APEA Predictor Exam Missed Questions With Correct Answers

APEA Predictor Exam Missed Questions With Correct Answers At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and umbilicus? - CORRECT ANSWERS week 16 At what week of pregnancy is the fundus of the uterus at the umbilicus? - CORRECT ANSWERS week 20 At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and umbilicus? - CORRECT ANSWERS week 28 At what week of pregnancy is the fundus just below the xiphoid process? - CORRECT ANSWERS week 34 Increased sweat production is a sign of what endocrine disorder? - CORRECT ANSWERS hyperthyroidism What is Paget's disease? - CORRECT ANSWERS there is localized increased bone turnover and blood flow resulting in the breakdown of bone and replacing it with weakened and highly vascular bone putting the indiv at increased risk of fractures How do we treat Paget's diseease? - CORRECT ANSWERS bisphosphonates How should pregnant women wear their seatbelt? - CORRECT ANSWERS with the shoulder strap like a normal person and then the groin strap below the belly and across the hips What is another name for fifth disease? - CORRECT ANSWERS parvovirus aka slapped cheek disease aka erythema infectiosum Which type of prevention are vaccinations? - CORRECT ANSWERS primary When should patients begin antiretroviral therapy for HIV infection? - CORRECT ANSWERS as soon as it is detected, even if in the acute phase What are the first generation antihistamines? - CORRECT ANSWERS diphenhydramine (benadryl) and chlorpeniramine (actifed) What are s/s of the secondary stage of syphilis? - CORRECT ANSWERS rash on hands and feet, lymphadenopathy, fever What is the recommended treatment for chronic bacterial prostatitis? - CORRECT ANSWERS a fluoroquinolone (cipro or levo) + bactrim What is the recommended treatment for acute prostatitis? - CORRECT ANSWERS cipro (if not STI related) or ceftriaxone What are s/s of an intraductal breast papilloma? - CORRECT ANSWERS clear to bloody unilateral nipple discharge (bilateral is usually benign), and also a wart like lump palpated in the nipple area If a patient has GABHS but has an allergy to penicillins, what is the second line option? - CORRECT ANSWERS first generation cephalosporins, unless the allergy is severe, then you would consider macrolides like a -mycin PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient populations? - CORRECT ANSWERS in those who are on any type of nitrate or triptan because it could result in hypotension What class of drug is sildenafil (viagra)? - CORRECT ANSWERS a PDE5 inhibitor which can cause hypotension so you should do a full cardiac assessment before starting a patient on this and maybe do an EKG What are the symptoms of peripheral artery disease? - CORRECT ANSWERS think P meaning pain, A meaning absent or weak pulses, eschar or shiny legs, intermittent claudication What is first line treatment for PAD? - CORRECT ANSWERS walking and physical activity to improve circulation. second line is an aspirin or anti-platelet What should we tell our patients with PAD NOT to do? - CORRECT ANSWERS do not elevate the feet; keep them down How do we diagnose PAD? - CORRECT ANSWERS an ABI < 7; doppler can also be used to diagnose as well but is the second choice