APEA TEST PAPER QUESTIONS AND SOLUTIONS GRADED A A+
✅When should kids be treated for HTN? Answer - If they have diabetes, symptomatic, have
HTN >95th percentile, or when end organ damage is present.
✅ACEIs can cause what electrolyte abnormality? Answer - Hyperkalemia
✅A positive "drop arm" test is a sign of what? Answer - Torn rotator cuff
✅The medical term for spoon shaped nails Answer - Koilonychia
✅Koilonychia is a sign of what? Answer - Iron deficiency anemia
✅How is influenza diagnosed? Answer - Nasal swab
✅What finding would be most likely to differentiate gout from septic arthritis? Answer -
Fever would be indicative of septic arthritis.
✅Diphenhydramine has ____ properties and is contraindicated in which patient populations?
Answer - Anticholinergic, elderly and those with glaucoma.
✅The medical term for flat feet Answer - Pes Planus
✅How does plantar fasciitis usually present? Answer - As pain in the morning with
resolution after several steps, but as it worsens the patient will start to complain of heel pain
throughout the day and with walking
✅Scope of practice for NPs is not influenced by which entity? Answer - A court of law
,✅Used to establish a designated level of professional competence Answer - Licensure
✅Treatment of subclinical hypothyroidism is generally not indicated unless the TSH is
___________. Answer - greater than 10
✅In the presence of an elevated serum TSH, what is the next step in management? Answer
- Repeat TSH plus free T4
✅Patients with a history of UC or Crohn's should have a colonoscopy how often? Answer -
Every 1-5 years due to increased risk of colorectal cancer.
✅What is the first line treatment for community acquired atypical pneumonia? Answer -
Macrolides like azithromycin. If the patient can't take a macrolide, then levofloxacin or
doxycycline.
✅What is metatarsus adductus? Answer - Medical term for in-toeing
✅What is true regarding older adults who are overweight? Answer - Mortality in older
adults related to overweight states declines over time.
✅How do we manage rubella immunity in pregnant women? Answer - We screen all
pregnant women with a rubella titer. If they had a protective rubella titer in a previous
pregnancy, they they do not need to be checked again. If they are found to not be immune
when pregnant, they should be vaccinated after delivery.
✅How long must a tick be attached to the skin in order for Lyme disease to be transferred?
Answer - 48 hours
✅How is permethrin applied to skin for scabies? Answer - A one time application to all skin
below the neck and then left on for 8-12 hours is sufficient
✅After exposure to HIV, when will the patient seroconvert and become positive? Answer - 3
months
, ✅Is age less than 18 years, a risk factor for an ectopic pregnancy? Answer - No, but
personal history of PID, an IUD, previous ectopic pregnancy, previous tubal surgery,
pathology, or ligation are all risk factors.
✅What is Tanner stage 5 of breast development in females? Answer - Projection of the
nipple only.
✅What are two common classes of drugs that interact with grapefruit juice? Answer -
Statins and CCBs
✅Ankle inversion is a common complaint from a patient with what? Answer - A lateral ankle
sprain.
✅How can we best diagnose coarctation of the aorta? Answer - Comparing the upper and
lower extremity blood pressures.
✅What is the most important risk factor for developing breast cancer in women of average
risk? Answer - Age
✅What is the recommended treatment for blepharitis? Answer - Erythromycin 1cm ribbon
5x daily for 7 days
✅What is the recommended treatment for severe anorexia with delusions? Answer -
Atypical antipsychotics
✅What lab values need to be monitored in a patient on Tizanidine? Answer - LFTs and BP at
baseline and 1 month after the max dose is achieved (can cause hepatotoxicity and
hypotension)
✅What class of drug is dabigatran (Pradaxa)? Answer - Direct thrombin inhibitor
✅When should kids be treated for HTN? Answer - If they have diabetes, symptomatic, have
HTN >95th percentile, or when end organ damage is present.
✅ACEIs can cause what electrolyte abnormality? Answer - Hyperkalemia
✅A positive "drop arm" test is a sign of what? Answer - Torn rotator cuff
✅The medical term for spoon shaped nails Answer - Koilonychia
✅Koilonychia is a sign of what? Answer - Iron deficiency anemia
✅How is influenza diagnosed? Answer - Nasal swab
✅What finding would be most likely to differentiate gout from septic arthritis? Answer -
Fever would be indicative of septic arthritis.
✅Diphenhydramine has ____ properties and is contraindicated in which patient populations?
Answer - Anticholinergic, elderly and those with glaucoma.
✅The medical term for flat feet Answer - Pes Planus
✅How does plantar fasciitis usually present? Answer - As pain in the morning with
resolution after several steps, but as it worsens the patient will start to complain of heel pain
throughout the day and with walking
✅Scope of practice for NPs is not influenced by which entity? Answer - A court of law
,✅Used to establish a designated level of professional competence Answer - Licensure
✅Treatment of subclinical hypothyroidism is generally not indicated unless the TSH is
___________. Answer - greater than 10
✅In the presence of an elevated serum TSH, what is the next step in management? Answer
- Repeat TSH plus free T4
✅Patients with a history of UC or Crohn's should have a colonoscopy how often? Answer -
Every 1-5 years due to increased risk of colorectal cancer.
✅What is the first line treatment for community acquired atypical pneumonia? Answer -
Macrolides like azithromycin. If the patient can't take a macrolide, then levofloxacin or
doxycycline.
✅What is metatarsus adductus? Answer - Medical term for in-toeing
✅What is true regarding older adults who are overweight? Answer - Mortality in older
adults related to overweight states declines over time.
✅How do we manage rubella immunity in pregnant women? Answer - We screen all
pregnant women with a rubella titer. If they had a protective rubella titer in a previous
pregnancy, they they do not need to be checked again. If they are found to not be immune
when pregnant, they should be vaccinated after delivery.
✅How long must a tick be attached to the skin in order for Lyme disease to be transferred?
Answer - 48 hours
✅How is permethrin applied to skin for scabies? Answer - A one time application to all skin
below the neck and then left on for 8-12 hours is sufficient
✅After exposure to HIV, when will the patient seroconvert and become positive? Answer - 3
months
, ✅Is age less than 18 years, a risk factor for an ectopic pregnancy? Answer - No, but
personal history of PID, an IUD, previous ectopic pregnancy, previous tubal surgery,
pathology, or ligation are all risk factors.
✅What is Tanner stage 5 of breast development in females? Answer - Projection of the
nipple only.
✅What are two common classes of drugs that interact with grapefruit juice? Answer -
Statins and CCBs
✅Ankle inversion is a common complaint from a patient with what? Answer - A lateral ankle
sprain.
✅How can we best diagnose coarctation of the aorta? Answer - Comparing the upper and
lower extremity blood pressures.
✅What is the most important risk factor for developing breast cancer in women of average
risk? Answer - Age
✅What is the recommended treatment for blepharitis? Answer - Erythromycin 1cm ribbon
5x daily for 7 days
✅What is the recommended treatment for severe anorexia with delusions? Answer -
Atypical antipsychotics
✅What lab values need to be monitored in a patient on Tizanidine? Answer - LFTs and BP at
baseline and 1 month after the max dose is achieved (can cause hepatotoxicity and
hypotension)
✅What class of drug is dabigatran (Pradaxa)? Answer - Direct thrombin inhibitor
