APEA PREDICTOR EXAM PRACTICE
ASSESSMENT 2026 CERTIFICATION
◉ Dawn phenomenon. Answer: Early morning glucose elevation
produced by the release of growth hormone, which decreases
peripheral uptake of glucose resulting in elevated morning glucose
levels. Admin of insulin at a later time in day will coordinate insulin
peak with the hormone release.
◉ digoxin (Lanoxin). Answer: for 10 years. Her EKG is showing a
new onset of atrial fibrillation. Her pulse is 64 beats/min - ansOrder
a serum thyroid-stimulating hormone (TSH), digoxin level, and an
electrolyte panel
◉ Diverticulosis. Answer: pouch-like herniations of colon into
muscularis layer, esp. sigmoid colon; symptoms minimal, possible
rectal bleeding
◉ Diverticulitis. Answer: inflammation of diverticula, may cause
abscess; pain, cramping of lower left Q, nausea/vomiting, slight
fever, increased WBC; complications - bowel obstruction, perforation
with peritonitis, hemorrhage
◉ Red flag. Answer: back pain
,◉ low-pitched diastolic murmur. Answer: grade 2/6 is auscultated.
It is located on the fifth intercostal space (ICS) on the left side of the
midclavicular line. Which of the following identifications is correct? -
ansMitral stenosis
◉ first grade intensity that a thrill can be palpated. Answer: ansg4
◉ dysuria. Answer: Order a urinalysis and urine for culture and
sensitivity (C&S), and treat the patient with antibiotics
◉ enterobiasis infection. Answer: in a 6-year-old girl pin worms -
ansscotch tape
◉ Evidence of blood in the urine. Answer: can be seen with kidney
stones, bladder cancer, and acute pyelonephritis.
◉ Extreme tenderness and involuntary guarding at McBurney's
point. Answer: is a significant finding for possible: - ansAcute
appendicitis
◉ prediabetes. Answer: look for an A1C between 5.7% to 6.4%,
fasting plasma glucose (FPG) of 100 to 125 mg/dL, and/or 75-g oral
glucose tolerance test (OGTT) 2-hour postprandial glucose of 140 to
199 mg/dL
,◉ Grey-Turner's sign. Answer: is highly suggestive of which of the
following conditions? Acute pancreatitis
◉ Hashimoto's thyroiditis. Answer: Anti-thyroid peroxidase and
anti-thyroglobulin antibodies
◉ Heart Failure Clinical Signs and Symptoms. Answer: Crackles, S3
and/or S4, Peripheral edema may be present
◉ heart murmurs. Answer: are caused by turbulent blood flow
through the great vessels or across a heart valve occurs
◉ HEAVY chest pressure. Answer: anscall 911
◉ hf med. Answer: ansace arb
◉ htn stop. Answer: ansnsaids naproxen
◉ hyperbilirubinemia. Answer: ans2-3 days after birth
◉ Hypocalcemia. Answer: ansChvostek's sign
, ◉ IBS (irritable bowel syndrome). Answer: Diarrhea and/or
constipation, Abdominal pain relief after defecation, Mucus with
stools
◉ Zollinger-Ellison syndrome. Answer: If left untreated, it can cause
severe ulceration of the stomach or duodenum
◉ If Mrs. Boudreaux were to develop heart failure. Answer: which
medications would be most beneficial to discontinue? Select all that
apply - ansamlodopine, naproxine
◉ If pravastatin is chosen for Mr. Thibodeaux. Answer: how would
you manage this? Select all that apply. - ansCheck liver enzymes
prior to initiation of statin. Start him on 40 mg today and recheck
lipids/LFTs in 8 weeks.
◉ Koilonychia. Answer: is also known as spoon-shaped nails. The
finger nails are thin and have a concave shape. Koilonychia is
associated with severe iron-deficiency anemia.
◉ labyrinthitis or vestibular neuritis. Answer: except: -
ansSymptoms provoked by changes in head position, Vertigo with
nausea and vomiting, Nystagmus
◉ Microaneurysms. Answer: are seen with diabetic retinopathy.
ASSESSMENT 2026 CERTIFICATION
◉ Dawn phenomenon. Answer: Early morning glucose elevation
produced by the release of growth hormone, which decreases
peripheral uptake of glucose resulting in elevated morning glucose
levels. Admin of insulin at a later time in day will coordinate insulin
peak with the hormone release.
◉ digoxin (Lanoxin). Answer: for 10 years. Her EKG is showing a
new onset of atrial fibrillation. Her pulse is 64 beats/min - ansOrder
a serum thyroid-stimulating hormone (TSH), digoxin level, and an
electrolyte panel
◉ Diverticulosis. Answer: pouch-like herniations of colon into
muscularis layer, esp. sigmoid colon; symptoms minimal, possible
rectal bleeding
◉ Diverticulitis. Answer: inflammation of diverticula, may cause
abscess; pain, cramping of lower left Q, nausea/vomiting, slight
fever, increased WBC; complications - bowel obstruction, perforation
with peritonitis, hemorrhage
◉ Red flag. Answer: back pain
,◉ low-pitched diastolic murmur. Answer: grade 2/6 is auscultated.
It is located on the fifth intercostal space (ICS) on the left side of the
midclavicular line. Which of the following identifications is correct? -
ansMitral stenosis
◉ first grade intensity that a thrill can be palpated. Answer: ansg4
◉ dysuria. Answer: Order a urinalysis and urine for culture and
sensitivity (C&S), and treat the patient with antibiotics
◉ enterobiasis infection. Answer: in a 6-year-old girl pin worms -
ansscotch tape
◉ Evidence of blood in the urine. Answer: can be seen with kidney
stones, bladder cancer, and acute pyelonephritis.
◉ Extreme tenderness and involuntary guarding at McBurney's
point. Answer: is a significant finding for possible: - ansAcute
appendicitis
◉ prediabetes. Answer: look for an A1C between 5.7% to 6.4%,
fasting plasma glucose (FPG) of 100 to 125 mg/dL, and/or 75-g oral
glucose tolerance test (OGTT) 2-hour postprandial glucose of 140 to
199 mg/dL
,◉ Grey-Turner's sign. Answer: is highly suggestive of which of the
following conditions? Acute pancreatitis
◉ Hashimoto's thyroiditis. Answer: Anti-thyroid peroxidase and
anti-thyroglobulin antibodies
◉ Heart Failure Clinical Signs and Symptoms. Answer: Crackles, S3
and/or S4, Peripheral edema may be present
◉ heart murmurs. Answer: are caused by turbulent blood flow
through the great vessels or across a heart valve occurs
◉ HEAVY chest pressure. Answer: anscall 911
◉ hf med. Answer: ansace arb
◉ htn stop. Answer: ansnsaids naproxen
◉ hyperbilirubinemia. Answer: ans2-3 days after birth
◉ Hypocalcemia. Answer: ansChvostek's sign
, ◉ IBS (irritable bowel syndrome). Answer: Diarrhea and/or
constipation, Abdominal pain relief after defecation, Mucus with
stools
◉ Zollinger-Ellison syndrome. Answer: If left untreated, it can cause
severe ulceration of the stomach or duodenum
◉ If Mrs. Boudreaux were to develop heart failure. Answer: which
medications would be most beneficial to discontinue? Select all that
apply - ansamlodopine, naproxine
◉ If pravastatin is chosen for Mr. Thibodeaux. Answer: how would
you manage this? Select all that apply. - ansCheck liver enzymes
prior to initiation of statin. Start him on 40 mg today and recheck
lipids/LFTs in 8 weeks.
◉ Koilonychia. Answer: is also known as spoon-shaped nails. The
finger nails are thin and have a concave shape. Koilonychia is
associated with severe iron-deficiency anemia.
◉ labyrinthitis or vestibular neuritis. Answer: except: -
ansSymptoms provoked by changes in head position, Vertigo with
nausea and vomiting, Nystagmus
◉ Microaneurysms. Answer: are seen with diabetic retinopathy.
