CEA EXAM QUESTION BANK | 2025
g g g g g
CURRENTLY TESTING ACCURATE REAL EXAM
g g g g
QUESTIONS WITH DETAILED ANSWERS GRA
g g g g g
DED A+ | GUARANTEED EXCELLENCE PASS
g g g g g
Ang18-year-
oldgpresentsgwithgacne.gHegnotesgthatghegwashesghisgfacegwithgagmildgskingcleanser
g3gtog4gtimesgdaily,ghowevergthegacnegpersistsgandghasgworsened.gThegnursegpractit
ionergexplainsgthat:
frequentgfacialgscrubsgcangworsengacne.
Rationale:gOver-
washinggthegfacegcangcontributegtogacnegorgexacerbategexistinggacnegsymptoms.g
Over-
washinggcangirritategthegskin,gcausinggredness,ginflammation,gandgsensitivity.gThi
sgcangworsengexistinggacneglesionsgandgdelayghealing.
Whichgofgthegfollowinggrefersgtogthegprimarygaccessgpointgofgmedicalgcaregpatients
garegencouragedgtogusegtogaidgingprovidinggcontinuitygandgreductiongofgcostgpergth
egAffordablegCaregAct?
ThegMedicalgHome
Rationale:gThegmedicalghomegreducesgcostgbygprovidinggcontinuitygofgcare,greduc
inggovertesting,gduplicategtesting,gandgaidsgwithglongitudinalgmanagementgofgthe
gpatient.gThegothergoptionsgallgincreasegthesegcost-
burdeninggelementsgandgshouldgbegavoidedgunlessgcaregthroughgthegmedicalgho
megisgnotgagreasonablegorgappropriategoption.
,AngotherwiseghealthygAfricangAmericangadultgmaleghasgbeengdiagnosedgwithghyper
tension.gHeghasgbeengrestrictingghisgsaltgintake,geatinggagDASHg(DietarygApproaches
gtogStopgHypertension)gdiet,gandgexercisinggmore,gbutghisgbloodgpressuregisgstillgele
vated.gWhichgisgthegBESTgmedicationgtogprescribeghim?
Calciumgchannelgblocker
Rationale:gAfricangAmericangpatientsgpergJNC8gHypertensiongGuidelinesgshouldg
begmanagedgwithgagdihydropyridinegcalciumgchannelgblockergsuchgasgamlodipineg
(Norvasc)gasgfirstglinegmanagementgtherapygforghypertensiongnotgatggoalgwithgD
ASHgandglifestylegmodifications.
Whatgisgthegdefinitivegtreatmentgforguncomplicatedgskingabscessgongthegarm?
Incisiongandgdrainage
Rationale:gThegdefinitivegtreatmentgforganguncomplicatedgskingabscessgisgtogopen
gandgdraingthegcontents.gThegbodygwillgthengre-
approximategbygsecondarygintentiongoncegthegcontentsghasgbeengevacuated.gGra
mgnegativegcoveragegisgnotgrecommendedgforgangareagtypicallygassociatedgwithgg
ram-positivegflora.
Thegpatientgisgexhibitinggagproductivegcoughgandgaglow-gradegfever.gChestgX-
raygongPAgviewgshowsgagleftglowergchestgareagofgconsolidationgadjacentgtogthegleftg
bordergofgthegheartgapproximatelyg2gribgspacesgabovegthegcostophrenicgangle.gThe
glateralgx-
raygviewgshowsgthisglesiongabsentgofgthegwindowgposteriorgtogthegcardiacgsilhouet
te.gWhichgisgthegmostglikelyglocationgofgthisgareagofgfocalgconsolidation?
*Leftgupperglobegapex
*Rightgmiddleglobe
,*Leftgupperglobeglingula
*Leftglowerglobe
Leftgupperglobeglingula
Ratonale:gLingulargconsolidationgisgdescribedgingthisgquestiongprecisely.gIfgthe
gcardiacgmargin/silhouettegisgobliteratedgbygthegmass,gtheglesiongisgeithergrigh
tgmiddleglobegorgleftgupperglobeglingula.
Theginabilitygtogfullygrelaxgthegmyocardiumgduringgrelaxationgisgagtrademarkgofgwhi
chgofgthegfollowinggdiagnoses?
Diastolicgdysfunction
Rationale:gTheginabilitygforgthegheartgtogrelaxgisgagtrademarkgofgthegdiagnosisgofgd
iastolicgdysfunctiongandgisgcommongingpatientsgwithgthickenedghypertrophicgmyo
cardium.
Yourgpatientghasgbeengdiagnosedgwithgag4.5cmgascendinggaorticganeurysm.gWhichg
medicalgimaginggisgconsideredgstandardgofgcaregforgserialgsurveillance?
CTgangiographygofgthegchest
Rationale:gCTgangiographygisgconsideredgthegstandardgofgcaregforgmeasuringgvasc
ulargluminalgdimensionsgwithgcontrast.gCTgPEgprotocolgisgnotgtimedgproperlygforgt
hegaortag(it'sgtimedgforgthegpulmonarygartery).gAlthoughgagplaingfilmgisgablegtogca
tchglargeganeurysmsgatgtimes,gtheygaregnotgablegtogprovidegmulti-
axisgreconstructiongneededgtogaccuratelygmeasuregthegsize.gTransesophagealgech
ogisgnotgneededgtogaccuratelygmeasuregthegaortagandgrequiresgthegpatientgtogund
ergogsedationgwhichgisgunnecessary.
, Whichgofgthegfollowinggmedicationsgdoesgnotgcausegbetag1gstimulation?
phenylephrine
Rationale:gPhenylephrinegonlygstimulatesgalphag1greceptors.gThegremaininggth
reegallghavegbetagreceptorgactivity.
Ag50-year-
oldgwomangwithgaghistorygofghypertensiongpresentsgwithgdyspneagongexertiongandg
orthopnea.gOngexamination,gsheghasgjugulargvenousgdistentiongandgbilateralgcrackl
esgonglunggauscultation.gWhatgisgthegmostglikelygdiagnosis?
Congestivegheartgfailure
Rationale:gOfgthegavailablegoptions,gthegmostgaccurategresponsegisgcongestiveghe
artgfailuregasgitgisgsignifyinggbothgagrightgventriculargbackgupgwithgjugulargvenousg
extensiongandgcracklesgonglunggassault,gwhichgaregsuggestivegofgleftgventriculargb
ackgup.gitgisgpossiblegthegpatientgmayghavegangacutegmyocardialginfarctiongthatgp
recipitatedgthis,ghowever,gagpatientghasgnotgdescribedgthat,grathergisgonlygdescri
binggdyspneagongexertiongandgorthopnea,gwhichgbothgspeakgtogagstategofgfluidgov
erload.gThegonlygappropriategresponsegofgthesegavailablegisgcongestivegheartgfail
ure.
YourgpatientgwithgaghistorygofgHFrEFg(heartgfailuregwithgreducedgejectiongfraction)g
withgangejectiongfractiongofg40%gwhogisgalsognotgongoptimalgmedicalgtherapyghasgb
eengdiagnosedgwithgagmyocardialginfarctiongthisgadmissiongandgreceivedgemergent
gplacementgofgagdrug-
elutinggstentgtogthegleftganteriorgdescendinggartery.gAsgthegmedicalghomegwhogwillg
managegthisgpatientgaftergdischarge,gwhichgmedicationgstrategygwouldgyougexpectg
togbegagprioritygingthegpatient'sgcare?
OrderinggagtransthoracicgechocardiogramgandgordergagLifevestgifgEFgisglessgthang3
5%
g g g g g
CURRENTLY TESTING ACCURATE REAL EXAM
g g g g
QUESTIONS WITH DETAILED ANSWERS GRA
g g g g g
DED A+ | GUARANTEED EXCELLENCE PASS
g g g g g
Ang18-year-
oldgpresentsgwithgacne.gHegnotesgthatghegwashesghisgfacegwithgagmildgskingcleanser
g3gtog4gtimesgdaily,ghowevergthegacnegpersistsgandghasgworsened.gThegnursegpractit
ionergexplainsgthat:
frequentgfacialgscrubsgcangworsengacne.
Rationale:gOver-
washinggthegfacegcangcontributegtogacnegorgexacerbategexistinggacnegsymptoms.g
Over-
washinggcangirritategthegskin,gcausinggredness,ginflammation,gandgsensitivity.gThi
sgcangworsengexistinggacneglesionsgandgdelayghealing.
Whichgofgthegfollowinggrefersgtogthegprimarygaccessgpointgofgmedicalgcaregpatients
garegencouragedgtogusegtogaidgingprovidinggcontinuitygandgreductiongofgcostgpergth
egAffordablegCaregAct?
ThegMedicalgHome
Rationale:gThegmedicalghomegreducesgcostgbygprovidinggcontinuitygofgcare,greduc
inggovertesting,gduplicategtesting,gandgaidsgwithglongitudinalgmanagementgofgthe
gpatient.gThegothergoptionsgallgincreasegthesegcost-
burdeninggelementsgandgshouldgbegavoidedgunlessgcaregthroughgthegmedicalgho
megisgnotgagreasonablegorgappropriategoption.
,AngotherwiseghealthygAfricangAmericangadultgmaleghasgbeengdiagnosedgwithghyper
tension.gHeghasgbeengrestrictingghisgsaltgintake,geatinggagDASHg(DietarygApproaches
gtogStopgHypertension)gdiet,gandgexercisinggmore,gbutghisgbloodgpressuregisgstillgele
vated.gWhichgisgthegBESTgmedicationgtogprescribeghim?
Calciumgchannelgblocker
Rationale:gAfricangAmericangpatientsgpergJNC8gHypertensiongGuidelinesgshouldg
begmanagedgwithgagdihydropyridinegcalciumgchannelgblockergsuchgasgamlodipineg
(Norvasc)gasgfirstglinegmanagementgtherapygforghypertensiongnotgatggoalgwithgD
ASHgandglifestylegmodifications.
Whatgisgthegdefinitivegtreatmentgforguncomplicatedgskingabscessgongthegarm?
Incisiongandgdrainage
Rationale:gThegdefinitivegtreatmentgforganguncomplicatedgskingabscessgisgtogopen
gandgdraingthegcontents.gThegbodygwillgthengre-
approximategbygsecondarygintentiongoncegthegcontentsghasgbeengevacuated.gGra
mgnegativegcoveragegisgnotgrecommendedgforgangareagtypicallygassociatedgwithgg
ram-positivegflora.
Thegpatientgisgexhibitinggagproductivegcoughgandgaglow-gradegfever.gChestgX-
raygongPAgviewgshowsgagleftglowergchestgareagofgconsolidationgadjacentgtogthegleftg
bordergofgthegheartgapproximatelyg2gribgspacesgabovegthegcostophrenicgangle.gThe
glateralgx-
raygviewgshowsgthisglesiongabsentgofgthegwindowgposteriorgtogthegcardiacgsilhouet
te.gWhichgisgthegmostglikelyglocationgofgthisgareagofgfocalgconsolidation?
*Leftgupperglobegapex
*Rightgmiddleglobe
,*Leftgupperglobeglingula
*Leftglowerglobe
Leftgupperglobeglingula
Ratonale:gLingulargconsolidationgisgdescribedgingthisgquestiongprecisely.gIfgthe
gcardiacgmargin/silhouettegisgobliteratedgbygthegmass,gtheglesiongisgeithergrigh
tgmiddleglobegorgleftgupperglobeglingula.
Theginabilitygtogfullygrelaxgthegmyocardiumgduringgrelaxationgisgagtrademarkgofgwhi
chgofgthegfollowinggdiagnoses?
Diastolicgdysfunction
Rationale:gTheginabilitygforgthegheartgtogrelaxgisgagtrademarkgofgthegdiagnosisgofgd
iastolicgdysfunctiongandgisgcommongingpatientsgwithgthickenedghypertrophicgmyo
cardium.
Yourgpatientghasgbeengdiagnosedgwithgag4.5cmgascendinggaorticganeurysm.gWhichg
medicalgimaginggisgconsideredgstandardgofgcaregforgserialgsurveillance?
CTgangiographygofgthegchest
Rationale:gCTgangiographygisgconsideredgthegstandardgofgcaregforgmeasuringgvasc
ulargluminalgdimensionsgwithgcontrast.gCTgPEgprotocolgisgnotgtimedgproperlygforgt
hegaortag(it'sgtimedgforgthegpulmonarygartery).gAlthoughgagplaingfilmgisgablegtogca
tchglargeganeurysmsgatgtimes,gtheygaregnotgablegtogprovidegmulti-
axisgreconstructiongneededgtogaccuratelygmeasuregthegsize.gTransesophagealgech
ogisgnotgneededgtogaccuratelygmeasuregthegaortagandgrequiresgthegpatientgtogund
ergogsedationgwhichgisgunnecessary.
, Whichgofgthegfollowinggmedicationsgdoesgnotgcausegbetag1gstimulation?
phenylephrine
Rationale:gPhenylephrinegonlygstimulatesgalphag1greceptors.gThegremaininggth
reegallghavegbetagreceptorgactivity.
Ag50-year-
oldgwomangwithgaghistorygofghypertensiongpresentsgwithgdyspneagongexertiongandg
orthopnea.gOngexamination,gsheghasgjugulargvenousgdistentiongandgbilateralgcrackl
esgonglunggauscultation.gWhatgisgthegmostglikelygdiagnosis?
Congestivegheartgfailure
Rationale:gOfgthegavailablegoptions,gthegmostgaccurategresponsegisgcongestiveghe
artgfailuregasgitgisgsignifyinggbothgagrightgventriculargbackgupgwithgjugulargvenousg
extensiongandgcracklesgonglunggassault,gwhichgaregsuggestivegofgleftgventriculargb
ackgup.gitgisgpossiblegthegpatientgmayghavegangacutegmyocardialginfarctiongthatgp
recipitatedgthis,ghowever,gagpatientghasgnotgdescribedgthat,grathergisgonlygdescri
binggdyspneagongexertiongandgorthopnea,gwhichgbothgspeakgtogagstategofgfluidgov
erload.gThegonlygappropriategresponsegofgthesegavailablegisgcongestivegheartgfail
ure.
YourgpatientgwithgaghistorygofgHFrEFg(heartgfailuregwithgreducedgejectiongfraction)g
withgangejectiongfractiongofg40%gwhogisgalsognotgongoptimalgmedicalgtherapyghasgb
eengdiagnosedgwithgagmyocardialginfarctiongthisgadmissiongandgreceivedgemergent
gplacementgofgagdrug-
elutinggstentgtogthegleftganteriorgdescendinggartery.gAsgthegmedicalghomegwhogwillg
managegthisgpatientgaftergdischarge,gwhichgmedicationgstrategygwouldgyougexpectg
togbegagprioritygingthegpatient'sgcare?
OrderinggagtransthoracicgechocardiogramgandgordergagLifevestgifgEFgisglessgthang3
5%
