ENPC Exam Prep / Exam Questions & Answer
1.Which of the following would be an abnormal finding in a patient with
glomerulonephritis?
Answer Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark brown/tea-
colored.
2.Clear urine There is a decrease in urine output for patient's with
glomeru- lonephritis. Urine would be concentrated and dark brown/tea-
colored.
Answer Ad- ministration of nebulized epinephrine Moderate to severe
croup is treated with dexamethasone and nebulized epinephrine.
3.The neurosurgeon has decided to perform an invasive procedure in the
emergency department to monitor the intracranial pressure on a 5-year-old
patient. The family does not speak English and has identified their religion
as Muslim. Which of the following interventions is most supportive of the
family?
Answer Allow the extended to family members to serve as interpreters
during the procedure.
4.Which of the following patient presentations should increase suspicion of
potential child maltreatment?
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, Answer Bruising to the left ear of a newborn from sleeping on his side
Any bruise in a non-exploratory location in children younger than 4
years and any bruising in a child younger than 4 months (TEN-4) are
cause for suspicion of abuse
5.Bruising to the left ear of a newborn from sleeping on his side Any bruise
in a non-exploratory location in children younger than 4 years and any
bruising in a child younger than 4 months (TEN-4) are cause for suspicion of
abuse
Answer Com- motio cordis Commotio cordis occurs when the chest is
struck during the refractory period of the cardiac conduction cycle,
resulting in a ventricular dysrhythmia or asystole. This type of injury
usually occurs in recreational sports such as baseball or ice hockey
6.A 12-year-old who was recently started on anti-psychotic medication for
schizophrenia is brought to the emergency department with severe muscle
rigidity and hyperthermia. These symptoms are most likely caused by which
of the following?
Answer Neuroleptic malignant syndrome These are classic symptoms of
neuroleptic malignant syndrome, which is a rare reaction to
antipsychotic medica- tions.
7.Which of the following patients should be evaluated first
Answer An 18-month-old with bilious emesis Bilious emesis in an 18-
month-old is always considered an emergent symptom indicative of a
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15
1.Which of the following would be an abnormal finding in a patient with
glomerulonephritis?
Answer Clear urine There is a decrease in urine output for patient's with
glomerulonephritis. Urine would be concentrated and dark brown/tea-
colored.
2.Clear urine There is a decrease in urine output for patient's with
glomeru- lonephritis. Urine would be concentrated and dark brown/tea-
colored.
Answer Ad- ministration of nebulized epinephrine Moderate to severe
croup is treated with dexamethasone and nebulized epinephrine.
3.The neurosurgeon has decided to perform an invasive procedure in the
emergency department to monitor the intracranial pressure on a 5-year-old
patient. The family does not speak English and has identified their religion
as Muslim. Which of the following interventions is most supportive of the
family?
Answer Allow the extended to family members to serve as interpreters
during the procedure.
4.Which of the following patient presentations should increase suspicion of
potential child maltreatment?
1/
15
, Answer Bruising to the left ear of a newborn from sleeping on his side
Any bruise in a non-exploratory location in children younger than 4
years and any bruising in a child younger than 4 months (TEN-4) are
cause for suspicion of abuse
5.Bruising to the left ear of a newborn from sleeping on his side Any bruise
in a non-exploratory location in children younger than 4 years and any
bruising in a child younger than 4 months (TEN-4) are cause for suspicion of
abuse
Answer Com- motio cordis Commotio cordis occurs when the chest is
struck during the refractory period of the cardiac conduction cycle,
resulting in a ventricular dysrhythmia or asystole. This type of injury
usually occurs in recreational sports such as baseball or ice hockey
6.A 12-year-old who was recently started on anti-psychotic medication for
schizophrenia is brought to the emergency department with severe muscle
rigidity and hyperthermia. These symptoms are most likely caused by which
of the following?
Answer Neuroleptic malignant syndrome These are classic symptoms of
neuroleptic malignant syndrome, which is a rare reaction to
antipsychotic medica- tions.
7.Which of the following patients should be evaluated first
Answer An 18-month-old with bilious emesis Bilious emesis in an 18-
month-old is always considered an emergent symptom indicative of a
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15
