CSE Exam 2025/2026 With 100%
Correct Answers
Croup CORRECT ANSWERS IG: Viral infection of the upper
airway with a barking cough and often stridor, low grade fever
developed over 2-5 days, rhinorrhea, marked intercostal
retractions. X-ray shows pencil point of the upper airway.
DM: give racemic epi (if you have to give more than 1 be
worried) and corticosteroids Decadron (dexamethasone), along
w/ cool aerosol mist. If no improvement with epi suction and
intubate. make sure to listen for a leak around the cuff before
you extubate.
neonatal resuscitation CORRECT ANSWERS wipe baby off,
put under radiant warmer, if grunting & HR 80 Initiate CPAP or
neopuff if HR decreases to 60 or less initiate compressions and
100% FiO2
-NRP: 1 rescuer 30:2
2 rescuer 15:2
pulmonary edema CORRECT ANSWERS IG: sudden onset
with orthopnea, pink frothy secretions, enlarged heart, ST
depress, bilateral fluffy infiltrates on x ray.
,DM: give hyperinflation therapy, put in fowler's position.
Thoracentesis for infiltrate and fluid. Medication: Lasix,
morphine, and digitalis.
Myocardial Ischemia/infarction CORRECT ANSWERS IG:
chest pain and nausea, substernal squeezing pain in left
shoulder, shows elevated ST segment, ST depression T wave
inversion on EKG.
IG: Troponin 0.78 (elevated) (> 0.1), CK shows recent MI,
pedal edema, character of chest pain, peripheral pulses, CBC,
electrolytes, ECG, if intubated evaluate CXR for tube
placement, elevation in cardiac enzymes
DM: give oxygen for hypoxemia 2L/M BP 80/40 give
dopamine, digoxin, Levophed (inotropic drug) to increase BP.
Use Verapamil if BP is high . Sublingual nitroglycerin, O2,
aspirin, and morphine. (OMAN)
ultrasound to determine if mitral valve is blocked
PVC's ---> lidocaine or amiodarone
,Guillian-Barre CORRECT ANSWERS IG: pt. comes in with
acute weakness in legs, onset of difficulty walking, reduced
lower extremity strength, recent infection
Test: Lumbar puncture if not diagnosed. positive if increase in
protein within cerebral spinal fluid
(Tx: plasmapheresis)
IG: ability to swallow, cough effort, sensory and motor function,
level of consciousness, and deep tendon reflexes.
--> closely monitor respiratory muscle strength
(VC,VT, MIP) VC < 1.0 intubate, MIP < -60- -70
DM: continue to monitor MIP and VC if not intubated, refer to
physical therapy for evaluation, pressure stockings
Cystic Fibrosis CORRECT ANSWERS IG: has elevated
hemoglobin and hematocrit sweat chloride to diagnose must be
above 60(usually already diagnosed so wont need to do),
tenacious yellow-green sputum (infection), decreased BS, coarse
crackles,
, IG: Spirometry, sputum culture & sensitivity for infection,
6MWT, CXR (bronchiectasis give antibiotics- ciprofloxacin)
DM: oral ciprofloxacin (antibiotic), increase frequency of
airway clearance therapy.
hemoptysis present give epinephrine
ivacafort, cayston is medication for CF first being diagnosed
DM: Home care management: bronchodilator, pulmozyme,
HFCWO, tobramycin, pancreatic enzymes, For C.F. adult at
college give DPI TOBI instead of Nebulizer.
neonate being delivered CORRECT ANSWERS pick intubation
supplies if needed: size 2.5-3.5 ETT, laryngoscope blades, bag
to ventilate suction material, warmer, drying materials (if
suction material and tubes already gathered don't pick again)
wipe off and warm under radiant warmer first
-baby ends up having a pneumothorax on left, insert chest tube
otherwise suction, give surfactant, right after birth & 12 hours
later if needed. If still showing distress put on ventilator,
PC/SIMV
Asthma CORRECT ANSWERS IG: Personal best PEF establish
different zones, adherence to medication regimen, nocturnal
Correct Answers
Croup CORRECT ANSWERS IG: Viral infection of the upper
airway with a barking cough and often stridor, low grade fever
developed over 2-5 days, rhinorrhea, marked intercostal
retractions. X-ray shows pencil point of the upper airway.
DM: give racemic epi (if you have to give more than 1 be
worried) and corticosteroids Decadron (dexamethasone), along
w/ cool aerosol mist. If no improvement with epi suction and
intubate. make sure to listen for a leak around the cuff before
you extubate.
neonatal resuscitation CORRECT ANSWERS wipe baby off,
put under radiant warmer, if grunting & HR 80 Initiate CPAP or
neopuff if HR decreases to 60 or less initiate compressions and
100% FiO2
-NRP: 1 rescuer 30:2
2 rescuer 15:2
pulmonary edema CORRECT ANSWERS IG: sudden onset
with orthopnea, pink frothy secretions, enlarged heart, ST
depress, bilateral fluffy infiltrates on x ray.
,DM: give hyperinflation therapy, put in fowler's position.
Thoracentesis for infiltrate and fluid. Medication: Lasix,
morphine, and digitalis.
Myocardial Ischemia/infarction CORRECT ANSWERS IG:
chest pain and nausea, substernal squeezing pain in left
shoulder, shows elevated ST segment, ST depression T wave
inversion on EKG.
IG: Troponin 0.78 (elevated) (> 0.1), CK shows recent MI,
pedal edema, character of chest pain, peripheral pulses, CBC,
electrolytes, ECG, if intubated evaluate CXR for tube
placement, elevation in cardiac enzymes
DM: give oxygen for hypoxemia 2L/M BP 80/40 give
dopamine, digoxin, Levophed (inotropic drug) to increase BP.
Use Verapamil if BP is high . Sublingual nitroglycerin, O2,
aspirin, and morphine. (OMAN)
ultrasound to determine if mitral valve is blocked
PVC's ---> lidocaine or amiodarone
,Guillian-Barre CORRECT ANSWERS IG: pt. comes in with
acute weakness in legs, onset of difficulty walking, reduced
lower extremity strength, recent infection
Test: Lumbar puncture if not diagnosed. positive if increase in
protein within cerebral spinal fluid
(Tx: plasmapheresis)
IG: ability to swallow, cough effort, sensory and motor function,
level of consciousness, and deep tendon reflexes.
--> closely monitor respiratory muscle strength
(VC,VT, MIP) VC < 1.0 intubate, MIP < -60- -70
DM: continue to monitor MIP and VC if not intubated, refer to
physical therapy for evaluation, pressure stockings
Cystic Fibrosis CORRECT ANSWERS IG: has elevated
hemoglobin and hematocrit sweat chloride to diagnose must be
above 60(usually already diagnosed so wont need to do),
tenacious yellow-green sputum (infection), decreased BS, coarse
crackles,
, IG: Spirometry, sputum culture & sensitivity for infection,
6MWT, CXR (bronchiectasis give antibiotics- ciprofloxacin)
DM: oral ciprofloxacin (antibiotic), increase frequency of
airway clearance therapy.
hemoptysis present give epinephrine
ivacafort, cayston is medication for CF first being diagnosed
DM: Home care management: bronchodilator, pulmozyme,
HFCWO, tobramycin, pancreatic enzymes, For C.F. adult at
college give DPI TOBI instead of Nebulizer.
neonate being delivered CORRECT ANSWERS pick intubation
supplies if needed: size 2.5-3.5 ETT, laryngoscope blades, bag
to ventilate suction material, warmer, drying materials (if
suction material and tubes already gathered don't pick again)
wipe off and warm under radiant warmer first
-baby ends up having a pneumothorax on left, insert chest tube
otherwise suction, give surfactant, right after birth & 12 hours
later if needed. If still showing distress put on ventilator,
PC/SIMV
Asthma CORRECT ANSWERS IG: Personal best PEF establish
different zones, adherence to medication regimen, nocturnal
