APEA QBANK AANP CLINICAL
MANAGEMENT GUIDELINES CASE
SCENARIOS 2026 ADVANCED PRACTICE
A+
◉ 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 ___________.
Answer: Murphy's sign; cholecystitis
◉ What are names of LABA medications?
Answer: salmeterol
◉ What is encopresis in children?
Answer: stool incontinence after the age of being toilet trained
◉ The medical term for being cross-eyed
Answer: strabismus
◉ What is atopic dermatitis?
,Answer: eczema
◉ Tests used to diagnose developmental hip dysplasia
Answer: Barlow and Ortolani maneuvers
◉ What is the female athlete triad?
Answer: disordered eating, amenorrhea, osteoporosis
◉ How do patients with aortic regurgitation typically present?
Answer: 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?
Answer: 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?
Answer: a venous hum murmur and an S3
◉ When a headache accompanies a stroke, is this most often
hemorrhagic or ischemic?
,Answer: hemorrhagic
◉ AV nicking is most commonly seen on retinal exam of which
chronic condition?
Answer: hypertension
◉ Within 6 months of being started on a TCA or SSRI, what is a
common side effect that occurs?
Answer: weight gain
◉ When does otitis media with effusion usually occur?
Answer: 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
Answer: tinea cruris
◉ Tinea cruris "jock itch" is a common __________ infection and should
be treated with what?
Answer: fungal; OTC antifungal cream
, ◉ What are teaching points for males to avoid contracting tinea
cruris?
Answer: dry off after swimming and don't stay in a wet bathing suit
◉ Tinea cruris can affect the inner thighs but never what else?
Answer: the penis or scrotum
◉ On microscopic exam, what is most likely to be seen in the
presence of a bacterial infection?
Answer: cocci and rods
◉ On microscopic exam, what is most likely to be seen in the
presence of a candidal infection?
Answer: yeasts
◉ What are dermatophytes?
Answer: fungi
◉ On microscopic exam, what is most likely to be seen in the
presence of a dermatophytic (fungal) infection?
Answer: hyphae that are long, thin, and branching (such as in the
case of tinea pedis, tinea cruris, and tinea corporis)
MANAGEMENT GUIDELINES CASE
SCENARIOS 2026 ADVANCED PRACTICE
A+
◉ 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 ___________.
Answer: Murphy's sign; cholecystitis
◉ What are names of LABA medications?
Answer: salmeterol
◉ What is encopresis in children?
Answer: stool incontinence after the age of being toilet trained
◉ The medical term for being cross-eyed
Answer: strabismus
◉ What is atopic dermatitis?
,Answer: eczema
◉ Tests used to diagnose developmental hip dysplasia
Answer: Barlow and Ortolani maneuvers
◉ What is the female athlete triad?
Answer: disordered eating, amenorrhea, osteoporosis
◉ How do patients with aortic regurgitation typically present?
Answer: 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?
Answer: 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?
Answer: a venous hum murmur and an S3
◉ When a headache accompanies a stroke, is this most often
hemorrhagic or ischemic?
,Answer: hemorrhagic
◉ AV nicking is most commonly seen on retinal exam of which
chronic condition?
Answer: hypertension
◉ Within 6 months of being started on a TCA or SSRI, what is a
common side effect that occurs?
Answer: weight gain
◉ When does otitis media with effusion usually occur?
Answer: 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
Answer: tinea cruris
◉ Tinea cruris "jock itch" is a common __________ infection and should
be treated with what?
Answer: fungal; OTC antifungal cream
, ◉ What are teaching points for males to avoid contracting tinea
cruris?
Answer: dry off after swimming and don't stay in a wet bathing suit
◉ Tinea cruris can affect the inner thighs but never what else?
Answer: the penis or scrotum
◉ On microscopic exam, what is most likely to be seen in the
presence of a bacterial infection?
Answer: cocci and rods
◉ On microscopic exam, what is most likely to be seen in the
presence of a candidal infection?
Answer: yeasts
◉ What are dermatophytes?
Answer: fungi
◉ On microscopic exam, what is most likely to be seen in the
presence of a dermatophytic (fungal) infection?
Answer: hyphae that are long, thin, and branching (such as in the
case of tinea pedis, tinea cruris, and tinea corporis)
