CEN Examination Study Questions 2024
Blow-out orbital fracture ✔️✔️Painful or restricted
extraocular muscle movements, esp upward or
lateral. Subcutaneous emphysema, infraorbital
anesthesia, palpable bony tenderness and
deformity, and enophthalmos.
Laryngeal injuries ✔️✔️Most are caused by blunt
force trauma, often involves other serious injuries.
Classic s/s in addition to hoarseness, dysphagia,
stridor, and hemoptysis include dyspnea, cough,
and difficulty speaking.
Pneumomediastinum ✔️✔️Free air in the
mediastinal space. Should be suspected if an
abnormal crunching sound is heard synchronous
with the heartbeat (Hamman's crunch), although
this finding is not always present.
,TMJ dislocation teaching ✔️✔️Soft diet to reduce
chewing, no stress on the TMJ (no
grinding/clenching), avoid yawning or opening the
mouth widely (recurrent dislocations are common)
PPD test ✔️✔️Postive = 10mm induration or
greater, 5mm for pt with + HIV
Adolescence (12-18 years old) fears ✔️✔️loss of
control and change in body image
Infants (birth to 18 months) and toddlers (18
months to 3 years) fears ✔️✔️Parental separation
Toddlers (6 months to 3 years) fears ✔️✔️Stranger
anxiety
,Preschool children (age 3-5) fears ✔️✔️body
mutilation, insides leaking out, the dark, pain, the
unknown, loss of control
amitryptyline (Elavil) ✔️✔️Tricyclic antidepressant,
may take up to 3 weeks to achieve pain control,
should be taken nightly at bedtime (drowsiness
effects), should not exceed 300mg/day
Rubeola (red measles) ✔️✔️Highly contagious
illness affecting the skin, eyes, and upper
respiratory tract. Koplik's spots.
Koplik's spots ✔️✔️Classic presentation of rubeola,
appears as bluish-white spots to the mouth and
throat 1-4 days before the rash fully appears all
over the body
Rubbella (German measles) ✔️✔️Red rash that
starts in the face and spreads to the trunk and
, extremities. Classic presentation: swollen lymph
nodes at the base and sides of the neck. The rash
lasts only 2-3 days, but the child is still contagious 1
wk prior to the outbreak of the rash.
Roseola infantum ✔️✔️Flat, reddish rash most
prominently on the back and trunk. The rash can
last as long as 5-15 days to appear after initial
exposure incidence of fever mad irritability. The
rash usually lasts 1-2 days.
Varicella ✔️✔️Red, raised fluid-filled lesion. Most
commonly appear on the trunk and face and then
become generalized. Severe itching in most
children. Spreading with itching and opening of the
fluid-filled vesicles. Individuals are infectious 48
hours before the rash appears and remain
contagious until all skin lesions have crusted over
and no new lesions have formed.
Blow-out orbital fracture ✔️✔️Painful or restricted
extraocular muscle movements, esp upward or
lateral. Subcutaneous emphysema, infraorbital
anesthesia, palpable bony tenderness and
deformity, and enophthalmos.
Laryngeal injuries ✔️✔️Most are caused by blunt
force trauma, often involves other serious injuries.
Classic s/s in addition to hoarseness, dysphagia,
stridor, and hemoptysis include dyspnea, cough,
and difficulty speaking.
Pneumomediastinum ✔️✔️Free air in the
mediastinal space. Should be suspected if an
abnormal crunching sound is heard synchronous
with the heartbeat (Hamman's crunch), although
this finding is not always present.
,TMJ dislocation teaching ✔️✔️Soft diet to reduce
chewing, no stress on the TMJ (no
grinding/clenching), avoid yawning or opening the
mouth widely (recurrent dislocations are common)
PPD test ✔️✔️Postive = 10mm induration or
greater, 5mm for pt with + HIV
Adolescence (12-18 years old) fears ✔️✔️loss of
control and change in body image
Infants (birth to 18 months) and toddlers (18
months to 3 years) fears ✔️✔️Parental separation
Toddlers (6 months to 3 years) fears ✔️✔️Stranger
anxiety
,Preschool children (age 3-5) fears ✔️✔️body
mutilation, insides leaking out, the dark, pain, the
unknown, loss of control
amitryptyline (Elavil) ✔️✔️Tricyclic antidepressant,
may take up to 3 weeks to achieve pain control,
should be taken nightly at bedtime (drowsiness
effects), should not exceed 300mg/day
Rubeola (red measles) ✔️✔️Highly contagious
illness affecting the skin, eyes, and upper
respiratory tract. Koplik's spots.
Koplik's spots ✔️✔️Classic presentation of rubeola,
appears as bluish-white spots to the mouth and
throat 1-4 days before the rash fully appears all
over the body
Rubbella (German measles) ✔️✔️Red rash that
starts in the face and spreads to the trunk and
, extremities. Classic presentation: swollen lymph
nodes at the base and sides of the neck. The rash
lasts only 2-3 days, but the child is still contagious 1
wk prior to the outbreak of the rash.
Roseola infantum ✔️✔️Flat, reddish rash most
prominently on the back and trunk. The rash can
last as long as 5-15 days to appear after initial
exposure incidence of fever mad irritability. The
rash usually lasts 1-2 days.
Varicella ✔️✔️Red, raised fluid-filled lesion. Most
commonly appear on the trunk and face and then
become generalized. Severe itching in most
children. Spreading with itching and opening of the
fluid-filled vesicles. Individuals are infectious 48
hours before the rash appears and remain
contagious until all skin lesions have crusted over
and no new lesions have formed.
