APEA Predictor Exam questions with verified solutions

APEA Predictor Exam questions with verified solutions

What is the biggest side effect of colchicine? - answersdiarrhea
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How would you describe the appearance of molluscum contagiosum? - answerspapules that are umbilicated and
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contain a caseous plug
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How do we treat a broken clavicle in an infant? - answersno treatment; it should heal on it's own
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At what week of pregnancy is the uterus palpable just above the pubic symphysis? - answersweek 12
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At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and umbilicus? -
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answersweek 16
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At what week of pregnancy is the fundus of the uterus at the umbilicus? - answersweek 20
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At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and umbilicus? -
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answersweek 28
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At what week of pregnancy is the fundus just below the xiphoid process? - answersweek 34
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Increased sweat production is a sign of what endocrine disorder? - answershyperthyroidism
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What is Paget's disease? - answersthere is localized increased bone turnover and blood flow resulting in the
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breakdown of bone and replacing it with weakened and highly vascular bone putting the indiv at increased risk of
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fractures
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How do we treat Paget's diseease? - answersbisphosphonates
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How should pregnant women wear their seatbelt? - answerswith the shoulder strap like a normal person and
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then the groin strap below the belly and across the hips
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What is another name for fifth disease? - answersparvovirus aka slapped cheek disease aka erythema
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infectiosum
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Which type of prevention are vaccinations? - answersprimary
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When should patients begin antiretroviral therapy for HIV infection? - answersas soon as it is detected, even if in
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the acute phase
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What are the first generation antihistamines? - answersdiphenhydramine (benadryl) and chlorpeniramine
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(actifed)
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What are s/s of the secondary stage of syphilis? - answersrash on hands and feet, lymphadenopathy, fever
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What is the recommended treatment for chronic bacterial prostatitis? - answersa fluoroquinolone (cipro or levo) +
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bactrim
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What is the recommended treatment for acute prostatitis? - answerscipro (if not STI related) or ceftriaxone
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,What are s/s of an intraductal breast papilloma? - answersclear to bloody unilateral nipple discharge (bilateral is
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usually benign), and also a wart like lump palpated in the nipple area
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If a patient has GABHS but has an allergy to penicillins, what is the second line option? - answersfirst generation
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cephalosporins, unless the allergy is severe, then you would consider macrolides like a -mycin
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PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient populations? - answersin those who are
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on any type of nitrate or triptan because it could result in hypotension
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What class of drug is sildenafil (viagra)? - answersa PDE5 inhibitor which can cause hypotension so you should
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do a full cardiac assessment before starting a patient on this and maybe do an EKG
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What are the symptoms of peripheral artery disease? - answersthink P meaning pain, A meaning absent or weak
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pulses, eschar or shiny legs, intermittent claudication
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What is first line treatment for PAD? - answerswalking and physical activity to improve circulation. second line is
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an aspirin or anti-platelet
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What should we tell our patients with PAD NOT to do? - answersdo not elevate the feet; keep them down
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How do we diagnose PAD? - answersan ABI < 7; doppler can also be used to diagnose as well but is the second
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choice
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What are s/s of peripheral vascular disease? - answersthink V meaning volume overload aka edema, may ache
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or be uncomfortable but is not painful, bounding pulses, ruddy discoloration
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If a patient is on Coumadin but then they may need to go on an antibiotic for an infection and Bactrim is the drug
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of choice, what should you do? - answersBactrim increases INR so we would want to decrease the coumadin
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dose while the patient is on this
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If a patient is on Coumadin but then they may need to go on Rifampin, what should you do? - answersRifampin
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decreases INR so we'd want to increase the coumadin dose
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If a patient on coumadin's INR is 3.1-4 ,what should you do? - answersdecrease the weekly dose by 5-10%
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If a patient on coumadin's INR is 4.1-5.0, what should you do? - answershold one dose then decrease the weekly
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dose by 10%
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If a patient's INR is greater than 5, what should you do? - answersconsult cards, likely would hold two doses then
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decrease the weekly dose
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An anorexic patient will have a BMI of what? - answersless than 18
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What is primary amenorrhea? - answerswhen the patient has never gotten their period before (there is an
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absence of menarche) but they have all of their secondary sex characteristics
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Secondary amenorrhea is a lack of menses after _________ of not having a period; but you have had one before
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- answers3 months
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What do we need to do first when a patient comes in with secondary amenorrhea? - answersrule out pregnancy
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Anorexia can put you at risk for what? - answersosteoporosis, amenorrhea, cardiac damage
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