CEA Prep: Full Practice Exam
1st line treatment for generalized tension disease:
*buspar
*zoloft
*wellbutrin
*remeron - ANS-zoloft
Rationale: SSRIs boom serotonin levels within the brain, which facilitates enhance temper and
reduce tension. Serotonin is a neurotransmitter related to mood law and anxiety reduction. By
blocking the reabsorption (reuptake) of serotonin into neurons, Zoloft permits more serotonin to
be available in the brain, that can help enhance mood and reduce tension.
A "code blue" is called for your affected person in the waiting room of your urgent care. When
you arrive, cardiac monitoring is applied and their rhythm seems to be normal sinus rhythm with
a charge of 80. On palpation over the carotid artery, you do now not feel a pulse. What is the
call of this cardiac rhythm?
*Idioventricular rhythm
*Junctional Tachycardia
*Wandering Atrial Pacemaker (WAP)
*Pulseless Electrical Activity (PEA) - ANS-Pulseless Electrical Activity (PEA)
Rationale: PEA appears as a everyday rhythm with out a pulse. Idioventricular rhythm is very
sluggish (20-forty), Junctional tachycardia and WAP each with out pulses are taken into
consideration PEA additionally.
A 2-day vintage new child has purulent discharge of the eyes and erythema. History consists of
a vaginal beginning at term added at domestic. What is the maximum probable wrongdoer?
*Chlamydia trachomatis contamination
*E-coli infection
*Staph contamination
*Viral contamination - ANS-Chlamydia trachomatis infection
Rationale: Chlamydia conjunctivitis is commonly unfold through direct contact with discharge
from the eyes or genital secretions of a person infected with Chlamydia trachomatis. It can arise
in newborns during childbirth (neonatal conjunctivitis) or in adults thru sexual contact (grownup
inclusion conjunctivitis).
Symptoms: The signs and symptoms can include:
Redness in the eye(s).
Watery or mucopurulent discharge (yellow or green discharge from the eyes).
Swelling of the eyelids.
Sensitivity to light (photophobia).
Itching or burning sensation inside the eyes.
,A 3-year-antique baby provides with a swollen, crimson, and smooth knee. The baby has a
fever and refuses to bear weight at the leg. What is the maximum possibly analysis?
*Juvenile idiopathic arthritis
*Reactive arthritis
*Osteomyelitis
*Septic arthritis - ANS-Septic arthritis
Rationale: Septic arthritis in toddlers is a severe situation wherein a joint will become infected,
usually through micro organism or less commonly by fungi or viruses.
Symptoms:
Joint Pain: Often intense and localized to the affected joint.
Swelling: The joint may additionally seem swollen, warm to the touch, and purple.
Limited Movement: They can also refuse to use the affected limb or avoid bearing weight on it.
Fever: Often excessive, accompanying the contamination.
Irritability: Due to ache and soreness.
A 3-year-antique infant affords with a swollen, crimson, and soft knee. The toddler has a fever
and refuses to bear weight at the leg. What is the most likely prognosis?
*Septic arthritis
*Juvenile idiopathic arthritis
*Reactive arthritis
*Osteomyelitis - ANS-Septic arthritis
Rationale: Septic arthritis in infants is a critical circumstance in which a joint turns into inflamed,
typically through micro organism or much less typically via fungi or viruses.
Symptoms:
Joint Pain: Often excessive and localized to the affected joint.
Swelling: The joint may seem swollen, heat to the touch, and red.
Limited Movement: They might also refuse to use the affected limb or keep away from bearing
weight on it.
Fever: Often excessive, accompanying the contamination.
Irritability: Due to ache and pain.
A five-12 months-vintage boy is delivered to the health facility with a rash that started on his
face and spread to the trunk. The rash is defined as "slapped cheek" look. What is the maximum
in all likelihood diagnosis?
*Measles
*Roseola
*Rubella
*Fifth disease - ANS-Fifth ailment
Rationale: The hallmark symptom of slap cheek is a distinct rash that normally starts on the
cheeks, giving them a flushed appearance as though the kid has been slapped on the face.
"Slap cheek" is a colloquial term used to describe a viral infection medically called Fifth sickness
or erythema infectiosum.
,A five-year-antique child affords with frequent episodes of otitis media. His mother and father
are concerned approximately his listening to and speech development. What is the most
suitable subsequent step in control?
*Referral to an audiologist for a listening to assessment
*Monitoring and reassessing in three months
*Prescribing long-time period antibiotics
*Immediate referral for tympanostomy tube placement - ANS-Referral to an audiologist for a
hearing evaluation
Rationale: Otitis media can cause brief conductive hearing loss due to fluid buildup in the center
ear, that could affect sound transmission to the inner ear. Chronic or recurrent infections can
also result in extra persistent listening to troubles. An audiologist can check the kid's listening to
sensitivity and decide if there is any hearing loss gift.
A 5-yr-vintage girl presents with fever, rash, hacking cough, and swollen, smooth lymph nodes.
The rash started on her face and has spread to the rest of her frame. What is the maximum
probably diagnosis?
*Chickenpox
*Measles
*Fifth ailment
*Scarlet fever - ANS-Measles
Rationale: Measles, also called rubeola, is a notably contagious viral contamination because of
the measles virus. The symptoms of measles typically seem in ranges over a length of
approximately 10-14 days after publicity to the virus. Here are the commonplace signs and
symptoms associated with measles:
Initial Symptoms (Prodromal Stage):
Fever: Often high, typically starts offevolved about 10-12 days after exposure to the virus.
Malaise: General feeling of discomfort, tiredness, and shortage of properly-being.
Runny Nose: Nasal congestion and discharge.
Cough: Dry, persistent cough.
Koplik Spots: These are small, white spots which can seem in the mouth, commonly on the
internal lining of the cheek. They are characteristic of measles and can precede the rash by
means of 1-2 days.
Rash (Exanthematous Stage):
A feature red or reddish-brown rash generally begins on the face and hairline, spreading
downward to the rest of the frame.
The rash consists of flat, red spots which can blend collectively as they spread.
It usually lasts for approximately 5-7 days and fades within the order it seemed, frequently
followed by means of fever.
A 5-year-old provides with a five-month records of soiling his pants. The toddler became
correctly rest room trained at 3. What is the most probably prognosis? - ANS-Encopresis
Rationale: Encopresis is a formative years disease characterised by using the repeated passing
of stool (feces) into irrelevant places, consisting of clothing or the ground, usually after the age
of bathroom schooling.
, A 7-yr-old child gives with group A streptococcal contamination showed by throat lifestyle. Past
history consists of treatment for tremendous streptococcal contamination with erythromycin
(EryPed oral suspension) 3 weeks in the past. What is the maximum appropriate subsequent
intervention?
*Treat with azithromycin (Zithromax) for 10 days.
*Obtain culture for all household participants.
*Intramuscular Penicillin.
*Treat with amoxicillin for 10 days. - ANS-Treat with amoxicillin for 10 days.
Rationale: If erythromycin treatment for streptococcal contamination did now not work, the
following course of action usually includes switching to Amoxicillin. This is regularly the
primary-line antibiotic for streptococcal infections.
A 7-yr-antique infant provides with institution A streptococcal contamination confirmed by way of
throat lifestyle. Past records includes remedy for superb streptococcal infection with
erythromycin (EryPed oral suspension) 3 weeks ago. What is the maximum appropriate
subsequent intervention? - ANS-Treat with amoxicillin for 10 days.
Rationale: If erythromycin remedy for streptococcal contamination did no longer work, the
following path of motion typically includes switching to Amoxicillin. This is regularly the
primary-line antibiotic for streptococcal infections.
A 13 year old girl who's diagnosed with iron deficiency anemia is being handled with ferrous
sulfate. Proper remedy generally leads to the resolution of anemia inside:
*3 months.
*4 weeks.
*8 months.
*2 weeks. - ANS-three months.
Rationale: Due to the time it takes for the underlying deficit to be corrected in addition to the
growth of recent crimson blood cells to mature, 3 months are generally wanted to show
restoration with remedy for iron deficiency.
A thirteen-year-antique affected person returns to the office complaining of intermittent
headache for the beyond couple of years. Which will be the maximum concerning symptom? -
ANS-Stiff neck
Rationale: Inflammation of the membranes (meninges) surrounding the mind and spinal cord,
regularly due to a viral or bacterial infection. This can cause severe headache, stiff neck, fever,
and sensitivity to mild.
A 14-yr-old with sickle cellular anemia has lately skilled a sickle cell crisis and offers for a
follow-up exam after a recent hospitalization. It is most crucial to retain monitoring boom,
development, and: - ANS-hemoglobin ranges.
Rationale: Chronic tracking for patients with sickle cell ailment consists of monitoring of
hemoglobin and hematocrit.
1st line treatment for generalized tension disease:
*buspar
*zoloft
*wellbutrin
*remeron - ANS-zoloft
Rationale: SSRIs boom serotonin levels within the brain, which facilitates enhance temper and
reduce tension. Serotonin is a neurotransmitter related to mood law and anxiety reduction. By
blocking the reabsorption (reuptake) of serotonin into neurons, Zoloft permits more serotonin to
be available in the brain, that can help enhance mood and reduce tension.
A "code blue" is called for your affected person in the waiting room of your urgent care. When
you arrive, cardiac monitoring is applied and their rhythm seems to be normal sinus rhythm with
a charge of 80. On palpation over the carotid artery, you do now not feel a pulse. What is the
call of this cardiac rhythm?
*Idioventricular rhythm
*Junctional Tachycardia
*Wandering Atrial Pacemaker (WAP)
*Pulseless Electrical Activity (PEA) - ANS-Pulseless Electrical Activity (PEA)
Rationale: PEA appears as a everyday rhythm with out a pulse. Idioventricular rhythm is very
sluggish (20-forty), Junctional tachycardia and WAP each with out pulses are taken into
consideration PEA additionally.
A 2-day vintage new child has purulent discharge of the eyes and erythema. History consists of
a vaginal beginning at term added at domestic. What is the maximum probable wrongdoer?
*Chlamydia trachomatis contamination
*E-coli infection
*Staph contamination
*Viral contamination - ANS-Chlamydia trachomatis infection
Rationale: Chlamydia conjunctivitis is commonly unfold through direct contact with discharge
from the eyes or genital secretions of a person infected with Chlamydia trachomatis. It can arise
in newborns during childbirth (neonatal conjunctivitis) or in adults thru sexual contact (grownup
inclusion conjunctivitis).
Symptoms: The signs and symptoms can include:
Redness in the eye(s).
Watery or mucopurulent discharge (yellow or green discharge from the eyes).
Swelling of the eyelids.
Sensitivity to light (photophobia).
Itching or burning sensation inside the eyes.
,A 3-year-antique baby provides with a swollen, crimson, and smooth knee. The baby has a
fever and refuses to bear weight at the leg. What is the maximum possibly analysis?
*Juvenile idiopathic arthritis
*Reactive arthritis
*Osteomyelitis
*Septic arthritis - ANS-Septic arthritis
Rationale: Septic arthritis in toddlers is a severe situation wherein a joint will become infected,
usually through micro organism or less commonly by fungi or viruses.
Symptoms:
Joint Pain: Often intense and localized to the affected joint.
Swelling: The joint may additionally seem swollen, warm to the touch, and purple.
Limited Movement: They can also refuse to use the affected limb or avoid bearing weight on it.
Fever: Often excessive, accompanying the contamination.
Irritability: Due to ache and soreness.
A 3-year-antique infant affords with a swollen, crimson, and soft knee. The toddler has a fever
and refuses to bear weight at the leg. What is the most likely prognosis?
*Septic arthritis
*Juvenile idiopathic arthritis
*Reactive arthritis
*Osteomyelitis - ANS-Septic arthritis
Rationale: Septic arthritis in infants is a critical circumstance in which a joint turns into inflamed,
typically through micro organism or much less typically via fungi or viruses.
Symptoms:
Joint Pain: Often excessive and localized to the affected joint.
Swelling: The joint may seem swollen, heat to the touch, and red.
Limited Movement: They might also refuse to use the affected limb or keep away from bearing
weight on it.
Fever: Often excessive, accompanying the contamination.
Irritability: Due to ache and pain.
A five-12 months-vintage boy is delivered to the health facility with a rash that started on his
face and spread to the trunk. The rash is defined as "slapped cheek" look. What is the maximum
in all likelihood diagnosis?
*Measles
*Roseola
*Rubella
*Fifth disease - ANS-Fifth ailment
Rationale: The hallmark symptom of slap cheek is a distinct rash that normally starts on the
cheeks, giving them a flushed appearance as though the kid has been slapped on the face.
"Slap cheek" is a colloquial term used to describe a viral infection medically called Fifth sickness
or erythema infectiosum.
,A five-year-antique child affords with frequent episodes of otitis media. His mother and father
are concerned approximately his listening to and speech development. What is the most
suitable subsequent step in control?
*Referral to an audiologist for a listening to assessment
*Monitoring and reassessing in three months
*Prescribing long-time period antibiotics
*Immediate referral for tympanostomy tube placement - ANS-Referral to an audiologist for a
hearing evaluation
Rationale: Otitis media can cause brief conductive hearing loss due to fluid buildup in the center
ear, that could affect sound transmission to the inner ear. Chronic or recurrent infections can
also result in extra persistent listening to troubles. An audiologist can check the kid's listening to
sensitivity and decide if there is any hearing loss gift.
A 5-yr-vintage girl presents with fever, rash, hacking cough, and swollen, smooth lymph nodes.
The rash started on her face and has spread to the rest of her frame. What is the maximum
probably diagnosis?
*Chickenpox
*Measles
*Fifth ailment
*Scarlet fever - ANS-Measles
Rationale: Measles, also called rubeola, is a notably contagious viral contamination because of
the measles virus. The symptoms of measles typically seem in ranges over a length of
approximately 10-14 days after publicity to the virus. Here are the commonplace signs and
symptoms associated with measles:
Initial Symptoms (Prodromal Stage):
Fever: Often high, typically starts offevolved about 10-12 days after exposure to the virus.
Malaise: General feeling of discomfort, tiredness, and shortage of properly-being.
Runny Nose: Nasal congestion and discharge.
Cough: Dry, persistent cough.
Koplik Spots: These are small, white spots which can seem in the mouth, commonly on the
internal lining of the cheek. They are characteristic of measles and can precede the rash by
means of 1-2 days.
Rash (Exanthematous Stage):
A feature red or reddish-brown rash generally begins on the face and hairline, spreading
downward to the rest of the frame.
The rash consists of flat, red spots which can blend collectively as they spread.
It usually lasts for approximately 5-7 days and fades within the order it seemed, frequently
followed by means of fever.
A 5-year-old provides with a five-month records of soiling his pants. The toddler became
correctly rest room trained at 3. What is the most probably prognosis? - ANS-Encopresis
Rationale: Encopresis is a formative years disease characterised by using the repeated passing
of stool (feces) into irrelevant places, consisting of clothing or the ground, usually after the age
of bathroom schooling.
, A 7-yr-old child gives with group A streptococcal contamination showed by throat lifestyle. Past
history consists of treatment for tremendous streptococcal contamination with erythromycin
(EryPed oral suspension) 3 weeks in the past. What is the maximum appropriate subsequent
intervention?
*Treat with azithromycin (Zithromax) for 10 days.
*Obtain culture for all household participants.
*Intramuscular Penicillin.
*Treat with amoxicillin for 10 days. - ANS-Treat with amoxicillin for 10 days.
Rationale: If erythromycin treatment for streptococcal contamination did now not work, the
following course of action usually includes switching to Amoxicillin. This is regularly the
primary-line antibiotic for streptococcal infections.
A 7-yr-antique infant provides with institution A streptococcal contamination confirmed by way of
throat lifestyle. Past records includes remedy for superb streptococcal infection with
erythromycin (EryPed oral suspension) 3 weeks ago. What is the maximum appropriate
subsequent intervention? - ANS-Treat with amoxicillin for 10 days.
Rationale: If erythromycin remedy for streptococcal contamination did no longer work, the
following path of motion typically includes switching to Amoxicillin. This is regularly the
primary-line antibiotic for streptococcal infections.
A 13 year old girl who's diagnosed with iron deficiency anemia is being handled with ferrous
sulfate. Proper remedy generally leads to the resolution of anemia inside:
*3 months.
*4 weeks.
*8 months.
*2 weeks. - ANS-three months.
Rationale: Due to the time it takes for the underlying deficit to be corrected in addition to the
growth of recent crimson blood cells to mature, 3 months are generally wanted to show
restoration with remedy for iron deficiency.
A thirteen-year-antique affected person returns to the office complaining of intermittent
headache for the beyond couple of years. Which will be the maximum concerning symptom? -
ANS-Stiff neck
Rationale: Inflammation of the membranes (meninges) surrounding the mind and spinal cord,
regularly due to a viral or bacterial infection. This can cause severe headache, stiff neck, fever,
and sensitivity to mild.
A 14-yr-old with sickle cellular anemia has lately skilled a sickle cell crisis and offers for a
follow-up exam after a recent hospitalization. It is most crucial to retain monitoring boom,
development, and: - ANS-hemoglobin ranges.
Rationale: Chronic tracking for patients with sickle cell ailment consists of monitoring of
hemoglobin and hematocrit.
