CMN 577 FINAL TEST SCRIPT 2026
CORRECT ANSWERS CONFIRMED
◍ B. Viral conjunctivitis. Ans: A 3-year-old child presents with red,
watery eyes and mild eyelid edema. The parent reports clear
discharge. What is the most likely diagnosis?
A. Bacterial conjunctivitis
B. Viral conjunctivitis
C. Allergic conjunctivitis
D. Foreign body irritation
◍ B. Benzoyl peroxide + topical tretinoin. Ans: A 16-year-old
presents with comedones and mild facial inflammation without
pustules. What is the first-line treatment?
A. Tetracycline PO
B. Benzoyl peroxide + topical tretinoin
C. Isotretinoin
D. Topical clindamycin
◍ A. "I will use scented moisturizer daily to lubricate the skin.".
Ans: A 5-year-old with eczema presents for follow-up. Which parent
statement indicates they need further education?
A. "I will use scented moisturizer daily to lubricate the skin."
B. "I will avoid rough clothing."
,C. "Lukewarm baths help reduce dryness."
D. "Certain foods can trigger flare-ups."
◍ D. Subarachnoid hemorrhage. Ans: A 64-year-old woman with
poorly controlled hypertension presents with the "worst headache of
her
life." What is the top differential diagnosis?
A. Migraine
B. Increased intraocular pressure
C. Temporal arteritis
D. Subarachnoid hemorrhage
◍ A. Idiopathic intracranial hypertension (Pseudotumor cerebri).
Ans: An 11-year-old overweight female presents with papilledema,
positional headache, and diplopia.
What is the most likely diagnosis?
A. Idiopathic intracranial hypertension (Pseudotumor cerebri)
B. Bacterial meningitis
C. Hydrocephalus
D. Subarachnoid hemorrhage
◍ B. Iron deficiency anemia. Ans: A 16-year-old patient presents
with worsening fatigue, pallor, exertional dyspnea, and pica. Labs
show microcytic anemia. What is the most likely diagnosis?
A. Anemia of chronic disease
, B. Iron deficiency anemia
C. B12 deficiency
D. Thalassemia major
◍ B. Bell's palsy. Ans: A patient presents with unilateral facial
drooping including the forehead. What is the most likely
diagnosis?
A. Stroke
B. Bell's palsy
C. Myasthenia gravis
D. Trigeminal neuralgia
◍ A. Impetigo. Ans: A school-aged child presents with honey-
colored crusted lesions around the nose. What is the most
likely diagnosis?
A. Impetigo
B. Contact dermatitis
C. Eczema
D. Cellulitis
◍ B. Peripheral neuropathy. Ans: A patient reports persistent burning
foot pain worse at night and has diabetes. What is the most
likely diagnosis?
A. Plantar fasciitis
CORRECT ANSWERS CONFIRMED
◍ B. Viral conjunctivitis. Ans: A 3-year-old child presents with red,
watery eyes and mild eyelid edema. The parent reports clear
discharge. What is the most likely diagnosis?
A. Bacterial conjunctivitis
B. Viral conjunctivitis
C. Allergic conjunctivitis
D. Foreign body irritation
◍ B. Benzoyl peroxide + topical tretinoin. Ans: A 16-year-old
presents with comedones and mild facial inflammation without
pustules. What is the first-line treatment?
A. Tetracycline PO
B. Benzoyl peroxide + topical tretinoin
C. Isotretinoin
D. Topical clindamycin
◍ A. "I will use scented moisturizer daily to lubricate the skin.".
Ans: A 5-year-old with eczema presents for follow-up. Which parent
statement indicates they need further education?
A. "I will use scented moisturizer daily to lubricate the skin."
B. "I will avoid rough clothing."
,C. "Lukewarm baths help reduce dryness."
D. "Certain foods can trigger flare-ups."
◍ D. Subarachnoid hemorrhage. Ans: A 64-year-old woman with
poorly controlled hypertension presents with the "worst headache of
her
life." What is the top differential diagnosis?
A. Migraine
B. Increased intraocular pressure
C. Temporal arteritis
D. Subarachnoid hemorrhage
◍ A. Idiopathic intracranial hypertension (Pseudotumor cerebri).
Ans: An 11-year-old overweight female presents with papilledema,
positional headache, and diplopia.
What is the most likely diagnosis?
A. Idiopathic intracranial hypertension (Pseudotumor cerebri)
B. Bacterial meningitis
C. Hydrocephalus
D. Subarachnoid hemorrhage
◍ B. Iron deficiency anemia. Ans: A 16-year-old patient presents
with worsening fatigue, pallor, exertional dyspnea, and pica. Labs
show microcytic anemia. What is the most likely diagnosis?
A. Anemia of chronic disease
, B. Iron deficiency anemia
C. B12 deficiency
D. Thalassemia major
◍ B. Bell's palsy. Ans: A patient presents with unilateral facial
drooping including the forehead. What is the most likely
diagnosis?
A. Stroke
B. Bell's palsy
C. Myasthenia gravis
D. Trigeminal neuralgia
◍ A. Impetigo. Ans: A school-aged child presents with honey-
colored crusted lesions around the nose. What is the most
likely diagnosis?
A. Impetigo
B. Contact dermatitis
C. Eczema
D. Cellulitis
◍ B. Peripheral neuropathy. Ans: A patient reports persistent burning
foot pain worse at night and has diabetes. What is the most
likely diagnosis?
A. Plantar fasciitis
