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APEA PRE PREDICTOR EXAM LATEST 2024- 2025
ACTUAL EXAM COMPLETE 1770 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
What is the biggest side effect of colchicine? - Correct Answers_diarrhea What is the biggest side effect of colchicine? - Correct Answers_diarrhea How would you describe the appearance of molluscum contagiosum? - Correct Answers_papules that are umbilicated and contain a caseous plug How would you describe the appearance of molluscum contagiosum? - Correct Answers_papules that are umbilicated and contain a caseous plug How do we treat a broken clavicle in an infant? - Correct Answers_no treatment; it should heal on it's own How do we treat a broken clavicle in an infant? - Correct Answers_no treatment; it should heal on it's own At what week of pregnancy is the uterus palpable just above the pubic symphysis? - Correct Answers_week 12 At what week of pregnancy is the uterus palpable just above the pubic symphysis? - Correct Answers_week 12
At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and umbilicus? - Correct Answers_week 16 At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and umbilicus? - Correct Answers_week 16 At what week of pregnancy is the fundus of the uterus at the umbilicus? - Correct Answers_week 20 At what week of pregnancy is the fundus of the uterus at the umbilicus? - Correct Answers_week 20 At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and umbilicus? - Correct Answers_week 28 At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and umbilicus? - Correct Answers_week 28 At what week of pregnancy is the fundus just below the xiphoid process? - Correct Answers_week 34 At what week of pregnancy is the fundus just below the xiphoid process? - Correct Answers_week 34 Increased sweat production is a sign of what endocrine disorder? - Correct Answers_hyperthyroidism Increased sweat production is a sign of what endocrine disorder? - Correct Answers_hyperthyroidism
When should patients begin antiretroviral therapy for HIV infection? - Correct Answers_as soon as it is detected, even if in the acute phase What are the first generation antihistamines? - Correct Answers_diphenhydramine (benadryl) and chlorpeniramine (actifed) What are the first generation antihistamines? - Correct Answers_diphenhydramine (benadryl) and chlorpeniramine (actifed) What are s/s of the secondary stage of syphilis? - Correct Answers_rash on hands and feet, lymphadenopathy, fever What are s/s of the secondary stage of syphilis? - Correct Answers_rash on hands and feet, lymphadenopathy, fever What is the recommended treatment for chronic bacterial prostatitis? - Correct Answers_a fluoroquinolone (cipro or levo) + bactrim What is the recommended treatment for chronic bacterial prostatitis? - Correct Answers_a fluoroquinolone (cipro or levo) + bactrim What is the recommended treatment for acute prostatitis? - Correct Answers_cipro (if not STI related) or ceftriaxone What is the recommended treatment for acute prostatitis? - Correct Answers_cipro (if not STI related) or ceftriaxone What are s/s of an intraductal breast papilloma? - Correct Answers_clear to bloody unilateral nipple discharge (bilateral is usually benign), and also a wart like lump palpated in the nipple area
What are s/s of an intraductal breast papilloma? - Correct Answers_clear to bloody unilateral nipple discharge (bilateral is usually benign), and also a wart like lump palpated in the nipple area If a patient has GABHS but has an allergy to penicillins, what is the second line option? - Correct Answers_first generation cephalosporins, unless the allergy is severe, then you would consider macrolides like a - mycin If a patient has GABHS but has an allergy to penicillins, what is the second line option? - Correct Answers_first generation cephalosporins, unless the allergy is severe, then you would consider macrolides like a - mycin PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient populations? - Correct Answers_in those who are on any type of nitrate or triptan because it could result in hypotension PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient populations? - Correct Answers_in those who are on any type of nitrate or triptan because it could result in hypotension What class of drug is sildenafil (viagra)? - Correct Answers_a PDE5 inhibitor which can cause hypotension so you should do a full cardiac assessment before starting a patient on this and maybe do an EKG What class of drug is sildenafil (viagra)? - Correct Answers_a PDE5 inhibitor which can cause hypotension so you should do a full cardiac assessment before starting a patient on this and maybe do an EKG What are the symptoms of peripheral artery disease? - Correct Answers_think P meaning pain, A meaning absent or weak pulses, eschar or shiny legs, intermittent claudication What are the symptoms of peripheral artery disease? - Correct Answers_think P meaning pain, A meaning absent or weak pulses, eschar or shiny legs, intermittent claudication
If a patient is on Coumadin but then they may need to go on an antibiotic for an infection and Bactrim is the drug of choice, what should you do? - Correct Answers_Bactrim increases INR so we would want to decrease the coumadin dose while the patient is on this If a patient is on Coumadin but then they may need to go on Rifampin, what should you do?
- Correct Answers_Rifampin decreases INR so we'd want to increase the coumadin dose If a patient is on Coumadin but then they may need to go on Rifampin, what should you do?
- Correct Answers_Rifampin decreases INR so we'd want to increase the coumadin dose If a patient on coumadin's INR is 3.1- 4 ,what should you do? - Correct Answers_decrease the weekly dose by 5 - 10% If a patient on coumadin's INR is 3.1- 4 ,what should you do? - Correct Answers_decrease the weekly dose by 5 - 10% If a patient on coumadin's INR is 4.1-5.0, what should you do? - Correct Answers_hold one dose then decrease the weekly dose by 10% If a patient on coumadin's INR is 4.1-5.0, what should you do? - Correct Answers_hold one dose then decrease the weekly dose by 10% If a patient's INR is greater than 5, what should you do? - Correct Answers_consult cards, likely would hold two doses then decrease the weekly dose If a patient's INR is greater than 5, what should you do? - Correct Answers_consult cards, likely would hold two doses then decrease the weekly dose An anorexic patient will have a BMI of what? - Correct Answers_less than 18 An anorexic patient will have a BMI of what? - Correct Answers_less than 18
What is primary amenorrhea? - Correct Answers_when the patient has never gotten their period before (there is an absence of menarche) but they have all of their secondary sex characteristics What is primary amenorrhea? - Correct Answers_when the patient has never gotten their period before (there is an absence of menarche) but they have all of their secondary sex characteristics Secondary amenorrhea is a lack of menses after _________ of not having a period; but you have had one before - Correct Answers_3 months Secondary amenorrhea is a lack of menses after _________ of not having a period; but you have had one before - Correct Answers_3 months What do we need to do first when a patient comes in with secondary amenorrhea? - Correct Answers_rule out pregnancy What do we need to do first when a patient comes in with secondary amenorrhea? - Correct Answers_rule out pregnancy Anorexia can put you at risk for what? - Correct Answers_osteoporosis, amenorrhea, cardiac damage Anorexia can put you at risk for what? - Correct Answers_osteoporosis, amenorrhea, cardiac damage Amenorrhea is considered a risk factor for what? - Correct Answers_osteoporosis Amenorrhea is considered a risk factor for what? - Correct Answers_osteoporosis
Preeclampsia most commonly shows up at what time in pregnancy? - Correct Answers_around week 20 Preeclampsia most commonly shows up at what time in pregnancy? - Correct Answers_around week 20 How do we treat UTIs in a pregnant woman? - Correct Answers_can either do penicillin, cephalosporin, or a macrolide (can NOT do doxy or a fluoroquinolone) How do we treat UTIs in a pregnant woman? - Correct Answers_can either do penicillin, cephalosporin, or a macrolide (can NOT do doxy or a fluoroquinolone) When do fibrocystic breasts tend to flare up and cause tenderness and lumps? - Correct Answers_about 10 days before menses When do fibrocystic breasts tend to flare up and cause tenderness and lumps? - Correct Answers_about 10 days before menses What can be a sequelae of an ectopic pregnancy? - Correct Answers_pelvic inflammatory disease and infertility due to scarring of the fallopian tube (salpingitis) What can be a sequelae of an ectopic pregnancy? - Correct Answers_pelvic inflammatory disease and infertility due to scarring of the fallopian tube (salpingitis) What is the Coomb's test and when is this completed? - Correct Answers_test given 8 weeks in to pregnancy to determine a woman's RH compatibility What is the Coomb's test and when is this completed? - Correct Answers_test given 8 weeks in to pregnancy to determine a woman's RH compatibility
If a patient's Coomb's test is positive, what do we do? - Correct Answers_nothing, she is RH positive so we do not need to treat If a patient's Coomb's test is positive, what do we do? - Correct Answers_nothing, she is RH positive so we do not need to treat If a patient's Coomb's test is negative, what do we do? - Correct Answers_give rhogam at 28 weeks and 72 hours after birth If a patient's Coomb's test is negative, what do we do? - Correct Answers_give rhogam at 28 weeks and 72 hours after birth What is the only form of non-hormonal contraception other than barrier methods such as condoms? - Correct Answers_IUD What is the only form of non-hormonal contraception other than barrier methods such as condoms? - Correct Answers_IUD The vaginal ring for contraception must be taken out how often? - Correct Answers_every 3 weeks The vaginal ring for contraception must be taken out how often? - Correct Answers_every 3 weeks If a patient is on birth control and is currently having breakthrough bleeding, then what do we do? - Correct Answers_increase the progesterone If a patient is on birth control and is currently having breakthrough bleeding, then what do we do? - Correct Answers_increase the progesterone How do we treat temporal arteritis? - Correct Answers_steroids
When do we screen for group B strep in pregnancy? - Correct Answers_weeks 35 - 37 When do we perform alpha fetoprotein screening in pregnancy? - Correct Answers_15- 20 weeks When do we perform alpha fetoprotein screening in pregnancy? - Correct Answers_15- 20 weeks Alpha fetoprotein screening in pregnancy can help determine the presence of what in pregnancy? - Correct Answers_spina bifida and anencephaly Alpha fetoprotein screening in pregnancy can help determine the presence of what in pregnancy? - Correct Answers_spina bifida and anencephaly What is placenta previa? - Correct Answers_when the placenta blocks the cervical opening of the uterus What is placenta previa? - Correct Answers_when the placenta blocks the cervical opening of the uterus What is placenta abruptio? - Correct Answers_when the placenta either fully or partially detaches from the uterine wall What is placenta abruptio? - Correct Answers_when the placenta either fully or partially detaches from the uterine wall When does placental abruption most commonly occur? - Correct Answers_in the third trimester When does placental abruption most commonly occur? - Correct Answers_in the third trimester
What is the major difference in symptomalogy between placenta abruptio and placenta previa? - Correct Answers_a placental abruption is painful whereas placenta previa is painless What is the major difference in symptomalogy between placenta abruptio and placenta previa? - Correct Answers_a placental abruption is painful whereas placenta previa is painless If a pregnant woman comes in with painless vaginal bleeding, what should we be considering? - Correct Answers_placenta previa If a pregnant woman comes in with painless vaginal bleeding, what should we be considering? - Correct Answers_placenta previa What is the recommended treatment for polymyalgia rheumatica? - Correct Answers_steroids What is the recommended treatment for polymyalgia rheumatica? - Correct Answers_steroids Patients with SLE are going to have what abnormal labwork? - Correct Answers_elevated ESR and CRP Patients with SLE are going to have what abnormal labwork? - Correct Answers_elevated ESR and CRP How do we treat lupus flares? - Correct Answers_steroids How do we treat lupus flares? - Correct Answers_steroids
What is the main characteristic of a slipped capital femoral epiphysis? - Correct Answers_walking with a limp What is the main characteristic of a slipped capital femoral epiphysis? - Correct Answers_walking with a limp SCFE is most common in which patient population? - Correct Answers_adolescents SCFE is most common in which patient population? - Correct Answers_adolescents What is legg-calve-perthe disease? - Correct Answers_avascular necrosis of the femoral head due to a lack of blood supply What is legg-calve-perthe disease? - Correct Answers_avascular necrosis of the femoral head due to a lack of blood supply Legg-calve-perthes disease is most common in which patient population? - Correct Answers_young children Legg-calve-perthes disease is most common in which patient population? - Correct Answers_young children What is the radiographic study of choice for the knee? - Correct Answers_MRI What is the radiographic study of choice for the knee? - Correct Answers_MRI What is the radiographic study of choice for the back? - Correct Answers_x ray What is the radiographic study of choice for the back? - Correct Answers_x ray
What is bursitis? - Correct Answers_a fluid collection in the bursa of a joint What is bursitis? - Correct Answers_a fluid collection in the bursa of a joint How is bursitis treated? - Correct Answers_a needle to instill intraarticular steroids and then pull off fluid How is bursitis treated? - Correct Answers_a needle to instill intraarticular steroids and then pull off fluid Bursitis can be a __________ issue - Correct Answers_recurrent Bursitis can be a __________ issue - Correct Answers_recurrent The medical term for knock knees - Correct Answers_genu valgum The medical term for knock knees - Correct Answers_genu valgum The medical term for bow legs - Correct Answers_genu varum The medical term for bow legs - Correct Answers_genu varum What is myasthenia gravis? - Correct Answers_an autoimmune disorder that causes muscle weakness of the voluntary muscles What is myasthenia gravis? - Correct Answers_an autoimmune disorder that causes muscle weakness of the voluntary muscles
When will spinal or lumbar stenosis feel better? - Correct Answers_when the patient sits down When will spinal or lumbar stenosis feel better? - Correct Answers_when the patient sits down What is Korsakoff syndrome? - Correct Answers_a deficiency in thiamine and folate caused by alcoholism What is Korsakoff syndrome? - Correct Answers_a deficiency in thiamine and folate caused by alcoholism What changes to the vagina occur with aging? - Correct Answers_dryness, loss of rugae, less pubic hair What changes to the vagina occur with aging? - Correct Answers_dryness, loss of rugae, less pubic hair What is a navicular fracture? - Correct Answers_also known as a scaphoid fracture; this impacts the snuff box and causes tenderness there. This will have to be casted to stabilize the fracture What is a navicular fracture? - Correct Answers_also known as a scaphoid fracture; this impacts the snuff box and causes tenderness there. This will have to be casted to stabilize the fracture Heberden and bouchard's nodes are indicative of what disease process? What about swan neck deformities? - Correct Answers_osteoarthritis; rheumatoid arthritis Heberden and bouchard's nodes are indicative of what disease process? What about swan neck deformities? - Correct Answers_osteoarthritis; rheumatoid arthritis
What is Morton's neuroma? - Correct Answers_a mass between the 3rd and 4th toes that feels like a pebble; most common in women who wear high heels or tight shoes What is Morton's neuroma? - Correct Answers_a mass between the 3rd and 4th toes that feels like a pebble; most common in women who wear high heels or tight shoes How is Morton's neuroma diagnosed? - Correct Answers_via a positive Muddler's or squeeze test causing pain How is Morton's neuroma diagnosed? - Correct Answers_via a positive Muddler's or squeeze test causing pain What is the hook test? - Correct Answers_used to assess for a bicep tendon issue What is the hook test? - Correct Answers_used to assess for a bicep tendon issue How do we treat any rotator cuff injuries? - Correct Answers_wear a sling to stabilize the arm and refer to ortho How do we treat any rotator cuff injuries? - Correct Answers_wear a sling to stabilize the arm and refer to ortho How long do migraine headaches last? - Correct Answers_4- 72 hours How long do migraine headaches last? - Correct Answers_4- 72 hours How can we abort cluster headaches? - Correct Answers_calcium or 100% oxygen application
