APEA Predictor Exam Questions and Answers 2022 with
complete solution
What is the biggest side effect of colchicine?
diarrhea
How would you describe the appearance of molluscum contagiosum?
papules that are umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant?
no treatment; it should heal on it's own
At what week of pregnancy is the uterus palpable just above the pubic symphysis?
week 12
At what week of pregnancy is the fundus palpable halfway between the pubic
symphysis and umbilicus?
week 16
At what week of pregnancy is the fundus of the uterus at the umbilicus?
week 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid
process and umbilicus?
week 28
At what week of pregnancy is the fundus just below the xiphoid process?
week 34
Increased sweat production is a sign of what endocrine disorder?
hyperthyroidism
What is Paget's disease?
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?
bisphosphonates
How should pregnant women wear their seatbelt?
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?
parvovirus aka slapped cheek disease aka erythema infectiosum
Which type of prevention are vaccinations?
primary
When should patients begin antiretroviral therapy for HIV infection?
as soon as it is detected, even if in the acute phase
What are the first generation antihistamines?
diphenhydramine (benadryl) and chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis?
rash on hands and feet, lymphadenopathy, fever
What is the recommended treatment for chronic bacterial prostatitis?
a fluoroquinolone (cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis?
, cipro (if not STI related) or ceftriaxone
What are s/s of an intraductal breast papilloma?
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?
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?
in those who are on any type of nitrate or triptan because it could result in hypotension
What class of drug is sildenafil (viagra)?
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?
think P meaning pain, A meaning absent or weak pulses, eschar or shiny legs,
intermittent claudication
What is first line treatment for PAD?
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?
do not elevate the feet; keep them down
How do we diagnose PAD?
an ABI < 7; doppler can also be used to diagnose as well but is the second choice
What are s/s of peripheral vascular disease?
think V meaning volume overload aka edema, may ache or be uncomfortable but is not
painful, bounding pulses, ruddy discoloration
If a patient is on Coumadin but then they may need to go on an antibiotic for an infection
and Bactrim is the drug of choice, what should you do?
Bactrim increases INR so we would want to decrease the coumadin dose while the
patient is on this
If a patient is on Coumadin but then they may need to go on Rifampin, what should you
do?
Rifampin decreases INR so we'd want to increase the coumadin dose
If a patient on coumadin's INR is 3.1-4 ,what should you do?
decrease the weekly dose by 5-10%
If a patient on coumadin's INR is 4.1-5.0, what should you do?
hold one dose then decrease the weekly dose by 10%
If a patient's INR is greater than 5, what should you do?
consult cards, likely would hold two doses then decrease the weekly dose
An anorexic patient will have a BMI of what?
less than 18
What is primary amenorrhea?
when the patient has never gotten their period before (there is an absence of menarche)
but they have all of their secondary sex characteristics
Secondary amenorrhea is a lack of menses after _________ of not having a period; but
you have had one before
3 months
complete solution
What is the biggest side effect of colchicine?
diarrhea
How would you describe the appearance of molluscum contagiosum?
papules that are umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant?
no treatment; it should heal on it's own
At what week of pregnancy is the uterus palpable just above the pubic symphysis?
week 12
At what week of pregnancy is the fundus palpable halfway between the pubic
symphysis and umbilicus?
week 16
At what week of pregnancy is the fundus of the uterus at the umbilicus?
week 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid
process and umbilicus?
week 28
At what week of pregnancy is the fundus just below the xiphoid process?
week 34
Increased sweat production is a sign of what endocrine disorder?
hyperthyroidism
What is Paget's disease?
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?
bisphosphonates
How should pregnant women wear their seatbelt?
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?
parvovirus aka slapped cheek disease aka erythema infectiosum
Which type of prevention are vaccinations?
primary
When should patients begin antiretroviral therapy for HIV infection?
as soon as it is detected, even if in the acute phase
What are the first generation antihistamines?
diphenhydramine (benadryl) and chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis?
rash on hands and feet, lymphadenopathy, fever
What is the recommended treatment for chronic bacterial prostatitis?
a fluoroquinolone (cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis?
, cipro (if not STI related) or ceftriaxone
What are s/s of an intraductal breast papilloma?
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?
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?
in those who are on any type of nitrate or triptan because it could result in hypotension
What class of drug is sildenafil (viagra)?
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?
think P meaning pain, A meaning absent or weak pulses, eschar or shiny legs,
intermittent claudication
What is first line treatment for PAD?
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?
do not elevate the feet; keep them down
How do we diagnose PAD?
an ABI < 7; doppler can also be used to diagnose as well but is the second choice
What are s/s of peripheral vascular disease?
think V meaning volume overload aka edema, may ache or be uncomfortable but is not
painful, bounding pulses, ruddy discoloration
If a patient is on Coumadin but then they may need to go on an antibiotic for an infection
and Bactrim is the drug of choice, what should you do?
Bactrim increases INR so we would want to decrease the coumadin dose while the
patient is on this
If a patient is on Coumadin but then they may need to go on Rifampin, what should you
do?
Rifampin decreases INR so we'd want to increase the coumadin dose
If a patient on coumadin's INR is 3.1-4 ,what should you do?
decrease the weekly dose by 5-10%
If a patient on coumadin's INR is 4.1-5.0, what should you do?
hold one dose then decrease the weekly dose by 10%
If a patient's INR is greater than 5, what should you do?
consult cards, likely would hold two doses then decrease the weekly dose
An anorexic patient will have a BMI of what?
less than 18
What is primary amenorrhea?
when the patient has never gotten their period before (there is an absence of menarche)
but they have all of their secondary sex characteristics
Secondary amenorrhea is a lack of menses after _________ of not having a period; but
you have had one before
3 months
