APEA Predictor Exam Missed Questions
What is the biggest side effect of colchicine? - ANSWERdiarrhea
How would you describe the appearance of molluscum contagiosum? - ANSWERpapules that are
umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant? - ANSWERno treatment; it should heal on it's own
At what week of pregnancy is the uterus palpable just above the pubic symphysis? - ANSWERweek 12
At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and umbilicus?
- ANSWERweek 16
At what week of pregnancy is the fundus of the uterus at the umbilicus? - ANSWERweek 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and
umbilicus? - ANSWERweek 28
At what week of pregnancy is the fundus just below the xiphoid process? - ANSWERweek 34
Increased sweat production is a sign of what endocrine disorder? - ANSWERhyperthyroidism
What is Paget's disease? - ANSWERthere 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? - ANSWERbisphosphonates
How should pregnant women wear their seatbelt? - ANSWERwith 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? - ANSWERparvovirus aka slapped cheek disease aka erythema
infectiosum
Which type of prevention are vaccinations? - ANSWERprimary
When should patients begin antiretroviral therapy for HIV infection? - ANSWERas soon as it is detected,
even if in the acute phase
What are the first generation antihistamines? - ANSWERdiphenhydramine (benadryl) and
chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis? - ANSWERrash on hands and feet, lymphadenopathy,
fever
What is the recommended treatment for chronic bacterial prostatitis? - ANSWERa fluoroquinolone
(cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis? - ANSWERcipro (if not STI related) or
ceftriaxone
, What are s/s of an intraductal breast papilloma? - ANSWERclear 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? - ANSWERfirst
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? - ANSWERin those
who are on any type of nitrate or triptan because it could result in hypotension
What class of drug is sildenafil (viagra)? - ANSWERa 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? - ANSWERthink P meaning pain, A meaning absent
or weak pulses, eschar or shiny legs, intermittent claudication
What is first line treatment for PAD? - ANSWERwalking 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? - ANSWERdo not elevate the feet; keep them
down
How do we diagnose PAD? - ANSWERan ABI < 7; doppler can also be used to diagnose as well but is the
second choice
What are s/s of peripheral vascular disease? - ANSWERthink 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? - ANSWERBactrim 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? -
ANSWERRifampin 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? - ANSWERdecrease the weekly dose by 5-
10%
If a patient on coumadin's INR is 4.1-5.0, what should you do? - ANSWERhold one dose then decrease
the weekly dose by 10%
If a patient's INR is greater than 5, what should you do? - ANSWERconsult cards, likely would hold two
doses then decrease the weekly dose
An anorexic patient will have a BMI of what? - ANSWERless than 18
What is primary amenorrhea? - ANSWERwhen 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 - ANSWER3 months
What is the biggest side effect of colchicine? - ANSWERdiarrhea
How would you describe the appearance of molluscum contagiosum? - ANSWERpapules that are
umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant? - ANSWERno treatment; it should heal on it's own
At what week of pregnancy is the uterus palpable just above the pubic symphysis? - ANSWERweek 12
At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and umbilicus?
- ANSWERweek 16
At what week of pregnancy is the fundus of the uterus at the umbilicus? - ANSWERweek 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and
umbilicus? - ANSWERweek 28
At what week of pregnancy is the fundus just below the xiphoid process? - ANSWERweek 34
Increased sweat production is a sign of what endocrine disorder? - ANSWERhyperthyroidism
What is Paget's disease? - ANSWERthere 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? - ANSWERbisphosphonates
How should pregnant women wear their seatbelt? - ANSWERwith 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? - ANSWERparvovirus aka slapped cheek disease aka erythema
infectiosum
Which type of prevention are vaccinations? - ANSWERprimary
When should patients begin antiretroviral therapy for HIV infection? - ANSWERas soon as it is detected,
even if in the acute phase
What are the first generation antihistamines? - ANSWERdiphenhydramine (benadryl) and
chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis? - ANSWERrash on hands and feet, lymphadenopathy,
fever
What is the recommended treatment for chronic bacterial prostatitis? - ANSWERa fluoroquinolone
(cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis? - ANSWERcipro (if not STI related) or
ceftriaxone
, What are s/s of an intraductal breast papilloma? - ANSWERclear 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? - ANSWERfirst
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? - ANSWERin those
who are on any type of nitrate or triptan because it could result in hypotension
What class of drug is sildenafil (viagra)? - ANSWERa 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? - ANSWERthink P meaning pain, A meaning absent
or weak pulses, eschar or shiny legs, intermittent claudication
What is first line treatment for PAD? - ANSWERwalking 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? - ANSWERdo not elevate the feet; keep them
down
How do we diagnose PAD? - ANSWERan ABI < 7; doppler can also be used to diagnose as well but is the
second choice
What are s/s of peripheral vascular disease? - ANSWERthink 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? - ANSWERBactrim 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? -
ANSWERRifampin 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? - ANSWERdecrease the weekly dose by 5-
10%
If a patient on coumadin's INR is 4.1-5.0, what should you do? - ANSWERhold one dose then decrease
the weekly dose by 10%
If a patient's INR is greater than 5, what should you do? - ANSWERconsult cards, likely would hold two
doses then decrease the weekly dose
An anorexic patient will have a BMI of what? - ANSWERless than 18
What is primary amenorrhea? - ANSWERwhen 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 - ANSWER3 months
