CPEN FINAL EXAM ACTUAL QUESTIONS AND ANSWERS
RATED A+
✔✔Rubella S/S - ✔✔No/low fever, sore throat, no oral lesions
✔✔Varicella S/S - ✔✔Chicken pox, slight fever, no oral lesions
✔✔Coxsackie - ✔✔Hand/foot/mouth, low-grade fever, vesicles
✔✔Heat stroke interventions - ✔✔Aggressive cooling to 38 degrees, continuous core
temperature monitoring; antipyretics can increase liver injury or coagulation disorders
✔✔Phimosis - ✔✔Inability to retract foreskin
✔✔Paraphimosis - ✔✔Retracted foreskin becomes entrapped and occludes blood flow
to the glans; treatment includes sedation, local block, ice, gentle manual traction
✔✔Vascular headache - ✔✔Throbbing pain, vision changes, nausea, vomiting,
photophobia
✔✔Inflammatory headache - ✔✔Neck stiffness, fever, altered level of consciousness
✔✔Structural headache - ✔✔Drowsiness, nausea, focal neurological defecits
✔✔Ectopic pregnancy S/S - ✔✔Non-specific abdominal and/or pelvic pain, referred
shoulder pain
✔✔CO poisoning - ✔✔Headache, nausea, dizziness, change in judgment
✔✔Do not use lidocaine with epinephrine on... - ✔✔Fingers, toes, penis, ears
✔✔Orbital cellulitis - ✔✔Acute inflammation involving posterior eye structures; causes
fever, pain, swelling, and impaired extra-ocular movement; may need topical antibiotics
✔✔Periorbital cellulitis - ✔✔Acute inflammation involving eyelid; may need topical
antibiotics
✔✔Larynx fracture - ✔✔Shortness of breath, bruising, abrasions, swelling,
subcutaneous emphysema; main causes are MVA, strangulation, and trauma; need
airway
✔✔Pediatric assessment triangle - ✔✔Appearance, work of breathing, circulation
✔✔Tracheomalacia - ✔✔Stridor at rest is normal; non-infectious
RATED A+
✔✔Rubella S/S - ✔✔No/low fever, sore throat, no oral lesions
✔✔Varicella S/S - ✔✔Chicken pox, slight fever, no oral lesions
✔✔Coxsackie - ✔✔Hand/foot/mouth, low-grade fever, vesicles
✔✔Heat stroke interventions - ✔✔Aggressive cooling to 38 degrees, continuous core
temperature monitoring; antipyretics can increase liver injury or coagulation disorders
✔✔Phimosis - ✔✔Inability to retract foreskin
✔✔Paraphimosis - ✔✔Retracted foreskin becomes entrapped and occludes blood flow
to the glans; treatment includes sedation, local block, ice, gentle manual traction
✔✔Vascular headache - ✔✔Throbbing pain, vision changes, nausea, vomiting,
photophobia
✔✔Inflammatory headache - ✔✔Neck stiffness, fever, altered level of consciousness
✔✔Structural headache - ✔✔Drowsiness, nausea, focal neurological defecits
✔✔Ectopic pregnancy S/S - ✔✔Non-specific abdominal and/or pelvic pain, referred
shoulder pain
✔✔CO poisoning - ✔✔Headache, nausea, dizziness, change in judgment
✔✔Do not use lidocaine with epinephrine on... - ✔✔Fingers, toes, penis, ears
✔✔Orbital cellulitis - ✔✔Acute inflammation involving posterior eye structures; causes
fever, pain, swelling, and impaired extra-ocular movement; may need topical antibiotics
✔✔Periorbital cellulitis - ✔✔Acute inflammation involving eyelid; may need topical
antibiotics
✔✔Larynx fracture - ✔✔Shortness of breath, bruising, abrasions, swelling,
subcutaneous emphysema; main causes are MVA, strangulation, and trauma; need
airway
✔✔Pediatric assessment triangle - ✔✔Appearance, work of breathing, circulation
✔✔Tracheomalacia - ✔✔Stridor at rest is normal; non-infectious
