1
APEA Predictor Exam 2025–2026 – Complete
Practice Questions and Detailed Answer Guide
Cranial nerve IX - Correct Answer- Glossopharyngeal-
swallowing and rise of the palate, gag reflex
Cranial Nerve VIII - Correct Answer- Acoustic (Hearing and
balance)
Cranial Nerve XI - Correct Answer- Spinal Accessory (upper
trapezius)
Deep tendon reflex - Correct Answer- Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale - Correct Answer- CHADS2
C-Congestive heart failure
H-Hypertension
A-Age >75 years
1
, 2
D- Diabetes
S-prior Stroke/TIA
In the majority of children, the first permanent teeth start to
erupt at the age of 6 years. Which of the following are the first
permanent teeth to erupt in this time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines - Correct Answer- A. First Molars
All of the following are classified as activities of daily living
(ADLs) except:
A. ability to feed self
B. Ability to manage bladder and bowel elimination
C. Personal hygiene and grooming
D. Grocery Shopping - Correct Answer- D. Grocery shopping
You note the following result on a routine urinalysis of a 37-
year old primigravida who is at 30 weeks gestation.
Leukocyte=trace, nitrite=negative, protein=2+,
blood=negative. Her weight has increased by 5 lbs during the
past week. Which of the following is most likely?
2
, 3
A.HELLP syndrome
B. Pregnancy-induced hypertension (pre-eclampsia)
C. Eclampsia of pregnancy
D. Primary hypertension - Correct Answer- B. Pregnancy-
induced hypertension (pre-eclampsia). Classic triad of
symptoms of preeclampsia include hypertension, edema
(weight gain), and proteinuria.
The mother of a 12 month old infant reports to the nurse
practitioner that her child had a high fever for several days,
which spontaneously resolved. After the fever resolved, the
child developed a maculopapular rash. Which of the following
is the most likely diagnosis?
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes - Correct Answer- B.
Roseola Infantum (Exanthema subitum)
A 70-year old male patient complains of a bright red-colored
spot in his left eye for 2 days. He denies eye pain, visual
changes, or headaches. He has a new onset of cough from a
recent viral upper respiratory infection. The only medicine he
is on Bayer aspirin, 1 tablet a day. Which of the following is
most likely?
3
, 4
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - Correct Answer- D.
Subconjunctival hemorrhage. Bright red blood in a sharply
defined area surrounded by normal-appearing conjunctiva
indicates subconjunctival hemorrhage.
A woman is being evaluated by the nurse practitioner for
complaints of dyspareunia. A microscopy slide reveals a large
number of atrophic squamous epithelial cells. The vaginal pH
is 4.0. There are very few leukocytes and no RBCs are seen
on the wet smear. Which of the following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding. - Correct Answer- A. Atrophic
vaginitis. Symptoms of atrophic vaginitis include painful
intercourse, atrophic squamous epithelial cells, and a decrease
in pH. Vaginal atrophy is caused by lack of or imbalance of
estrogen. Normal pH of the vagina is 4.0-5.0 (acidic)
The most common type of skin malignancy is:
A. Squamous cell cancer
4
APEA Predictor Exam 2025–2026 – Complete
Practice Questions and Detailed Answer Guide
Cranial nerve IX - Correct Answer- Glossopharyngeal-
swallowing and rise of the palate, gag reflex
Cranial Nerve VIII - Correct Answer- Acoustic (Hearing and
balance)
Cranial Nerve XI - Correct Answer- Spinal Accessory (upper
trapezius)
Deep tendon reflex - Correct Answer- Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale - Correct Answer- CHADS2
C-Congestive heart failure
H-Hypertension
A-Age >75 years
1
, 2
D- Diabetes
S-prior Stroke/TIA
In the majority of children, the first permanent teeth start to
erupt at the age of 6 years. Which of the following are the first
permanent teeth to erupt in this time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines - Correct Answer- A. First Molars
All of the following are classified as activities of daily living
(ADLs) except:
A. ability to feed self
B. Ability to manage bladder and bowel elimination
C. Personal hygiene and grooming
D. Grocery Shopping - Correct Answer- D. Grocery shopping
You note the following result on a routine urinalysis of a 37-
year old primigravida who is at 30 weeks gestation.
Leukocyte=trace, nitrite=negative, protein=2+,
blood=negative. Her weight has increased by 5 lbs during the
past week. Which of the following is most likely?
2
, 3
A.HELLP syndrome
B. Pregnancy-induced hypertension (pre-eclampsia)
C. Eclampsia of pregnancy
D. Primary hypertension - Correct Answer- B. Pregnancy-
induced hypertension (pre-eclampsia). Classic triad of
symptoms of preeclampsia include hypertension, edema
(weight gain), and proteinuria.
The mother of a 12 month old infant reports to the nurse
practitioner that her child had a high fever for several days,
which spontaneously resolved. After the fever resolved, the
child developed a maculopapular rash. Which of the following
is the most likely diagnosis?
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes - Correct Answer- B.
Roseola Infantum (Exanthema subitum)
A 70-year old male patient complains of a bright red-colored
spot in his left eye for 2 days. He denies eye pain, visual
changes, or headaches. He has a new onset of cough from a
recent viral upper respiratory infection. The only medicine he
is on Bayer aspirin, 1 tablet a day. Which of the following is
most likely?
3
, 4
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - Correct Answer- D.
Subconjunctival hemorrhage. Bright red blood in a sharply
defined area surrounded by normal-appearing conjunctiva
indicates subconjunctival hemorrhage.
A woman is being evaluated by the nurse practitioner for
complaints of dyspareunia. A microscopy slide reveals a large
number of atrophic squamous epithelial cells. The vaginal pH
is 4.0. There are very few leukocytes and no RBCs are seen
on the wet smear. Which of the following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding. - Correct Answer- A. Atrophic
vaginitis. Symptoms of atrophic vaginitis include painful
intercourse, atrophic squamous epithelial cells, and a decrease
in pH. Vaginal atrophy is caused by lack of or imbalance of
estrogen. Normal pH of the vagina is 4.0-5.0 (acidic)
The most common type of skin malignancy is:
A. Squamous cell cancer
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