CMN 577 CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ What is the leading cause of death from injury in persons over age 65?.
Answer: Complications from falls
◍ The elderly should be screened and educated regarding risks/transmission
of?.
Answer: HIV
◍ All Older persons should be screened how often for previous falls/balance
problems?.
Answer: Once a year
◍ What are the most bothersome SE's of acetylcholinesterase inhibitors?.
Answer: DiarrheaNauseaanorexiaweight losssyncope
◍ What is the name of the prescription medical food that is intended for the
clinical dietary management of the metabolic processes associated with mild
to moderate Alzheimer's disease?.
Answer: Axona
◍ What are the characteristic signs of botulism?.
Answer: Ptosis, cranial nerve palsies w/ impairment of extraocular muscles,
and fixed dilated pupils are characteristic signs
◍ Contraindications to vaccination for smallpox include?.
Answer: Immunosuppression, eczema, dermatitis (you or household
contacts), allergy to vaccine, infants younger than 1, pregnant/breastfeeding
women.
◍ Shirley has just been diagnosed with Myasthenia Gravis. She is 46. She
comes into the clinic today with her husband wanting more information on
the disease. What can you tell them?.
, Answer: Can occur at any age-any time- is a slowly, progressive disease.
Symptoms will be: asymmetric limb weakness and muscle fatigue- cranial
nerves will be affected. Treatment beings with an anti holiness erase
(mestinon) followed by immunosuppressive therapy with prednisone x 3
months OR until clinical improvement stops or decline is seen.
◍ HACE (high altitude cerebral edema) usually occurs at elevations above
_______ meters, but MAY occur at lower elevations:.
Answer: 2500
◍ What virus causes smallpox?.
Answer: Variola virus
◍ Lewy body dementia and Parkinson's disease can result in?.
Answer: Rigid musclesslowed movementstremors
◍ Ginger is used to treat and prevent?.
Answer: nausea
◍ Frailty is?.
Answer: Term used in describing elderly who have lost their functional
reserve- consider them for rehabilitation to improve strength, walking, and
ability to perform ADL's
◍ Imvamune, the small pox vaccine, is administered in?.
Answer: 2 doses, 4 weeks apart
◍ What age groups are most at risk for enterovirus infections?.
Answer: Infants, children, and teenagers
◍ What form of anthrax has 1/2 of deaths that occur in 24-48 hours?.
Answer: Inhalation anthrax
◍ What is the preferred treatment of benign paroxysmal positional vertigo?.
Answer: Repositioning Therapy- Epley Maneuver
◍ What herbal medicine is commonly used for treatment of BPH?.
Answer: saw palmetto
, ◍ Some acute mental status changes noted in delirium include?.
Answer: Confusionhallucinationsrestlessnessincoherent speech
◍ ___________ must be avoided b/c it inhibits the effectiveness of cooling by
increasing internal heat production. Sometimes, medications can be used to
suppress this (magnesium, quick-acting opioids, benzos):.
Answer: Shivering
◍ Examples of manual medicine include?.
Answer: Dry Needling, Chiropractic Care, Osteopathy
◍ Classic heat stroke occurs in?.
Answer: Patient's with impaired thermoregulatory mechanisms or in extreme
environmental conditions
◍ What is one of the most serious and potentially fatal results of barotrauma?.
Answer: Pulmonary Overinflation syndrome- d/t rapid ascent causing
alveoli rupture and air bubble extravasatednow into tissue planes or even the
cerebral circulation
◍ What are first line therapies in Gilles de la Tourette Syndrome?.
Answer: Alpha-adrenergic agonists (Clonidine or Guanfacine) b/c of
favorable side-effect profile
◍ What herbal med is used for mild to moderate depression?.
Answer: St. John's Wort
◍ Of the 3 main types of plague, what would be the most likely source of
bioterror?.
Answer: Pneumonic plague
◍ ________________ have no effect on environmentally induced
hyperthermia and are CONTRAINDICATED!!.
Answer: Anti-pyrectics
◍ In HA's, to prevent medication overuse, the use of simple analgesics should
be limited to?.
Answer: Simple analgesics- 15 days of less/month
QUESTIONS WITH SOLUTIONS GRADED A+
◍ What is the leading cause of death from injury in persons over age 65?.
Answer: Complications from falls
◍ The elderly should be screened and educated regarding risks/transmission
of?.
Answer: HIV
◍ All Older persons should be screened how often for previous falls/balance
problems?.
Answer: Once a year
◍ What are the most bothersome SE's of acetylcholinesterase inhibitors?.
Answer: DiarrheaNauseaanorexiaweight losssyncope
◍ What is the name of the prescription medical food that is intended for the
clinical dietary management of the metabolic processes associated with mild
to moderate Alzheimer's disease?.
Answer: Axona
◍ What are the characteristic signs of botulism?.
Answer: Ptosis, cranial nerve palsies w/ impairment of extraocular muscles,
and fixed dilated pupils are characteristic signs
◍ Contraindications to vaccination for smallpox include?.
Answer: Immunosuppression, eczema, dermatitis (you or household
contacts), allergy to vaccine, infants younger than 1, pregnant/breastfeeding
women.
◍ Shirley has just been diagnosed with Myasthenia Gravis. She is 46. She
comes into the clinic today with her husband wanting more information on
the disease. What can you tell them?.
, Answer: Can occur at any age-any time- is a slowly, progressive disease.
Symptoms will be: asymmetric limb weakness and muscle fatigue- cranial
nerves will be affected. Treatment beings with an anti holiness erase
(mestinon) followed by immunosuppressive therapy with prednisone x 3
months OR until clinical improvement stops or decline is seen.
◍ HACE (high altitude cerebral edema) usually occurs at elevations above
_______ meters, but MAY occur at lower elevations:.
Answer: 2500
◍ What virus causes smallpox?.
Answer: Variola virus
◍ Lewy body dementia and Parkinson's disease can result in?.
Answer: Rigid musclesslowed movementstremors
◍ Ginger is used to treat and prevent?.
Answer: nausea
◍ Frailty is?.
Answer: Term used in describing elderly who have lost their functional
reserve- consider them for rehabilitation to improve strength, walking, and
ability to perform ADL's
◍ Imvamune, the small pox vaccine, is administered in?.
Answer: 2 doses, 4 weeks apart
◍ What age groups are most at risk for enterovirus infections?.
Answer: Infants, children, and teenagers
◍ What form of anthrax has 1/2 of deaths that occur in 24-48 hours?.
Answer: Inhalation anthrax
◍ What is the preferred treatment of benign paroxysmal positional vertigo?.
Answer: Repositioning Therapy- Epley Maneuver
◍ What herbal medicine is commonly used for treatment of BPH?.
Answer: saw palmetto
, ◍ Some acute mental status changes noted in delirium include?.
Answer: Confusionhallucinationsrestlessnessincoherent speech
◍ ___________ must be avoided b/c it inhibits the effectiveness of cooling by
increasing internal heat production. Sometimes, medications can be used to
suppress this (magnesium, quick-acting opioids, benzos):.
Answer: Shivering
◍ Examples of manual medicine include?.
Answer: Dry Needling, Chiropractic Care, Osteopathy
◍ Classic heat stroke occurs in?.
Answer: Patient's with impaired thermoregulatory mechanisms or in extreme
environmental conditions
◍ What is one of the most serious and potentially fatal results of barotrauma?.
Answer: Pulmonary Overinflation syndrome- d/t rapid ascent causing
alveoli rupture and air bubble extravasatednow into tissue planes or even the
cerebral circulation
◍ What are first line therapies in Gilles de la Tourette Syndrome?.
Answer: Alpha-adrenergic agonists (Clonidine or Guanfacine) b/c of
favorable side-effect profile
◍ What herbal med is used for mild to moderate depression?.
Answer: St. John's Wort
◍ Of the 3 main types of plague, what would be the most likely source of
bioterror?.
Answer: Pneumonic plague
◍ ________________ have no effect on environmentally induced
hyperthermia and are CONTRAINDICATED!!.
Answer: Anti-pyrectics
◍ In HA's, to prevent medication overuse, the use of simple analgesics should
be limited to?.
Answer: Simple analgesics- 15 days of less/month
