CEA PREP : FULL PRACTICE EXAM WITH
CORRECT QUESTIONS AND CORRECTRY
ANALYZED ANSWERS (ACTUAL EXAM)
ALREADY GRADED A+ LATEST 2025 – 2026
Using the rule of palms, a patient with burn surface equivalent to 20 of the
patient's palms would be how many percent body surface area?
*10 percent
*20 percent
*15 percent
*40 percent - ANSWERS-20 percent
Rationale: each palm is equivalent to 1% of the patient's body surface area
A 43-year-old male patient weighing 100kg was burned over 20 percent of their
body with partial thickness burns after escaping a house fire. Using the Parkland
formula, what is the most appropriate amount of IV fluid resuscitation to
provide the patient in the first 8 hours?
*8 Liters
*2 Liters
,*4 Liters
*3 Liters - ANSWERS-4 Liters
Rationale: The Parkland formula for resuscitation in burns is 4ml x kg x burn %
with 50% delivered to patient over first 8 hrs. For this patient 4x100x20=8000ml,
of which half is to be given in the first 8 hrs.
During the preadmission history and physical, you examine your patient and
find a new multicolored mole measuring 9mm with irregular borders. What is
the most likely diagnosis?
*Cutaneous Horn
*Simple Nevus
*Melanoma
*Squamous Cell Carcinoma - ANSWERS-Melanoma
Rationale: These are all classic findings for melanoma: irregular borders,
diameter over 6mm, multicolor, and new or rapidly evolved.
Which of the following medications is prescribed for the treatment of pinworm?
*Lindane (Kwell)
*Corticosteroids
*Metronidazole (Flagyl)
*Albendazole(Albenza) - ANSWERS-Albendazole(Albenza)
Rationale: Albendazole (Albenza) can treat pinworm infections (Enterobius
vermicularis). It belongs to the same class of medications as mebendazole and
,works similarly by interfering with the parasite's ability to absorb sugars,
leading to its eventual elimination from the body.
A frail elderly male with a history of sun exposure and rough, scaly, brownish
lesions on the face, ears, and hands presents with a firm erythematous,
ulcerated nodule on the dorsal surface of the hand. The most likely diagnosis is:
*Seborrheic keratosis
*Squamous cell carcinoma
*Melanoma
*Sebaceous hyperplasia - ANSWERS-Squamous cell carcinoma
Rationale: Squamous cell carcinoma (SCC) is a type of skin cancer that can also
occur in other areas of the body, including the lining of the respiratory and
digestive tracts. The symptoms of SCC can vary depending on the location of the
cancer. SCC typically appears as a firm, red nodule or a flat sore with a scaly
crust. It may also present as a rough, scaly patch that may bleed or crust over.
Your patient with a history of HFrEF (heart failure with reduced ejection
fraction) with an ejection fraction of 40% who is also not on optimal medical
therapy has been diagnosed with a myocardial infarction this admission and
received emergent placement of a drug-eluting stent to the left anterior
descending artery. As the medical home who will manage this patient after
discharge, which medication strategy would you expect to be a priority in the
patient's care? - ANSWERS-Ordering a transthoracic echocardiogram and order a
Lifevest if EF is less than 35%
Rationale: The patient should have a protective mechanism such as an
implantable automated cardioverter defibrillator (AICD) or a Lifevest if the EF is
less than 35% due to the increased risk of sudden cardiac death with low EF
states. Since most patients are not eligible for 90 days for an AICD in this state,
, optimizing their medication regimen and repeating an echo in 2-3 months to re-
evaluate for improvement in their EF is required by most insurance companies.
A baseline echo is needed at discharge to provide a baseline for improvement vs
their repeat echo in 2-3 months.
Dual anti-platelet therapy is required for 12 months minimum post-MI.
A Holter monitor does not provide any conceivable benefit for this patient as
presented.
Which of the following people groups represent the least risk of cardiac
disease? - ANSWERS-Caucasians
Rationale: Statistically African Americans, Native Hawaiians, and American
Indians are at at increased risk of cardiac disease due to higher rates of
hypertension, diabetes, and obesity than Caucasians.
A 65-year-old woman presents for a follow-up examination. She is a smoker,
and her hypertension is now adequately controlled with medication. Her
mother died at age 40 from a heart attack. The fasting lipid profile shows
cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to starting
therapeutic lifestyle changes, the nurse practitioner should start the patient on:
- ANSWERS-a statin drug.
Rationale: Bile acid sequestrants and cholesterol absorption inhibitors may be
useful in reducing ASVD risk, but for a patient who is an active smoker with
premature coronary disease history (less than age 65 for women), has
hypertension and is far from an LDL goal, this patient is most certainly a
candidate for statin therapy, which represents the most aggressive therapy
option of these four listed.
CORRECT QUESTIONS AND CORRECTRY
ANALYZED ANSWERS (ACTUAL EXAM)
ALREADY GRADED A+ LATEST 2025 – 2026
Using the rule of palms, a patient with burn surface equivalent to 20 of the
patient's palms would be how many percent body surface area?
*10 percent
*20 percent
*15 percent
*40 percent - ANSWERS-20 percent
Rationale: each palm is equivalent to 1% of the patient's body surface area
A 43-year-old male patient weighing 100kg was burned over 20 percent of their
body with partial thickness burns after escaping a house fire. Using the Parkland
formula, what is the most appropriate amount of IV fluid resuscitation to
provide the patient in the first 8 hours?
*8 Liters
*2 Liters
,*4 Liters
*3 Liters - ANSWERS-4 Liters
Rationale: The Parkland formula for resuscitation in burns is 4ml x kg x burn %
with 50% delivered to patient over first 8 hrs. For this patient 4x100x20=8000ml,
of which half is to be given in the first 8 hrs.
During the preadmission history and physical, you examine your patient and
find a new multicolored mole measuring 9mm with irregular borders. What is
the most likely diagnosis?
*Cutaneous Horn
*Simple Nevus
*Melanoma
*Squamous Cell Carcinoma - ANSWERS-Melanoma
Rationale: These are all classic findings for melanoma: irregular borders,
diameter over 6mm, multicolor, and new or rapidly evolved.
Which of the following medications is prescribed for the treatment of pinworm?
*Lindane (Kwell)
*Corticosteroids
*Metronidazole (Flagyl)
*Albendazole(Albenza) - ANSWERS-Albendazole(Albenza)
Rationale: Albendazole (Albenza) can treat pinworm infections (Enterobius
vermicularis). It belongs to the same class of medications as mebendazole and
,works similarly by interfering with the parasite's ability to absorb sugars,
leading to its eventual elimination from the body.
A frail elderly male with a history of sun exposure and rough, scaly, brownish
lesions on the face, ears, and hands presents with a firm erythematous,
ulcerated nodule on the dorsal surface of the hand. The most likely diagnosis is:
*Seborrheic keratosis
*Squamous cell carcinoma
*Melanoma
*Sebaceous hyperplasia - ANSWERS-Squamous cell carcinoma
Rationale: Squamous cell carcinoma (SCC) is a type of skin cancer that can also
occur in other areas of the body, including the lining of the respiratory and
digestive tracts. The symptoms of SCC can vary depending on the location of the
cancer. SCC typically appears as a firm, red nodule or a flat sore with a scaly
crust. It may also present as a rough, scaly patch that may bleed or crust over.
Your patient with a history of HFrEF (heart failure with reduced ejection
fraction) with an ejection fraction of 40% who is also not on optimal medical
therapy has been diagnosed with a myocardial infarction this admission and
received emergent placement of a drug-eluting stent to the left anterior
descending artery. As the medical home who will manage this patient after
discharge, which medication strategy would you expect to be a priority in the
patient's care? - ANSWERS-Ordering a transthoracic echocardiogram and order a
Lifevest if EF is less than 35%
Rationale: The patient should have a protective mechanism such as an
implantable automated cardioverter defibrillator (AICD) or a Lifevest if the EF is
less than 35% due to the increased risk of sudden cardiac death with low EF
states. Since most patients are not eligible for 90 days for an AICD in this state,
, optimizing their medication regimen and repeating an echo in 2-3 months to re-
evaluate for improvement in their EF is required by most insurance companies.
A baseline echo is needed at discharge to provide a baseline for improvement vs
their repeat echo in 2-3 months.
Dual anti-platelet therapy is required for 12 months minimum post-MI.
A Holter monitor does not provide any conceivable benefit for this patient as
presented.
Which of the following people groups represent the least risk of cardiac
disease? - ANSWERS-Caucasians
Rationale: Statistically African Americans, Native Hawaiians, and American
Indians are at at increased risk of cardiac disease due to higher rates of
hypertension, diabetes, and obesity than Caucasians.
A 65-year-old woman presents for a follow-up examination. She is a smoker,
and her hypertension is now adequately controlled with medication. Her
mother died at age 40 from a heart attack. The fasting lipid profile shows
cholesterol = 240 mg/dL, HDL = 30, and LDL = 200. In addition to starting
therapeutic lifestyle changes, the nurse practitioner should start the patient on:
- ANSWERS-a statin drug.
Rationale: Bile acid sequestrants and cholesterol absorption inhibitors may be
useful in reducing ASVD risk, but for a patient who is an active smoker with
premature coronary disease history (less than age 65 for women), has
hypertension and is far from an LDL goal, this patient is most certainly a
candidate for statin therapy, which represents the most aggressive therapy
option of these four listed.
