CEA PREP: FULL PRACTICE EXAM
LATEST 2026 ACTUAL EXAM TEST
BANK| CEAP EXAM PREP WITH
COMPLETE 470 REAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
(MOST RECENT!!)
Thempatientmismexhibitingmamproductivemcoughmandmamlow-grademfever.mChestmX-
raymonmPAmviewmshowsmamleftmlowermchestmareamofmconsolidationmadjacentmtomthemleftmbordermofm
themheartmapproximatelym2mribmspacesmabovemthemcostophrenicmangle.mThemlateralmx-
raymviewmshowsmthismlesionmabsentmofmthemwindowmposteriormtomthemcardiacmsilhouette.mWhichmi
smthemmostmlikelymlocationmofmthismareamofmfocalmconsolidation?
*Leftmuppermlobemapex
*Rightmmiddlemlobe
*Leftmuppermlobemlingula
*Leftmlowermlobem-mCORRECTmANSWERmLeftmuppermlobemlingula
Ratonale:mLingularmconsolidationmismdescribedminmthismquestionmprecisely.mIfmthemcardiacmmargin/
silhouettemismobliteratedmbymthemmass,mthemlesionmismeithermrightmmiddlemlobemormleftmuppermlobe
mlingula.
Theminabilitymtomfullymrelaxmthemmyocardiummduringmrelaxationmismamtrademarkmofmwhichmofmthemf
ollowingmdiagnoses?m-mCORRECTmANSWERmDiastolicmdysfunction
Rationale:mTheminabilitymformthemheartmtomrelaxmismamtrademarkmofmthemdiagnosismofmdiastolicmdysf
unctionmandmismcommonminmpatientsmwithmthickenedmhypertrophicmmyocardium.
AnmotherwisemhealthymAfricanmAmericanmadultmmalemhasmbeenmdiagnosedmwithmhypertension.mH
emhasmbeenmrestrictingmhismsaltmintake,meatingmamDASHm(DietarymApproachesmtomStopmHypertensio
,n)mdiet,mandmexercisingmmore,mbutmhismbloodmpressuremismstillmelevated.mWhichmismthemBESTmmedi
cationmtomprescribemhim?m-mCORRECTmANSWERmCalciummchannelmblocker
Rationale:mAfricanmAmericanmpatientsmpermJNC8mHypertensionmGuidelinesmshouldmbemmanagedm
withmamdihydropyridinemcalciummchannelmblockermsuchmasmamlodipinem(Norvasc)masmfirstmlinemma
nagementmtherapymformhypertensionmnotmatmgoalmwithmDASHmandmlifestylemmodifications.
Yourmpatientmhasmbeenmdiagnosedmwithmam4.5cmmascendingmaorticmaneurysm.mWhichmmedicalmim
agingmismconsideredmstandardmofmcaremformserialmsurveillance?m-
mCORRECTmANSWERmCTmangiographymofmthemchest
Rationale:mCTmangiographymismconsideredmthemstandardmofmcaremformmeasuringmvascularmluminalm
dimensionsmwithmcontrast.mCTmPEmprotocolmismnotmtimedmproperlymformthemaortam(it'smtimedmformt
hempulmonarymartery).mAlthoughmamplainmfilmmismablemtomcatchmlargemaneurysmsmatmtimes,mtheyma
remnotmablemtomprovidemmulti-
axismreconstructionmneededmtomaccuratelymmeasuremthemsize.mTransesophagealmechomismnotmneed
edmtomaccuratelymmeasuremthemaortamandmrequiresmthempatientmtomundergomsedationmwhichmismu
nnecessary.
Whichmofmthemfollowingmmedicationsmdoesmnotmcausembetam1mstimulation?m-
mCORRECTmANSWERmphenylephrine
Rationale:mPhenylephrinemonlymstimulatesmalpham1mreceptors.mThemremainingmthreemallmhavembet
amreceptormactivity.
Am50-year-
oldmwomanmwithmamhistorymofmhypertensionmpresentsmwithmdyspneamonmexertionmandmorthopnea
.mOnmexamination,mshemhasmjugularmvenousmdistentionmandmbilateralmcracklesmonmlungmauscultatio
n.mWhatmismthemmostmlikelymdiagnosis?m-mCORRECTmANSWERmCongestivemheartmfailure
Rationale:mOfmthemavailablemoptions,mthemmostmaccuratemresponsemismcongestivemheartmfailuremas
mitmismsignifyingmbothmamrightmventricularmbackmupmwithmjugularmvenousmextensionmandmcracklesmo
nmlungmassault,mwhichmaremsuggestivemofmleftmventricularmbackmup.mitmismpossiblemthempatientmmay
mhavemanmacutemmyocardialminfarctionmthatmprecipitatedmthis,mhowever,mampatientmhasmnotmdescri
bedmthat,mrathermismonlymdescribingmdyspneamonmexertionmandmorthopnea,mwhichmbothmspeakmtom
amstatemofmfluidmoverload.mThemonlymappropriatemresponsemofmthesemavailablemismcongestivemhear
tmfailure.
,YourmpatientmwithmamhistorymofmHFrEFm(heartmfailuremwithmreducedmejectionmfraction)mwithmanmeje
ctionmfractionmofm40%mwhomismalsomnotmonmoptimalmmedicalmtherapymhasmbeenmdiagnosedmwithma
mmyocardialminfarctionmthismadmissionmandmreceivedmemergentmplacementmofmamdrug-
elutingmstentmtomthemleftmanteriormdescendingmartery.mAsmthemmedicalmhomemwhomwillmmanagemt
hismpatientmaftermdischarge,mwhichmmedicationmstrategymwouldmyoumexpectmtombemampriorityminmth
empatient'smcare?m-
mCORRECTmANSWERmOrderingmamtransthoracicmechocardiogrammandmordermamLifevestmifmEFmismles
smthanm35%
Rationale:mThempatientmshouldmhavemamprotectivemmechanismmsuchmasmanmimplantablemautomate
dmcardiovertermdefibrillatorm(AICD)mormamLifevestmifmthemEFmismlessmthanm35%mduemtomthemincrease
dmriskmofmsuddenmcardiacmdeathmwithmlowmEFmstates.mSincemmostmpatientsmaremnotmeligiblemform90
mdaysmformanmAICDminmthismstate,moptimizingmtheirmmedicationmregimenmandmrepeatingmanmechomi
nm2-3mmonthsmtomre-
evaluatemformimprovementminmtheirmEFmismrequiredmbymmostminsurancemcompanies.mAmbaselinemec
homismneededmatmdischargemtomprovidemambaselinemformimprovementmvsmtheirmrepeatmechominm2-
3mmonths.
Dualmanti-plateletmtherapymismrequiredmform12mmonthsmminimummpost-MI.m
AmHoltermmonitormdoesmnotmprovidemanymconceivablembenefitmformthismpatientmasmpresented.
Am65-year-oldmwomanmpresentsmformamfollow-
upmexamination.mShemismamsmoker,mandmhermhypertensionmismnowmadequatelymcontrolledmwithmm
edication.mHermmothermdiedmatmagem40mfrommamheartmattack.mThemfastingmlipidmprofilemshowsmcho
lesterolm=m240mmg/dL,mHDLm=m30,mandmLDLm=m200.mInmadditionmtomstartingmtherapeuticmlifestylemc
hanges,mthemnursempractitionermshouldmstartmthempatientmon:m-
mCORRECTmANSWERmamstatinmdrug.
Rationale:mBilemacidmsequestrantsmandmcholesterolmabsorptionminhibitorsmmaymbemusefulminmreduc
ingmASVDmrisk,mbutmformampatientmwhomismanmactivemsmokermwithmprematuremcoronarymdiseasemhi
storym(lessmthanmagem65mformwomen),mhasmhypertensionmandmismfarmfrommanmLDLmgoal,mthismpatie
ntmismmostmcertainlymamcandidatemformstatinmtherapy,mwhichmrepresentsmthemmostmaggressivemther
apymoptionmofmthesemfourmlisted.
, Whichmofmthemfollowingmend-
organmsequelaemismnotmdirectlymcausedmbymuncontrolledmhypertension?m-
mCORRECTmANSWERmPeripheralmneuropathy
Ratioanle:mAlthoughmpatientsmwithmhypertensionmfrequentlymhavemperipheralmneuropathy,mitmismo
nlymdirectlymattributedmtompatientsmwhomaremalsomdiabeticmandmismcommonlymfoundminmnon-
hypertensivemdiabeticmpatients.mProteinuria,mAVmnicking,mandmhemorrhagicmstrokemaremallmcaused
mbymuncontrolledmhypertension.
Am33-year-
oldmwomanmpresentsmwithmirregularmmenstrualmcycles,mhirsutism,mandmobesity.mLaboratorymtestsm
revealmelevatedmserummtestosteronemandmLHmratiom>m2:1.mWhatmismthemmostmappropriateminitialmt
reatment?m-mCORRECTmANSWERmOralmcontraceptives
Rationale:mThesemaremclassicmsymptomsmofmpolycysticmovarianmsyndromemandmthempatientmshould
mbemtreatedmwithmoralmcontraceptivesmtomhelpmstabilizemtheirmestrogenmandmprogesterone.mAdditi
onally,mtheymmaymbemmanagedmonmmetforminmand/ormspironolactonemformtheirmPCOS.
Oralmcontraceptivempillsm(OCPs)maremoftenmthemfirstmpharmacologicalmtreatmentmformpolycysticmov
arymsyndromem(PCOS)mbecausemtheymhelpmmanageminmseveralmways:
Menstrualmirregularities:mOCPsmcanmhelpmregulatemmenstrualmcycles,mmakingmperiodsmlightermand
mmoremregular.mThismismimportantmbecausemirregularmovulationmcanmleadmtomendometrialmhyperpl
asia,mwhichmismambuildupmofmuterinemtissuemthatmcanmincreasemthemriskmofmuterinemcancer.
Androgenmexcess:mOCPsmcanmreducemandrogenmproductionmandmincreasemsexmhormone-
bindingmglobulinm(SHBG),mwhichmbindsmandrogens.mThismcanmhelpmreducemsymptomsmlikemacne,mhi
rsutismm(unwantedmbodymandmfacialmhair),mandmandrogenicmalopeciam(malempatternmbaldness).
Endometriummprotection:mOCPsmcanmprotectmthemendometriummbymensuringmregularmovulation
Am50-year-oldmwomanmwithmhypertensionmandmdiabetesmcomesminmformamroutinemcheck-
up.mWhatmscreeningmtestmshouldmbemregularlymperformedmtommonitormformearlymsignsmofmdiabeticm
nephropathy?m-mCORRECTmANSWERmUrinemdipstickmformprotein
Rationale:mThemmostmsensitivemindicatormofmdiabeticmnephropathymwouldmbemthemevidencemofmsm
allmproteinsminmthemurinem(proteinuria)masmfoundmonmurinalysis.mThemothermoptionsmmightmdescrib
emmacro-
organmfunctionm(suchmasmBUN/CreatmfrommamBMP,mamrenalmbiopsymwhichmismnotmindicatedmformrou
tinemdiabeticmnephropathymtesting,mandmamAbdmCT,mwhichmismmoremakinmtomevaluationmofmlessmsub
LATEST 2026 ACTUAL EXAM TEST
BANK| CEAP EXAM PREP WITH
COMPLETE 470 REAL EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
(MOST RECENT!!)
Thempatientmismexhibitingmamproductivemcoughmandmamlow-grademfever.mChestmX-
raymonmPAmviewmshowsmamleftmlowermchestmareamofmconsolidationmadjacentmtomthemleftmbordermofm
themheartmapproximatelym2mribmspacesmabovemthemcostophrenicmangle.mThemlateralmx-
raymviewmshowsmthismlesionmabsentmofmthemwindowmposteriormtomthemcardiacmsilhouette.mWhichmi
smthemmostmlikelymlocationmofmthismareamofmfocalmconsolidation?
*Leftmuppermlobemapex
*Rightmmiddlemlobe
*Leftmuppermlobemlingula
*Leftmlowermlobem-mCORRECTmANSWERmLeftmuppermlobemlingula
Ratonale:mLingularmconsolidationmismdescribedminmthismquestionmprecisely.mIfmthemcardiacmmargin/
silhouettemismobliteratedmbymthemmass,mthemlesionmismeithermrightmmiddlemlobemormleftmuppermlobe
mlingula.
Theminabilitymtomfullymrelaxmthemmyocardiummduringmrelaxationmismamtrademarkmofmwhichmofmthemf
ollowingmdiagnoses?m-mCORRECTmANSWERmDiastolicmdysfunction
Rationale:mTheminabilitymformthemheartmtomrelaxmismamtrademarkmofmthemdiagnosismofmdiastolicmdysf
unctionmandmismcommonminmpatientsmwithmthickenedmhypertrophicmmyocardium.
AnmotherwisemhealthymAfricanmAmericanmadultmmalemhasmbeenmdiagnosedmwithmhypertension.mH
emhasmbeenmrestrictingmhismsaltmintake,meatingmamDASHm(DietarymApproachesmtomStopmHypertensio
,n)mdiet,mandmexercisingmmore,mbutmhismbloodmpressuremismstillmelevated.mWhichmismthemBESTmmedi
cationmtomprescribemhim?m-mCORRECTmANSWERmCalciummchannelmblocker
Rationale:mAfricanmAmericanmpatientsmpermJNC8mHypertensionmGuidelinesmshouldmbemmanagedm
withmamdihydropyridinemcalciummchannelmblockermsuchmasmamlodipinem(Norvasc)masmfirstmlinemma
nagementmtherapymformhypertensionmnotmatmgoalmwithmDASHmandmlifestylemmodifications.
Yourmpatientmhasmbeenmdiagnosedmwithmam4.5cmmascendingmaorticmaneurysm.mWhichmmedicalmim
agingmismconsideredmstandardmofmcaremformserialmsurveillance?m-
mCORRECTmANSWERmCTmangiographymofmthemchest
Rationale:mCTmangiographymismconsideredmthemstandardmofmcaremformmeasuringmvascularmluminalm
dimensionsmwithmcontrast.mCTmPEmprotocolmismnotmtimedmproperlymformthemaortam(it'smtimedmformt
hempulmonarymartery).mAlthoughmamplainmfilmmismablemtomcatchmlargemaneurysmsmatmtimes,mtheyma
remnotmablemtomprovidemmulti-
axismreconstructionmneededmtomaccuratelymmeasuremthemsize.mTransesophagealmechomismnotmneed
edmtomaccuratelymmeasuremthemaortamandmrequiresmthempatientmtomundergomsedationmwhichmismu
nnecessary.
Whichmofmthemfollowingmmedicationsmdoesmnotmcausembetam1mstimulation?m-
mCORRECTmANSWERmphenylephrine
Rationale:mPhenylephrinemonlymstimulatesmalpham1mreceptors.mThemremainingmthreemallmhavembet
amreceptormactivity.
Am50-year-
oldmwomanmwithmamhistorymofmhypertensionmpresentsmwithmdyspneamonmexertionmandmorthopnea
.mOnmexamination,mshemhasmjugularmvenousmdistentionmandmbilateralmcracklesmonmlungmauscultatio
n.mWhatmismthemmostmlikelymdiagnosis?m-mCORRECTmANSWERmCongestivemheartmfailure
Rationale:mOfmthemavailablemoptions,mthemmostmaccuratemresponsemismcongestivemheartmfailuremas
mitmismsignifyingmbothmamrightmventricularmbackmupmwithmjugularmvenousmextensionmandmcracklesmo
nmlungmassault,mwhichmaremsuggestivemofmleftmventricularmbackmup.mitmismpossiblemthempatientmmay
mhavemanmacutemmyocardialminfarctionmthatmprecipitatedmthis,mhowever,mampatientmhasmnotmdescri
bedmthat,mrathermismonlymdescribingmdyspneamonmexertionmandmorthopnea,mwhichmbothmspeakmtom
amstatemofmfluidmoverload.mThemonlymappropriatemresponsemofmthesemavailablemismcongestivemhear
tmfailure.
,YourmpatientmwithmamhistorymofmHFrEFm(heartmfailuremwithmreducedmejectionmfraction)mwithmanmeje
ctionmfractionmofm40%mwhomismalsomnotmonmoptimalmmedicalmtherapymhasmbeenmdiagnosedmwithma
mmyocardialminfarctionmthismadmissionmandmreceivedmemergentmplacementmofmamdrug-
elutingmstentmtomthemleftmanteriormdescendingmartery.mAsmthemmedicalmhomemwhomwillmmanagemt
hismpatientmaftermdischarge,mwhichmmedicationmstrategymwouldmyoumexpectmtombemampriorityminmth
empatient'smcare?m-
mCORRECTmANSWERmOrderingmamtransthoracicmechocardiogrammandmordermamLifevestmifmEFmismles
smthanm35%
Rationale:mThempatientmshouldmhavemamprotectivemmechanismmsuchmasmanmimplantablemautomate
dmcardiovertermdefibrillatorm(AICD)mormamLifevestmifmthemEFmismlessmthanm35%mduemtomthemincrease
dmriskmofmsuddenmcardiacmdeathmwithmlowmEFmstates.mSincemmostmpatientsmaremnotmeligiblemform90
mdaysmformanmAICDminmthismstate,moptimizingmtheirmmedicationmregimenmandmrepeatingmanmechomi
nm2-3mmonthsmtomre-
evaluatemformimprovementminmtheirmEFmismrequiredmbymmostminsurancemcompanies.mAmbaselinemec
homismneededmatmdischargemtomprovidemambaselinemformimprovementmvsmtheirmrepeatmechominm2-
3mmonths.
Dualmanti-plateletmtherapymismrequiredmform12mmonthsmminimummpost-MI.m
AmHoltermmonitormdoesmnotmprovidemanymconceivablembenefitmformthismpatientmasmpresented.
Am65-year-oldmwomanmpresentsmformamfollow-
upmexamination.mShemismamsmoker,mandmhermhypertensionmismnowmadequatelymcontrolledmwithmm
edication.mHermmothermdiedmatmagem40mfrommamheartmattack.mThemfastingmlipidmprofilemshowsmcho
lesterolm=m240mmg/dL,mHDLm=m30,mandmLDLm=m200.mInmadditionmtomstartingmtherapeuticmlifestylemc
hanges,mthemnursempractitionermshouldmstartmthempatientmon:m-
mCORRECTmANSWERmamstatinmdrug.
Rationale:mBilemacidmsequestrantsmandmcholesterolmabsorptionminhibitorsmmaymbemusefulminmreduc
ingmASVDmrisk,mbutmformampatientmwhomismanmactivemsmokermwithmprematuremcoronarymdiseasemhi
storym(lessmthanmagem65mformwomen),mhasmhypertensionmandmismfarmfrommanmLDLmgoal,mthismpatie
ntmismmostmcertainlymamcandidatemformstatinmtherapy,mwhichmrepresentsmthemmostmaggressivemther
apymoptionmofmthesemfourmlisted.
, Whichmofmthemfollowingmend-
organmsequelaemismnotmdirectlymcausedmbymuncontrolledmhypertension?m-
mCORRECTmANSWERmPeripheralmneuropathy
Ratioanle:mAlthoughmpatientsmwithmhypertensionmfrequentlymhavemperipheralmneuropathy,mitmismo
nlymdirectlymattributedmtompatientsmwhomaremalsomdiabeticmandmismcommonlymfoundminmnon-
hypertensivemdiabeticmpatients.mProteinuria,mAVmnicking,mandmhemorrhagicmstrokemaremallmcaused
mbymuncontrolledmhypertension.
Am33-year-
oldmwomanmpresentsmwithmirregularmmenstrualmcycles,mhirsutism,mandmobesity.mLaboratorymtestsm
revealmelevatedmserummtestosteronemandmLHmratiom>m2:1.mWhatmismthemmostmappropriateminitialmt
reatment?m-mCORRECTmANSWERmOralmcontraceptives
Rationale:mThesemaremclassicmsymptomsmofmpolycysticmovarianmsyndromemandmthempatientmshould
mbemtreatedmwithmoralmcontraceptivesmtomhelpmstabilizemtheirmestrogenmandmprogesterone.mAdditi
onally,mtheymmaymbemmanagedmonmmetforminmand/ormspironolactonemformtheirmPCOS.
Oralmcontraceptivempillsm(OCPs)maremoftenmthemfirstmpharmacologicalmtreatmentmformpolycysticmov
arymsyndromem(PCOS)mbecausemtheymhelpmmanageminmseveralmways:
Menstrualmirregularities:mOCPsmcanmhelpmregulatemmenstrualmcycles,mmakingmperiodsmlightermand
mmoremregular.mThismismimportantmbecausemirregularmovulationmcanmleadmtomendometrialmhyperpl
asia,mwhichmismambuildupmofmuterinemtissuemthatmcanmincreasemthemriskmofmuterinemcancer.
Androgenmexcess:mOCPsmcanmreducemandrogenmproductionmandmincreasemsexmhormone-
bindingmglobulinm(SHBG),mwhichmbindsmandrogens.mThismcanmhelpmreducemsymptomsmlikemacne,mhi
rsutismm(unwantedmbodymandmfacialmhair),mandmandrogenicmalopeciam(malempatternmbaldness).
Endometriummprotection:mOCPsmcanmprotectmthemendometriummbymensuringmregularmovulation
Am50-year-oldmwomanmwithmhypertensionmandmdiabetesmcomesminmformamroutinemcheck-
up.mWhatmscreeningmtestmshouldmbemregularlymperformedmtommonitormformearlymsignsmofmdiabeticm
nephropathy?m-mCORRECTmANSWERmUrinemdipstickmformprotein
Rationale:mThemmostmsensitivemindicatormofmdiabeticmnephropathymwouldmbemthemevidencemofmsm
allmproteinsminmthemurinem(proteinuria)masmfoundmonmurinalysis.mThemothermoptionsmmightmdescrib
emmacro-
organmfunctionm(suchmasmBUN/CreatmfrommamBMP,mamrenalmbiopsymwhichmismnotmindicatedmformrou
tinemdiabeticmnephropathymtesting,mandmamAbdmCT,mwhichmismmoremakinmtomevaluationmofmlessmsub
