answers
Pulse pressure is the difference between systolic blood pressure
and diastolic blood pressure, and is widened in which of the
following disorders? (A) Early hypovolemic shock (B) Increased ICP
(C) Cardiac tamponade (D) Neurogenic shock -
correct answer ✅(B) Increased ICP [pulse pressure is narrow
in early shock, cardiac tamponade, and aortic valve stenosis]
Parents bring in their 4-week-old infant with non-bilious projectile
vomiting and persistent hunger. Which of the following conditions
is suspected? -
correct answer ✅(A) Pyloric stenosis [PS is characterized by
non-bilious projectile vomiting and persistent hunger; volvulus has
bilious vomiting]
Systemic vascular resistance (SVR) is decreased in which type of
shock? -
correct answer ✅(D) Distributive [Afterload (pressure) is low
in distributive shock (neurogenic, septic, anaphylactic) due to
vasodilation, and high in all other forms of shock due to
vasoconstriction]
Which is the following is the hallmark symptom of Prinzmetal's
angina? -
, CEN practice exam questions and
answers
correct answer ✅Pain at rest due to coronary vasospasm;
may be seen with stimulant use
ST segment elevation in ECG leads II, III and aVF indicates injury to
which area of the heart? -
correct answer ✅Inferior wall [V1-V4 look at the anterior
wall; I, aVL, V5, V6 look at the lateral wall of the left ventricle]
A 40F who is 36-weeks pregnant presents to the ED with painless
bright red vaginal bleeding. The nurse knows a pelvic exam is
contraindicated since the most likely cause of the bleeding is -
correct answer ✅Placenta previa [think P's - painless
privates, placenta previa; abrupt placenta - always painful]
A 14-year-old c/o lightheadedness & palpitations. Which cardiac
disorder is characterized by a short PR interval and a Delta wave? -
correct answer ✅Wolff-Parkinson-White (WPW) syndrome
[WPW is characterized by a short PR interval, and a slurred QRS on
the upstroke, yielding a widened QRS complex; this morphology is
referred to as a "Delta wave"]
A 22F c/o thick, white, "cottage-cheese" like vaginal discharge,
pruritus, vulvar burning and dyspareunia. The nurse suspects a