CMN 577 Final - Module 6
Trichomonas vaginalis - answerA 25-year-old female presents with frothy yellow-green
vaginal discharge and a strawberry cervix.
What is the most likely diagnosis?
A. Bacterial vaginosis
B. Candidiasis
C. Trichomonas vaginalis
D. Atrophic vaginitis
NSAIDs and reduced caffeine - answerA 45-year-old female has multiple tender,
rubbery breast nodules that vary with her cycle. What is
the appropriate management?
A. Diagnostic mammogram
B. Surgical biopsy
C. Breast MRI
D. NSAIDs and reduced caffeine
Bronchiolitis - answerA 5-year-old presents with wheezing and prolonged expiration.
What condition is most likely?
A. Croup
B. Bronchiolitis
C. Pneumonia
D. Pleural effusion
Beta-blockers - answerWhich medication class improves diastolic filling in hypertrophic
cardiomyopathy?
A. Calcium channel blockers
B. Beta-blockers
C. Diuretics
D. ARNI
Chest X-ray for foreign body - answerA 2-year-old suddenly develops wheezing after
playing with candy wrappers. What is the next step?
A. Oral steroids
B. Nebulized albuterol
C. Chest X-ray for foreign body
D. Epinephrine
Intrathoracic airway obstruction - answerA child presents with fever, nasal flaring, and
intercostal retractions. Wheezing is heard. What is
this?
A. Upper airway obstruction
, B. Intrathoracic airway obstruction
C. Pleural effusion
D. Croup
Candida - answerA woman presents with pruritus and thick white discharge. What is the
most likely diagnosis?
A. BV
B. Candida
C. Trichomonas
D. Chlamydia
D. 18 and 24 months - answerWhat age should children undergo ASD screening?
A. 12 and 24 months
B. 6 and 10 years
C. 6 and 18 months
D. 18 and 24 months
Mono - answerA teenager presents with tender cervical nodes and exudative
pharyngitis. What is most likely?
A. Strep
B. Mono
C. Viral URI
D. Peritonsillar abscess
Glaucoma - answerA patient with a red, painful eye and halos around lights likely has:
A. Conjunctivitis
B. Glaucoma
C. Optic neuritis
D. Corneal abrasion
Must recheck TSH monthly until stable - answerA patient's hypothyroidism is being
managed. Which instruction is correct?
A. Armour and Synthroid are interchangeable
B. Must recheck TSH monthly until stable
C. Take with breakfast
D. Avoid treatment during pregnancy
45 y/o lesbian who skips Pap smears - answerWhich patient is at highest risk for
cervical cancer?
A. 30 y/o with 2 children
B. 45 y/o lesbian who skips Pap smears
C. 16 y/o HPV vaccinated
D. 30 y/o smoker
Peritonsillar abscess - answerA patient presents with fever, sore throat, and hot potato
voice. What is the likely diagnosis?
Trichomonas vaginalis - answerA 25-year-old female presents with frothy yellow-green
vaginal discharge and a strawberry cervix.
What is the most likely diagnosis?
A. Bacterial vaginosis
B. Candidiasis
C. Trichomonas vaginalis
D. Atrophic vaginitis
NSAIDs and reduced caffeine - answerA 45-year-old female has multiple tender,
rubbery breast nodules that vary with her cycle. What is
the appropriate management?
A. Diagnostic mammogram
B. Surgical biopsy
C. Breast MRI
D. NSAIDs and reduced caffeine
Bronchiolitis - answerA 5-year-old presents with wheezing and prolonged expiration.
What condition is most likely?
A. Croup
B. Bronchiolitis
C. Pneumonia
D. Pleural effusion
Beta-blockers - answerWhich medication class improves diastolic filling in hypertrophic
cardiomyopathy?
A. Calcium channel blockers
B. Beta-blockers
C. Diuretics
D. ARNI
Chest X-ray for foreign body - answerA 2-year-old suddenly develops wheezing after
playing with candy wrappers. What is the next step?
A. Oral steroids
B. Nebulized albuterol
C. Chest X-ray for foreign body
D. Epinephrine
Intrathoracic airway obstruction - answerA child presents with fever, nasal flaring, and
intercostal retractions. Wheezing is heard. What is
this?
A. Upper airway obstruction
, B. Intrathoracic airway obstruction
C. Pleural effusion
D. Croup
Candida - answerA woman presents with pruritus and thick white discharge. What is the
most likely diagnosis?
A. BV
B. Candida
C. Trichomonas
D. Chlamydia
D. 18 and 24 months - answerWhat age should children undergo ASD screening?
A. 12 and 24 months
B. 6 and 10 years
C. 6 and 18 months
D. 18 and 24 months
Mono - answerA teenager presents with tender cervical nodes and exudative
pharyngitis. What is most likely?
A. Strep
B. Mono
C. Viral URI
D. Peritonsillar abscess
Glaucoma - answerA patient with a red, painful eye and halos around lights likely has:
A. Conjunctivitis
B. Glaucoma
C. Optic neuritis
D. Corneal abrasion
Must recheck TSH monthly until stable - answerA patient's hypothyroidism is being
managed. Which instruction is correct?
A. Armour and Synthroid are interchangeable
B. Must recheck TSH monthly until stable
C. Take with breakfast
D. Avoid treatment during pregnancy
45 y/o lesbian who skips Pap smears - answerWhich patient is at highest risk for
cervical cancer?
A. 30 y/o with 2 children
B. 45 y/o lesbian who skips Pap smears
C. 16 y/o HPV vaccinated
D. 30 y/o smoker
Peritonsillar abscess - answerA patient presents with fever, sore throat, and hot potato
voice. What is the likely diagnosis?
