CEN Exam Study Guide with completei,- i,- i,- i,- i,- i,-
solutions | Latest 2025/2026 Update. i,- i,- i,- i,-
Neurogenic shock is associate with spinal injury at what location
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,-
At or above T6
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Neurogenic vs spinal shock location if injury and symptomsi,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
Neurogenic shock is at or above T6. Symptoms include i,- i,- i,- i,- i,- i,- i,- i,- i,-
hypotension and bradycardia, warm, dry, flushed skin, and i,- i,- i,- i,- i,- i,- i,- i,-
poikilothermia
Spinal shock involves loss of all neurogenic function below the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
level of injury including no DTR's and paralysis
i,- i,- i,- i,- i,- i,- i,-
How much crystalloid should be given per bolts for a pediatric
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
patient in shock, versus how much should be given for blood
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
products 20mL/kg for IVF and i,-i,- i,- i,- i,- i,- i,-
10mL/kg for blood products i,- i,- i,-
Lyme disease characteristics
i,- i,- i,-i,- i,- Bulls eye rash, fever, malaise,
i,- i,- i,- i,- i,-
onset 3 days i,- i,-
,Rocky Mountain spotted fever characteristics
i,- Sudden onset i,- i,- i,- i,-i,- i,- i,- i,-
fever, petechial rash to extremities and progresses to pink
i,- i,- i,- i,- i,- i,- i,- i,- i,-
macular rash on palms, wrists, soles, ankles, onset 14 days
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How are rick borne illnesses managed?
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A. Antibiotic treatment with amoxicillin for 5 days
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B. Antibiotic treatment with erythromycin for 7-10 days
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C. There is no treatment for the disease
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D. Antibiotic treatment with doxycycline or amoxicilllin for 2-3
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weeks D. Antibiotic treatment with doxycycline or amoxicilllin
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for 2-3 weeksi,- i,-
A boy arrives to the ED stating he was bitten on the foot while
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
playing outside. He is screaming with pain at the bite mark,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
nauseated and weak. He describes severe abdominal pain and i,- i,- i,- i,- i,- i,- i,- i,- i,-
spasms in his leg. You suspect he has been bitten by a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
A. Tick
i,-
B. Black widow spider
i,- i,- i,-
C. Wasp
i,-
D. Brown recluse spider
i,- B. Black widow spiders inject a
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,-
neurotoxin and cause immediate pain i,- i,- i,- i,-
, After load is low in what type of shock
i,- Distributive, for
i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- i,- i,-
example massive PE, cardiac tamponade, abdominal
i,- i,- i,- i,- i,- i,-
compartment syndrome i,-
Preload is measured by i,- i,- i,- i,-i,- i,- CVP, which is right atrial pressure
i,- i,- i,- i,- i,-
Treatment for ventricular tachycardia with pulse but unstable
i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
Synchronized cardio version on r wave i,- i,- i,- i,- i,-
treatment for ventricular tachycardia without a pulsei,- i,- i,- i,- i,- i,- i,-i,- i,- BLS and i,- i,-
defibrillation at 120-200 joules i,- i,- i,-
Pit vipers, such as water moccasin and cotton mouth, rattlesnake,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
and copperhead have elliptical eyes and triangular heads. Their
i,- i,- i,- i,- i,- i,- i,- i,- i,-
venom is what type of toxin? i,- Hemotoxin, causes
i,- i,- i,- i,- i,-i,- i,- i,- i,-
coagulopathies, hypotension, DIC, and rhabdo i,- i,- i,- i,-
Elapidae snakes such as coral snake have what type of toxin
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
Neuro toxin that can c abuse respiratory failure and muscle
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
weakness
4 elements of medical negligence
i,- i,- i,- i,- i,-i,- i,- 1. Duty to act
i,- i,- i,-
2. Breach of duty/contract, meaning care was sub-standard
i,- i,- i,- i,- i,- i,- i,-
solutions | Latest 2025/2026 Update. i,- i,- i,- i,-
Neurogenic shock is associate with spinal injury at what location
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,-
At or above T6
i,- i,- i,- i,-
Neurogenic vs spinal shock location if injury and symptomsi,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
Neurogenic shock is at or above T6. Symptoms include i,- i,- i,- i,- i,- i,- i,- i,- i,-
hypotension and bradycardia, warm, dry, flushed skin, and i,- i,- i,- i,- i,- i,- i,- i,-
poikilothermia
Spinal shock involves loss of all neurogenic function below the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
level of injury including no DTR's and paralysis
i,- i,- i,- i,- i,- i,- i,-
How much crystalloid should be given per bolts for a pediatric
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
patient in shock, versus how much should be given for blood
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
products 20mL/kg for IVF and i,-i,- i,- i,- i,- i,- i,-
10mL/kg for blood products i,- i,- i,-
Lyme disease characteristics
i,- i,- i,-i,- i,- Bulls eye rash, fever, malaise,
i,- i,- i,- i,- i,-
onset 3 days i,- i,-
,Rocky Mountain spotted fever characteristics
i,- Sudden onset i,- i,- i,- i,-i,- i,- i,- i,-
fever, petechial rash to extremities and progresses to pink
i,- i,- i,- i,- i,- i,- i,- i,- i,-
macular rash on palms, wrists, soles, ankles, onset 14 days
i,- i,- i,- i,- i,- i,- i,- i,- i,-
How are rick borne illnesses managed?
i,- i,- i,- i,- i,-
A. Antibiotic treatment with amoxicillin for 5 days
i,- i,- i,- i,- i,- i,- i,-
B. Antibiotic treatment with erythromycin for 7-10 days
i,- i,- i,- i,- i,- i,- i,-
C. There is no treatment for the disease
i,- i,- i,- i,- i,- i,- i,-
D. Antibiotic treatment with doxycycline or amoxicilllin for 2-3
i,- i,- i,- i,- i,- i,- i,- i,- i,-
weeks D. Antibiotic treatment with doxycycline or amoxicilllin
i,-i,- i,- i,- i,- i,- i,- i,- i,- i,-
for 2-3 weeksi,- i,-
A boy arrives to the ED stating he was bitten on the foot while
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
playing outside. He is screaming with pain at the bite mark,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
nauseated and weak. He describes severe abdominal pain and i,- i,- i,- i,- i,- i,- i,- i,- i,-
spasms in his leg. You suspect he has been bitten by a
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
A. Tick
i,-
B. Black widow spider
i,- i,- i,-
C. Wasp
i,-
D. Brown recluse spider
i,- B. Black widow spiders inject a
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,-
neurotoxin and cause immediate pain i,- i,- i,- i,-
, After load is low in what type of shock
i,- Distributive, for
i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- i,- i,-
example massive PE, cardiac tamponade, abdominal
i,- i,- i,- i,- i,- i,-
compartment syndrome i,-
Preload is measured by i,- i,- i,- i,-i,- i,- CVP, which is right atrial pressure
i,- i,- i,- i,- i,-
Treatment for ventricular tachycardia with pulse but unstable
i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
Synchronized cardio version on r wave i,- i,- i,- i,- i,-
treatment for ventricular tachycardia without a pulsei,- i,- i,- i,- i,- i,- i,-i,- i,- BLS and i,- i,-
defibrillation at 120-200 joules i,- i,- i,-
Pit vipers, such as water moccasin and cotton mouth, rattlesnake,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
and copperhead have elliptical eyes and triangular heads. Their
i,- i,- i,- i,- i,- i,- i,- i,- i,-
venom is what type of toxin? i,- Hemotoxin, causes
i,- i,- i,- i,- i,-i,- i,- i,- i,-
coagulopathies, hypotension, DIC, and rhabdo i,- i,- i,- i,-
Elapidae snakes such as coral snake have what type of toxin
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
Neuro toxin that can c abuse respiratory failure and muscle
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
weakness
4 elements of medical negligence
i,- i,- i,- i,- i,-i,- i,- 1. Duty to act
i,- i,- i,-
2. Breach of duty/contract, meaning care was sub-standard
i,- i,- i,- i,- i,- i,- i,-
