APEA 3P UPDATED Exam Questions and
CORRECT Answers
What is another name for fifth disease? - CORRECT ANSWER - parvovirus/slapped
cheek disease/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 detected, even if in the acute phase.
What are the first generation antihistamines? - CORRECT ANSWER - diphenhydramine
(benadryl) and chlorpeniramine (actifed)
What are the s/s of the secondary stage of syphilis? - CORRECT ANSWER - Non-itchy
rash on hands and feet, lymphadenopathy, fever, joint pain
Recommended treatment for chronic bacterial prostatitis? - CORRECT ANSWER -
fluoroquinolone (cipro or levo) and bactrim
Recommended treatment for acute prostatitis? - CORRECT ANSWER - Cipro (if not STI)
or ceftriaxone
What are the 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 penicillin, what is the second line option? -
CORRECT ANSWER - First generation cephalosporins, unless the allergy is severe, then
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 - pain,
absent or weak pulses, eschar or shiny legs, intermittent claudication
What is the first line treatment for PAD? - CORRECT ANSWER - 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? - CORRECT ANSWER - Do not
elevate the feet, keep them down.
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 its 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 just below the xiphoid process? - CORRECT
ANSWER - Week 34
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and
umbilicus? - CORRECT ANSWER - 28
Increased sweat production is a sign of what endocrine disorder? - CORRECT ANSWER -
Hyperthyroidism
What is Paget's disease? - CORRECT ANSWER - 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? - CORRECT ANSWER - Bisphosphonates
How should pregnant women wear their seatbelts? - CORRECT ANSWER - With the
shoulder strap like normal and then the groin strap below the belly and across the hips.
How do we diagnose PAD? - CORRECT ANSWER - ABI<7, doppler can also be used to
diagnose but that is the second choice.
What are the 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 may need 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 Coumadin while patient is taking Bactrim.
CORRECT Answers
What is another name for fifth disease? - CORRECT ANSWER - parvovirus/slapped
cheek disease/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 detected, even if in the acute phase.
What are the first generation antihistamines? - CORRECT ANSWER - diphenhydramine
(benadryl) and chlorpeniramine (actifed)
What are the s/s of the secondary stage of syphilis? - CORRECT ANSWER - Non-itchy
rash on hands and feet, lymphadenopathy, fever, joint pain
Recommended treatment for chronic bacterial prostatitis? - CORRECT ANSWER -
fluoroquinolone (cipro or levo) and bactrim
Recommended treatment for acute prostatitis? - CORRECT ANSWER - Cipro (if not STI)
or ceftriaxone
What are the 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 penicillin, what is the second line option? -
CORRECT ANSWER - First generation cephalosporins, unless the allergy is severe, then
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 - pain,
absent or weak pulses, eschar or shiny legs, intermittent claudication
What is the first line treatment for PAD? - CORRECT ANSWER - 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? - CORRECT ANSWER - Do not
elevate the feet, keep them down.
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 its 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 just below the xiphoid process? - CORRECT
ANSWER - Week 34
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and
umbilicus? - CORRECT ANSWER - 28
Increased sweat production is a sign of what endocrine disorder? - CORRECT ANSWER -
Hyperthyroidism
What is Paget's disease? - CORRECT ANSWER - 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? - CORRECT ANSWER - Bisphosphonates
How should pregnant women wear their seatbelts? - CORRECT ANSWER - With the
shoulder strap like normal and then the groin strap below the belly and across the hips.
How do we diagnose PAD? - CORRECT ANSWER - ABI<7, doppler can also be used to
diagnose but that is the second choice.
What are the 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 may need 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 Coumadin while patient is taking Bactrim.
