APEA Predictor Exam
What is the biggest side effect of colchicine? - correct Answer-diarrhea
How would you describe the appearance of molluscum contagiosum? - correct Answer-papules that are
umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant? - correct Answer-no treatment; it should heal on it's own
At what week of pregnancy is the uterus palpable just above the pubic symphysis? - correct Answer-
week 12
At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and umbilicus?
- correct Answer-week 16
At what week of pregnancy is the fundus of the uterus at the umbilicus? - correct Answer-week 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and
umbilicus? - correct Answer-week 28
At what week of pregnancy is the fundus just below the xiphoid process? - correct Answer-week 34
Increased sweat production is a sign of what endocrine disorder? - correct Answer-hyperthyroidism
What is Paget's disease? - correct Answer-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 Answer-bisphosphonates
How should pregnant women wear their seatbelt? - correct Answer-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 Answer-parvovirus aka slapped cheek disease aka
erythema infectiosum
Which type of prevention are vaccinations? - correct Answer-primary
When should patients begin antiretroviral therapy for HIV infection? - correct Answer-as soon as it is
detected, even if in the acute phase
What are the first generation antihistamines? - correct Answer-diphenhydramine (benadryl) and
chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis? - correct Answer-rash on hands and feet,
lymphadenopathy, fever
, What is the recommended treatment for chronic bacterial prostatitis? - correct Answer-a
fluoroquinolone (cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis? - correct Answer-cipro (if not STI related) or
ceftriaxone
What are s/s of an intraductal breast papilloma? - correct Answer-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 Answer-
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 Answer-
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 Answer-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 Answer-think P meaning pain, A meaning
absent or weak pulses, eschar or shiny legs, intermittent claudication
What is first line treatment for PAD? - correct Answer-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 Answer-do not elevate the feet; keep
them down
How do we diagnose PAD? - correct Answer-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? - correct Answer-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? - correct Answer-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? - correct
Answer-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? - correct Answer-decrease the weekly dose
by 5-10%
If a patient on coumadin's INR is 4.1-5.0, what should you do? - correct Answer-hold one dose then
decrease the weekly dose by 10%
What is the biggest side effect of colchicine? - correct Answer-diarrhea
How would you describe the appearance of molluscum contagiosum? - correct Answer-papules that are
umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant? - correct Answer-no treatment; it should heal on it's own
At what week of pregnancy is the uterus palpable just above the pubic symphysis? - correct Answer-
week 12
At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and umbilicus?
- correct Answer-week 16
At what week of pregnancy is the fundus of the uterus at the umbilicus? - correct Answer-week 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and
umbilicus? - correct Answer-week 28
At what week of pregnancy is the fundus just below the xiphoid process? - correct Answer-week 34
Increased sweat production is a sign of what endocrine disorder? - correct Answer-hyperthyroidism
What is Paget's disease? - correct Answer-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 Answer-bisphosphonates
How should pregnant women wear their seatbelt? - correct Answer-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 Answer-parvovirus aka slapped cheek disease aka
erythema infectiosum
Which type of prevention are vaccinations? - correct Answer-primary
When should patients begin antiretroviral therapy for HIV infection? - correct Answer-as soon as it is
detected, even if in the acute phase
What are the first generation antihistamines? - correct Answer-diphenhydramine (benadryl) and
chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis? - correct Answer-rash on hands and feet,
lymphadenopathy, fever
, What is the recommended treatment for chronic bacterial prostatitis? - correct Answer-a
fluoroquinolone (cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis? - correct Answer-cipro (if not STI related) or
ceftriaxone
What are s/s of an intraductal breast papilloma? - correct Answer-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 Answer-
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 Answer-
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 Answer-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 Answer-think P meaning pain, A meaning
absent or weak pulses, eschar or shiny legs, intermittent claudication
What is first line treatment for PAD? - correct Answer-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 Answer-do not elevate the feet; keep
them down
How do we diagnose PAD? - correct Answer-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? - correct Answer-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? - correct Answer-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? - correct
Answer-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? - correct Answer-decrease the weekly dose
by 5-10%
If a patient on coumadin's INR is 4.1-5.0, what should you do? - correct Answer-hold one dose then
decrease the weekly dose by 10%
