CEA Prep: Full Practice Exam QUESTIONS
AND ANSWERS
1. 1st line remedy for generalized tension ailment:
2. *buspar
3. *zoloft
4. *wellbutrin
5. *remeron - ANS -zoloft
6. Rationale: SSRIs growth serotonin tiers in the mind, which helps improve mood and
reduce tension. Serotonin is a neurotransmitter associated with mood regulation and
tension discount. By blocking off the reabsorption (reuptake) of serotonin into neurons,
Zoloft lets in more serotonin to be to be had in the brain, which could help improve mood
and decrease tension.
7. A "code blue" is known as for your patient in the waiting room of your urgent care. When
you arrive, cardiac tracking is carried out and their rhythm seems to be normal sinus
rhythm with a charge of eighty. On palpation over the carotid artery, you do no longer
sense a pulse. What is the name of this cardiac rhythm?
8. *Idioventricular rhythm
9. *Junctional Tachycardia
10.*Wandering Atrial Pacemaker (WAP)
11.*Pulseless Electrical Activity (PEA) - ANS -Pulseless Electrical Activity (PEA)
12.Rationale: PEA seems as a regular rhythm with out a pulse. Idioventricular rhythm could
be very gradual (20-40), Junctional tachycardia and WAP both with out pulses are
considered PEA also.
13.A thirteen year old girl who is recognized with iron deficiency anemia is being treated
with ferrous sulfate. Proper remedy commonly results in the decision of anemia inside:
14.*three months.
15.*four weeks.
16.*eight months.
17.*2 weeks. - ANS -3 months.
18.Rationale: Due to the time it takes for the underlying deficit to be corrected in addition to
the boom of new red blood cells to mature, three months are normally needed to reveal
recovery with remedy for iron deficiency.
19.A thirteen-year-old patient returns to the office complaining of intermittent headache for
the past couple of years. Which would be the maximum concerning symptom? - ANS
-Stiff neck
20.Rationale: Inflammation of the membranes (meninges) surrounding the brain and spinal
twine, regularly due to a viral or bacterial contamination. This can purpose severe
headache, stiff neck, fever, and sensitivity to light.
,21.A 14-12 months-antique with sickle cellular anemia has recently experienced a sickle
mobile crisis and affords for a follow-up exam after a latest hospitalization. It is maximum
essential to retain tracking increase, development, and: - ANS -hemoglobin degrees.
22.Rationale: Chronic monitoring for sufferers with sickle cell sickness consists of
monitoring of hemoglobin and hematocrit.
23.A 16-year-vintage woman in the first month of taking Ortho-Novum 7/7/7 complains of
midcycle spotting. She has now not overlooked any doses and makes use of no other
medicine. Which of the subsequent is suitable?
24.*Double dosing for 2 days
25.*Modifying use
26.*Changing to Ortho-Novum 1/35
27.*Providing reassurance - ANS -Providing reassurance
28.Rationale: Ortho-Novum 7/7/7 is a aggregate oral contraceptive tablet that carries
various doses of estrogen and progestin (norethindrone) all through the cycle. It is a
triphasic tablet, meaning that the hormone stages change each seven days to imitate the
herbal menstrual cycle extra intently. Mid-cycle spotting can arise for numerous reasons
even as the use of this contraceptive.
29.A 19-12 months-antique affected person who has used oral contraceptives for three
years plans to discontinue the pill on the cease of her cutting-edge cycle to end up
pregnant. Which of the following every day supplements could obtain the best
precedence?
30.*Ferrous sulfate
31.*Folic acid
32.*Multivitamin
33.*Calcium carbonate - ANS -Folic acid
34.Rationale: Folic acid, a B-nutrition (B9), plays a essential function in ensuring a healthful
being pregnant and reducing the threat of beginning defects. Folic acid is essential
inside the early development of the neural tube, which paperwork the mind and spinal
twine. Adequate folic acid consumption can notably lessen the danger of neural tube
defects including spina bifida (incomplete closure of the spinal wire) and anencephaly
(underdevelopment of the mind). The neural tube bureaucracy very early in pregnancy,
regularly earlier than a girl knows she is pregnant. Therefore, it is critical to have
adequate folic acid stages earlier than and for the duration of early being pregnant.
35.A 19-yr-old presents with a sore throat and anterior cervical adenopathy. Which
causative agent might be suspected?
36.*Epstein-Barr virus
37.*Adenovirus
38.*Haemophilus influenzae
39.*Group A beta-hemolytic Streptococcus - ANS -Group A beta-hemolytic Streptococcus
40.Rationale: While this patient should without difficulty represent strep or EBV, the
differentiating component is the vicinity of the affected lymphadenopathy. As a
generalization, posterior cervical lymphadenopathy is common of Epstein-Barr virus
(EBV) and anterior cervical lymphadenopathy is extra common with Group A
beta-hemolytic streptococcus.
,41.A 2-day vintage new child has purulent discharge of the eyes and erythema. History
consists of a vaginal delivery at time period added at domestic. What is the maximum
probably wrongdoer?
42.*Chlamydia trachomatis infection
43.*E-coli infection
44.*Staph infection
45.*Viral infection - ANS -Chlamydia trachomatis infection
46.Rationale: Chlamydia conjunctivitis is normally spread thru direct touch with discharge
from the eyes or genital secretions of a person infected with Chlamydia trachomatis. It
can occur in newborns at some stage in childbirth (neonatal conjunctivitis) or in adults
via sexual contact (person inclusion conjunctivitis).
47.Symptoms: The signs and symptoms can include:
48.Redness in the attention(s).
49.Watery or mucopurulent discharge (yellow or green discharge from the eyes).
50.Swelling of the eyelids.
51.Sensitivity to mild (photophobia).
52.Itching or burning sensation inside the eyes.
53.A 22-yr-vintage has ASCAS on Pap smear and terrible for HPV. The subsequent step is:
54.*No comply with up is wanted.
55.*Repeat HPV in 3 months
56.*Colposcopy
57.*Repeat Pap in 6 months - ANS -Repeat Pap in 6 months
58.Rationale: For a 22-year-vintage with ASC-US on Pap smear and a bad HPV check, the
subsequent suitable step is to repeat the cytology in six months. This approach
minimizes unnecessary interventions while ensuring ongoing monitoring for any
capability progression of cervical mobile abnormalities.
59.A 24-12 months-antique lady reports urinary urgency with suprapubic tenderness
relieved with the aid of bladder emptying. The patient has been evaluated through
urology and urogynecology. Review of laboratory reports reveal terrible urinalysis and
cultures, negative results for sexually transmitted infections, and an unremarkable
cystoscopy. Which of the following is the ideal plan of care?
60.*Amitriptyline (Elavil) 25 mg oral as soon as each day
61.*Referral to psychiatry
62.*Propranolol (Inderal) 10 mg oral as soon as day by day
63.*Nitrofurantoin (Macrodantin) 100 mg oral as soon as day by day - ANS -Amitriptyline
(Elavil) 25 mg oral once daily
64.Rationale: Amitriptyline (Elavil) is a tricyclic antidepressant medicine that is once in a
while used off-label for numerous conditions, including the control of urinary urgency and
overactive bladder signs.
65.A 24-yr-old girl reports urinary urgency with suprapubic tenderness relieved by way of
bladder emptying. The patient has been evaluated by means of urology and
urogynecology. Review of laboratory reports screen negative urinalysis and cultures, bad
effects for sexually transmitted infections, and an unremarkable cystoscopy. Which of the
following is the perfect plan of care? - ANS -Amitriptyline (Elavil) 25 mg oral once daily
, 66.Rationale: Amitriptyline (Elavil) is a tricyclic antidepressant remedy this is from time to
time used off-label for numerous conditions, along with the management of urinary
urgency and overactive bladder signs.
67.A 24-year-antique sexually lively female presents with decrease stomach ache, fever,
and purulent cervical discharge. On pelvic exam, cervical motion tenderness is
mentioned. What is the most likely diagnosis? - ANS -Pelvic inflammatory disorder (PID)
68.Rationale: Cervical motion tenderness is a scientific locating characterized by way of
ache elicited whilst the cervix is moved or manipulated at some stage in a pelvic exam.
This tenderness can imply underlying pelvic pathology. Lower belly pain, fever, abnormal
vaginal discharge, pain throughout intercourse, and irregular menstrual bleeding and
cervical motion tenderness are present with Pelvic Inflammatory Disease (PID).
69.A 25-year-vintage athlete presents with shoulder pain and trouble with overhead
activities. Physical examination shows impingement syndrome. What is the maximum
appropriate initial remedy? - ANS -Physical remedy that specialize in rotator cuff
strengthening
70.Rationale: Exercises to enhance shoulder strength and flexibility, focusing at the rotator
cuff and scapular stabilizers is an crucial initial remedy. Physical remedy may also
include stretching and strengthening sporting activities, as well as strategies to improve
shoulder mechanics.
71.A 25-12 months-old female gives with a 2-yr records of fluctuating mood states, which
include durations of moderate melancholy and hypomania. These symptoms have not
been severe sufficient to fulfill the standards for fundamental depressive or manic
episodes. What is the most probably analysis? - ANS -Cyclothymic disorder
72.Rationale: Cyclothymic Disorder involves chronic temper fluctuations that include
durations of hypomanic and depressive symptoms. These signs are much less intense
than the ones in Bipolar I or II disorders however can considerably effect day by day
functioning. Early diagnosis and suitable treatment, which include psychotherapy,
medicinal drugs, and way of life adjustments, can help manage signs and symptoms and
improve pleasant of existence.
73.A 25-year-vintage lady offers with a unexpected onset of shortness of breath and
pleuritic chest ache. She has no good sized past clinical history and takes no
medications. On bodily examination, her coronary heart rate is a hundred and ten beats
according to minute, breathing charge is 24 breaths per minute, and oxygen saturation is
ninety% on room air. What is the maximum probable analysis? - ANS -Pulmonary
embolism
74.Rationale: Pulmonary embolism (PE) is a serious medical situation that occurs while a
blood clot (typically from the legs or different parts of the frame) travels to the lungs and
obstructs one of the pulmonary arteries. The primary signs of a PE can vary depending
on the dimensions of the clot and the region in the lung, however the most commonplace
symptoms include: Sudden onset of issue breathing, which might also arise at relaxation
or with exertion and sharp, stabbing ache that can get worse with deep respiratory
(pleuritic pain). The ache may additionally feel like stress, fullness, or a squeezing
sensation.
AND ANSWERS
1. 1st line remedy for generalized tension ailment:
2. *buspar
3. *zoloft
4. *wellbutrin
5. *remeron - ANS -zoloft
6. Rationale: SSRIs growth serotonin tiers in the mind, which helps improve mood and
reduce tension. Serotonin is a neurotransmitter associated with mood regulation and
tension discount. By blocking off the reabsorption (reuptake) of serotonin into neurons,
Zoloft lets in more serotonin to be to be had in the brain, which could help improve mood
and decrease tension.
7. A "code blue" is known as for your patient in the waiting room of your urgent care. When
you arrive, cardiac tracking is carried out and their rhythm seems to be normal sinus
rhythm with a charge of eighty. On palpation over the carotid artery, you do no longer
sense a pulse. What is the name of this cardiac rhythm?
8. *Idioventricular rhythm
9. *Junctional Tachycardia
10.*Wandering Atrial Pacemaker (WAP)
11.*Pulseless Electrical Activity (PEA) - ANS -Pulseless Electrical Activity (PEA)
12.Rationale: PEA seems as a regular rhythm with out a pulse. Idioventricular rhythm could
be very gradual (20-40), Junctional tachycardia and WAP both with out pulses are
considered PEA also.
13.A thirteen year old girl who is recognized with iron deficiency anemia is being treated
with ferrous sulfate. Proper remedy commonly results in the decision of anemia inside:
14.*three months.
15.*four weeks.
16.*eight months.
17.*2 weeks. - ANS -3 months.
18.Rationale: Due to the time it takes for the underlying deficit to be corrected in addition to
the boom of new red blood cells to mature, three months are normally needed to reveal
recovery with remedy for iron deficiency.
19.A thirteen-year-old patient returns to the office complaining of intermittent headache for
the past couple of years. Which would be the maximum concerning symptom? - ANS
-Stiff neck
20.Rationale: Inflammation of the membranes (meninges) surrounding the brain and spinal
twine, regularly due to a viral or bacterial contamination. This can purpose severe
headache, stiff neck, fever, and sensitivity to light.
,21.A 14-12 months-antique with sickle cellular anemia has recently experienced a sickle
mobile crisis and affords for a follow-up exam after a latest hospitalization. It is maximum
essential to retain tracking increase, development, and: - ANS -hemoglobin degrees.
22.Rationale: Chronic monitoring for sufferers with sickle cell sickness consists of
monitoring of hemoglobin and hematocrit.
23.A 16-year-vintage woman in the first month of taking Ortho-Novum 7/7/7 complains of
midcycle spotting. She has now not overlooked any doses and makes use of no other
medicine. Which of the subsequent is suitable?
24.*Double dosing for 2 days
25.*Modifying use
26.*Changing to Ortho-Novum 1/35
27.*Providing reassurance - ANS -Providing reassurance
28.Rationale: Ortho-Novum 7/7/7 is a aggregate oral contraceptive tablet that carries
various doses of estrogen and progestin (norethindrone) all through the cycle. It is a
triphasic tablet, meaning that the hormone stages change each seven days to imitate the
herbal menstrual cycle extra intently. Mid-cycle spotting can arise for numerous reasons
even as the use of this contraceptive.
29.A 19-12 months-antique affected person who has used oral contraceptives for three
years plans to discontinue the pill on the cease of her cutting-edge cycle to end up
pregnant. Which of the following every day supplements could obtain the best
precedence?
30.*Ferrous sulfate
31.*Folic acid
32.*Multivitamin
33.*Calcium carbonate - ANS -Folic acid
34.Rationale: Folic acid, a B-nutrition (B9), plays a essential function in ensuring a healthful
being pregnant and reducing the threat of beginning defects. Folic acid is essential
inside the early development of the neural tube, which paperwork the mind and spinal
twine. Adequate folic acid consumption can notably lessen the danger of neural tube
defects including spina bifida (incomplete closure of the spinal wire) and anencephaly
(underdevelopment of the mind). The neural tube bureaucracy very early in pregnancy,
regularly earlier than a girl knows she is pregnant. Therefore, it is critical to have
adequate folic acid stages earlier than and for the duration of early being pregnant.
35.A 19-yr-old presents with a sore throat and anterior cervical adenopathy. Which
causative agent might be suspected?
36.*Epstein-Barr virus
37.*Adenovirus
38.*Haemophilus influenzae
39.*Group A beta-hemolytic Streptococcus - ANS -Group A beta-hemolytic Streptococcus
40.Rationale: While this patient should without difficulty represent strep or EBV, the
differentiating component is the vicinity of the affected lymphadenopathy. As a
generalization, posterior cervical lymphadenopathy is common of Epstein-Barr virus
(EBV) and anterior cervical lymphadenopathy is extra common with Group A
beta-hemolytic streptococcus.
,41.A 2-day vintage new child has purulent discharge of the eyes and erythema. History
consists of a vaginal delivery at time period added at domestic. What is the maximum
probably wrongdoer?
42.*Chlamydia trachomatis infection
43.*E-coli infection
44.*Staph infection
45.*Viral infection - ANS -Chlamydia trachomatis infection
46.Rationale: Chlamydia conjunctivitis is normally spread thru direct touch with discharge
from the eyes or genital secretions of a person infected with Chlamydia trachomatis. It
can occur in newborns at some stage in childbirth (neonatal conjunctivitis) or in adults
via sexual contact (person inclusion conjunctivitis).
47.Symptoms: The signs and symptoms can include:
48.Redness in the attention(s).
49.Watery or mucopurulent discharge (yellow or green discharge from the eyes).
50.Swelling of the eyelids.
51.Sensitivity to mild (photophobia).
52.Itching or burning sensation inside the eyes.
53.A 22-yr-vintage has ASCAS on Pap smear and terrible for HPV. The subsequent step is:
54.*No comply with up is wanted.
55.*Repeat HPV in 3 months
56.*Colposcopy
57.*Repeat Pap in 6 months - ANS -Repeat Pap in 6 months
58.Rationale: For a 22-year-vintage with ASC-US on Pap smear and a bad HPV check, the
subsequent suitable step is to repeat the cytology in six months. This approach
minimizes unnecessary interventions while ensuring ongoing monitoring for any
capability progression of cervical mobile abnormalities.
59.A 24-12 months-antique lady reports urinary urgency with suprapubic tenderness
relieved with the aid of bladder emptying. The patient has been evaluated through
urology and urogynecology. Review of laboratory reports reveal terrible urinalysis and
cultures, negative results for sexually transmitted infections, and an unremarkable
cystoscopy. Which of the following is the ideal plan of care?
60.*Amitriptyline (Elavil) 25 mg oral as soon as each day
61.*Referral to psychiatry
62.*Propranolol (Inderal) 10 mg oral as soon as day by day
63.*Nitrofurantoin (Macrodantin) 100 mg oral as soon as day by day - ANS -Amitriptyline
(Elavil) 25 mg oral once daily
64.Rationale: Amitriptyline (Elavil) is a tricyclic antidepressant medicine that is once in a
while used off-label for numerous conditions, including the control of urinary urgency and
overactive bladder signs.
65.A 24-yr-old girl reports urinary urgency with suprapubic tenderness relieved by way of
bladder emptying. The patient has been evaluated by means of urology and
urogynecology. Review of laboratory reports screen negative urinalysis and cultures, bad
effects for sexually transmitted infections, and an unremarkable cystoscopy. Which of the
following is the perfect plan of care? - ANS -Amitriptyline (Elavil) 25 mg oral once daily
, 66.Rationale: Amitriptyline (Elavil) is a tricyclic antidepressant remedy this is from time to
time used off-label for numerous conditions, along with the management of urinary
urgency and overactive bladder signs.
67.A 24-year-antique sexually lively female presents with decrease stomach ache, fever,
and purulent cervical discharge. On pelvic exam, cervical motion tenderness is
mentioned. What is the most likely diagnosis? - ANS -Pelvic inflammatory disorder (PID)
68.Rationale: Cervical motion tenderness is a scientific locating characterized by way of
ache elicited whilst the cervix is moved or manipulated at some stage in a pelvic exam.
This tenderness can imply underlying pelvic pathology. Lower belly pain, fever, abnormal
vaginal discharge, pain throughout intercourse, and irregular menstrual bleeding and
cervical motion tenderness are present with Pelvic Inflammatory Disease (PID).
69.A 25-year-vintage athlete presents with shoulder pain and trouble with overhead
activities. Physical examination shows impingement syndrome. What is the maximum
appropriate initial remedy? - ANS -Physical remedy that specialize in rotator cuff
strengthening
70.Rationale: Exercises to enhance shoulder strength and flexibility, focusing at the rotator
cuff and scapular stabilizers is an crucial initial remedy. Physical remedy may also
include stretching and strengthening sporting activities, as well as strategies to improve
shoulder mechanics.
71.A 25-12 months-old female gives with a 2-yr records of fluctuating mood states, which
include durations of moderate melancholy and hypomania. These symptoms have not
been severe sufficient to fulfill the standards for fundamental depressive or manic
episodes. What is the most probably analysis? - ANS -Cyclothymic disorder
72.Rationale: Cyclothymic Disorder involves chronic temper fluctuations that include
durations of hypomanic and depressive symptoms. These signs are much less intense
than the ones in Bipolar I or II disorders however can considerably effect day by day
functioning. Early diagnosis and suitable treatment, which include psychotherapy,
medicinal drugs, and way of life adjustments, can help manage signs and symptoms and
improve pleasant of existence.
73.A 25-year-vintage lady offers with a unexpected onset of shortness of breath and
pleuritic chest ache. She has no good sized past clinical history and takes no
medications. On bodily examination, her coronary heart rate is a hundred and ten beats
according to minute, breathing charge is 24 breaths per minute, and oxygen saturation is
ninety% on room air. What is the maximum probable analysis? - ANS -Pulmonary
embolism
74.Rationale: Pulmonary embolism (PE) is a serious medical situation that occurs while a
blood clot (typically from the legs or different parts of the frame) travels to the lungs and
obstructs one of the pulmonary arteries. The primary signs of a PE can vary depending
on the dimensions of the clot and the region in the lung, however the most commonplace
symptoms include: Sudden onset of issue breathing, which might also arise at relaxation
or with exertion and sharp, stabbing ache that can get worse with deep respiratory
(pleuritic pain). The ache may additionally feel like stress, fullness, or a squeezing
sensation.
