2026 CPEN LATEST EXAMS SCRIPT QUESTIONS
AND ANSWERS SURE A+
✔✔Which type chemical burns may cause more damage to the eyes? - ✔✔Alkali
✔✔What is Beck's Triad? - ✔✔Cardiac Tamponade Signs
-JVD
-Muffled heart sounds
-Narrowed pulse pressure
✔✔Differences with Cardiomyopathy. Left vs Right - ✔✔-Left heart failure backs up to
the lungs
-Right sided the rest of the body
✔✔What is Waddell's Triad? - ✔✔Child vs Car (Child Waddell's away from the car)
-Femur fracture
-Belly or chest injuries
-Head injuries
✔✔What would raccoon eyes, and battle's sign indicate? - ✔✔A basilar skull fracture
✔✔Glasgow Coma Scale - ✔✔Eye (4) Verbal (5) Motor (6)
, ✔✔Describe decorticate posturing - ✔✔Abnormal flexion (bad)
✔✔Describe decerebrate posturing - ✔✔Abnormal extension (worst)
✔✔Kernig's Sign - ✔✔Meningitis Sign-Pain with flexion of knees
✔✔Brudzinski's Sign - ✔✔Meningitis Sign-"B"ends knees after you "B"end their neck
✔✔In the case of suspected bacterial meningitis consider administering antibiotics
when? - ✔✔Prior to lumber puncture
✔✔In which cases would you hyperventilate a patient with increased ICP. - ✔✔-A single
blown pupil
-Unilateral paralysis
-GCS drops by 3 or more points
-Keep them alive long enough for a CT and neurosurgery
✔✔Signs of Bacterial Meningitis - ✔✔-Flu like symptoms
-Rapidly spreading, purple, non-blanching rash
-Most feared is Meningococcal
✔✔Febrile Seizures 5,5,5 - ✔✔-Less than 5 minutes
-Most kids under 5 years
-Occur with temps 102F-105F
✔✔Another name for Spina Bifida - ✔✔Myelomeningocele
*Latex allergy may come up on exam*
✔✔Reye's Symdrome - ✔✔Think Aspirin
✔✔Guillain-Barre - ✔✔-Viral Syndrome with Ascending weakness
-Also flu-like symptoms
✔✔Botulism - ✔✔Think honey
✔✔Rule of 9's for Burns in Adults - ✔✔9% Head and each arm, 18% for each of
chest+abdomen, back, and each leg
✔✔Rule of 9's for Burns in Children - ✔✔9%for each arm, 18% for each of the head,
chest/belly, and back 14% for each leg
✔✔Parkland Burn Formula - ✔✔(4cc x kg x BSA for amount in 24 hours)/2 for admin in
the first 8 hours.
AND ANSWERS SURE A+
✔✔Which type chemical burns may cause more damage to the eyes? - ✔✔Alkali
✔✔What is Beck's Triad? - ✔✔Cardiac Tamponade Signs
-JVD
-Muffled heart sounds
-Narrowed pulse pressure
✔✔Differences with Cardiomyopathy. Left vs Right - ✔✔-Left heart failure backs up to
the lungs
-Right sided the rest of the body
✔✔What is Waddell's Triad? - ✔✔Child vs Car (Child Waddell's away from the car)
-Femur fracture
-Belly or chest injuries
-Head injuries
✔✔What would raccoon eyes, and battle's sign indicate? - ✔✔A basilar skull fracture
✔✔Glasgow Coma Scale - ✔✔Eye (4) Verbal (5) Motor (6)
, ✔✔Describe decorticate posturing - ✔✔Abnormal flexion (bad)
✔✔Describe decerebrate posturing - ✔✔Abnormal extension (worst)
✔✔Kernig's Sign - ✔✔Meningitis Sign-Pain with flexion of knees
✔✔Brudzinski's Sign - ✔✔Meningitis Sign-"B"ends knees after you "B"end their neck
✔✔In the case of suspected bacterial meningitis consider administering antibiotics
when? - ✔✔Prior to lumber puncture
✔✔In which cases would you hyperventilate a patient with increased ICP. - ✔✔-A single
blown pupil
-Unilateral paralysis
-GCS drops by 3 or more points
-Keep them alive long enough for a CT and neurosurgery
✔✔Signs of Bacterial Meningitis - ✔✔-Flu like symptoms
-Rapidly spreading, purple, non-blanching rash
-Most feared is Meningococcal
✔✔Febrile Seizures 5,5,5 - ✔✔-Less than 5 minutes
-Most kids under 5 years
-Occur with temps 102F-105F
✔✔Another name for Spina Bifida - ✔✔Myelomeningocele
*Latex allergy may come up on exam*
✔✔Reye's Symdrome - ✔✔Think Aspirin
✔✔Guillain-Barre - ✔✔-Viral Syndrome with Ascending weakness
-Also flu-like symptoms
✔✔Botulism - ✔✔Think honey
✔✔Rule of 9's for Burns in Adults - ✔✔9% Head and each arm, 18% for each of
chest+abdomen, back, and each leg
✔✔Rule of 9's for Burns in Children - ✔✔9%for each arm, 18% for each of the head,
chest/belly, and back 14% for each leg
✔✔Parkland Burn Formula - ✔✔(4cc x kg x BSA for amount in 24 hours)/2 for admin in
the first 8 hours.
