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APEA NP MyQbank Management New Completed Questions with Rationales 2024APEA NP MyQbank Management New Completed Questions with Rationales 2024APEA NP MyQbank Management New Completed Questions with Rationales 2024APEA NP MyQbank Management New Completed Questions with Rationales 2024
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Rationale: The combination of fatigue, weight loss, and a persistent cough is highly suggestive of tuberculosis, especially if the patient has a history of exposure or a positive skin test.
mmHg. Rationale: The primary goal in managing hypertension is to lower blood pressure to prevent complications; readings consistently below 140/ mmHg indicate effective management.
B) Appendicitis C) Pancreatitis D) Peptic Ulcer Disease
Rationale: Appendicitis is a common and urgent medical condition that should be ruled out first in patients presenting with abdominal pain.
Rationale: A decrease in the need for a rescue inhaler suggests better overall control of asthma symptoms.
Rationale: Due to the life-threatening nature of myocardial infarction, it should be ruled out immediately in patients presenting with chest pain.
Rationale: Decreased peripheral edema suggests reduced fluid retention, indicating improved cardiac function in heart failure patients.
Rationale: A comprehensive approach to treating depression includes physical activity, medication adherence, and cognitive-behavioral therapy to address various aspects of the condition.
A) Complete blood count (CBC) B) International normalized ratio (INR) C) Liver function tests D) Serum electrolytes
Rationale: INR is crucial for monitoring the effectiveness and safety of anticoagulant therapy in patients with a history of pulmonary embolism.
Rationale: Visual disturbances, such as optic neuritis, are common in MS and can be an early sign of the disease.
D) High blood glucose levels
Rationale: Amylase and lipase are digestive enzymes that are typically elevated in the blood during acute pancreatitis.
Rationale: New-onset seizures can be a symptom of various conditions, including migraine, epilepsy, and syncope, and all should be considered in the differential diagnosis.
Question: A 45-year-old patient presents with symptoms of persistent cough, weight loss, and night sweats. Which of the following initial diagnostic tests is most appropriate? A) Chest X-ray B) Complete blood count C) Pulmonary function tests D) Sputum culture
Rationale: Chest X-ray is often the initial imaging study of choice for evaluating pulmonary symptoms. Question: In a patient with suspected diabetes, which of the following lab tests would confirm the diagnosis? A) Fasting plasma glucose B) HbA1c C) Oral glucose tolerance test D) Random plasma glucose
Rationale: HbA1c provides an average of blood sugar levels over the past 2 - 3 months, aiding in the diagnosis of diabetes.
Question: When developing a care plan for a patient with hypertension, which lifestyle modification should be prioritized? A) Sodium restriction B) Weight loss C) Exercise regimen D) Smoking cessation
Rationale: Sodium restriction plays a crucial role in managing hypertension by reducing fluid retention and blood pressure. Question: A patient presents with acute abdominal pain. Which of the following diagnostic imaging modalities is best for evaluating gallbladder pathology? A) Abdominal ultrasound B) CT scan C) MRI D) HIDA scan
Rationale: Abdominal ultrasound is the preferred imaging modality for evaluating gallbladder diseases due to its high sensitivity.
A) Family history B) BMI C) Blood type D) Allergy history
Rationale: Family history plays a vital role in assessing genetic predispositions to cardiovascular diseases. Question: In a patient with suspected appendicitis, which physical examination finding is most indicative of this condition? A) McBurney's point tenderness B) Rovsing's sign C) Psoas sign D) Obturator sign
Rationale: McBurney's point tenderness is a classic sign of appendicitis, indicating inflammation in the area. Question: What is the primary goal of treatment for a patient with type 2 diabetes? A) Achieving euglycemia
B) Preventing complications C) Reversing insulin resistance D) Normalizing lipid profile
Rationale: The primary focus in managing type 2 diabetes is preventing long-term complications associated with the disease. Question: Which medication is commonly used as first-line therapy for patients with major depressive disorder? A) Sertraline B) Lorazepam C) Methylphenidate D) Haloperidol
Rationale: Sertraline is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for depression. Question: When evaluating a patient for possible rheumatoid arthritis, which lab test is most specific for this condition? A) Rheumatoid factor B) Anti-CCP antibodies
Rationale: The urea breath test is a non-invasive method to detect Helicobacter pylori infection in patients with peptic ulcers. Question: Which of the following is a key consideration when prescribing antibiotics for a patient with community-acquired pneumonia? A) Age of the patient B) Allergy history C) Recent travel history D) Blood type
Rationale: Allergy history is crucial to avoid prescribing antibiotics to which the patient may be allergic. Question: In a patient with suspected acute coronary syndrome, which cardiac enzyme is typically elevated within the first few hours of symptom onset? A) Troponin I B) CK-MB C) Myoglobin D) LDH
Rationale: Myoglobin is an early marker of myocardial injury, rising rapidly after the onset of symptoms. Question: When evaluating a patient with suspected deep vein thrombosis, which imaging study is the initial test of choice? A) Compression ultrasound B) CT angiography C) Venography D) D-dimer
Rationale: Compression ultrasound is highly sensitive and specific for diagnosing deep vein thrombosis. Question: Which of the following is a characteristic feature of Parkinson's disease? A) Bradykinesia B) Choreiform movements C) Ataxia D) Myoclonus
Question: Which of the following is a key component of managing chronic pain in older adults? A) Avoiding opioid medications B) Increasing physical activity C) Using NSAIDs as first-line treatment D) Considering non-pharmacological interventions
Rationale: Non-pharmacological interventions play a crucial role in managing chronic pain in older adults while minimizing the risk of adverse effects associated with medications.
in making an accurate diagnosis as it provides valuable information about the patient's symptoms, medical history, and potential risk factors. This information helps in generating a differential diagnosis.**
A. Only common illnesses presented in the literature B. Only the symptoms reported by the patient C. A comprehensive list of potential diagnoses based on symptoms, history, and physical examination D. Involve the patient in the process
diagnoses based on various aspects including symptoms, history, and physical exam findings ensures a thorough evaluation and consideration of all potential causes. Involving the patient in the process helps in shared decision-making.**
patient is crucial for providing personalized care that considers the patient's preferences, values, and specific needs. This approach improves patient outcomes and satisfaction with care.**