APEA PREDICTOR EXAM QUESTIONS
AND ANSWERS
CranialgnervegIXg-gans-Glossopharyngeal-
gswallowinggandgrisegofgthegpalate,ggaggreflex
CranialgNervegVIIIg-gans-Acousticg(Hearinggandgbalance)
CranialgNervegXIg-gans-SpinalgAccessoryg(uppergtrapezius)
Deepgtendongreflexg-gans-Ankle-gS1gprimarily
Knee-gLumbarg2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Strokegriskgscaleg-gans-CHADS2
C-Congestivegheartgfailure
H-Hypertension
A-Ageg>75gyears
D-gDiabetes
S-priorgStroke/TIA
Ingthegmajoritygofgchildren,gthegfirstgpermanentgteethgstartgtogeruptgatgthegageg
ofg6gyears.gWhichgofgthegfollowinggaregthegfirstgpermanentgteethgtogeruptgingthi
sgtimegperiod?g
A.gFirstgMolars
B.gSecondgMolars
C.gLowergorguppergincisors
D.gCaninesg-gans-A.gFirstgMolars
Allgofgthegfollowinggaregclassifiedgasgactivitiesgofgdailyglivingg(ADLs)gexcept:g
A.gabilitygtogfeedgself
B.gAbilitygtogmanagegbladdergandgbowelgelimination
C.gPersonalghygienegandggrooming
D.gGrocerygShoppingg-gans-D.gGrocerygshopping
Yougnotegthegfollowinggresultgongagroutinegurinalysisgofgag37-
yeargoldgprimigravidagwhogisgatg30gweeksggestation.gLeukocyte=trace,gnitrite=ne
gative,gprotein=2+,gblood=negative.gHergweightghasgincreasedgbyg5glbsgduringgt
hegpastgweek.gWhichgofgthegfollowinggisgmostglikely?g
A.HELLPgsyndrome
,B.gPregnancy-inducedghypertensiong(pre-eclampsia)
C.gEclampsiagofgpregnancy
D.gPrimaryghypertensiong-gans-B.gPregnancy-inducedghypertensiong(pre-
eclampsia).gClassicgtriadgofgsymptomsgofgpreeclampsiagincludeghypertension,ged
emag(weightggain),gandgproteinuria.
Thegmothergofgag12gmonthgoldginfantgreportsgtogthegnursegpractitionergthatgher
gchildghadgaghighgfevergforgseveralgdays,gwhichgspontaneouslygresolved.gAftergt
hegfevergresolved,gthegchildgdevelopedgagmaculopapulargrash.gWhichgofgthegfoll
owinggisgthegmostglikelygdiagnosis?g
A.gFifthgDiseaseg(erythemaginfectiosum)
B.gRoseolaginfantumg(exanthemagsubitum)
C.gVaricella
D.gInfantilegmaculopapulargrashesg-gans-
B.gRoseolagInfantumg(Exanthemagsubitum)
Ag70-yeargoldgmalegpatientgcomplainsgofgagbrightgred-
coloredgspotginghisgleftgeyegforg2gdays.gHegdeniesgeyegpain,gvisualgchanges,go
rgheadaches.gHeghasgagnewgonsetgofgcoughgfromgagrecentgviralguppergrespirat
oryginfection.gThegonlygmedicineghegisgongBayergaspirin,g1gtabletgagday.gWhich
gofgthegfollowinggisgmostglikely?g
A.gCornealgabrasion
B.gAcutegbacterialgconjunctivitis
C.gAcuteguveitis
D.gSubconjunctivalghemorrhageg-gans-
D.gSubconjunctivalghemorrhage.gBrightgredgbloodgingagsharplygdefinedgareagsurr
oundedgbygnormal-appearinggconjunctivagindicatesgsubconjunctivalghemorrhage.
Agwomangisgbeinggevaluatedgbygthegnursegpractitionergforgcomplaintsgofgdyspar
eunia.gAgmicroscopygslidegrevealsgaglargegnumbergofgatrophicgsquamousgepithel
ialgcells.gThegvaginalgpHgisg4.0.gTheregaregverygfewgleukocytesgandgnogRBCsg
aregseengongthegwetgsmear.gWhichgofgthegfollowinggisgmostglikely?g
A.gAtrophicgvaginitis
B.gBacterialgVaginosis
C.gTrichomoniasis
D.gThisgisgagnormalgfinding.g-gans-
A.gAtrophicgvaginitis.gSymptomsgofgatrophicgvaginitisgincludegpainfulgintercourse,g
atrophicgsquamousgepithelialgcells,gandgagdecreasegingpH.gVaginalgatrophygisgc
ausedgbyglackgofgorgimbalancegofgestrogen.gNormalgpHgofgthegvaginagisg4.0-
5.0g(acidic)
Thegmostgcommongtypegofgskingmalignancygis:g
A.gSquamousgcellgcancer
B.gBasalgskingcancer
C.gMelanoma
,D.gDysplasticgnevig-gans-
B.gBasalgskingcancer.gItgisgseveralgtimesgmoregcommongthatgsquamousgcellgski
ngcancergaccordinggtogthegNIH.
Koplik'sgspotsgaregassociatedgwith:g
A.gPoxviriusginfections
B.gMeasles
C.gKawasaki'sgdisease
D.gReye'sgsyndromeg-gans-
B.gMeasles.gS/
Sgincludegfevergoverg101,gcoryza,gcough,gconjunctivitis,grash,gandgkoplik'sgspots
gongbuccalgmucosa
Atgwhatglevelgofgpreventiongwouldgyougclassifygforglunggcancer?g
A.gPrimarygprevention
B.gSecondarygprevention
C.gTertiarygprevention
D.gPrimordialgpreventiong-gans-
D.gprimordialgprevention.gScreeninggforglunggcancergisgnotgcurrentlygrecommend
edgingtheggeneralgpopulation,gbutgitgisgsecondarygprevention.
Agtestgcalledgthegvisualgfieldsgbygconfrontationgisgusedgtogevaluategfor:g
A.gPeripheralgvision
B.gCentralgvision
C.gVisualgacuity
D.gAccomodationg-gans-A.gPeripheralgvision
WhatgisgthegmostgcommongcausegofgCushing'sgsyndrome?g-gans-
AdministrationgofgagglucocorticoidgorgACTH.g
IatrogenicgCushing'sgsyndromegisgthegmostgcommongtype.gExogenousgglucocortic
oidgadministrationgproducesgagCushing'sgSyndromegthatgisgreversiblegbygdisconti
nuationgofgthegmedication.
Agpatientgwithgnogsignificantgmedicalghistoryghasgvericosegveins.gShegcomplains
gofg'"achingglegs".gTheginterventiongthatgwillgprovidegtheggreatestgreliefgforgherg
complaintgisgto:g-gans-Elevategherglegsgperiodically.g
Theginterventiongthatgwillgprovidegtheggreatestgreliefgforgthisgpatientgisgelevating
gherglegsgperiodically.gThisgwillgfacilitategvenousgreturn.gUsegofgsupportgstocking
sgwillgprolonggtheglengthgofgtimegshegisgablegtogstandgingplace,gbutgwillgnotgpr
ovidegreliefgaftergherglegsgbegingaching.gSupportgstockingsgshouldgbegappliedgpr
iorgtoggettinggoutgofgbed.
Ag25-yogfemalegpatientgpresentsgforgagroutinegwell-
womengexam.gOngphysicalgexam,gthegNPgnotesgagscantgnipplegdischarge,gabse
ncegofgpalpablegmass,gandgabsencegofglymphgnodegenlargement.gWhatgisgtheg
mostglikelygdiagnosis?g-gans-Itraductalgpapilloma.g
, Intraductalgpapillomagoftengpresentsgasgagnon-
tendergmassgwithgserousgorgbloodygnipplegdischargeglocatedgingthegductalgsyste
mgneargthegareola.gBreastgcancer,galthoughgusuallygnon-
tender,gmaygpresentgwithgpain.gChestgwallgsyndromegmaygpresentgingsomegwo
mengasgbreastgpain.gFibrocysticgbreastgdiseasegoftengpresentsgwithgbilateralgbre
astgpain.
AccordinggtogthegANA,gthegrolegofgthegNPgwhogprovidesgprimaryghealthgcaregis
gthe:g-gans-Directgnursinggcaregrole.g
ThegNPgwithgagtraditionalgnursinggcaregrolegisgagprimaryghealthgcaregprovider.gI
ncreasinggnumbersgofgnursegpractitionersgaregassuminggindirectgrolesgsuchgasge
ducator,gadministrator,gresearcher,gandgconsultant.
Ang8-
mogmalegpresentsgwithghemarthrosisgofgbothgkneesgandghematuria.gThegparents
ggivegnoghistorygofgtrauma,gbutgsayg"gheghasgalwaysgbruisedgeasily"gThegmost
glikelygdiagnosisgis:g-gans-Agtypegofghemophilia.g
Hemophiliagisgusuallygdiagnosedgwithingthegfirstgyeargofglife.gItgcommonlygprese
ntsgwithghemarthrosis,gbleedinggintogsoftgtissue,ghematuria,gandgprolongedgbleedi
nggtimes.
Thegnursegpractitionergisgfollowinggagchildgwithgjuvemilegrheumatoidgarthritisg(JR
A)gwhoghasgbeengpreviouslygdiagnosedgandgisgbeinggmanagedgforgthegdisease
gbygagpediatricgrheumatologist.gThegmothergasksgforginformationgaboutgthegchild'
sglong-termgprognosis.gThegappropriategreplygisgthat:g-gans-
mostgchildrengwithgJRAgachievegcompletegremissiongbygadulthood,gbutgitsgeffect
sgmightgcauseglifelongglimitations.g
Althoughgthegactivegdiseasegdoesgnotgcontinuegintogadulthood,gthegcontractures,
ggrowthgretardation,gbonegdeformities,gandgvisualgimpairmentgassociatedgwithgJR
Agmaygleadgtoglifelonggfunctionalgimpairments.gAgcomprehensivegtreatmentgprogr
amginvolvinggphysicalgtherapy,goccupationalgtherapy,gnutrition,geducation,gandgre
gulargopthalmologicgcaregcanglimitgresidualgfunctionalglimitations.
Approximatelyg70%gofgthegorganismsgfoundgingcaninegoralgandgnasalgfluids,gan
dgconsequentlygingfreshgdoggbitegwounds,gare:g-gans-
StaphylococcusgandgPasteurellagmultocida.
gAllgofgthesegorganismsgaregfoundgingcaninegoralgandgnasalgfluids,gandgculture
dgfromgfreshgdoggbitegwounds,gbutgthegmostgcommong(70%)garegStaphgandgP
asteurellagmultocida.
Educationgofgwomengwithgfibrocysticgbreastgdiseasegshouldgincludegwhichgofgthe
gfollowinggstatements?g-gans-Caffeinegmaygtriggergbreastgpain.g
Avoidancegofgallgmethylxanthinesg(eggcoffee,gtea,gchocolate)ghasgbeengshowngto
greducegbreastgpaingingwomengwithgfibrocysticgbreastgdisease.gItgisgusuallygagb
enigngcondition,gnotgagprecursorgofgmalignancy.gMammographygisgrecommended
goncegatgageg35gyears,gatgleastgeveryg1-
AND ANSWERS
CranialgnervegIXg-gans-Glossopharyngeal-
gswallowinggandgrisegofgthegpalate,ggaggreflex
CranialgNervegVIIIg-gans-Acousticg(Hearinggandgbalance)
CranialgNervegXIg-gans-SpinalgAccessoryg(uppergtrapezius)
Deepgtendongreflexg-gans-Ankle-gS1gprimarily
Knee-gLumbarg2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Strokegriskgscaleg-gans-CHADS2
C-Congestivegheartgfailure
H-Hypertension
A-Ageg>75gyears
D-gDiabetes
S-priorgStroke/TIA
Ingthegmajoritygofgchildren,gthegfirstgpermanentgteethgstartgtogeruptgatgthegageg
ofg6gyears.gWhichgofgthegfollowinggaregthegfirstgpermanentgteethgtogeruptgingthi
sgtimegperiod?g
A.gFirstgMolars
B.gSecondgMolars
C.gLowergorguppergincisors
D.gCaninesg-gans-A.gFirstgMolars
Allgofgthegfollowinggaregclassifiedgasgactivitiesgofgdailyglivingg(ADLs)gexcept:g
A.gabilitygtogfeedgself
B.gAbilitygtogmanagegbladdergandgbowelgelimination
C.gPersonalghygienegandggrooming
D.gGrocerygShoppingg-gans-D.gGrocerygshopping
Yougnotegthegfollowinggresultgongagroutinegurinalysisgofgag37-
yeargoldgprimigravidagwhogisgatg30gweeksggestation.gLeukocyte=trace,gnitrite=ne
gative,gprotein=2+,gblood=negative.gHergweightghasgincreasedgbyg5glbsgduringgt
hegpastgweek.gWhichgofgthegfollowinggisgmostglikely?g
A.HELLPgsyndrome
,B.gPregnancy-inducedghypertensiong(pre-eclampsia)
C.gEclampsiagofgpregnancy
D.gPrimaryghypertensiong-gans-B.gPregnancy-inducedghypertensiong(pre-
eclampsia).gClassicgtriadgofgsymptomsgofgpreeclampsiagincludeghypertension,ged
emag(weightggain),gandgproteinuria.
Thegmothergofgag12gmonthgoldginfantgreportsgtogthegnursegpractitionergthatgher
gchildghadgaghighgfevergforgseveralgdays,gwhichgspontaneouslygresolved.gAftergt
hegfevergresolved,gthegchildgdevelopedgagmaculopapulargrash.gWhichgofgthegfoll
owinggisgthegmostglikelygdiagnosis?g
A.gFifthgDiseaseg(erythemaginfectiosum)
B.gRoseolaginfantumg(exanthemagsubitum)
C.gVaricella
D.gInfantilegmaculopapulargrashesg-gans-
B.gRoseolagInfantumg(Exanthemagsubitum)
Ag70-yeargoldgmalegpatientgcomplainsgofgagbrightgred-
coloredgspotginghisgleftgeyegforg2gdays.gHegdeniesgeyegpain,gvisualgchanges,go
rgheadaches.gHeghasgagnewgonsetgofgcoughgfromgagrecentgviralguppergrespirat
oryginfection.gThegonlygmedicineghegisgongBayergaspirin,g1gtabletgagday.gWhich
gofgthegfollowinggisgmostglikely?g
A.gCornealgabrasion
B.gAcutegbacterialgconjunctivitis
C.gAcuteguveitis
D.gSubconjunctivalghemorrhageg-gans-
D.gSubconjunctivalghemorrhage.gBrightgredgbloodgingagsharplygdefinedgareagsurr
oundedgbygnormal-appearinggconjunctivagindicatesgsubconjunctivalghemorrhage.
Agwomangisgbeinggevaluatedgbygthegnursegpractitionergforgcomplaintsgofgdyspar
eunia.gAgmicroscopygslidegrevealsgaglargegnumbergofgatrophicgsquamousgepithel
ialgcells.gThegvaginalgpHgisg4.0.gTheregaregverygfewgleukocytesgandgnogRBCsg
aregseengongthegwetgsmear.gWhichgofgthegfollowinggisgmostglikely?g
A.gAtrophicgvaginitis
B.gBacterialgVaginosis
C.gTrichomoniasis
D.gThisgisgagnormalgfinding.g-gans-
A.gAtrophicgvaginitis.gSymptomsgofgatrophicgvaginitisgincludegpainfulgintercourse,g
atrophicgsquamousgepithelialgcells,gandgagdecreasegingpH.gVaginalgatrophygisgc
ausedgbyglackgofgorgimbalancegofgestrogen.gNormalgpHgofgthegvaginagisg4.0-
5.0g(acidic)
Thegmostgcommongtypegofgskingmalignancygis:g
A.gSquamousgcellgcancer
B.gBasalgskingcancer
C.gMelanoma
,D.gDysplasticgnevig-gans-
B.gBasalgskingcancer.gItgisgseveralgtimesgmoregcommongthatgsquamousgcellgski
ngcancergaccordinggtogthegNIH.
Koplik'sgspotsgaregassociatedgwith:g
A.gPoxviriusginfections
B.gMeasles
C.gKawasaki'sgdisease
D.gReye'sgsyndromeg-gans-
B.gMeasles.gS/
Sgincludegfevergoverg101,gcoryza,gcough,gconjunctivitis,grash,gandgkoplik'sgspots
gongbuccalgmucosa
Atgwhatglevelgofgpreventiongwouldgyougclassifygforglunggcancer?g
A.gPrimarygprevention
B.gSecondarygprevention
C.gTertiarygprevention
D.gPrimordialgpreventiong-gans-
D.gprimordialgprevention.gScreeninggforglunggcancergisgnotgcurrentlygrecommend
edgingtheggeneralgpopulation,gbutgitgisgsecondarygprevention.
Agtestgcalledgthegvisualgfieldsgbygconfrontationgisgusedgtogevaluategfor:g
A.gPeripheralgvision
B.gCentralgvision
C.gVisualgacuity
D.gAccomodationg-gans-A.gPeripheralgvision
WhatgisgthegmostgcommongcausegofgCushing'sgsyndrome?g-gans-
AdministrationgofgagglucocorticoidgorgACTH.g
IatrogenicgCushing'sgsyndromegisgthegmostgcommongtype.gExogenousgglucocortic
oidgadministrationgproducesgagCushing'sgSyndromegthatgisgreversiblegbygdisconti
nuationgofgthegmedication.
Agpatientgwithgnogsignificantgmedicalghistoryghasgvericosegveins.gShegcomplains
gofg'"achingglegs".gTheginterventiongthatgwillgprovidegtheggreatestgreliefgforgherg
complaintgisgto:g-gans-Elevategherglegsgperiodically.g
Theginterventiongthatgwillgprovidegtheggreatestgreliefgforgthisgpatientgisgelevating
gherglegsgperiodically.gThisgwillgfacilitategvenousgreturn.gUsegofgsupportgstocking
sgwillgprolonggtheglengthgofgtimegshegisgablegtogstandgingplace,gbutgwillgnotgpr
ovidegreliefgaftergherglegsgbegingaching.gSupportgstockingsgshouldgbegappliedgpr
iorgtoggettinggoutgofgbed.
Ag25-yogfemalegpatientgpresentsgforgagroutinegwell-
womengexam.gOngphysicalgexam,gthegNPgnotesgagscantgnipplegdischarge,gabse
ncegofgpalpablegmass,gandgabsencegofglymphgnodegenlargement.gWhatgisgtheg
mostglikelygdiagnosis?g-gans-Itraductalgpapilloma.g
, Intraductalgpapillomagoftengpresentsgasgagnon-
tendergmassgwithgserousgorgbloodygnipplegdischargeglocatedgingthegductalgsyste
mgneargthegareola.gBreastgcancer,galthoughgusuallygnon-
tender,gmaygpresentgwithgpain.gChestgwallgsyndromegmaygpresentgingsomegwo
mengasgbreastgpain.gFibrocysticgbreastgdiseasegoftengpresentsgwithgbilateralgbre
astgpain.
AccordinggtogthegANA,gthegrolegofgthegNPgwhogprovidesgprimaryghealthgcaregis
gthe:g-gans-Directgnursinggcaregrole.g
ThegNPgwithgagtraditionalgnursinggcaregrolegisgagprimaryghealthgcaregprovider.gI
ncreasinggnumbersgofgnursegpractitionersgaregassuminggindirectgrolesgsuchgasge
ducator,gadministrator,gresearcher,gandgconsultant.
Ang8-
mogmalegpresentsgwithghemarthrosisgofgbothgkneesgandghematuria.gThegparents
ggivegnoghistorygofgtrauma,gbutgsayg"gheghasgalwaysgbruisedgeasily"gThegmost
glikelygdiagnosisgis:g-gans-Agtypegofghemophilia.g
Hemophiliagisgusuallygdiagnosedgwithingthegfirstgyeargofglife.gItgcommonlygprese
ntsgwithghemarthrosis,gbleedinggintogsoftgtissue,ghematuria,gandgprolongedgbleedi
nggtimes.
Thegnursegpractitionergisgfollowinggagchildgwithgjuvemilegrheumatoidgarthritisg(JR
A)gwhoghasgbeengpreviouslygdiagnosedgandgisgbeinggmanagedgforgthegdisease
gbygagpediatricgrheumatologist.gThegmothergasksgforginformationgaboutgthegchild'
sglong-termgprognosis.gThegappropriategreplygisgthat:g-gans-
mostgchildrengwithgJRAgachievegcompletegremissiongbygadulthood,gbutgitsgeffect
sgmightgcauseglifelongglimitations.g
Althoughgthegactivegdiseasegdoesgnotgcontinuegintogadulthood,gthegcontractures,
ggrowthgretardation,gbonegdeformities,gandgvisualgimpairmentgassociatedgwithgJR
Agmaygleadgtoglifelonggfunctionalgimpairments.gAgcomprehensivegtreatmentgprogr
amginvolvinggphysicalgtherapy,goccupationalgtherapy,gnutrition,geducation,gandgre
gulargopthalmologicgcaregcanglimitgresidualgfunctionalglimitations.
Approximatelyg70%gofgthegorganismsgfoundgingcaninegoralgandgnasalgfluids,gan
dgconsequentlygingfreshgdoggbitegwounds,gare:g-gans-
StaphylococcusgandgPasteurellagmultocida.
gAllgofgthesegorganismsgaregfoundgingcaninegoralgandgnasalgfluids,gandgculture
dgfromgfreshgdoggbitegwounds,gbutgthegmostgcommong(70%)garegStaphgandgP
asteurellagmultocida.
Educationgofgwomengwithgfibrocysticgbreastgdiseasegshouldgincludegwhichgofgthe
gfollowinggstatements?g-gans-Caffeinegmaygtriggergbreastgpain.g
Avoidancegofgallgmethylxanthinesg(eggcoffee,gtea,gchocolate)ghasgbeengshowngto
greducegbreastgpaingingwomengwithgfibrocysticgbreastgdisease.gItgisgusuallygagb
enigngcondition,gnotgagprecursorgofgmalignancy.gMammographygisgrecommended
goncegatgageg35gyears,gatgleastgeveryg1-
