CMPP ID EXAM 2025/2026 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