CMN 577 HIV Exam Question 2025/2026
Graded A+
Acute Otitis Media, treat with amoxicillin - A 3-year-old child presents for repeated ear
pulling and fever x3 days. On exam, you notice a bulging TM, an inflamed and opacified
ear drum, and impaired visualization of the ossicular
landmarks to the bilateral ears. What is your diagnosis and the first-line treatment?
Hoarseness - Acute Bacterial Pharyngitis essentials of diagnosis include all of the
following except?
Amoxicillin 80-90 mg/kg/day - 12-year-old Bella comes in complaining of left ear pain
and is diagnosed with Acute Otitis Media. What is first-line treatment for Bella?
Increased anion gap metabolic acidosis - A 14-year-old female presents to your clinic
with vomiting, abdominal pain, polyuria, polydipsia, and
tachypnea. The mother states the patient has been reporting extreme thirst despite
drinking a lot of water
over the past 3 months. Based on the patient's clinical presentation, the astute nurse
practitioner can
anticipate the patient to have which acid base disorder?
Potassium level of 7.2 - A 38-year-old male with chronic kidney disease presents to
your clinic with generalized weakness and
bradycardia. The EKG reveals sinus bradycardia with peaked T waves and widened
QRS complexes. The astute nurse practitioner knows that the likely cause of the
symptoms and EKG changes is:
MRI is best for diagnosis - An NP student is reviewing intussusception. Which
INCORRECT statement indicated a need for further review?
Pyloric stenosis and pyloromyotomy - A 4-week-old male presents with non-bilious
projectile vomiting after feeds.
Upon assessment the patient has upper abdominal distension with a palpable
olive-like mass in the RUQ with deep palpation. What is the most likely
diagnosis and what is the treatment?
Seborrheic dermatitis - A 2-week-old newborn is brought to the clinic due to the
development of a red, scaly rash on the scalp and behind the ears. The parents report
that the rash has become crusty and is
occasionally itchy. What is the most likely diagnosis for this condition?
Acyclovir 800mg PO 3x daily x 7 days - A 23-year-old female presents to the clinic with
painful blisters on her lips. She reports experiencing these outbreaks several times a
,year, typically triggered by stress or illness. Upon examination, you identify the
presence of typical herpetic lesions. What is the
first line treatment and dosage for oral HSV-1?
The NP suspects the patient has a UTI. The NP should instruct the parents to take the
infant to the hospital for
IV antibiotics. - 2-month-old female comes into the clinic with symptoms including fever,
poor feeding, irritability,
vomiting, and foul-smelling urine. What diagnosis does the NP suspect and what steps
should be taken
next?
Amoxicillin - An 8-year-old girl comes into the clinic with the following symptoms:
frequency, dysuria, and urgency.
You diagnose the girl with uncomplicated cystitis. As the NP, what antibiotic would you
prescribe the
patient?
Giant Cell Arteritis - A 70-year-old female comes into the clinic with complaints of a
headache around the left temple, jaw
pain, and some vision loss in the left eye. Which of the following would be your best
presumptive
diagnosis?
Cluster headache - A 45-year-old female patient presents to the clinic with complaints of
a headache. She states the headache that begins around her eyes and lasts for several
minutes to hours the pain is a 9/10 on a 1-10 pain scale. What type of headache does
this patient have?
Low-dose CAT scan of the chest - For a 54-year old patient who currently smokes 1
pack per day with a 30-pack-year history, which of the
following screening recommended?
Assess comprehension - Which of the following is NOT a component of the "5 A's"
framework for behavioral counseling interventions?
Regular physical activity and weight loss - Which of the following interventions is the
most effective lifestyle intervention for reducing cardiovascular disease risk in
overweight patients?
I will eat 5-6 small meals throughout the day, instead of 3, this will help the pancreas
keep up with my
digestion" - 22-year-old woman presents to your clinic for follow up from an ED visit, the
diagnosis in the ED was pancreatitis. While discussing the lifestyle
modification factors, you confirm that the patient understands the education
when she states which of the following?
, Is there any family history of constipation? - A 5-year-old with good nutrition and normal
growth presents to the clinic for a check-up. Mom reports frequent abdominal pain and
always crying when she is having bowel movements. Mom was worried after she got a
call from school to bring a change of clothes because she had an episode of
fecal incontinence and decided to bring her for a check-up. A nurse practitioner will ask
all the following
questions except?
Change diaper frequently, clean area with cloth and water, apply zinc, or barrier cream
with each
diaper change - A mother reports her 6-month-old baby has a "red and irritated bottom"
from a diaper rash, which
is also known as contact dermatitis. As the primary care provider, what should the NP
advise the
mother to do?
Feelings of being isolated and lonely - A 35 year old woman with a history of anxiety,
depression, and opioid use reports having increased anxiety. She also admits to
increased use of oxycodone that started during the COVID-19 pandemic and has only
gotten worse. She was able to keep
her job through the pandemic and also used telehealth for appointments with her
provider. What may be the main reason she has increased anxiety and opioid misuse
from the pandemic?
Apprehension test - A 35-year-old male comes to urgent care with acute shoulder pain
after lifting a heavy box. On examination, there is swelling and tenderness over the
anterior shoulder, and the
patient reports a feeling of "instability." Which of the following examination techniques
should you perform to assess for possible shoulder dislocation?
Rotator cuff tear - A 41-year-old male comes to the clinic with shoulder pain after
playing basketball. He describes difficulty reaching overhead and has pain on the outer
side of his shoulder. On
examination, there is tenderness over the greater tuberosity and weakness with external
rotation. What is the most likely injury?
Strength training and balancing exercises such as Tai Chi - What lifestyle modifications
are needed to prevent falls in a patient with
osteopenia?
Vit D/every 5 years - A 68-year-old female presents to clinic to discuss recent Dexa
scan results. Her T-score is -1.4. What is the first line treatment for this T-score and
when should she have a repeat Dexa scan?
Dexa Scan - A 60-year-old female presents to clinic with left foot pain. She was
Graded A+
Acute Otitis Media, treat with amoxicillin - A 3-year-old child presents for repeated ear
pulling and fever x3 days. On exam, you notice a bulging TM, an inflamed and opacified
ear drum, and impaired visualization of the ossicular
landmarks to the bilateral ears. What is your diagnosis and the first-line treatment?
Hoarseness - Acute Bacterial Pharyngitis essentials of diagnosis include all of the
following except?
Amoxicillin 80-90 mg/kg/day - 12-year-old Bella comes in complaining of left ear pain
and is diagnosed with Acute Otitis Media. What is first-line treatment for Bella?
Increased anion gap metabolic acidosis - A 14-year-old female presents to your clinic
with vomiting, abdominal pain, polyuria, polydipsia, and
tachypnea. The mother states the patient has been reporting extreme thirst despite
drinking a lot of water
over the past 3 months. Based on the patient's clinical presentation, the astute nurse
practitioner can
anticipate the patient to have which acid base disorder?
Potassium level of 7.2 - A 38-year-old male with chronic kidney disease presents to
your clinic with generalized weakness and
bradycardia. The EKG reveals sinus bradycardia with peaked T waves and widened
QRS complexes. The astute nurse practitioner knows that the likely cause of the
symptoms and EKG changes is:
MRI is best for diagnosis - An NP student is reviewing intussusception. Which
INCORRECT statement indicated a need for further review?
Pyloric stenosis and pyloromyotomy - A 4-week-old male presents with non-bilious
projectile vomiting after feeds.
Upon assessment the patient has upper abdominal distension with a palpable
olive-like mass in the RUQ with deep palpation. What is the most likely
diagnosis and what is the treatment?
Seborrheic dermatitis - A 2-week-old newborn is brought to the clinic due to the
development of a red, scaly rash on the scalp and behind the ears. The parents report
that the rash has become crusty and is
occasionally itchy. What is the most likely diagnosis for this condition?
Acyclovir 800mg PO 3x daily x 7 days - A 23-year-old female presents to the clinic with
painful blisters on her lips. She reports experiencing these outbreaks several times a
,year, typically triggered by stress or illness. Upon examination, you identify the
presence of typical herpetic lesions. What is the
first line treatment and dosage for oral HSV-1?
The NP suspects the patient has a UTI. The NP should instruct the parents to take the
infant to the hospital for
IV antibiotics. - 2-month-old female comes into the clinic with symptoms including fever,
poor feeding, irritability,
vomiting, and foul-smelling urine. What diagnosis does the NP suspect and what steps
should be taken
next?
Amoxicillin - An 8-year-old girl comes into the clinic with the following symptoms:
frequency, dysuria, and urgency.
You diagnose the girl with uncomplicated cystitis. As the NP, what antibiotic would you
prescribe the
patient?
Giant Cell Arteritis - A 70-year-old female comes into the clinic with complaints of a
headache around the left temple, jaw
pain, and some vision loss in the left eye. Which of the following would be your best
presumptive
diagnosis?
Cluster headache - A 45-year-old female patient presents to the clinic with complaints of
a headache. She states the headache that begins around her eyes and lasts for several
minutes to hours the pain is a 9/10 on a 1-10 pain scale. What type of headache does
this patient have?
Low-dose CAT scan of the chest - For a 54-year old patient who currently smokes 1
pack per day with a 30-pack-year history, which of the
following screening recommended?
Assess comprehension - Which of the following is NOT a component of the "5 A's"
framework for behavioral counseling interventions?
Regular physical activity and weight loss - Which of the following interventions is the
most effective lifestyle intervention for reducing cardiovascular disease risk in
overweight patients?
I will eat 5-6 small meals throughout the day, instead of 3, this will help the pancreas
keep up with my
digestion" - 22-year-old woman presents to your clinic for follow up from an ED visit, the
diagnosis in the ED was pancreatitis. While discussing the lifestyle
modification factors, you confirm that the patient understands the education
when she states which of the following?
, Is there any family history of constipation? - A 5-year-old with good nutrition and normal
growth presents to the clinic for a check-up. Mom reports frequent abdominal pain and
always crying when she is having bowel movements. Mom was worried after she got a
call from school to bring a change of clothes because she had an episode of
fecal incontinence and decided to bring her for a check-up. A nurse practitioner will ask
all the following
questions except?
Change diaper frequently, clean area with cloth and water, apply zinc, or barrier cream
with each
diaper change - A mother reports her 6-month-old baby has a "red and irritated bottom"
from a diaper rash, which
is also known as contact dermatitis. As the primary care provider, what should the NP
advise the
mother to do?
Feelings of being isolated and lonely - A 35 year old woman with a history of anxiety,
depression, and opioid use reports having increased anxiety. She also admits to
increased use of oxycodone that started during the COVID-19 pandemic and has only
gotten worse. She was able to keep
her job through the pandemic and also used telehealth for appointments with her
provider. What may be the main reason she has increased anxiety and opioid misuse
from the pandemic?
Apprehension test - A 35-year-old male comes to urgent care with acute shoulder pain
after lifting a heavy box. On examination, there is swelling and tenderness over the
anterior shoulder, and the
patient reports a feeling of "instability." Which of the following examination techniques
should you perform to assess for possible shoulder dislocation?
Rotator cuff tear - A 41-year-old male comes to the clinic with shoulder pain after
playing basketball. He describes difficulty reaching overhead and has pain on the outer
side of his shoulder. On
examination, there is tenderness over the greater tuberosity and weakness with external
rotation. What is the most likely injury?
Strength training and balancing exercises such as Tai Chi - What lifestyle modifications
are needed to prevent falls in a patient with
osteopenia?
Vit D/every 5 years - A 68-year-old female presents to clinic to discuss recent Dexa
scan results. Her T-score is -1.4. What is the first line treatment for this T-score and
when should she have a repeat Dexa scan?
Dexa Scan - A 60-year-old female presents to clinic with left foot pain. She was
