CEA PREP PRACTICE EXAM 2026
WITH 325 QUESTIONS AND WELL-
VERIFIED ACCURATE ANSWERS |
ALREADY GRADED A+ |
GUARANTEED PASS | CEA LATEST
EXAM 2026
The most specific test for gout is:
*Synovial fluid with monosodium urate crystals
*Serum purine level
*Normalized uric acid level after a trial of allopurinol (Zyloprim)
*Hyperuricemia greater than 7mg/dL - ANSWER-Synovial fluid with
monosodium urate crystals
Rationale: Gout is diagnosed definitively by identifying monosodium urate crystals
in synovial fluid aspirated from an affected joint. These crystals appear as needle-
shaped, negatively birefringent crystals under a microscope.
Which of the following are not items assessed for compartment syndrome?
*Guarding
*Sensation
,*Pain
*Skin color - ANSWER-Guarding
Rationale: The 5 Ps of compartment syndrome are pain, pallor (skin color),
paresthesia (sensation), pulselessness or deficit, and paralysis. Guarding is not
associated with compartment syndrome.
An 84-year-old patient present with complaints of diffuse bilateral lower back pain
which is made worse by standing. On exam the patient maintains a posture of
forward flexing at the waist. The most likely diagnosis is?
*Lumbar strain
*Nerve root impingement
*Lumbar disk herniation
*Spinal stenosis - ANSWER-Spinal stenosis
Rationale: The symptoms of spinal stenosis often develop gradually over time, as
the narrowing of the spinal canal progresses and exerts pressure on the nerves.
Symptoms may worsen with activities that extend the spine (such as standing
upright) and improve with activities that flex the spine (such as sitting or leaning
forward).
Which of the following modalities of dialysis allows the patient to receive therapy
through an indwelling catheter at home without the restriction of being connected
during therapy?
*Continuous cycling peritoneal dialysis
*Ambulatory peritoneal dialysis with extraneal dwell
*Traditional hemodialysis
*Continuous renal replacement therapy - ANSWER-Ambulatory peritoneal
dialysis with extraneal dwell
Rationale: Patients with peritoneal dialysis can undergo therapy sessions at home
and have a dwell of dialysate called Extraneal (icodextrin) to allow patients to
move freely about their dwelling and maintain a fairly normal lifestyle.
,An older adult with diabetes mellitus, COPD, hypertension, and osteoarthritis
develops chronic kidney disease. The most likely cause is:
*Hypertension
*Diabetes
*COPD
*Osteoarthritis - ANSWER-Diabetes
Rationale: Diabetes is a leading cause of kidney failure, medically known as end-
stage renal disease (ESRD), and it is often referred to as diabetic nephropathy
when discussing kidney damage specifically caused by diabetes.
Your ESRD patient on hemodialysis has missed therapy two separate times this
week. What potentially life-threatening lab finding would you anticipate to be
acutely elevated?
*Chloride
*Calcium
*Sodium
*Potassium - ANSWER-Potassium
rationale: ESRD patients are put on hemodialysis due to their inability to clear
creatinine, BUN, and potassium.
Which nationality is four times as likely as Caucasians to be diagnosed with kidney
disease?
*Eastern Europeans
*African Americans
*Pacific Islanders
*Native Alaskans - ANSWER-African Americans
, Rationale: African Americans are four times as likely as Caucasians to have a
diagnosis of hypertension.
A 25-year-old woman presents with a urinary tract infection (UTI) confirmed by
urinalysis. She has no allergies. What is the most appropriate first-line antibiotic
treatment?
*Amoxicillin
*Trimethoprim-sulfamethoxazole
*Ciprofloxacin
*Nitrofurantoin - ANSWER-Nitrofurantoin
Rationale: Overall, Nitrofurantoin is a preferred choice for treating uncomplicated
UTIs, especially in otherwise healthy individuals where local resistance patterns
support its efficacy.
Patients presenting to the emergency department with hematuria and RBC casts in
their urine should be considered for which diagnosis?
*Pyelonephritis
*Nephrotic syndrome
*Glomerulonephritis
*Acute tubular necrosis - ANSWER-Glomerulonephritis
Rationale: GN is commonly diagnosed with proteinuria, hematuria, and RBC casts
in their urine. Pyelonephritis commonly has WBC casts present on urinalysis. ATN
does not typically have any of these features of casts. Nephrotic syndrome tends to
have proteinuria, but no RBCs or casts present.
A 50-year-old woman with a history of hypertension presents with dyspnea on
exertion and orthopnea. On examination, she has jugular venous distention and
bilateral crackles on lung auscultation. What is the most likely diagnosis? -
ANSWER-Congestive heart failure
WITH 325 QUESTIONS AND WELL-
VERIFIED ACCURATE ANSWERS |
ALREADY GRADED A+ |
GUARANTEED PASS | CEA LATEST
EXAM 2026
The most specific test for gout is:
*Synovial fluid with monosodium urate crystals
*Serum purine level
*Normalized uric acid level after a trial of allopurinol (Zyloprim)
*Hyperuricemia greater than 7mg/dL - ANSWER-Synovial fluid with
monosodium urate crystals
Rationale: Gout is diagnosed definitively by identifying monosodium urate crystals
in synovial fluid aspirated from an affected joint. These crystals appear as needle-
shaped, negatively birefringent crystals under a microscope.
Which of the following are not items assessed for compartment syndrome?
*Guarding
*Sensation
,*Pain
*Skin color - ANSWER-Guarding
Rationale: The 5 Ps of compartment syndrome are pain, pallor (skin color),
paresthesia (sensation), pulselessness or deficit, and paralysis. Guarding is not
associated with compartment syndrome.
An 84-year-old patient present with complaints of diffuse bilateral lower back pain
which is made worse by standing. On exam the patient maintains a posture of
forward flexing at the waist. The most likely diagnosis is?
*Lumbar strain
*Nerve root impingement
*Lumbar disk herniation
*Spinal stenosis - ANSWER-Spinal stenosis
Rationale: The symptoms of spinal stenosis often develop gradually over time, as
the narrowing of the spinal canal progresses and exerts pressure on the nerves.
Symptoms may worsen with activities that extend the spine (such as standing
upright) and improve with activities that flex the spine (such as sitting or leaning
forward).
Which of the following modalities of dialysis allows the patient to receive therapy
through an indwelling catheter at home without the restriction of being connected
during therapy?
*Continuous cycling peritoneal dialysis
*Ambulatory peritoneal dialysis with extraneal dwell
*Traditional hemodialysis
*Continuous renal replacement therapy - ANSWER-Ambulatory peritoneal
dialysis with extraneal dwell
Rationale: Patients with peritoneal dialysis can undergo therapy sessions at home
and have a dwell of dialysate called Extraneal (icodextrin) to allow patients to
move freely about their dwelling and maintain a fairly normal lifestyle.
,An older adult with diabetes mellitus, COPD, hypertension, and osteoarthritis
develops chronic kidney disease. The most likely cause is:
*Hypertension
*Diabetes
*COPD
*Osteoarthritis - ANSWER-Diabetes
Rationale: Diabetes is a leading cause of kidney failure, medically known as end-
stage renal disease (ESRD), and it is often referred to as diabetic nephropathy
when discussing kidney damage specifically caused by diabetes.
Your ESRD patient on hemodialysis has missed therapy two separate times this
week. What potentially life-threatening lab finding would you anticipate to be
acutely elevated?
*Chloride
*Calcium
*Sodium
*Potassium - ANSWER-Potassium
rationale: ESRD patients are put on hemodialysis due to their inability to clear
creatinine, BUN, and potassium.
Which nationality is four times as likely as Caucasians to be diagnosed with kidney
disease?
*Eastern Europeans
*African Americans
*Pacific Islanders
*Native Alaskans - ANSWER-African Americans
, Rationale: African Americans are four times as likely as Caucasians to have a
diagnosis of hypertension.
A 25-year-old woman presents with a urinary tract infection (UTI) confirmed by
urinalysis. She has no allergies. What is the most appropriate first-line antibiotic
treatment?
*Amoxicillin
*Trimethoprim-sulfamethoxazole
*Ciprofloxacin
*Nitrofurantoin - ANSWER-Nitrofurantoin
Rationale: Overall, Nitrofurantoin is a preferred choice for treating uncomplicated
UTIs, especially in otherwise healthy individuals where local resistance patterns
support its efficacy.
Patients presenting to the emergency department with hematuria and RBC casts in
their urine should be considered for which diagnosis?
*Pyelonephritis
*Nephrotic syndrome
*Glomerulonephritis
*Acute tubular necrosis - ANSWER-Glomerulonephritis
Rationale: GN is commonly diagnosed with proteinuria, hematuria, and RBC casts
in their urine. Pyelonephritis commonly has WBC casts present on urinalysis. ATN
does not typically have any of these features of casts. Nephrotic syndrome tends to
have proteinuria, but no RBCs or casts present.
A 50-year-old woman with a history of hypertension presents with dyspnea on
exertion and orthopnea. On examination, she has jugular venous distention and
bilateral crackles on lung auscultation. What is the most likely diagnosis? -
ANSWER-Congestive heart failure
