APEA POST PREDICTOR
1) Which Medication can cause acute urinary retention in men with prostate enlargement?
A) Diphenhydramine
B) Levofloxacin
C) Tamsulosin
D) Tadalafil
2) A 5 Year old boy is brough in with lesions around the mouth and nose. If the presentation is impetigo,
the nurse practitioner would expect to find?
A) Fever and crusting of the lesions
B) petechiae and erythema at the lesion sites
C) bullae and crusting of the lesions
D) Macular and hypopigmented lesions
3) A 25 year old pregnant women is diagnosed with a UTI. The safest Antibiotic to treat this patient is?
A) Bactrim DS (Sulfamethoxazole/trimethoprim)
B) Nitrofurantoin (Macrodantin)
C) Ciprofloxacin
D) tetracycline
4) The cough associated with an angiotensin concerting enzyme (ACE) inhibitor:
A) resolves within a week after stopping the ACE inhibitor
B) does not recur if a different ACE inhibitor is used
C) will likely occur with an Angiotensin II receptor blocker
D) affects men more often than women (it effects more women then men)
,5) When discussing pertussis immunity with a pregnant woman, the nurse practitioner knows the
patient understands the necessity of receiving the vaccine if she states that:
A) Receiving the Pertussis vaccine while pregnant may cause birth defects
B) If I was vaccinated against pertussis as a child I don’t need it again
C) I should receive the Tdap immunization every 5 years
D) I need to receive the pertussis vaccination with each pregnancy
6) The use of NSAIDs in patients older than 65 may cause any of the following side effects. The most
serious side effect directly related to the inhibition of prostaglandin synthesis in this population is:
A) Impaired renal function
B) hepatotoxicity
C) gastritis
D) retinal vessel occlusion
7) A 4 month old was treated for gastroesophageal reflux with thickened formula and reflux positioning.
On return visit, the mother reports that the infant is more irritable than usual and has lost 8 ounces
within the past two weeks. The MOST effective medication for the short term treatment of reflux in this
infant would be:
A) Metoclopramide
B) sucrafate
C) omeprazole
D) sodium bicarbonate
8) As an adult patient is diagnosed with acute bacterial rhinosinusitis. He was treated with azithromycin
(Zithromax) 4 weeks ago for sore throat. He is allergic to penicillin. The nxt best treatment is:
A) Amoxicillin-clavulanate (Augmentin)
B) Ceftriaxone (Rocephin)
C) doxycycline
D) Ceruroxime (Zinacef)
, 9) The LEAST helpful sign and/or symptom in identifying urinary tract infections in verbal children is?
A) Lower Abdominal Pain
B) New onset urinary incontinence
C) Urinary Frequency
D) Fever
10) A 55 year old mans CBC reveals an elevated hemoglobin >18.5g/dL and a hematocrit >55,5%. The
nurse practitioner suspects polycythemia vera (PV) and anticipates these possible findings on physical
exam:
A) Fatigue, pruritis, erythromelagia, and splenomegaly
B) hepatomegaly, splenomegaly, peripheral vascular disease symptoms
C) abdominal distension, diminished bowel sounds, and diminished pedal pulses
D) dizziness, skin mottling, hypohidrosis, and halitosis
11) In evaluating a complaint of chronic headache, a fundoscopic exam may be performed to:
A) assess visual acuity
B) identify retinal abnormalities
C) assess for papilledema
D) identify CN VI abnormality
12) A 49 year old woman is complaining of tachypnea and pleuritic chest pain since returning from
Mexico on a 9 hour plane flight. Which test is most sensitive for confirming a diagnosis of pulmonary
embolism?
A) D-Dimer
B) CT scan
C) X-ray
D) PT/PTT
1) Which Medication can cause acute urinary retention in men with prostate enlargement?
A) Diphenhydramine
B) Levofloxacin
C) Tamsulosin
D) Tadalafil
2) A 5 Year old boy is brough in with lesions around the mouth and nose. If the presentation is impetigo,
the nurse practitioner would expect to find?
A) Fever and crusting of the lesions
B) petechiae and erythema at the lesion sites
C) bullae and crusting of the lesions
D) Macular and hypopigmented lesions
3) A 25 year old pregnant women is diagnosed with a UTI. The safest Antibiotic to treat this patient is?
A) Bactrim DS (Sulfamethoxazole/trimethoprim)
B) Nitrofurantoin (Macrodantin)
C) Ciprofloxacin
D) tetracycline
4) The cough associated with an angiotensin concerting enzyme (ACE) inhibitor:
A) resolves within a week after stopping the ACE inhibitor
B) does not recur if a different ACE inhibitor is used
C) will likely occur with an Angiotensin II receptor blocker
D) affects men more often than women (it effects more women then men)
,5) When discussing pertussis immunity with a pregnant woman, the nurse practitioner knows the
patient understands the necessity of receiving the vaccine if she states that:
A) Receiving the Pertussis vaccine while pregnant may cause birth defects
B) If I was vaccinated against pertussis as a child I don’t need it again
C) I should receive the Tdap immunization every 5 years
D) I need to receive the pertussis vaccination with each pregnancy
6) The use of NSAIDs in patients older than 65 may cause any of the following side effects. The most
serious side effect directly related to the inhibition of prostaglandin synthesis in this population is:
A) Impaired renal function
B) hepatotoxicity
C) gastritis
D) retinal vessel occlusion
7) A 4 month old was treated for gastroesophageal reflux with thickened formula and reflux positioning.
On return visit, the mother reports that the infant is more irritable than usual and has lost 8 ounces
within the past two weeks. The MOST effective medication for the short term treatment of reflux in this
infant would be:
A) Metoclopramide
B) sucrafate
C) omeprazole
D) sodium bicarbonate
8) As an adult patient is diagnosed with acute bacterial rhinosinusitis. He was treated with azithromycin
(Zithromax) 4 weeks ago for sore throat. He is allergic to penicillin. The nxt best treatment is:
A) Amoxicillin-clavulanate (Augmentin)
B) Ceftriaxone (Rocephin)
C) doxycycline
D) Ceruroxime (Zinacef)
, 9) The LEAST helpful sign and/or symptom in identifying urinary tract infections in verbal children is?
A) Lower Abdominal Pain
B) New onset urinary incontinence
C) Urinary Frequency
D) Fever
10) A 55 year old mans CBC reveals an elevated hemoglobin >18.5g/dL and a hematocrit >55,5%. The
nurse practitioner suspects polycythemia vera (PV) and anticipates these possible findings on physical
exam:
A) Fatigue, pruritis, erythromelagia, and splenomegaly
B) hepatomegaly, splenomegaly, peripheral vascular disease symptoms
C) abdominal distension, diminished bowel sounds, and diminished pedal pulses
D) dizziness, skin mottling, hypohidrosis, and halitosis
11) In evaluating a complaint of chronic headache, a fundoscopic exam may be performed to:
A) assess visual acuity
B) identify retinal abnormalities
C) assess for papilledema
D) identify CN VI abnormality
12) A 49 year old woman is complaining of tachypnea and pleuritic chest pain since returning from
Mexico on a 9 hour plane flight. Which test is most sensitive for confirming a diagnosis of pulmonary
embolism?
A) D-Dimer
B) CT scan
C) X-ray
D) PT/PTT
