
140/90
✔✔In children, HTN should only be diagnosed after how many episodes of elevated Bp
on auscultation? - ✔✔3
✔✔In children, what should be done to confirm the diagnosis of HTN/ - ✔✔Ambulatory
Bp measurement
✔✔Lifestyle management in the child with HTN includes: - ✔✔DASH diet, vigorous
physical activity for at least 30 minutes for 3-5 days/week
✔✔If pharmacologic therapy is needed for the hypertensive child, what drugs are
preferred? - ✔✔ACE inhibitors, ARBs, long-acting CCB's, or thiazide diuretics
✔✔In children with HTN, what level of HTN is a contraindication to play sports? - ✔✔At
or beyond stage II HTN
✔✔JNC 8 recommends drug therapy in adults < 60y.o for BP >/= ? - ✔✔140/90
✔✔JNC 8 recommends a goal BP of _____ for patient's >/= 60y.o - ✔✔<150/90
✔✔For patients with diabetes and CKD, JNC 8 recommends a goal BP of ? - ✔✔<
140/90
✔✔in non-black patients with HTN, what are acceptable drug class choices? -
✔✔Thiazide type diuretics, CCB's, ACEI's, and ARBs
✔✔In black patient's with HTN, what are acceptable initial drug class choices? -
✔✔Thiazide Diuretics or CCB's
