APEA Predictor test exam 1014Questions and Answers with
complete solution(Graded A+)
Cranial Nerve VIII - CORRECT ANSWERS Acoustic (Hearing and balance)
Cranial nerve IX - CORRECT ANSWERS Glossopharyngeal- swallowing and rise
of the palate, gag reflex
Cranial Nerve XI - CORRECT ANSWERS Spinal Accessory (upper trapezius)
Deep tendon reflex - CORRECT ANSWERS Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale - CORRECT ANSWERS CHADS2
C-Congestive heart failure
H-Hypertension
A-Age >75 years
D- Diabetes
S-prior Stroke/TIA
In the majority of children, the first permanent teeth start to erupt at the age of 6
years. Which of the following are the first permanent teeth to erupt in this time
period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines - CORRECT ANSWERS A. First Molars
All of the following are classified as activities of daily living (ADLs) except:
,A. ability to feed self
B. Ability to manage bladder and bowel elimination
,C. Personal hygiene and grooming
D. Grocery Shopping - CORRECT ANSWERS D. Grocery shopping
You note the following result on a routine urinalysis of a 37-year old primigravida
who is at 30 weeks gestation. Leukocyte=trace, nitrite=negative, protein=2+,
blood=negative. Her weight has increased by 5 lbs during the past week. Which of
the following is most likely?
A. HELLP syndrome
B. Pregnancy-induced hypertension (pre-eclampsia)
C. Eclampsia of pregnancy
D. Primary hypertension - CORRECT ANSWERS B. Pregnancy-induced
hypertension (pre-eclampsia). Classic triad of symptoms of preeclampsia include
hypertension, edema (weight gain), and proteinuria.
The mother of a 12 month old infant reports to the nurse practitioner that her child
had a high fever for several days, which spontaneously resolved. After the fever
resolved, the child developed a maculopapular rash. Which of the following is the
most likely diagnosis?
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes - CORRECT ANSWERS B. Roseola Infantum
(Exanthema subitum)
A 70-year old male patient complains of a bright red-colored spot in his left eye for 2
days. He denies eye pain, visual changes, or headaches. He has a new onset of
cough from a recent viral upper respiratory infection. The only medicine he is on
Bayer aspirin, 1 tablet a day. Which of the following is most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - CORRECT ANSWERS D. Subconjunctival
hemorrhage. Bright red blood in a sharply defined area surrounded by normal-
appearing conjunctiva indicates subconjunctival hemorrhage.
, A woman is being evaluated by the nurse practitioner for complaints of
yx yx yx yx yx yx yx yx yx yx yx
dyspareunia. A microscopy slide reveals a large number of atrophic squamous
yx yx yx yx yx yx yx yx yx yx yx
epithelial cells. The vaginal pH is 4.0. There are very few leukocytes and no RBCs
yx yx yx yx yx yx yx yx yx yx yx yx yx yx yx
are seen on the wet smear. Which of the following is most likely?
yx yx yx yx yx yx yx yx yx yx yx yx yx
A. Atrophicvaginitis yx
B. Bacterial Vaginosis yx
C. Trichomoniasis
D. This is a normal finding. - CORRECT ANSWERS
yx yx A. Atrophic vaginitis.
yx yx yx yx yx yx yx
Symptoms of atrophic vaginitis include painful intercourse, atrophic squamous
yx yx yx yx yx yx yx yx yx
epithelial cells, and a decrease in pH. Vaginal atrophy is caused by lack of or
yx yx yx yx yx yx yx yx yx yx yx yx yx yx yx
imbalance of estrogen. Normal pH of the vagina is 4.0-5.0 (acidic)
yx yx yx yx yx yx yx yx yx yx yx
The most common type of skin malignancy is:
yx yx yx yx yx yx yx
A. Squamous cell cancer y x y x
B. Basal skin cancer yx yx
C. Melanoma
D. Dysplastic nevi - CORRECT ANSWERS B. Basal skin cancer. It is several
yx yx yx yx yx yx yx yx yx yx
times more common that squamous cell skin cancer according to the NIH.
yx yx yx yx yx yx yx yx yx yx yx yx
Koplik's spots are associated with:yx yx yx yx
A. Poxvirius infections yx
B. Measles
C. Kawasaki's disease yx
D. Reye's syndrome - CORRECT ANSWERS yx B. Measles. S/S include fever over yx yx yx yx yx yx yx yx
101, coryza, cough, conjunctivitis, rash, and koplik's spots on buccal mucosa
yx yx yx yx yx yx yx yx yx yx yx
At what level of prevention would you classify for lung cancer?
yx yx yx yx yx yx yx yx yx yx
A. Primary prevention yx
B. Secondary prevention yx
C. Tertiary prevention yx
complete solution(Graded A+)
Cranial Nerve VIII - CORRECT ANSWERS Acoustic (Hearing and balance)
Cranial nerve IX - CORRECT ANSWERS Glossopharyngeal- swallowing and rise
of the palate, gag reflex
Cranial Nerve XI - CORRECT ANSWERS Spinal Accessory (upper trapezius)
Deep tendon reflex - CORRECT ANSWERS Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale - CORRECT ANSWERS CHADS2
C-Congestive heart failure
H-Hypertension
A-Age >75 years
D- Diabetes
S-prior Stroke/TIA
In the majority of children, the first permanent teeth start to erupt at the age of 6
years. Which of the following are the first permanent teeth to erupt in this time
period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines - CORRECT ANSWERS A. First Molars
All of the following are classified as activities of daily living (ADLs) except:
,A. ability to feed self
B. Ability to manage bladder and bowel elimination
,C. Personal hygiene and grooming
D. Grocery Shopping - CORRECT ANSWERS D. Grocery shopping
You note the following result on a routine urinalysis of a 37-year old primigravida
who is at 30 weeks gestation. Leukocyte=trace, nitrite=negative, protein=2+,
blood=negative. Her weight has increased by 5 lbs during the past week. Which of
the following is most likely?
A. HELLP syndrome
B. Pregnancy-induced hypertension (pre-eclampsia)
C. Eclampsia of pregnancy
D. Primary hypertension - CORRECT ANSWERS B. Pregnancy-induced
hypertension (pre-eclampsia). Classic triad of symptoms of preeclampsia include
hypertension, edema (weight gain), and proteinuria.
The mother of a 12 month old infant reports to the nurse practitioner that her child
had a high fever for several days, which spontaneously resolved. After the fever
resolved, the child developed a maculopapular rash. Which of the following is the
most likely diagnosis?
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes - CORRECT ANSWERS B. Roseola Infantum
(Exanthema subitum)
A 70-year old male patient complains of a bright red-colored spot in his left eye for 2
days. He denies eye pain, visual changes, or headaches. He has a new onset of
cough from a recent viral upper respiratory infection. The only medicine he is on
Bayer aspirin, 1 tablet a day. Which of the following is most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - CORRECT ANSWERS D. Subconjunctival
hemorrhage. Bright red blood in a sharply defined area surrounded by normal-
appearing conjunctiva indicates subconjunctival hemorrhage.
, A woman is being evaluated by the nurse practitioner for complaints of
yx yx yx yx yx yx yx yx yx yx yx
dyspareunia. A microscopy slide reveals a large number of atrophic squamous
yx yx yx yx yx yx yx yx yx yx yx
epithelial cells. The vaginal pH is 4.0. There are very few leukocytes and no RBCs
yx yx yx yx yx yx yx yx yx yx yx yx yx yx yx
are seen on the wet smear. Which of the following is most likely?
yx yx yx yx yx yx yx yx yx yx yx yx yx
A. Atrophicvaginitis yx
B. Bacterial Vaginosis yx
C. Trichomoniasis
D. This is a normal finding. - CORRECT ANSWERS
yx yx A. Atrophic vaginitis.
yx yx yx yx yx yx yx
Symptoms of atrophic vaginitis include painful intercourse, atrophic squamous
yx yx yx yx yx yx yx yx yx
epithelial cells, and a decrease in pH. Vaginal atrophy is caused by lack of or
yx yx yx yx yx yx yx yx yx yx yx yx yx yx yx
imbalance of estrogen. Normal pH of the vagina is 4.0-5.0 (acidic)
yx yx yx yx yx yx yx yx yx yx yx
The most common type of skin malignancy is:
yx yx yx yx yx yx yx
A. Squamous cell cancer y x y x
B. Basal skin cancer yx yx
C. Melanoma
D. Dysplastic nevi - CORRECT ANSWERS B. Basal skin cancer. It is several
yx yx yx yx yx yx yx yx yx yx
times more common that squamous cell skin cancer according to the NIH.
yx yx yx yx yx yx yx yx yx yx yx yx
Koplik's spots are associated with:yx yx yx yx
A. Poxvirius infections yx
B. Measles
C. Kawasaki's disease yx
D. Reye's syndrome - CORRECT ANSWERS yx B. Measles. S/S include fever over yx yx yx yx yx yx yx yx
101, coryza, cough, conjunctivitis, rash, and koplik's spots on buccal mucosa
yx yx yx yx yx yx yx yx yx yx yx
At what level of prevention would you classify for lung cancer?
yx yx yx yx yx yx yx yx yx yx
A. Primary prevention yx
B. Secondary prevention yx
C. Tertiary prevention yx
