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APEA PRE-PREDICTOR 2025 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
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When can cervical cancer screening stop if no abnormal screening history is present? - ✔✔✔ Correct Answer > age 65 When should breast cancer screening begin and end with a biannual mammogram? - ✔✔✔ Correct Answer > age 50- 74 What is Strattera (atomoxetine) used for? - ✔✔✔ Correct Answer > ADHD; side effect includes increased BP and HR so monitor closely What is the drug Danazol and what is it used for? - ✔✔✔ Correct Answer > an androgen used in the treatment of endometriosis and fibrocystic breast disease How do we manage rubella immunity in pregnant women? - ✔✔✔ Correct Answer > we screen all pregnant women with a rubella titer. If they had a protective rubella titer in a previous pregnancy, then they do not need to be checked again. If they are
found to not be immune when pregnant, then she should be vaccinated AFTER delivery What is true regarding older adults who are overweight? - ✔✔✔ Correct Answer > mortality in older adults related to overweight states declines over time An intervention being performed to prevent the occurrence of the same event happening again is an example of ___________ prevention. Give an example. - ✔✔✔ Correct Answer > secondary; taking a daily aspirin to prevent another stroke after already having one It is recommended that all children younger than __________ with sickle cell anemia take daily prophylactic antibiotics. What antibiotic is this? - ✔✔✔ Correct Answer > 5 years old; penicillin A 21 yo college student presents to the sudent health center with copious, markedly purulent discharge from her left eye. The nurse practitioner should suspect: - ✔✔✔ Correct Answer > gonococcal conjunctivitis. A purulent and copious discharge should alert the nurse practitioner to the likely possibility of gonococcal or chlamydial conjunctivitis. Noth require systemic anitbiotic treatment and immediate referral to an opthalmologist for evaluation.
How can we best diagnose coarctation of the aorta? - ✔✔✔ Correct Answer > by comparing the upper and lower extremity blood pressures What is the most important risk factor for developing breast cancer in women of average risk? - ✔✔✔ Correct Answer > age hey - ✔✔✔ Correct Answer > stopped at top of page 7 What is the recommended treatment for blepharitis? - ✔✔✔ Correct Answer > erythromycin 1cm ribbon 5x daily for 7 days What is the recommended treatment for severe anorexia with delusions? - ✔✔✔ Correct Answer > 2nd atypical antipsychotics What lab values need to be monitored in a patient on Tizanidine? - ✔✔✔ Correct Answer > LFTs and BP at baseline and 1 month after the max dose is achieved (can cause hepatotoxicity and hypotension) What class of drug is dabigatran (pradaxa)? - ✔✔✔ Correct Answer > direct thrombin inhibitor
The most effective treatments for acne related to increased sebum production are what? - ✔✔✔ Correct Answer > oral contraceptives and isotretinoin Oral contraceptive regimen in which both the estrogen and progesterone concentrations vary throughout the cycle - ✔✔✔ Correct Answer > quadriphasic Oral contraceptive regimen in which the estrogen and progestin doses are fixed throughout the cycle - ✔✔✔ Correct Answer > monophasic Oral contraceptive regimen in which in the estrogen dose remains the same for the first 21 days of the cycle, while progestin is lower in the first half and higher in the second half - ✔✔✔ Correct Answer > biphasic Oral contraceptive regimen in which the estrogen remains consistent and the progestin dose varies - ✔✔✔ Correct Answer
triphasic Patients who are receiving beta blockers may find what treatment for allergies ineffective? - ✔✔✔ Correct Answer > treatments containing epinephrine
that chlamydia is NOT transplacental, but rather transvaginal during childbirth The antibiotic of choice for a dog bite - ✔✔✔ Correct Answer > augmentin; doxy if there is a penicillin allergy Obese women should gain how much weight during pregnancy? - ✔✔✔ Correct Answer > 11 - 20 pounds Overweight women should gain how much weight during pregnancy? - ✔✔✔ Correct Answer > 15 - 25 pounds Normal weight people should gain how much weight during pregnancy? - ✔✔✔ Correct Answer > 25 - 35 pounds Underweight people should gain how much weight during pregnancy? - ✔✔✔ Correct Answer > 28 - 40 pounds Pregnant women should increase their daily caloric intake by how many calories per day? - ✔✔✔ Correct Answer > 300 Immunizations are considered to be what level of prevention? - ✔✔✔ Correct Answer > primary
Children can start to ride a tricycle around age _____ - ✔✔✔ Correct Answer > 3 A gray or white ring present around the peripheral iris - ✔✔✔ Correct Answer > arcus senilis What causes arcus senilis? - ✔✔✔ Correct Answer > it is a normal, benign condition with aging, but can also occur in younger people as a result of high cholesterol and triglycerides How is a diagnosis of neuroblastoma confirmed? - ✔✔✔ Correct Answer > via serum catecholamine testing and a biopsy Are saturated or unsaturated fatty acids better for you? - ✔✔✔ Correct Answer > unsaturated Which patient populations are thalassemias most common in?
- ✔✔✔ Correct Answer > mediterranean countries (greece and turkey), asia, africa Is Meniere's disease most often unilateral or bilateral? - ✔✔✔ Correct Answer > unilateral
What does the murmur of Tet of Fallot sound like? - ✔✔✔ Correct Answer > harsh systolic murmur at the left upper sternal border What is a tet spell? - ✔✔✔ Correct Answer > when the child turns blue during crying or feeding How do we treat thrush in infants? - ✔✔✔ Correct Answer > application of nystatin to inside of the mouth, sterilize all pacifiers and bottle nipples; a topical antifungal may be applied to the nipples HMO and PPOs are called what? - ✔✔✔ Correct Answer > managed care plans TCAs can cause what worsened problem in a patient with BPH?
- ✔✔✔ Correct Answer > urinary retention Signs of a ruptured ovarian cyst - ✔✔✔ Correct Answer > nausea, vomiting, shoulder pain, fever Growing pains often start in what age group? - ✔✔✔ Correct Answer > 3 - 5
What antibiotics are considered safe in pregnancy? - ✔✔✔ Correct Answer > beta lactams (cephalosporins, amox, augmentin), nitrofurantoin, vancomycin, metronidazole, clindamycin, and fosfomycin an inflammation in the hip joint that causes pain, limp and sometimes refusal to bear weight. This occurs in pre-pubescent children and is the most common cause of hip pain. It occurs when a viral infection, such as an upper respiratory infection, moves to and settles in the hip joint. - ✔✔✔ Correct Answer > transient synovitis HCTZ can cause _________, whereas ACEI can cause _________
- ✔✔✔ Correct Answer > hypokalemia; hyperkalemia Hyperparathyroidism can cause what? - ✔✔✔ Correct Answer > hypercalcemia and thus, osteoporosis PID should improve after ____ of the antibiotic course. - ✔✔✔ Correct Answer > 3 days A loss of the central sulcus of the prostate on DRE is a sign of what? - ✔✔✔ Correct Answer > BPH
How is endometriosis diagnosed? - ✔✔✔ Correct Answer > via transvaginal ultrasound What are risk factors for the development of cervical cancer? - ✔✔✔ Correct Answer > HIV, immunocompromised, low socioeconomic status, smoking, hispanic, DES daughters, long term contraceptive use What does the D in melanoma stand for? - ✔✔✔ Correct Answer > greater than 6mm in diameter or 1/4 of an inch Boutonniere deformities are indicative of what disease? - ✔✔✔ Correct Answer > rheumatoid arthritis What are the potassium sparing diuretics? - ✔✔✔ Correct Answer > spironolactone, triamterene, amiloride, eplenerone What class of diuretic is bumetanide? - ✔✔✔ Correct Answer > a loop diuretic, same as lasix
What is Chovstek's sign? - ✔✔✔ Correct Answer > a contraction of ipsilateral facial muscles subsequent to percussion over the facial nerve, indicative of hypocalcemia What is Trousseau's sign? - ✔✔✔ Correct Answer > a carpopedal spasm induced by ischemia secondary to the inflation of a sphygmomanometer cuff, indicative of hypocalcemia Calcium is in an inverse relationship with what electrolyte? - ✔✔✔ Correct Answer > phosphorous When you see the trigger word "christmas tree", what rash should you consider? - ✔✔✔ Correct Answer > pityriasis rosea What is the recommended treatment for pityriasis rosea? - ✔✔✔ Correct Answer > nothing; it is a viral rash and can last up to two months before clearing on it's own Causing harm or damage - ✔✔✔ Correct Answer > deleterious
Are Parkinsonian tremors unilateral or bilateral at first? - ✔✔✔ Correct Answer > unilateral Where is the TMJ best palpated? - ✔✔✔ Correct Answer > anterior to the tragus What are the primary bacteria in dog bites? - ✔✔✔ Correct Answer > staph, strep, and pasteurella What is the gold standard treatment of giant cell arteritis? - ✔✔✔ Correct Answer > oral steroids and potential artery biopsy by rheum Who is a candidate for Truvada for Prep? - ✔✔✔ Correct Answer > if you are an IV drug user, have had a sexual partner with HIV in the last 6 months, do not consistently use a condom and engage in anal or vaginal sex, or have been diagnosed with a STD in the last 6 months Post exposure prophylaxis for someone with HIV should be completed when? - ✔✔✔ Correct Answer > within 72 hours of the exposure
Who should be screened for HIV? - ✔✔✔ Correct Answer > everyone at least once from age 13-64 if low risk, and then more frequently if high risk Should patients undergo gonorrhea testing to confirm a cure after receiving treatment? - ✔✔✔ Correct Answer > only if they had pharyngeal gonorrhea, not vaginal or anal Tanner stage 1 female breast developmental - ✔✔✔ Correct Answer > prepubertal Tanner stage 2 female breast development - ✔✔✔ Correct Answer > thelarche; the breasts bud as a small mound and the areola increases in diameter Tanner stage 3 female breast development - ✔✔✔ Correct Answer > the areola, breast, and nipple grow together in one mount Tanner stage 4 female breast development - ✔✔✔ Correct Answer > the areola and nipple separate from the breast to form a secondary mound
Antibiotic of choice for cellulitis - ✔✔✔ Correct Answer > keflex or cefdinir Antibiotic of choice for chlamydia - ✔✔✔ Correct Answer > azithromycin Antibiotic of choice for syphilis - ✔✔✔ Correct Answer > penicillin G Antibiotic of choice for bacterial vaginosis - ✔✔✔ Correct Answer > flagyl Antibiotic of choice for trichomoniasis - ✔✔✔ Correct Answer > flagyl Antibiotic of choice for acute prostatitis - ✔✔✔ Correct Answer > cipro (or ceftriaxone if STI related) Antibiotic of choice for PID - ✔✔✔ Correct Answer > ceftriaxone and doxycycline Antibiotic of choice for pyelonephritis - ✔✔✔ Correct
Answer > cephalexin or bactrim Antibiotic of choice for MRSA - ✔✔✔ Correct Answer > bactrim, clindamycin, doxycycline Antibiotic of choice for dog or cat bite - ✔✔✔ Correct Answer > augmentin Antibiotic of choice for mastitis - ✔✔✔ Correct Answer > keflex Antibiotic of choice for chronic bacterial prostatitis - ✔✔✔ Correct Answer > bactrim plus cipro or levo What is the earliest sign of diabetic nephropathy on labwork? - ✔✔✔ Correct Answer > microalbuminuria in the urine Recommended treatment for verruca (warts) - ✔✔✔ Correct Answer > topical salicylic acid daily x 12 weeks Perineal pain is indicative of what in males? - ✔✔✔ Correct Answer > prostatitis
