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Comprehensive Review for the APEA Predictor Exam: 300 Questions and Answers [Graded A+] [ Latest 2026]

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Comprehensive Review for the APEA Predictor Exam: 300 Questions and Answers [Graded A+] [ Latest 2026]

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1: Sickle Cell Anemia Pathophysiology

 Question: In sickle cell anemia, RBC sickling is initially reversible
with oxygenation. However, repeated episodes cause the cells to
become:
o A. Completely normal
o B. Irreversibly sickled
o C. Larger in size
o D. More flexible
 Answer: B. Irreversibly sickled. Repeated sickling episodes cause
irreversible damage to the red blood cell membrane, leading to
permanently sickled cells .

2: Phalen's Test for Carpal Tunnel Syndrome

 Question: The Phalen's sign is performed by asking the patient to:
o A. Place both elbows on a table while keeping both forearms
vertical and flexing both wrists
o B. Press the backs of their hands together

,o C. Extend their wrists and hold for 60 seconds
o D. Tap over the median nerve
 Answer: A. This test is used to assess for carpal tunnel syndrome
by flexing the wrists to compress the median nerve .

3: Fundal Height at 34 Weeks Gestation

 Question: At 34 weeks of gestation, the fundus of the uterus is
expected to be located:
o A. At the umbilicus
o B. Halfway between the umbilicus and the xiphoid process
o C. Just below the xiphoid process
o D. Just above the pubic symphysis
 Answer: C. Just below the xiphoid process. By 34 weeks, the
fundus typically reaches its highest point, just below the xiphoid
process .

4: Contraindication for Beta-Blockers

 Question: Which of the following is a contraindication for the use
of a non-selective beta-blocker like atenolol?
o A. A 43-year-old female with asthma
o B. A 55-year-old male with hypertension
o C. A 60-year-old with stable angina
o D. A 30-year-old with migraines
 Answer: A. A 43-year-old female with asthma. Beta-blockers
can cause bronchoconstriction and are generally contraindicated
in patients with reactive airway disease .

5: Risk Associated with Athletic Amenorrhea

, Question: A female athlete with amenorrhea is at increased risk
for:
o A. Anemia
o B. Osteoporosis
o C. Infertility
o D. Cardiac arrhythmias
 Answer: B. Osteoporosis. The hypoestrogenic state from
amenorrhea, especially combined with low energy availability,
significantly increases the risk of osteoporosis .

6: Fundal Height at 20 Weeks Gestation

 Question: At 20 weeks of gestation, the fundus of the uterus is
expected to be located:
o A. At the umbilicus
o B. Halfway between the umbilicus and the xiphoid process
o C. Just below the xiphoid process
o D. Just above the pubic symphysis
 Answer: A. At the umbilicus. At approximately 20 weeks, the
fundal height reaches the level of the umbilicus .

7. Sickle Cell Anemia

 Question: In sickle cell anemia, RBC sickling is initially reversible
with oxygenation. However, repeated episodes cause the cells to
become:
o A. Completely normal
o B. Irreversibly sickled
o C. Larger in size
o D. More flexible

, o Answer: B. Repeated sickling episodes cause irreversible damage
to the red blood cell membrane, leading to permanently sickled
cells .

8. Phalen's Sign

 Question: The Phalen's sign is performed by asking the patient to:
o A. Place both elbows on a table while keeping both forearms
vertical and flexing both wrists
o B. Press the backs of their hands together
o C. Extend their wrists and hold for 60 seconds
o D. Tap over the median nerve
o Answer: A. This test is used to assess for carpal tunnel syndrome
by flexing the wrists to compress the median nerve .

9. Fundal Height at 34 Weeks

 Question: At 34 weeks of gestation, the fundus of the uterus is
expected to be located:
o A. At the umbilicus
o B. Halfway between the umbilicus and the xiphoid process
o C. Just below the xiphoid process
o D. Just above the pubic symphysis
o Answer: C. By 34 weeks, the fundus typically reaches its highest
point, just below the xiphoid process .

10. Contraindication for Beta-Blockers

 Question: Which of the following is a contraindication for the use
of a non-selective beta-blocker like atenolol?
o A. A 43-year-old female with asthma

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