CMN 577 ACTUAL EXAM PAPER 2026
QUESTIONS AND SOLUTIONS GRADED A+
◉ ACL tear.
Answer: A 14-year-old reports sudden knee pain after hearing a
"pop" during soccer. Lachman test is
positive. What injury is suspected?
A. Meniscal tear
B. ACL tear
C. MCL sprain
D. Patellar fracture
◉ ESR/CRP.
Answer: A patient with SLE presents for routine follow-up. Which
lab is most important to monitor
disease activity?
A. Anti-CCP
B. ESR/CRP
C. TSH
D. HgbA1c
,◉ Osteoporosis.
Answer: A 67-year-old with chronic steroid use has atraumatic
vertebral compression fractures. What
is the likely diagnosis?
A. Osteoarthritis
B. Osteoporosis
C. Paget disease
D. Scoliosis
◉ Acute angle-closure glaucoma.
Answer: A 32-year-old male presents with severe unilateral eye
pain, halos around lights, and a mid
dilated pupil. What condition is suspected?
A. Retinal detachment
B. Acute angle-closure glaucoma
C. Optic neuritis
D. Cluster headache
◉ Croup.
Answer: A 3-year-old with a barking cough, inspiratory stridor, and
low-grade fever most likely has:
A. Epiglottitis
,B. Croup
C. Bronchiolitis
D. Asthma
◉ Medication-induced delirium.
Answer: A 75-year-old with dementia becomes acutely confused
after starting diphenhydramine. What is the
most likely cause?
A. Infection
B. Medication-induced delirium
C. Stroke
D. Progression of dementia
◉ Rheumatoid arthritis.
Answer: A patient presents with symmetric swelling and morning
stiffness >1 hour. What condition is
suspected?
A. Osteoarthritis
B. Fibromyalgia
C. Rheumatoid arthritis
D. Gout
, ◉ Prednisone.
Answer: A 45-year-old with suspected temporal arteritis should
immediately receive:
A. Aspirin
B. Prednisone
C. Ibuprofen
D. Methotrexate
◉ Short course oral steroids + antibiotics.
Answer: A 66-year-old with COPD reports increased sputum,
dyspnea, and cough. What is the
appropriate treatment?
A. Inhaled corticosteroid only
B. Short course oral steroids + antibiotics
C. Montelukast
D. SABA only
◉ Immediate lumbar puncture.
Answer: . A 19-year-old college student has stiff neck, fever, and
photophobia. What is the next best step?
A. Start oral antibiotics
B. Immediate lumbar puncture
QUESTIONS AND SOLUTIONS GRADED A+
◉ ACL tear.
Answer: A 14-year-old reports sudden knee pain after hearing a
"pop" during soccer. Lachman test is
positive. What injury is suspected?
A. Meniscal tear
B. ACL tear
C. MCL sprain
D. Patellar fracture
◉ ESR/CRP.
Answer: A patient with SLE presents for routine follow-up. Which
lab is most important to monitor
disease activity?
A. Anti-CCP
B. ESR/CRP
C. TSH
D. HgbA1c
,◉ Osteoporosis.
Answer: A 67-year-old with chronic steroid use has atraumatic
vertebral compression fractures. What
is the likely diagnosis?
A. Osteoarthritis
B. Osteoporosis
C. Paget disease
D. Scoliosis
◉ Acute angle-closure glaucoma.
Answer: A 32-year-old male presents with severe unilateral eye
pain, halos around lights, and a mid
dilated pupil. What condition is suspected?
A. Retinal detachment
B. Acute angle-closure glaucoma
C. Optic neuritis
D. Cluster headache
◉ Croup.
Answer: A 3-year-old with a barking cough, inspiratory stridor, and
low-grade fever most likely has:
A. Epiglottitis
,B. Croup
C. Bronchiolitis
D. Asthma
◉ Medication-induced delirium.
Answer: A 75-year-old with dementia becomes acutely confused
after starting diphenhydramine. What is the
most likely cause?
A. Infection
B. Medication-induced delirium
C. Stroke
D. Progression of dementia
◉ Rheumatoid arthritis.
Answer: A patient presents with symmetric swelling and morning
stiffness >1 hour. What condition is
suspected?
A. Osteoarthritis
B. Fibromyalgia
C. Rheumatoid arthritis
D. Gout
, ◉ Prednisone.
Answer: A 45-year-old with suspected temporal arteritis should
immediately receive:
A. Aspirin
B. Prednisone
C. Ibuprofen
D. Methotrexate
◉ Short course oral steroids + antibiotics.
Answer: A 66-year-old with COPD reports increased sputum,
dyspnea, and cough. What is the
appropriate treatment?
A. Inhaled corticosteroid only
B. Short course oral steroids + antibiotics
C. Montelukast
D. SABA only
◉ Immediate lumbar puncture.
Answer: . A 19-year-old college student has stiff neck, fever, and
photophobia. What is the next best step?
A. Start oral antibiotics
B. Immediate lumbar puncture
