CPEN PRACTICE TEST PAPER 2026 STUDY
GUIDE REVIEW
◉ Suspicion for neglect in school-age children. Answer: Antisocial
behaviors
◉ Rubeola (measles) S/S. Answer: High fever, Koplik spots (white
patches, not lesions)
◉ Rubella S/S. Answer: No/low fever, sore throat, no oral lesions
◉ Varicella S/S. Answer: Chicken pox, slight fever, no oral lesions
◉ Coxsackie. Answer: Hand/foot/mouth, low-grade fever, vesicles
◉ Heat stroke interventions. Answer: Aggressive cooling to 38
degrees, continuous core temperature monitoring; antipyretics can
increase liver injury or coagulation disorders
◉ Phimosis. Answer: Inability to retract foreskin
, ◉ Paraphimosis. Answer: Retracted foreskin becomes entrapped
and occludes blood flow to the glans; treatment includes sedation,
local block, ice, gentle manual traction
◉ Vascular headache. Answer: Throbbing pain, vision changes,
nausea, vomiting, photophobia
◉ Inflammatory headache. Answer: Neck stiffness, fever, altered
level of consciousness
◉ Structural headache. Answer: Drowsiness, nausea, focal
neurological defecits
◉ Ectopic pregnancy S/S. Answer: Non-specific abdominal and/or
pelvic pain, referred shoulder pain
◉ CO poisoning. Answer: Headache, nausea, dizziness, change in
judgment
◉ Do not use lidocaine with epinephrine on.... Answer: Fingers, toes,
penis, ears
GUIDE REVIEW
◉ Suspicion for neglect in school-age children. Answer: Antisocial
behaviors
◉ Rubeola (measles) S/S. Answer: High fever, Koplik spots (white
patches, not lesions)
◉ Rubella S/S. Answer: No/low fever, sore throat, no oral lesions
◉ Varicella S/S. Answer: Chicken pox, slight fever, no oral lesions
◉ Coxsackie. Answer: Hand/foot/mouth, low-grade fever, vesicles
◉ Heat stroke interventions. Answer: Aggressive cooling to 38
degrees, continuous core temperature monitoring; antipyretics can
increase liver injury or coagulation disorders
◉ Phimosis. Answer: Inability to retract foreskin
, ◉ Paraphimosis. Answer: Retracted foreskin becomes entrapped
and occludes blood flow to the glans; treatment includes sedation,
local block, ice, gentle manual traction
◉ Vascular headache. Answer: Throbbing pain, vision changes,
nausea, vomiting, photophobia
◉ Inflammatory headache. Answer: Neck stiffness, fever, altered
level of consciousness
◉ Structural headache. Answer: Drowsiness, nausea, focal
neurological defecits
◉ Ectopic pregnancy S/S. Answer: Non-specific abdominal and/or
pelvic pain, referred shoulder pain
◉ CO poisoning. Answer: Headache, nausea, dizziness, change in
judgment
◉ Do not use lidocaine with epinephrine on.... Answer: Fingers, toes,
penis, ears
