CMII Practice Quiz 1

A medical professional evaluating a patient with a focus on educational materials, including charts and diagrams of human anatomy, with a bright and engaging hospital setting in the background.

CMII Practice Quiz 1

Test your knowledge on various important medical conditions and diagnostics with our engaging CMII Practice Quiz. Designed for aspiring healthcare professionals, this quiz covers essential topics that will help solidify your understanding of various diseases, treatments, and medical principles.

Prepare yourself to:

Assess your current knowledge.
Identify areas for improvement.
Prepare for future medical examinations or certifications.

20 Questions5 MinutesCreated by LearningDoc512

You diagnose your 85 y/o male Caucasian patient with osteoporosis. In addition to Alendronate, you also decide to place your patient on hormone replacement therapy (HRT). What must you screen for and rule out prior to starting your patient on HRT?

Colon Cancer

Prostate Cancer

Testicular Cancer

Penile Cancer

What are the "Rule of 10s" and what disease is it referring to?

10% malignant, 10% bilateral, 10% extra-adrenal, 10% calcify, 10% found in children; pheochromocytoma

10% malignant, 10% bilateral, 10% extra-adrenal, 10% non-calcified, 10% found in children; Addison's disease

10% benign, 10% bilateral, 10% extra-adrenal, 10% calcify, 10% found in children; Primary Hyperaldosteronism

10% benign, 10% bilateral, 10% extra-adrenal, 10% non-calcified, 10% found in children; Cushing Syndrome

A 45 y/o female AA patient presents to your office to discuss her lab results after having blood work drawn approximately two weeks ago. You ordered the labs because your patient was complaining of generalized weakness, bone pain and constipation. Significant lab results are: PTH is low, serum ionized calcium is high, phosphorus is low, alkaline phosphatase is elevated. What is at the top of your differential diagnosis based on these lab results?

Primpary hyperparathyroidism

Primary hypoparathyroidism

Malignancy

Osteoporosis

You work in an inpatient facility which just accepted a new patient to their service. For the past two days, your patient was hyperglycemic immediately after waking up. That night, in addition to checking the patient's blood glucose (BG) before bed, you have the night staff check his BG at 3 am, and then again upon waking up. The patient's BG before bed was normal. His BG at 3am was low, and his BG the next morning was elevated. What do you suspect is occuring?

Somogyi Effect

The patient is sneaking extra snacks before bedtime

Dawn Phenomenon

Kallman's syndrome

You suspect your patient, AB has hyperaldosteronism due to her severe hypertension that is resistant to normal pharmacologic treatment. Which of the following is true regarding the next step to making this diagnosis?

Correct the patient's hyperkalemia prior to performing screening test and instruct the patient to continue all BP medications without restriction

Have the patient stop their ARB 4 weeks prior to testing and correct hypokalemia 2 weeks prior to testing. Once these measures have been taken, obtain CT of the adrenals.

Have the patient continue all anti-hypertensives except mineralcorticoid receptor antagonist, which must be stopped 6 weeks prior to testing. Correct patient's hypokalemia. Then, order a plasma renin activity and plasma aldosterone concentration to calcuate ARR ratio.

Have the patient continue all anti-hypertensives except mineralcorticoid receptor antagonists, which must be stopped 6 weeks prior to testing. Correct patient's hypokalemia. Then, perform oral sodium loading test.

Your patient with Grave's disease recently was diagnosed with an infection. Based on her rapid decompensation and critical condition, you suspect a diagnosis of Thyroid Storm. What is your next step in order to properly assess the severity of your patient's condition?

Calculate your patient's Burch-Wartofsky Score

Order TSH, T4 and T3 levels and treat once high levels of TH are confirmed

Order TSH and T4 only, but do not wait on results to treat the patient

Order T4 and T3 levels only, but do not wait for results to treat the patient

Which of the following is not true regarding the anterior pituitary?

The anterior pituitary is connected to the hypothalamus via the portal circulation.

The anterior pituitary releases vasopressin based on a 1% increase or decrease in blood osmalality.

The anterior pituitary is part of the HPA axis because it releases ACTH.

The anterior pituitary does not secrete Oxytocin.

A 60 y/o male with long standing history of Type II DM mellitus x 20 years presents to your ED with his wife complaining of nausea, progressively worsening generalized weakness, and polyuria x4 days. Patient's wife states he also has been very thirsty and earlier today started to become lethargic, prompting the ED visit. Patient manages his type II DM with oral medications in addition to insulin therapy. On PE, patient appears ill, his breath smells fruity and he is tachycardic at 108bpm, however patient is AOx3. Lab results show the patient's BG is 359, pH is 7.1, Bicarb is <15, and the patient's anion gap is 15. What is your diagnosis and what is your next step for medical management?

Hyperosmolar hyperglycemic state; replace fluid loss with IV fluids, slowly correct patient's hyperglycemia with IV insulin, and correct patient's hypokalemia

DKA; replace fluid loss with IV fluids, slowly correct patient's hyperglycemia with IV insulin, and correct patient's hypokalemia

DKA; replace fluid loss with IV fluids, slowly correct patient's hyperglycemia with IV insulin, and correct patient's hyperkalemia

Hyperosmolar hyperglycemic state; replace fluid loss with IV fluids, slowly correct patient's hyperglycemia with IV insulin, and correct patient's hyperkalemia

A 30 y/o patient presents to your office complaining of his gums bleeding after he brushes his teeth and increased bleeding from a paper cut they received two days ago. Patient reports it took almost 10 minutes for the bleeding from the papercut to stop. Patient is not taking any anti-platelet or anticoagulant medications. Patient eats a healthy diet filled with a lot of wheat pasta/bread. What vitamin toxicity would explain this patient's symptoms?

Which of the following is not an effect of cortisol?

Decrease in muscle mass and decrease in new muscle synthesis

Decreased beta cell function and increase in visceral obesity

Decrease in glycogenolysis, decrease in insulin resistance

Decrease in growth hormone secretion

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CMII Practice Quiz 1

CMII Practice Quiz 1

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