CPEN REVIEW - PRACTICE TEST QUESTIONS AND
DETAILED ANSWERS|ALREADY GRADED A
Priority intervention for epiglottitis Correct Ans- Prepare for emergency
airway
Suspicion for neglect in school-age children Correct Ans- Antisocial
behaviors
Rubeola (measles) S/S Correct Ans- High fever, Koplik spots (white
patches, not lesions)
Rubella S/S Correct Ans- No/low fever, sore throat, no oral lesions
Varicella S/S Correct Ans- Chicken pox, slight fever, no oral lesions
Coxsackie Correct Ans- Hand/foot/mouth, low-grade fever, vesicles
Heat stroke interventions Correct Ans- Aggressive cooling to 38
degrees, continuous core temperature monitoring; antipyretics can
increase liver injury or coagulation disorders
Phimosis Correct Ans- Inability to retract foreskin
, Paraphimosis Correct Ans- Retracted foreskin becomes entrapped and
occludes blood flow to the glans; treatment includes sedation, local
block, ice, gentle manual traction
Vascular headache Correct Ans- Throbbing pain, vision changes,
nausea, vomiting, photophobia
Inflammatory headache Correct Ans- Neck stiffness, fever, altered level
of consciousness
Structural headache Correct Ans- Drowsiness, nausea, focal neurological
defecits
Ectopic pregnancy S/S Correct Ans- Non-specific abdominal and/or
pelvic pain, referred shoulder pain
CO poisoning Correct Ans- Headache, nausea, dizziness, change in
judgment
Do not use lidocaine with epinephrine on... Correct Ans- Fingers, toes,
penis, ears
Orbital cellulitis Correct Ans- Acute inflammation involving posterior
eye structures; causes fever, pain, swelling, and impaired extra-ocular
movement; may need topical antibiotics
DETAILED ANSWERS|ALREADY GRADED A
Priority intervention for epiglottitis Correct Ans- Prepare for emergency
airway
Suspicion for neglect in school-age children Correct Ans- Antisocial
behaviors
Rubeola (measles) S/S Correct Ans- High fever, Koplik spots (white
patches, not lesions)
Rubella S/S Correct Ans- No/low fever, sore throat, no oral lesions
Varicella S/S Correct Ans- Chicken pox, slight fever, no oral lesions
Coxsackie Correct Ans- Hand/foot/mouth, low-grade fever, vesicles
Heat stroke interventions Correct Ans- Aggressive cooling to 38
degrees, continuous core temperature monitoring; antipyretics can
increase liver injury or coagulation disorders
Phimosis Correct Ans- Inability to retract foreskin
, Paraphimosis Correct Ans- Retracted foreskin becomes entrapped and
occludes blood flow to the glans; treatment includes sedation, local
block, ice, gentle manual traction
Vascular headache Correct Ans- Throbbing pain, vision changes,
nausea, vomiting, photophobia
Inflammatory headache Correct Ans- Neck stiffness, fever, altered level
of consciousness
Structural headache Correct Ans- Drowsiness, nausea, focal neurological
defecits
Ectopic pregnancy S/S Correct Ans- Non-specific abdominal and/or
pelvic pain, referred shoulder pain
CO poisoning Correct Ans- Headache, nausea, dizziness, change in
judgment
Do not use lidocaine with epinephrine on... Correct Ans- Fingers, toes,
penis, ears
Orbital cellulitis Correct Ans- Acute inflammation involving posterior
eye structures; causes fever, pain, swelling, and impaired extra-ocular
movement; may need topical antibiotics
