APEA
APEA Predictor Exam Questions and 100% Correct Answers
with Rationales – High-Yield 360 Q&A
Gradegurus
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,📝 APEA Predictor Exam Sample Questions
1. A 32-year-old woman presents with sudden right
lower quadrant pain, nausea, and low-grade fever.
Exam shows rebound tenderness. Most likely
diagnosis?
A) Ovarian cyst rupture
B) Acute appendicitis
C) Ectopic pregnancy
D) Pelvic inflammatory disease
Correct Answer: B) Acute appendicitis
Rationale: Classic RLQ pain with rebound tenderness
and systemic symptoms indicates appendicitis. Other
options may mimic, but location and signs point to
appendicitis.
2. A 10-year-old child has fever, sore throat, and
sandpaper-like rash on trunk. Causative organism?
A) Staphylococcus aureus
B) Group A Streptococcus
C) Haemophilus influenzae
D) Epstein-Barr virus
Correct Answer: B) Group A Streptococcus
Rationale: Scarlet fever is caused by Group A
Streptococcus; features include pharyngitis, fever, and
fine erythematous rash.
3. 58-year-old man with type 2 diabetes, polyuria,
polydipsia, blurred vision. HbA1c 9.5%. Next
,step?
A) Observe and recheck labs in 3 months
B) Intensify glycemic control with lifestyle and meds
C) Start antibiotics
D) Schedule cardiac stress test
, Correct Answer: B) Intensify glycemic control with lifestyle and meds
Rationale: HbA1c >9% indicates poor control; therapy must be intensified.
4. 25-year-old woman, 2 weeks postpartum, sudden
dyspnea and pleuritic chest pain. Most urgent
consideration?
A) Asthma exacerbation
B) Pulmonary embolism
C) Pneumonia
D) Myocardial infarction
Correct Answer: B) Pulmonary embolism
Rationale: Postpartum hypercoagulability + sudden dyspnea = high risk for
PE.
5. 6-year-old with fever, cough, coarse crackles,
WBC 15,000/mm³. Empiric antibiotic for
community-acquired pneumonia?
A) Azithromycin
B) Amoxicillin
C) Ciprofloxacin
D) Trimethoprim-sulfamethoxazole
Correct Answer: B) Amoxicillin
Rationale: First-line empiric therapy in healthy children is amoxicillin.
6. 70-year-old man with crushing chest pain
radiating to jaw, sweating, nausea. ECG shows ST
elevation in leads II, III, aVF. Next step?
A) Administer sublingual nitroglycerin and discharge
B) Emergent PCI
APEA Predictor Exam Questions and 100% Correct Answers
with Rationales – High-Yield 360 Q&A
Gradegurus
➢
➢
➢
➢
,📝 APEA Predictor Exam Sample Questions
1. A 32-year-old woman presents with sudden right
lower quadrant pain, nausea, and low-grade fever.
Exam shows rebound tenderness. Most likely
diagnosis?
A) Ovarian cyst rupture
B) Acute appendicitis
C) Ectopic pregnancy
D) Pelvic inflammatory disease
Correct Answer: B) Acute appendicitis
Rationale: Classic RLQ pain with rebound tenderness
and systemic symptoms indicates appendicitis. Other
options may mimic, but location and signs point to
appendicitis.
2. A 10-year-old child has fever, sore throat, and
sandpaper-like rash on trunk. Causative organism?
A) Staphylococcus aureus
B) Group A Streptococcus
C) Haemophilus influenzae
D) Epstein-Barr virus
Correct Answer: B) Group A Streptococcus
Rationale: Scarlet fever is caused by Group A
Streptococcus; features include pharyngitis, fever, and
fine erythematous rash.
3. 58-year-old man with type 2 diabetes, polyuria,
polydipsia, blurred vision. HbA1c 9.5%. Next
,step?
A) Observe and recheck labs in 3 months
B) Intensify glycemic control with lifestyle and meds
C) Start antibiotics
D) Schedule cardiac stress test
, Correct Answer: B) Intensify glycemic control with lifestyle and meds
Rationale: HbA1c >9% indicates poor control; therapy must be intensified.
4. 25-year-old woman, 2 weeks postpartum, sudden
dyspnea and pleuritic chest pain. Most urgent
consideration?
A) Asthma exacerbation
B) Pulmonary embolism
C) Pneumonia
D) Myocardial infarction
Correct Answer: B) Pulmonary embolism
Rationale: Postpartum hypercoagulability + sudden dyspnea = high risk for
PE.
5. 6-year-old with fever, cough, coarse crackles,
WBC 15,000/mm³. Empiric antibiotic for
community-acquired pneumonia?
A) Azithromycin
B) Amoxicillin
C) Ciprofloxacin
D) Trimethoprim-sulfamethoxazole
Correct Answer: B) Amoxicillin
Rationale: First-line empiric therapy in healthy children is amoxicillin.
6. 70-year-old man with crushing chest pain
radiating to jaw, sweating, nausea. ECG shows ST
elevation in leads II, III, aVF. Next step?
A) Administer sublingual nitroglycerin and discharge
B) Emergent PCI
