CEA PREP EXAM WITH QUESTIONS AND
ANSWERS|| GUARANTEED PASS|| ALREADY
GRADED A+|| LATEST UPDATE 2026
A 43-year-old male patient weighing 100kg was burned over 20 percent of their
body with partial thickness burns after escaping a house fire. Using the Parkland
formula, what is the most appropriate amount of IV fluid resuscitation to
provide the patient in the first 8 hours?
*8 Liters
*2 Liters
*4 Liters
*3 Liters - ANSWER-4 Liters
Rationale: The Parkland formula for resuscitation in burns is 4ml x kg x burn %
with 50% delivered to patient over first 8 hrs. For this patient
4x100x20=8000ml, of which half is to be given in the first 8 hrs.
During the preadmission history and physical, you examine your patient and
find a new multicolored mole measuring 9mm with irregular borders. What is
the most likely diagnosis?
*Cutaneous Horn
*Simple Nevus
*Melanoma
*Squamous Cell Carcinoma - ANSWER-Melanoma
Rationale: These are all classic findings for melanoma: irregular borders,
diameter over 6mm, multicolor, and new or rapidly evolved.
,Which of the following medications is prescribed for the treatment of pinworm?
*Lindane (Kwell)
*Corticosteroids
*Metronidazole (Flagyl)
*Albendazole(Albenza) - ANSWER-Albendazole(Albenza)
Rationale: Albendazole (Albenza) can treat pinworm infections (Enterobius
vermicularis). It belongs to the same class of medications as mebendazole and
works similarly by interfering with the parasite's ability to absorb sugars,
leading to its eventual elimination from the body.
A frail elderly male with a history of sun exposure and rough, scaly, brownish
lesions on the face, ears, and hands presents with a firm erythematous, ulcerated
nodule on the dorsal surface of the hand. The most likely diagnosis is:
*Seborrheic keratosis
*Squamous cell carcinoma
*Melanoma
*Sebaceous hyperplasia - ANSWER-Squamous cell carcinoma
Rationale: Squamous cell carcinoma (SCC) is a type of skin cancer that can also
occur in other areas of the body, including the lining of the respiratory and
digestive tracts. The symptoms of SCC can vary depending on the location of
the cancer. SCC typically appears as a firm, red nodule or a flat sore with a
scaly crust. It may also present as a rough, scaly patch that may bleed or crust
over.
Your patient with a recent fall from the edge of the bathtub who developed a hip
fracture should be worked up with which of the following exams?
*PET scan
*DEXA scan
*Whole body CT scan
*Serum haptoglobin - ANSWER-DEXA scan
,Rationale: Due to a minimal mechanism of action for this fall, it is surprising
the patient suffered a fracture. A DEXA scan would be valuable to evaluate for
bone density issues and a potential diagnosis such as osteoporosis or osteopenia.
PET scan is for tumor evaluation but is not typically ordered without a
diagnosis of a nodule or lesion of concern. Serum haptoglobin does not have
any correlation with this, as it is used for hemolytic anemia workup.
Your patient presents with unilateral eye pain after a workplace exposure to a
caustic substance. Which of the following techniques is useful to assist in
removal of the agent?
*Flushing with a Morgan lens
*Slit lap evaluation
*Fluorescein staining
*Topical anesthesia with lidocaine gel - ANSWER-Flushing with a Morgan lens
Rationale: The Morgan lens is a very useful tool for hands-free flushing of the
affected eye. Fluorescein staining and slit lamp evaluation are for corneal
abrasion. Topical anesthesia would not be applied until the substance is
removed, and tetracaine, not lidocaine would be used for this.
A 19-year-old presents with a sore throat and anterior cervical adenopathy.
Which causative agent would be suspected?
*Epstein-Barr virus
*Adenovirus
*Haemophilus influenzae
*Group A beta-hemolytic Streptococcus - ANSWER-Group A beta-hemolytic
Streptococcus
Rationale: While this patient could easily represent strep or EBV, the
differentiating factor is the location of the affected lymphadenopathy. As a
generalization, posterior cervical lymphadenopathy is common of Epstein-Barr
virus (EBV) and anterior cervical lymphadenopathy is more common with
Group A beta-hemolytic streptococcus.
, An elderly patient has throbbing pain in the left eye, blurred vision, marked
photophobia, and redness around the iris. What is the nurse practitioner's initial
diagnosis?
*Iritis
*Glaucoma
*Sjogren's syndrome
*Conjunctivitis - ANSWER-Iritis
Rationale: Redness around the iris is a classic descriptor of iritis, whereas
conjunctival erythema and injection is suggestive of conjunctivitis. Sjogren
syndrome is characterized by dry eyes, and glaucoma typically shares the
symptoms noted above but does not have circular redness around the iris.
Your patient presents to the urgent care clinic with a swollen exudative
pharynx, profound fatigue, and a very tender left upper quadrant abdomen.
What is the most likely diagnosis?
*Epstein Barr virus (EBV)
*Pancreatitis
*Strep pharyngitis
*Tonsillitis - ANSWER-Epstein Barr virus (EBV)
Rationale: Splenomegaly in the setting of upper respiratory infection is almost
always EBV. Strep pharyngitis does also have similar attributes but does not
explain the splenomegaly. Pancreatitis also has left upper quadrant discomfort
but does not have URI symptoms. Tonsillitis is possible except it also does not
explain splenomegaly.
Your patient was diagnosed with strep pharyngitis due to symptoms and
exudative pharyngitis by appearance only and started on amoxicillin yesterday.
Rapid strep test was negative and awaiting a throat culture to be read at this
time. The patient has since developed a widespread rash across their entire torso
and extending down their extremities. The patient also has associated
splenomegaly. What is the most likely cause of this rash?
*Epstein Barr virus drug rash due to penicillin administration
ANSWERS|| GUARANTEED PASS|| ALREADY
GRADED A+|| LATEST UPDATE 2026
A 43-year-old male patient weighing 100kg was burned over 20 percent of their
body with partial thickness burns after escaping a house fire. Using the Parkland
formula, what is the most appropriate amount of IV fluid resuscitation to
provide the patient in the first 8 hours?
*8 Liters
*2 Liters
*4 Liters
*3 Liters - ANSWER-4 Liters
Rationale: The Parkland formula for resuscitation in burns is 4ml x kg x burn %
with 50% delivered to patient over first 8 hrs. For this patient
4x100x20=8000ml, of which half is to be given in the first 8 hrs.
During the preadmission history and physical, you examine your patient and
find a new multicolored mole measuring 9mm with irregular borders. What is
the most likely diagnosis?
*Cutaneous Horn
*Simple Nevus
*Melanoma
*Squamous Cell Carcinoma - ANSWER-Melanoma
Rationale: These are all classic findings for melanoma: irregular borders,
diameter over 6mm, multicolor, and new or rapidly evolved.
,Which of the following medications is prescribed for the treatment of pinworm?
*Lindane (Kwell)
*Corticosteroids
*Metronidazole (Flagyl)
*Albendazole(Albenza) - ANSWER-Albendazole(Albenza)
Rationale: Albendazole (Albenza) can treat pinworm infections (Enterobius
vermicularis). It belongs to the same class of medications as mebendazole and
works similarly by interfering with the parasite's ability to absorb sugars,
leading to its eventual elimination from the body.
A frail elderly male with a history of sun exposure and rough, scaly, brownish
lesions on the face, ears, and hands presents with a firm erythematous, ulcerated
nodule on the dorsal surface of the hand. The most likely diagnosis is:
*Seborrheic keratosis
*Squamous cell carcinoma
*Melanoma
*Sebaceous hyperplasia - ANSWER-Squamous cell carcinoma
Rationale: Squamous cell carcinoma (SCC) is a type of skin cancer that can also
occur in other areas of the body, including the lining of the respiratory and
digestive tracts. The symptoms of SCC can vary depending on the location of
the cancer. SCC typically appears as a firm, red nodule or a flat sore with a
scaly crust. It may also present as a rough, scaly patch that may bleed or crust
over.
Your patient with a recent fall from the edge of the bathtub who developed a hip
fracture should be worked up with which of the following exams?
*PET scan
*DEXA scan
*Whole body CT scan
*Serum haptoglobin - ANSWER-DEXA scan
,Rationale: Due to a minimal mechanism of action for this fall, it is surprising
the patient suffered a fracture. A DEXA scan would be valuable to evaluate for
bone density issues and a potential diagnosis such as osteoporosis or osteopenia.
PET scan is for tumor evaluation but is not typically ordered without a
diagnosis of a nodule or lesion of concern. Serum haptoglobin does not have
any correlation with this, as it is used for hemolytic anemia workup.
Your patient presents with unilateral eye pain after a workplace exposure to a
caustic substance. Which of the following techniques is useful to assist in
removal of the agent?
*Flushing with a Morgan lens
*Slit lap evaluation
*Fluorescein staining
*Topical anesthesia with lidocaine gel - ANSWER-Flushing with a Morgan lens
Rationale: The Morgan lens is a very useful tool for hands-free flushing of the
affected eye. Fluorescein staining and slit lamp evaluation are for corneal
abrasion. Topical anesthesia would not be applied until the substance is
removed, and tetracaine, not lidocaine would be used for this.
A 19-year-old presents with a sore throat and anterior cervical adenopathy.
Which causative agent would be suspected?
*Epstein-Barr virus
*Adenovirus
*Haemophilus influenzae
*Group A beta-hemolytic Streptococcus - ANSWER-Group A beta-hemolytic
Streptococcus
Rationale: While this patient could easily represent strep or EBV, the
differentiating factor is the location of the affected lymphadenopathy. As a
generalization, posterior cervical lymphadenopathy is common of Epstein-Barr
virus (EBV) and anterior cervical lymphadenopathy is more common with
Group A beta-hemolytic streptococcus.
, An elderly patient has throbbing pain in the left eye, blurred vision, marked
photophobia, and redness around the iris. What is the nurse practitioner's initial
diagnosis?
*Iritis
*Glaucoma
*Sjogren's syndrome
*Conjunctivitis - ANSWER-Iritis
Rationale: Redness around the iris is a classic descriptor of iritis, whereas
conjunctival erythema and injection is suggestive of conjunctivitis. Sjogren
syndrome is characterized by dry eyes, and glaucoma typically shares the
symptoms noted above but does not have circular redness around the iris.
Your patient presents to the urgent care clinic with a swollen exudative
pharynx, profound fatigue, and a very tender left upper quadrant abdomen.
What is the most likely diagnosis?
*Epstein Barr virus (EBV)
*Pancreatitis
*Strep pharyngitis
*Tonsillitis - ANSWER-Epstein Barr virus (EBV)
Rationale: Splenomegaly in the setting of upper respiratory infection is almost
always EBV. Strep pharyngitis does also have similar attributes but does not
explain the splenomegaly. Pancreatitis also has left upper quadrant discomfort
but does not have URI symptoms. Tonsillitis is possible except it also does not
explain splenomegaly.
Your patient was diagnosed with strep pharyngitis due to symptoms and
exudative pharyngitis by appearance only and started on amoxicillin yesterday.
Rapid strep test was negative and awaiting a throat culture to be read at this
time. The patient has since developed a widespread rash across their entire torso
and extending down their extremities. The patient also has associated
splenomegaly. What is the most likely cause of this rash?
*Epstein Barr virus drug rash due to penicillin administration
