APEA QBank AANP Review Review
Questions and Answers
Gestational diabetes screening occurs between what weeks gestation? -
ans 24-48
When you ask the patient to take a deep breath in and then palpate over the RUQ
abdomen. Positive when pain is elicited. This is a sign of ___________. -
ans Murphy's sign; cholecystitis
What are names of LABA medications? -
ans salmeterol
What is encopresis in children? -
ans stool incontinence after the age of being toilet trained
The medical term for being cross-eyed -
ans strabismus
What is atopic dermatitis? -
ans eczema
Tests used to diagnose developmental hip dysplasia -
ans Barlow and Ortolani maneuvers
What is the female athlete triad? -
ans disordered eating, amenorrhea, osteoporosis
How do patients with aortic regurgitation typically present? -
ans they will have a long asymptomatic period followed by exercise intolerance, then
dyspnea at rest. The left ventricle eventually fails unless the aortic valve is replaced.
What does the rash of fifth disease (a viral exanthem) look like? -
,ans maculopapular rash that blanches easily and may be accompanied by joint aches
What cardiac abnormalities are expected to be heard on auscultation of a pregnant
patient? -
ans a venous hum murmur and an S3
When a headache accompanies a stroke, is this most often hemorrhagic or ischemic? -
ans hemorrhagic
AV nicking is most commonly seen on retinal exam of which chronic condition? -
ans hypertension
Within 6 months of being started on a TCA or SSRI, what is a common side effect that
occurs? -
ans weight gain
When does otitis media with effusion usually occur? -
ans either before or after an episode of acute otitis media. This effusion is not infected
fluid but it is considered a breeding ground for bacteria. This should not be treated with
antibiotics.
The medical term for jock itch -
ans tinea cruris
Tinea cruris "jock itch" is a common __________ infection and should be treated with
what? -
ans fungal; OTC antifungal cream
What are teaching points for males to avoid contracting tinea cruris? -
ans dry off after swimming and don't stay in a wet bathing suit
Tinea cruris can affect the inner thighs but never what else? -
ans the penis or scrotum
On microscopic exam, what is most likely to be seen in the presence of a bacterial
infection? -
,ans cocci and rods
On microscopic exam, what is most likely to be seen in the presence of a candidal
infection? -
ans yeasts
What are dermatophytes? -
ans fungi
On microscopic exam, what is most likely to be seen in the presence of a dermatophytic
(fungal) infection? -
ans hyphae that are long, thin, and branching (such as in the case of tinea pedis, tinea
cruris, and tinea corporis)
The medical term for ringworm -
ans tinea corporis
What is the most common cause of viral pneumonia in peds? -
ans RSV
Viral pneumonia is the most common type of pneumonia in children of what ages? -
ans 6 months to 5 years
What is the simplest way to screen for nutritional adequacy in older adults? -
ans measure their weight
How are scabies treated? -
ans via permethrin and good hygiene
What are common side effects of NSAIDs? -
ans renal impairment, acute renal failure, gastritis
What is the most common cause of pernicious anemias? -
ans vitamin B12 deficiency
, How should oral iron supplements be taken? -
ans on an empty stomach with something acidic and high in calcium such as orange
juice
Group A strep pharyngitis can be accompanied by what symptoms other than the
classic Centor criteria? -
ans abdominal pain, nausea, and vomiting
A stool specimen that is positive for WBCs is a sign of what? -
ans a viral or bacterial infection
The only type of incontinence that would not benefit from pelvic floor therapy is what? -
ans overflow incontinence
What do the skin manifestations of a penicillin allergy look like? -
ans hives
What are symptoms that someone will experience as soon as they are started on a
SSRI and when will this resolve? -
ans headache, nausea, insomnia, restlessness, agitation; will resolve in 2 weeks
What causes the dry cough in people taking an ACEI? -
ans the buildup of bradykinin which is usually degraded by ACE
ACEI induced coughs usually begin how soon after starting the medication? -
ans within 2 weeks
COPD is often associated with what sequelae? -
ans anxiety and depression
When should an antiviral be started in a patient with shingles? -
ans within 72 hours of the onset of symptoms
What is the drug of choice for treating UTIs in male patients? -
ans bactrim for 7-10 days
Questions and Answers
Gestational diabetes screening occurs between what weeks gestation? -
ans 24-48
When you ask the patient to take a deep breath in and then palpate over the RUQ
abdomen. Positive when pain is elicited. This is a sign of ___________. -
ans Murphy's sign; cholecystitis
What are names of LABA medications? -
ans salmeterol
What is encopresis in children? -
ans stool incontinence after the age of being toilet trained
The medical term for being cross-eyed -
ans strabismus
What is atopic dermatitis? -
ans eczema
Tests used to diagnose developmental hip dysplasia -
ans Barlow and Ortolani maneuvers
What is the female athlete triad? -
ans disordered eating, amenorrhea, osteoporosis
How do patients with aortic regurgitation typically present? -
ans they will have a long asymptomatic period followed by exercise intolerance, then
dyspnea at rest. The left ventricle eventually fails unless the aortic valve is replaced.
What does the rash of fifth disease (a viral exanthem) look like? -
,ans maculopapular rash that blanches easily and may be accompanied by joint aches
What cardiac abnormalities are expected to be heard on auscultation of a pregnant
patient? -
ans a venous hum murmur and an S3
When a headache accompanies a stroke, is this most often hemorrhagic or ischemic? -
ans hemorrhagic
AV nicking is most commonly seen on retinal exam of which chronic condition? -
ans hypertension
Within 6 months of being started on a TCA or SSRI, what is a common side effect that
occurs? -
ans weight gain
When does otitis media with effusion usually occur? -
ans either before or after an episode of acute otitis media. This effusion is not infected
fluid but it is considered a breeding ground for bacteria. This should not be treated with
antibiotics.
The medical term for jock itch -
ans tinea cruris
Tinea cruris "jock itch" is a common __________ infection and should be treated with
what? -
ans fungal; OTC antifungal cream
What are teaching points for males to avoid contracting tinea cruris? -
ans dry off after swimming and don't stay in a wet bathing suit
Tinea cruris can affect the inner thighs but never what else? -
ans the penis or scrotum
On microscopic exam, what is most likely to be seen in the presence of a bacterial
infection? -
,ans cocci and rods
On microscopic exam, what is most likely to be seen in the presence of a candidal
infection? -
ans yeasts
What are dermatophytes? -
ans fungi
On microscopic exam, what is most likely to be seen in the presence of a dermatophytic
(fungal) infection? -
ans hyphae that are long, thin, and branching (such as in the case of tinea pedis, tinea
cruris, and tinea corporis)
The medical term for ringworm -
ans tinea corporis
What is the most common cause of viral pneumonia in peds? -
ans RSV
Viral pneumonia is the most common type of pneumonia in children of what ages? -
ans 6 months to 5 years
What is the simplest way to screen for nutritional adequacy in older adults? -
ans measure their weight
How are scabies treated? -
ans via permethrin and good hygiene
What are common side effects of NSAIDs? -
ans renal impairment, acute renal failure, gastritis
What is the most common cause of pernicious anemias? -
ans vitamin B12 deficiency
, How should oral iron supplements be taken? -
ans on an empty stomach with something acidic and high in calcium such as orange
juice
Group A strep pharyngitis can be accompanied by what symptoms other than the
classic Centor criteria? -
ans abdominal pain, nausea, and vomiting
A stool specimen that is positive for WBCs is a sign of what? -
ans a viral or bacterial infection
The only type of incontinence that would not benefit from pelvic floor therapy is what? -
ans overflow incontinence
What do the skin manifestations of a penicillin allergy look like? -
ans hives
What are symptoms that someone will experience as soon as they are started on a
SSRI and when will this resolve? -
ans headache, nausea, insomnia, restlessness, agitation; will resolve in 2 weeks
What causes the dry cough in people taking an ACEI? -
ans the buildup of bradykinin which is usually degraded by ACE
ACEI induced coughs usually begin how soon after starting the medication? -
ans within 2 weeks
COPD is often associated with what sequelae? -
ans anxiety and depression
When should an antiviral be started in a patient with shingles? -
ans within 72 hours of the onset of symptoms
What is the drug of choice for treating UTIs in male patients? -
ans bactrim for 7-10 days
