CHSNC CHARTERED SPECIAL NEEDS
CONSULTANT PRACTICE EXAM 2026
COMPLETE STUDY GUIDE
◉ Normal ranges of pulse. Answer: 60-100 BPM
◉ Normal ranges of respiration. Answer: 12-20
◉ Normal BP. Answer: <120/<80
◉ Elevated BP. Answer: 120-129/<80
◉ Stage 1 Hypertension. Answer: 130-139/80-89
◉ Stage 2 Hypertension. Answer: 140+/90+
◉ Hypertensive Crisis. Answer: 180+/120+
◉ Emergency procedure for shock. Answer: Oxygen and support BP,
keep pt worm, position feet higher than head
,◉ Emergency procedure for anaphylaxis. Answer: Mild reaction-
Benadryl
Severe reaction- epi and oxygen
◉ Emergency procedure- CPR. Answer: Call 911, 30 chest
compressions 2 inches deep, 100 per minute, head tilt and 1 breath
every 6-8 seconds, check for breaths, repeat
◉ Emergency procedure- insulin shock. Answer: Glucose
◉ Emergency procedure- MI. Answer: Oxygen, maintain airway,
treat shock with Lidocaine
◉ Emergency procedure- syncope. Answer: Ammonia, give oxygen,
feet higher than head
◉ Antibiotic prophylaxis standard regimen. Answer: 2g Amoxicillin
30-60 minutes prior, up to 2 hours after
◉ Antibiotic prophylaxis if allergic to standard regimen. Answer:
600 mg Clindamycin
500 mg Azithromycin
or 2g Cephlexin/Cefadroxil
,◉ Which conditions need to be premedicated. Answer: 1. Heart
transplants with valve issues
2. Artificial heart valves
3. Previous IE
4. Congenital Heart Defect
◉ Infective endocarditis predisposing factors. Answer: Something
has been damaged, congenital, or surgery
◉ Infective endocarditis portals of entry. Answer: IV or drug
◉ Infective endocarditis- what happens to the valves. Answer:
Bacteria builds up on the valves where fibrin has accumulated
◉ Risks associated with antibiotic prophylaxis. Answer: Antibiotic
resistance and allergic reactions
◉ Antibiotic prophylaxis signs and symptoms. Answer: Flulike
symptoms with fever
Abdominal/chest pain
Heart palpitations
Clubbing of digits
, Pale complexion
Blue/purple lesions
Petechia of skin
Janeway lesions
Oslers nodes
◉ Causes of CHD. Answer: Genetic, fetal exposure to drugs
(ultimately the cause is unknown)
◉ Symptoms of CHD. Answer: Clubbing of fingers and toes
Cyanosis
Dyspnea
◉ "High risk" IE conditions that involve congenital origin. Answer:
CHD repaired with residual defects
Repaired CHD within 6 months
CHD with unrepaired cyanotic CHD
Tetralogy of fallot
◉ What is the regimen to premedicate high-risk patients who are
already on an antibiotic for another problem?. Answer: Wait two
weeks until after medication is complete or prescribe antibiotic from
a different class
CONSULTANT PRACTICE EXAM 2026
COMPLETE STUDY GUIDE
◉ Normal ranges of pulse. Answer: 60-100 BPM
◉ Normal ranges of respiration. Answer: 12-20
◉ Normal BP. Answer: <120/<80
◉ Elevated BP. Answer: 120-129/<80
◉ Stage 1 Hypertension. Answer: 130-139/80-89
◉ Stage 2 Hypertension. Answer: 140+/90+
◉ Hypertensive Crisis. Answer: 180+/120+
◉ Emergency procedure for shock. Answer: Oxygen and support BP,
keep pt worm, position feet higher than head
,◉ Emergency procedure for anaphylaxis. Answer: Mild reaction-
Benadryl
Severe reaction- epi and oxygen
◉ Emergency procedure- CPR. Answer: Call 911, 30 chest
compressions 2 inches deep, 100 per minute, head tilt and 1 breath
every 6-8 seconds, check for breaths, repeat
◉ Emergency procedure- insulin shock. Answer: Glucose
◉ Emergency procedure- MI. Answer: Oxygen, maintain airway,
treat shock with Lidocaine
◉ Emergency procedure- syncope. Answer: Ammonia, give oxygen,
feet higher than head
◉ Antibiotic prophylaxis standard regimen. Answer: 2g Amoxicillin
30-60 minutes prior, up to 2 hours after
◉ Antibiotic prophylaxis if allergic to standard regimen. Answer:
600 mg Clindamycin
500 mg Azithromycin
or 2g Cephlexin/Cefadroxil
,◉ Which conditions need to be premedicated. Answer: 1. Heart
transplants with valve issues
2. Artificial heart valves
3. Previous IE
4. Congenital Heart Defect
◉ Infective endocarditis predisposing factors. Answer: Something
has been damaged, congenital, or surgery
◉ Infective endocarditis portals of entry. Answer: IV or drug
◉ Infective endocarditis- what happens to the valves. Answer:
Bacteria builds up on the valves where fibrin has accumulated
◉ Risks associated with antibiotic prophylaxis. Answer: Antibiotic
resistance and allergic reactions
◉ Antibiotic prophylaxis signs and symptoms. Answer: Flulike
symptoms with fever
Abdominal/chest pain
Heart palpitations
Clubbing of digits
, Pale complexion
Blue/purple lesions
Petechia of skin
Janeway lesions
Oslers nodes
◉ Causes of CHD. Answer: Genetic, fetal exposure to drugs
(ultimately the cause is unknown)
◉ Symptoms of CHD. Answer: Clubbing of fingers and toes
Cyanosis
Dyspnea
◉ "High risk" IE conditions that involve congenital origin. Answer:
CHD repaired with residual defects
Repaired CHD within 6 months
CHD with unrepaired cyanotic CHD
Tetralogy of fallot
◉ What is the regimen to premedicate high-risk patients who are
already on an antibiotic for another problem?. Answer: Wait two
weeks until after medication is complete or prescribe antibiotic from
a different class
