APEA Pre-Predictor Exam 2026/2027 |
Questions and Answers | Advanced Practice
Education Associates NP Certification
Readiness
How should pregnant women wear their seatbelt? - ANSWERS-with the
shoulder strap like a normal person and then the groin strap below the belly
and across the hips
What is another name for fifth disease? - ANSWERS-parvovirus aka slapped
cheek disease aka erythema infectiosum
Which type of prevention are vaccinations? - ANSWERS-primary
When should patients begin antiretroviral therapy for HIV infection? -
ANSWERS-as soon as it is detected, even if in the acute phase
What are the first generation antihistamines? - ANSWERS-diphenhydramine
(benadryl) and chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis? - ANSWERS-rash on hands
and feet, lymphadenopathy, fever
What is the recommended treatment for chronic bacterial prostatitis? -
ANSWERS-a fluoroquinolone (cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis? - ANSWERS-cipro
(if not STI related) or ceftriaxone
,What are s/s of an intraductal breast papilloma? - ANSWERS-clear to bloody
unilateral nipple discharge (bilateral is usually benign), and also a wart like
lump palpated in the nipple area
What is the biggest side effect of colchicine? - ANSWERS-diarrhea
How would you describe the appearance of molluscum contagiosum? -
ANSWERS-papules that are umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant? - ANSWERS-no treatment; it
should heal on it's own
At what week of pregnancy is the uterus palpable just above the pubic
symphysis? - ANSWERS-week 12
At what week of pregnancy is the fundus palpable halfway between the pubic
symphysis and umbilicus? - ANSWERS-week 16
At what week of pregnancy is the fundus of the uterus at the umbilicus? -
ANSWERS-week 20
At what week of pregnancy is the fundus of the uterus halfway between the
xiphoid process and umbilicus? - ANSWERS-week 28
At what week of pregnancy is the fundus just below the xiphoid process? -
ANSWERS-week 34
Increased sweat production is a sign of what endocrine disorder? -
ANSWERS-hyperthyroidism
,What is Paget's disease? - ANSWERS-there is localized increased bone
turnover and blood flow resulting in the breakdown of bone and replacing it
with weakened and highly vascular bone putting the indiv at increased risk of
fractures
How do we treat Paget's diseease? - ANSWERS-bisphosphonates
If a patient has GABHS but has an allergy to penicillins, what is the second
line option? - 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? - 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)? - 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? - ANSWERS-think P
meaning pain, A meaning absent or weak pulses, eschar or shiny legs,
intermittent claudication
What is first line treatment for PAD? - ANSWERS-walking and physical
activity to improve circulation. second line is an aspirin or anti-platelet
What should we tell our patients with PAD NOT to do? - ANSWERS-do not
elevate the feet; keep them down
, How do we diagnose PAD? - ANSWERS-an ABI < 7; doppler can also be used
to diagnose as well but is the second choice
What are s/s of peripheral vascular disease? - ANSWERS-think V meaning
volume overload aka edema, may ache or be uncomfortable but is not
painful, bounding pulses, ruddy discoloration
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? -
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? - 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? - ANSWERS-
decrease the weekly dose by 5-10%
If a patient on coumadin's INR is 4.1-5.0, what should you do? - ANSWERS-
hold one dose then decrease the weekly dose by 10%
If a patient's INR is greater than 5, what should you do? - ANSWERS-consult
cards, likely would hold two doses then decrease the weekly dose
An anorexic patient will have a BMI of what? - ANSWERS-less than 18
What is primary amenorrhea? - 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
Questions and Answers | Advanced Practice
Education Associates NP Certification
Readiness
How should pregnant women wear their seatbelt? - ANSWERS-with the
shoulder strap like a normal person and then the groin strap below the belly
and across the hips
What is another name for fifth disease? - ANSWERS-parvovirus aka slapped
cheek disease aka erythema infectiosum
Which type of prevention are vaccinations? - ANSWERS-primary
When should patients begin antiretroviral therapy for HIV infection? -
ANSWERS-as soon as it is detected, even if in the acute phase
What are the first generation antihistamines? - ANSWERS-diphenhydramine
(benadryl) and chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis? - ANSWERS-rash on hands
and feet, lymphadenopathy, fever
What is the recommended treatment for chronic bacterial prostatitis? -
ANSWERS-a fluoroquinolone (cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis? - ANSWERS-cipro
(if not STI related) or ceftriaxone
,What are s/s of an intraductal breast papilloma? - ANSWERS-clear to bloody
unilateral nipple discharge (bilateral is usually benign), and also a wart like
lump palpated in the nipple area
What is the biggest side effect of colchicine? - ANSWERS-diarrhea
How would you describe the appearance of molluscum contagiosum? -
ANSWERS-papules that are umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant? - ANSWERS-no treatment; it
should heal on it's own
At what week of pregnancy is the uterus palpable just above the pubic
symphysis? - ANSWERS-week 12
At what week of pregnancy is the fundus palpable halfway between the pubic
symphysis and umbilicus? - ANSWERS-week 16
At what week of pregnancy is the fundus of the uterus at the umbilicus? -
ANSWERS-week 20
At what week of pregnancy is the fundus of the uterus halfway between the
xiphoid process and umbilicus? - ANSWERS-week 28
At what week of pregnancy is the fundus just below the xiphoid process? -
ANSWERS-week 34
Increased sweat production is a sign of what endocrine disorder? -
ANSWERS-hyperthyroidism
,What is Paget's disease? - ANSWERS-there is localized increased bone
turnover and blood flow resulting in the breakdown of bone and replacing it
with weakened and highly vascular bone putting the indiv at increased risk of
fractures
How do we treat Paget's diseease? - ANSWERS-bisphosphonates
If a patient has GABHS but has an allergy to penicillins, what is the second
line option? - 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? - 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)? - 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? - ANSWERS-think P
meaning pain, A meaning absent or weak pulses, eschar or shiny legs,
intermittent claudication
What is first line treatment for PAD? - ANSWERS-walking and physical
activity to improve circulation. second line is an aspirin or anti-platelet
What should we tell our patients with PAD NOT to do? - ANSWERS-do not
elevate the feet; keep them down
, How do we diagnose PAD? - ANSWERS-an ABI < 7; doppler can also be used
to diagnose as well but is the second choice
What are s/s of peripheral vascular disease? - ANSWERS-think V meaning
volume overload aka edema, may ache or be uncomfortable but is not
painful, bounding pulses, ruddy discoloration
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? -
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? - 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? - ANSWERS-
decrease the weekly dose by 5-10%
If a patient on coumadin's INR is 4.1-5.0, what should you do? - ANSWERS-
hold one dose then decrease the weekly dose by 10%
If a patient's INR is greater than 5, what should you do? - ANSWERS-consult
cards, likely would hold two doses then decrease the weekly dose
An anorexic patient will have a BMI of what? - ANSWERS-less than 18
What is primary amenorrhea? - 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
