APEA QBank AANP Review
A 75 year old patient is experiencing progressive confusion and memory deterioration.
Which condition mimics dementia that this patient should be tested for? - ANS
neurosyphilis
\A benign epidermal tumor that is a well-demarcated, coin-like, pigmented lesion with a
stuck on appearance - ANS seborrheic keratosis
\A bluish tint to the vagina and cervix due to increased vascularity during pregnancy -
ANS Chadwick's sign
\A BMI of less than _____ is considered underweight - ANS 18.5
\A child presents with erythematous papules and vesicles, that are weeping, oozing, and
crusty. They are located all over the forehead, wrists, elbows, and backs of knees. What
is this most likely to be? - ANS atopic dermatitis
\A condition that presents with symptomatic limb ischemia upon exertion is termed: -
ANS atherosclerotic peripheral arterial disease
\A depressed patient is started on an SSRI. When should another antidepressant be tried
if there is no response? - ANS 8-12 weeks
\A disorder that results in the destruction of platelets due to an autoimmune response -
ANS idiopathic thrombocytopenia purpura
\A feeling of constantly needing to pass stool - ANS tenesmus
\A palpable softening of the cervical isthmus during pregnancy - ANS Hegar's sign
\A patient is experiencing a dull achy pain in the epigastric area with eating. This type of
pain is consistent with what? - ANS a gastric ulcer
\A patient who is unable to touch his left scapula with his right hand likely has what? -
ANS a rotator cuff tear
\A protruding abdominal mass after bending over, lifting, or coughing, and is painful with
coughing, is often what in adults? - ANS inguinal hernia
\A reduction in vision in one or both eyes causing loss of binocular vision - ANS
amblyopia
\A report of "knee locking" is a classic complaint of what? - ANS a meniscal tear
\a skin disorder that causes the nose to enlarge and become red, bumpy, and bulbous -
ANS rhinophyma
\A softening of the skin at the angles of the mouth which may be due to nutritional
deficiency - ANS angular cheilitis
\A stool specimen that is positive for WBCs is a sign of what? - ANS a viral or bacterial
infection
\A subtype of strabismus that describes an inward turning of the eye - ANS esotropia
\A superficial dermatophyte/fungal infection of the skin of the scalp, eyebrows, and
eyelashes - ANS tinea capitis
\A widened pulse pressure greater than or equal to 60 in an older adult is a risk factor for
what? - ANS cardiovascular disease, stroke, renal disease
, \ACEI induced coughs usually begin how soon after starting the medication? - ANS
within 2 weeks
\Actinic keratosis is a precursor for what? - ANS squamos cell carcinoma
\ADHD is a risk factor for both depression and what else? - ANS substance abuse
\Adrenarche is the early presence of pubic hair in girls aged __________ - ANS 5-8 years
old
\Age is the most common cause of presbycusis, but what other conditions may play a
role in quickening the onset of this? - ANS white, infections, smoking, hypertenson,
diabetes, vascular disease, immune disorders, hormonal factors
\An abnormal growth of squamos epithelium in the middle ear and mastoid - ANS
cholesteatoma
\An acute viral illness that presents with a burning retrosternal discomfort and a dry
cough is suggestive of what? - ANS tracheobronchitis
\An inability to extend the knee is a sign of what? - ANS a partial or complete patellar
tendon tear
\An intervention being performed to prevent the occurrence of the same event happening
again is an example of ___________ prevention. Give an example. - ANS secondary;
taking a daily aspirin to prevent another stroke after already having one
\Angular cheilitis can be caused by what? - ANS nutritional deficiency
\Are males or females more likely to commit suicide? - ANS males
\Are the sickling of RBCS in sickle cell anemia reversible? - ANS initially, yes they are
reversible with oxygenation. But repeated episodes cause the cells to become
irreversibly sickled.
\Athletic amenorrhea increases one's risk of developing what? - ANS osteoporosis; this
is because there is a loss of body fat and body fat is what produces estrogen so estrogen
levels decline
\AV nicking is most commonly seen on retinal exam of which chronic condition? - ANS
hypertension
\Bacteria most commonly responsible for pyelonephritis - ANS e coli
\Bacterial invasion of the renal parenchyma - ANS pyelonephritis
\Beta blockers are contraindicated in which cardiovascular condition? - ANS variant
(prinzmetal) angina bc they may induce coronary vasospasm from unopposed alpha
receptor activity
\Body lice are vectors for which diseases? - ANS epidemic typhus, trench fever, relapsing
fever
\Body lice primarily live where? - ANS on bedding and clothing, not people
\Breath sounds heard over the periphery of the lung fields are what? - ANS vesicular;
they are quiet and wispy
\C. trachomatis stands for what common type of bacteria infection? - ANS chlamydia
\Can a pregnant woman be on levothyroxine during pregnancy? - ANS yes, she should
continue it and have TSH checked monthly because she may need a higher dose as
thyroid hormone needs increase during pregnancy
\Can a pregnant woman get the MMR vaccine while pregnant? - ANS yes
\Cancer in the bone marrow that results in skeletal destruction - ANS multiple myeloma
A 75 year old patient is experiencing progressive confusion and memory deterioration.
Which condition mimics dementia that this patient should be tested for? - ANS
neurosyphilis
\A benign epidermal tumor that is a well-demarcated, coin-like, pigmented lesion with a
stuck on appearance - ANS seborrheic keratosis
\A bluish tint to the vagina and cervix due to increased vascularity during pregnancy -
ANS Chadwick's sign
\A BMI of less than _____ is considered underweight - ANS 18.5
\A child presents with erythematous papules and vesicles, that are weeping, oozing, and
crusty. They are located all over the forehead, wrists, elbows, and backs of knees. What
is this most likely to be? - ANS atopic dermatitis
\A condition that presents with symptomatic limb ischemia upon exertion is termed: -
ANS atherosclerotic peripheral arterial disease
\A depressed patient is started on an SSRI. When should another antidepressant be tried
if there is no response? - ANS 8-12 weeks
\A disorder that results in the destruction of platelets due to an autoimmune response -
ANS idiopathic thrombocytopenia purpura
\A feeling of constantly needing to pass stool - ANS tenesmus
\A palpable softening of the cervical isthmus during pregnancy - ANS Hegar's sign
\A patient is experiencing a dull achy pain in the epigastric area with eating. This type of
pain is consistent with what? - ANS a gastric ulcer
\A patient who is unable to touch his left scapula with his right hand likely has what? -
ANS a rotator cuff tear
\A protruding abdominal mass after bending over, lifting, or coughing, and is painful with
coughing, is often what in adults? - ANS inguinal hernia
\A reduction in vision in one or both eyes causing loss of binocular vision - ANS
amblyopia
\A report of "knee locking" is a classic complaint of what? - ANS a meniscal tear
\a skin disorder that causes the nose to enlarge and become red, bumpy, and bulbous -
ANS rhinophyma
\A softening of the skin at the angles of the mouth which may be due to nutritional
deficiency - ANS angular cheilitis
\A stool specimen that is positive for WBCs is a sign of what? - ANS a viral or bacterial
infection
\A subtype of strabismus that describes an inward turning of the eye - ANS esotropia
\A superficial dermatophyte/fungal infection of the skin of the scalp, eyebrows, and
eyelashes - ANS tinea capitis
\A widened pulse pressure greater than or equal to 60 in an older adult is a risk factor for
what? - ANS cardiovascular disease, stroke, renal disease
, \ACEI induced coughs usually begin how soon after starting the medication? - ANS
within 2 weeks
\Actinic keratosis is a precursor for what? - ANS squamos cell carcinoma
\ADHD is a risk factor for both depression and what else? - ANS substance abuse
\Adrenarche is the early presence of pubic hair in girls aged __________ - ANS 5-8 years
old
\Age is the most common cause of presbycusis, but what other conditions may play a
role in quickening the onset of this? - ANS white, infections, smoking, hypertenson,
diabetes, vascular disease, immune disorders, hormonal factors
\An abnormal growth of squamos epithelium in the middle ear and mastoid - ANS
cholesteatoma
\An acute viral illness that presents with a burning retrosternal discomfort and a dry
cough is suggestive of what? - ANS tracheobronchitis
\An inability to extend the knee is a sign of what? - ANS a partial or complete patellar
tendon tear
\An intervention being performed to prevent the occurrence of the same event happening
again is an example of ___________ prevention. Give an example. - ANS secondary;
taking a daily aspirin to prevent another stroke after already having one
\Angular cheilitis can be caused by what? - ANS nutritional deficiency
\Are males or females more likely to commit suicide? - ANS males
\Are the sickling of RBCS in sickle cell anemia reversible? - ANS initially, yes they are
reversible with oxygenation. But repeated episodes cause the cells to become
irreversibly sickled.
\Athletic amenorrhea increases one's risk of developing what? - ANS osteoporosis; this
is because there is a loss of body fat and body fat is what produces estrogen so estrogen
levels decline
\AV nicking is most commonly seen on retinal exam of which chronic condition? - ANS
hypertension
\Bacteria most commonly responsible for pyelonephritis - ANS e coli
\Bacterial invasion of the renal parenchyma - ANS pyelonephritis
\Beta blockers are contraindicated in which cardiovascular condition? - ANS variant
(prinzmetal) angina bc they may induce coronary vasospasm from unopposed alpha
receptor activity
\Body lice are vectors for which diseases? - ANS epidemic typhus, trench fever, relapsing
fever
\Body lice primarily live where? - ANS on bedding and clothing, not people
\Breath sounds heard over the periphery of the lung fields are what? - ANS vesicular;
they are quiet and wispy
\C. trachomatis stands for what common type of bacteria infection? - ANS chlamydia
\Can a pregnant woman be on levothyroxine during pregnancy? - ANS yes, she should
continue it and have TSH checked monthly because she may need a higher dose as
thyroid hormone needs increase during pregnancy
\Can a pregnant woman get the MMR vaccine while pregnant? - ANS yes
\Cancer in the bone marrow that results in skeletal destruction - ANS multiple myeloma
