CEA PREP FULL EXAM LATEST
What is the etiology of actinic keratosis?
*Chronic UV-B exposure to the skin
*Chronic UV-A exposure to the skin
*Group B Strep infection in the skin
*Human Papilloma Virus infection in the skin - ANSWERS-Chronic
UV-B exposure to the skin
Rationale: HPV infection is the cause of verruca. Chronic UV exposure
is a cause of actinic keratosis, solar lentigo, and squamous cell
carcinoma.
What is the most common form of skin cancer?
*Malignant melanoma
*Keratoacanthoma
*Basal cell carcinoma
*Squamous cell carcinoma - ANSWERS-Basal cell carcinoma
Rationale: Basal cell carcinoma is the most common type of skin cancer
and with squamous cell carcinoma as the second most type.
Erysipelas typically presents on the face with:
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, CEA PREP FULL EXAM LATEST
*A papular erythematous malar rash
*Vesicles on an erythematous base following a dermatome
*Painful progressive erythema and edema
*Scattered ruborous macules across the cheeks - ANSWERS-Painful
progressive erythema and edema
Rationale: Erysipelas is a bacterial skin infection that typically presents
with distinctive symptoms and tends to affect the face more commonly
than other parts of the body.
Symptoms: The infection usually starts suddenly and can cause
symptoms such as:
Red, swollen, and shiny skin
Well-defined borders between affected and unaffected skin
Pain and tenderness
Fever and chills
Blisters or sores filled with fluid (bullae) in severe cases
Elevated calcium levels may suggest which of the following?
*Effective bisphosphonate therapy
*Bone cancer
*Vitamin D deficiency
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2
, CEA PREP FULL EXAM LATEST
*Calcitonin deficit - ANSWERS-Bone cancer
Rationale: Bone cancer should always be worked up with a patient with
otherwise unidentified hypercalcemia. Calcitonin aids calcium to shift
into the bone, thereby decreasing serum calcium. Vitamin D elevation
would be a cause of hypercalcemia, not deficiency. Ineffective
bisphosphonate therapy would cause hypercalcemia to not be decreased
as intended.
An 86-year-old patient is experiencing radiculopathy-associated lower
back pain that has not improved over the past 4 weeks. The medical
history includes a lumbar discectomy. The best type of imaging study
for evaluating this patient would be a/an:
*MRI
*nuclear bone scan.
*myelography.
*spinal X-ray. - ANSWERS-MRI
Rationale: MRI s the imaging modality of choice for evaluating the
spine post-lumbar discectomy. It can help visualize the anatomy of the
spine, including any residual or recurrent disc herniation, scar tissue
formation, spinal stenosis, or other structural abnormalities affecting
nerve roots.
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3
, CEA PREP FULL EXAM LATEST
Your urgent care patient has been found down at home lying at their
home for 2 days straight in their urine and feces after a rave with ecstasy
and binge drinking. What condition is this patient at risk for developing?
*Hearing loss
*Steven-Johnson Syndrome
*Loss of taste
*Rhabdomyolysis - ANSWERS-Rhabdomyolysis
Rationale: Rhabdomyolysis is a concern both because of the use of
ecstasy and the period of immobility lying on the floor. Hearing loss is
not associated with any of these behaviors, nor is loss of taste. SJS is not
routinely associated with these behaviors as well.
Patients with uncontrolled hypertension should be started on
antihypertensive agents in addition to diet and exercise. Which
medication should not be considered for a hospitalized hypertensive
patient with acute kidney injury with a creatinine of 3.1?
*Amlodipine
*Hydralazine
*Lisinopril
*Isosorbide mononitrate - ANSWERS-Lisinopril
Rationale: Although ACE inhibitors are recommended for patients with
chronic kidney disease, they are contraindicated in acute kidney injury
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PAGE
4
What is the etiology of actinic keratosis?
*Chronic UV-B exposure to the skin
*Chronic UV-A exposure to the skin
*Group B Strep infection in the skin
*Human Papilloma Virus infection in the skin - ANSWERS-Chronic
UV-B exposure to the skin
Rationale: HPV infection is the cause of verruca. Chronic UV exposure
is a cause of actinic keratosis, solar lentigo, and squamous cell
carcinoma.
What is the most common form of skin cancer?
*Malignant melanoma
*Keratoacanthoma
*Basal cell carcinoma
*Squamous cell carcinoma - ANSWERS-Basal cell carcinoma
Rationale: Basal cell carcinoma is the most common type of skin cancer
and with squamous cell carcinoma as the second most type.
Erysipelas typically presents on the face with:
END OF
PAGE
1
, CEA PREP FULL EXAM LATEST
*A papular erythematous malar rash
*Vesicles on an erythematous base following a dermatome
*Painful progressive erythema and edema
*Scattered ruborous macules across the cheeks - ANSWERS-Painful
progressive erythema and edema
Rationale: Erysipelas is a bacterial skin infection that typically presents
with distinctive symptoms and tends to affect the face more commonly
than other parts of the body.
Symptoms: The infection usually starts suddenly and can cause
symptoms such as:
Red, swollen, and shiny skin
Well-defined borders between affected and unaffected skin
Pain and tenderness
Fever and chills
Blisters or sores filled with fluid (bullae) in severe cases
Elevated calcium levels may suggest which of the following?
*Effective bisphosphonate therapy
*Bone cancer
*Vitamin D deficiency
END OF
PAGE
2
, CEA PREP FULL EXAM LATEST
*Calcitonin deficit - ANSWERS-Bone cancer
Rationale: Bone cancer should always be worked up with a patient with
otherwise unidentified hypercalcemia. Calcitonin aids calcium to shift
into the bone, thereby decreasing serum calcium. Vitamin D elevation
would be a cause of hypercalcemia, not deficiency. Ineffective
bisphosphonate therapy would cause hypercalcemia to not be decreased
as intended.
An 86-year-old patient is experiencing radiculopathy-associated lower
back pain that has not improved over the past 4 weeks. The medical
history includes a lumbar discectomy. The best type of imaging study
for evaluating this patient would be a/an:
*MRI
*nuclear bone scan.
*myelography.
*spinal X-ray. - ANSWERS-MRI
Rationale: MRI s the imaging modality of choice for evaluating the
spine post-lumbar discectomy. It can help visualize the anatomy of the
spine, including any residual or recurrent disc herniation, scar tissue
formation, spinal stenosis, or other structural abnormalities affecting
nerve roots.
END OF
PAGE
3
, CEA PREP FULL EXAM LATEST
Your urgent care patient has been found down at home lying at their
home for 2 days straight in their urine and feces after a rave with ecstasy
and binge drinking. What condition is this patient at risk for developing?
*Hearing loss
*Steven-Johnson Syndrome
*Loss of taste
*Rhabdomyolysis - ANSWERS-Rhabdomyolysis
Rationale: Rhabdomyolysis is a concern both because of the use of
ecstasy and the period of immobility lying on the floor. Hearing loss is
not associated with any of these behaviors, nor is loss of taste. SJS is not
routinely associated with these behaviors as well.
Patients with uncontrolled hypertension should be started on
antihypertensive agents in addition to diet and exercise. Which
medication should not be considered for a hospitalized hypertensive
patient with acute kidney injury with a creatinine of 3.1?
*Amlodipine
*Hydralazine
*Lisinopril
*Isosorbide mononitrate - ANSWERS-Lisinopril
Rationale: Although ACE inhibitors are recommended for patients with
chronic kidney disease, they are contraindicated in acute kidney injury
END OF
PAGE
4
