CEN EXAM VERSION 2
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: What is Brudzinski's sign and why would you test this?
Answer:
If you lay a patient flat and bend their neck forward, their legs will automatically
bend up if they have meningitis
Question 2: What precautions do you need to place a patient if they
have bacterial meningitis?
Answer:
Droplet
Question 3: How do you treat viral meningitis?
Answer:
Supportive care: fluids, rest, pain and fever control
Question 4: What is the difference between a focal seizure and a
generalized seizure?
Answer:
Focal: a specific part of the brain; Generalized: the whole brain
Question 5: What is Todd's paralysis?
Answer:
, Where s/p a sz the patient has one area that is non-responsive, numb, or stiff
and can last for up to 24 hours
Question 6: What are the 3 side effects of giving dilantin too fast?
Answer:
Hypotension, bradycardia and heart block
Question 7: What neurotransmitter is disrupted when a patient has
myesthenia gravis?
Answer:
Acetylcholine
Question 8: What is the key issue with myesthenia gravis?
Answer:
Muscle Weakness that gets worse as the day goes on
Question 9: What is a myesthenia crisis?
Answer:
When the patients respiratory muscles are so weak they go into respiratory
distress or arrest
Question 10: If a patient has an anterior fossa fracture, where
would bleeding/CSF leak?
Answer:
Through the nose
,Question 11: If a patient has a middle fossa fracture, where would
bleeding/CSF leak?
Answer:
Through the ear
Question 12: What kind of fracture do you want to avoid giving
someone NC O2?
Answer:
Basilar skull fracture b/c it can blow air embolisms into the brain
(pneumocephalus)
Question 13: What is the treatment for Lithium toxicity?
Answer:
Dialysis
Question 14: What two medications do you give for Mania?
Answer:
Lithium and Carbamazepine
Question 15: What two classes of drugs do you give a patient with
schizophrenia?
Answer:
Antipsychotics and benzodiazepines
Question 16: What is Blepharospasm?
Answer:
, Eyelid spasm causing forced eyelid closure
Question 17: What is Torticollis?
Answer:
Neck muscle spasms causing the head to twist to one side
Question 18: What medications do you give for a patient with
extrapyramidal symptoms?
Answer:
Benadryl, propranolol, Antiparkinsonian drugs
Question 19: Lithium toxicity is associated with which electrolyte
imbalance?
Answer:
Hyponatremia
Question 20: What shape bruising indicates pinching?
Answer:
Crescent shaped
Question 21: What medication class do you give to increase
preload and afterload? Decrease?
Answer:
Increase: Vasoconstrictor - Decrease: Vasodilator
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: What is Brudzinski's sign and why would you test this?
Answer:
If you lay a patient flat and bend their neck forward, their legs will automatically
bend up if they have meningitis
Question 2: What precautions do you need to place a patient if they
have bacterial meningitis?
Answer:
Droplet
Question 3: How do you treat viral meningitis?
Answer:
Supportive care: fluids, rest, pain and fever control
Question 4: What is the difference between a focal seizure and a
generalized seizure?
Answer:
Focal: a specific part of the brain; Generalized: the whole brain
Question 5: What is Todd's paralysis?
Answer:
, Where s/p a sz the patient has one area that is non-responsive, numb, or stiff
and can last for up to 24 hours
Question 6: What are the 3 side effects of giving dilantin too fast?
Answer:
Hypotension, bradycardia and heart block
Question 7: What neurotransmitter is disrupted when a patient has
myesthenia gravis?
Answer:
Acetylcholine
Question 8: What is the key issue with myesthenia gravis?
Answer:
Muscle Weakness that gets worse as the day goes on
Question 9: What is a myesthenia crisis?
Answer:
When the patients respiratory muscles are so weak they go into respiratory
distress or arrest
Question 10: If a patient has an anterior fossa fracture, where
would bleeding/CSF leak?
Answer:
Through the nose
,Question 11: If a patient has a middle fossa fracture, where would
bleeding/CSF leak?
Answer:
Through the ear
Question 12: What kind of fracture do you want to avoid giving
someone NC O2?
Answer:
Basilar skull fracture b/c it can blow air embolisms into the brain
(pneumocephalus)
Question 13: What is the treatment for Lithium toxicity?
Answer:
Dialysis
Question 14: What two medications do you give for Mania?
Answer:
Lithium and Carbamazepine
Question 15: What two classes of drugs do you give a patient with
schizophrenia?
Answer:
Antipsychotics and benzodiazepines
Question 16: What is Blepharospasm?
Answer:
, Eyelid spasm causing forced eyelid closure
Question 17: What is Torticollis?
Answer:
Neck muscle spasms causing the head to twist to one side
Question 18: What medications do you give for a patient with
extrapyramidal symptoms?
Answer:
Benadryl, propranolol, Antiparkinsonian drugs
Question 19: Lithium toxicity is associated with which electrolyte
imbalance?
Answer:
Hyponatremia
Question 20: What shape bruising indicates pinching?
Answer:
Crescent shaped
Question 21: What medication class do you give to increase
preload and afterload? Decrease?
Answer:
Increase: Vasoconstrictor - Decrease: Vasodilator
