CMPP ID EXAM 2024 QUESTIONS WITH 100% CORRECT ANSWERS
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Nursing
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Nursing
CMPP ID EXAM 2024 QUESTIONS WITH 100% CORRECT ANSWERS
CMPP ID EXAM 2024 QUESTIONS WITH 100% CORRECT ANSWERS
CMPP ID EXAM 2024 QUESTIONS WITH 100% CORRECT ANSWERS
CMPP ID EXAM 2024: QUESTIONS WITH
100% CORRECT ANSWERS
A 55 year old man with a temperature of 101.5 and complaining of a headache comes into the
office. Upon physical exam he appears confused and has a stiff neck. He has a negative
Brudinzinski's sign. What else would you expect to see on physical exam?
A. hypertensive
B. tachycardia
C. resting tremor
D. CN palsies - Correct Answer - D. CN palsies - commonly 3 and 6
Meningitis will also present with bradycardia, hypotension, and patient appears toxic
A patient with suspected meningitis after physical exam presents to the office. What is the next
step in the treatment plan of the patient?
A. Consult ID
B. Start dexamethasone, vancomyin, and ceftriaxone
C. Order a LP and wait for the results
D. Wait for blood culture results - Correct Answer - B. Start dexamethasone, vancomyin, and
ceftriaxone
treat empirically and then make adjustments to abx once the results come back
What pathogen is responsible for scarlet fever?
A. strep viridans
B. strep pneumoniae
C. strep pyogenes
D. strep agalactiae - Correct Answer - C. strep pyogenes
also causes pharyngitis, impetigo, and cellulitis
A 2 year old girl presents to the office with a sore throat, abdominal pain, and nausea and
vomiting. Her rapid strep test comes back positive. Her mother mentions that she has a penicillin
allergy. What medication do you give her?
A. cephalexin
B. azithromycin
C. metronidazole
D. amoxicillin - Correct Answer - B. azithromycin
but first line for GAS is PCN VK or amoxicillin
Which of the following is not a complication of pharyngitis?
A. sinusitis
B. glomerulonephritis
,C. infraclavicular lymphadenitis
D. acute renal failure - Correct Answer - C. infraclavicular lymphadenitis
it is not infraclavicular, it is cervical lymphadenitis
Patient presents with a sore throat and a rash of minute papules that started on their chest and
now is on their arms, but the rash is not on the palms. A rapid strep test comes back positive.
What is the mostly likely diagnosis?
A. measels
B. TSS
C. Kawasaki
D. scarletina - Correct Answer - D. scarletina
rash spares the palms and soles.
Also may see sparing of the mouth, strawberry tongue, pastia's lines
A child comes in to the office with honey colored crusts on their face. What is the treatment of
choice?
A. Keflex
B. amoxicillin
C. clindamycin
D. augmentin - Correct Answer - A. Keflex
Keflex is the oral abx of choice.
Can also treat with Bactroban topically
A 68 year old male presents to the office stating that he had severe pain in his arm yesterday
along with a fever and chills. Today his skin appears dusky and mottled and he reports less pain.
What is the next step in his treatment?
A. administer vancomycin
B. give Bactroban topically
C. surgical exploration
D. administer PCN G - Correct Answer - C. surgical exploration
necrotizing fasciitis needs early surgical exploration.
Relief of pain is due to destruction of cutaneous nerves.
ABX can be started in addition to surgery.
Which of the following is not recommended for prophylactic treatment of group b strep during
labor?
A. PCN G
B. augmentin
C. ampicillin
D. ancef - Correct Answer - B. augmentin
The other abx are the indicated treatment.
,Caused by strep agalactide.
Can cause sepsis and meningitis in neonates
Which of the following is associated with strep gallolyticus?
A. bladder cancer
B. HIV
C. colorectal cancer
D. pancreatic cancer - Correct Answer - C. colorectal cancer
Also causes bacteremia and endocarditis.
Treat with PCN G
A patient presents with bacteremia and cultures come back positive for strep gallolyticus. You
correctly treat with PCN G. What is the next recommendation for this patient?
A. Avoid eating meat for a month
B. Post-recovery colonoscopy
C. CT scan
D. There is nothing else indicated - Correct Answer - B. Post-recovery colonoscopy
Due to the high association between Group D strep and colorectal cancer.
Which of the following is not a risk factor for enterococcus faecium colonization?
A. HTN
B. Renal failure
C. long courses of abx therapy
D. long-term care facility - Correct Answer - A. HTN
Additional risk factor is prolonged hospitalizaton, organ transplant, and immunosuppression
Which of the following can be caused by enteroccus?
A. meningitis
B. endocarditis
C. SBP
D. diabetic foot ulcers
E. All of the above - Correct Answer - E. All of the above
Treat with ampicillin and gentamycin.
if e. faecalis can also use vancomycin
What is the most common cause of skin and soft tissue infections?
A. HA-MRSA
B. CA-MRSA
C. CA-MSSA
D. HA-MSSA - Correct Answer - B. CA-MRSA
, risk factors: skin trauma, body shaving, incarceration, sharing non-laundered equipment, close
contact with others that MRSA infection
What is the number 1 cause of surgical wound infection?
A. strep pneumo
B. strep pyogenes
C. staph aureus
D. E. faecium - Correct Answer - C. staph aureus
Prophylactic Ancef before procedures
A 25 year old female presents to the office with an infection that starts in her hair follicles and
spreads to adjoining tissue. Your culture of the purulent material comes back as MRSA. What is
not an indicated treatment?
A. Bactrim
B. Doxycycline
C. Ceftriaxone
D. Clindamycin - Correct Answer - C. Ceftriaxone
if it was only MSSA you can give PCN V, amoxicillin, Keflex, or cefadroxil
Which of the following is preferred for MSSA bacteremia?
A. oxacillin
B. vancomycin
C. azithromycin
D. cefazolin - Correct Answer - A. oxacillin
this is the preferred med
Vanco can be used if it was MRSA or a severe allergy
Which of the following is not a toxin-mediated staph aureus infection?
A. gastroenteritis
B. septic arthritis
C. TSS
D. SSSS - Correct Answer - B. septic arthritis
Septic arthritis can be caused by staph aureus, but it is not toxin-mediated
A 23 year old female presents to the office complaining of non-specific flu-like symptoms. Her
blood pressure is 110/75 and her temperature is 100.9. She states her period started 3 days ago
and she uses tampons while on her period. Which of the following would you not expect to see
on?
A. desquamation of the skin
B. rash that spares the palms and soles
C. abdominal pain
D. vomiting and diarrhea - Correct Answer - B. rash that spares the palms and soles
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