EDITION –REAL EXAM QUESTIONS AND VERIFIED ANSWERS
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APEA 3P
What is another name for fifth disease? - - ANS - -parvovirus/slapped cheek
disease/erythema infectiosum
Which type of prevention are vaccinations? - - ANS - -Primary
When should patients begin antiretroviral therapy for HIV infection? - - ANS - -As
soon as detected, even if in the acute phase.
What are the first generation antihistamines? - - ANS - -diphenhydramine (benadryl)
and chlorpeniramine (actifed)
What are the s/s of the secondary stage of syphilis? - - ANS - -Non-itchy rash on
hands and feet, lymphadenopathy, fever, joint pain
Recommended treatment for chronic bacterial prostatitis? - - ANS - -fluoroquinolone
(cipro or levo) and bactrim
Recommended treatment for acute prostatitis? - - ANS - -Cipro (if not STI) or
ceftriaxone
,What are the s/s of an intraductal breast papilloma? - - ANS - -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 penicillin, what is the second line option?
- - ANS - -First generation cephalosporins, unless the allergy is severe, then
macrolides like a -mycin
PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient populations?
- - ANS - -In those who are on any type of nitrate or triptan because it could result in
hypotension
What class of drug is sildenafil (Viagra)? - - ANS - -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? - - ANS - -pain, absent or weak
pulses, eschar or shiny legs, intermittent claudication
What is the first line treatment for PAD? - - ANS - -Walking and physical activity to
improve circulation. Second line is aspirin or anti-platelet.
What should we tell our patients with PAD not to do? - - ANS - -Do not elevate the
feet, keep them down.
What is the biggest side effect of colchicine? - - ANS - -Diarrhea
,How would you describe the appearance of molluscum contagiosum? - - ANS - -
Papules that are umbilicated and contain a caseous plug.
How do we treat a broken clavicle in an infant? - - ANS - -No treatment; it should
heal on its own.
At what week of pregnancy is the uterus palpable just above the pubic symphysis? - -
ANS - -Week 12
At what week of pregnancy is the fundus palpable halfway between the pubic
symphysis and umbilicus? - - ANS - -Week 16
At what week of pregnancy is the fundus of the uterus at the umbilicus? - - ANS - -
Week 20
At what week of pregnancy is the fundus just below the xiphoid process? - - ANS - -
Week 34
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid
process and umbilicus? - - ANS - -28
Increased sweat production is a sign of what endocrine disorder? - - ANS - -
Hyperthyroidism
, What is Paget's disease? - - ANS - -Localized increased bone turnover and blood flow
resulting in the breakdown of bone and replacing it with weakened and highly
vascular bone putting the person at risk of fractures.
How do we treat Paget's disease? - - ANS - -Bisphosphonates
How should pregnant women wear their seatbelts? - - ANS - -With the shoulder strap
like normal and then the groin strap below the belly and across the hips.
How do we diagnose PAD? - - ANS - -ABI<7, doppler can also be used to diagnose but
that is the second choice.
What are the s/s of peripheral vascular disease? - - ANS - -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 may need an antibiotic for an infection and
Bactrim is the drug of choice, what should you do? - - ANS - -Bactrim increases INR
so we would want to decrease Coumadin while patient is taking Bactrim.
If a patient is on Coumadin but then needs to be on Rifampin, what should you do? - -
ANS - -Rifampin decreases INR, would need to increase Coumadin.
If a patient is on Coumadin and their INR is 3.1-4, what should you do? - - ANS - -
Decrease the weekly dose by 5-10%