1.
APEA PREDICTOR EXAM WITH QUESTIONS
AND 100% CORRECT ANSWERS
2. What is the biggest side effect of colchicine? - Answer diarrhea
3. How would you describe the appearance of molluscum contagiosum? - Answer papules
that are umbilicated and contain a caseous plug
4. How do we treat a broken clavicle in an infant? - Answer no treatment; it should heal on
it's own
5. At what week of pregnancy is the uterus palpable just above the pubic symphysis? - Answer
week 12
6. At what week of pregnancy is the fundus palpable halfway between the pubic symphysis
and umbilicus? - Answer week 16
7. At what week of pregnancy is the fundus of the uterus at the umbilicus? - Answer week 20
8. At what week of pregnancy is the fundus of the uterus halfway between the xiphoid
process and umbilicus? - Answer week 28
9. At what week of pregnancy is the fundus just below the xiphoid process? - Answer week 34
10. Increased sweat production is a sign of what endocrine disorder? - Answer hyperthyroidism
11. What is Paget's disease? - 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
12. How do we treat Paget's diseease? - Answer bisphosphonates
13. How should pregnant women wear their seatbelt? - Answer with the shoulder strap like a
normal person and then the groin strap below the belly and across the hips
14. What is another name for fifth disease? - Answer parvovirus aka slapped cheek disease aka
erythema infectiosum
15. Which type of prevention are vaccinations? - Answer primary
16. When should patients begin antiretroviral therapy for HIV infection? - Answer as soon as
it is detected, even if in the acute phase
17. What are the first generation antihistamines? - Answer diphenhydramine (benadryl) and
chlorpeniramine (actifed)
18. What are s/s of the secondary stage of syphilis? - Answer rash on hands and feet,
lymphadenopathy, fever
, 19.
20. What is the recommended treatment for chronic bacterial prostatitis? - Answer a
fluoroquinolone (cipro or levo) + bactrim
21. What is the recommended treatment for acute prostatitis? - Answer cipro (if not STI
related) or ceftriaxone
22. What are s/s of an intraductal breast papilloma? - Answer clear to bloody unilateral nipple
discharge (bilateral is usually benign), and also a wart like lump palpated in the nipple area
23. If a patient has GABHS but has an allergy to penicillins, what is the second line option? -
Answer first generation cephalosporins, unless the allergy is severe, then you would
consider macrolides like a -mycin
24. PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient populations? -
Answer in those who are on any type of nitrate or triptan because it could result in
hypotension
25. What class of drug is sildenafil (viagra)? - 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
26. What are the symptoms of peripheral artery disease? - Answer think P meaning pain, A
meaning absent or weak pulses, eschar or shiny legs, intermittent claudication
27. What is first line treatment for PAD? - Answer walking and physical activity to improve
circulation. second line is an aspirin or anti-platelet
28. What should we tell our patients with PAD NOT to do? - Answer do not elevate the feet;
keep them down
29. How do we diagnose PAD? - Answer an ABI < 7; doppler can also be used to diagnose
as well but is the second choice
30. What are s/s of peripheral vascular disease? - Answer think V meaning volume overload
aka edema, may ache or be uncomfortable but is not painful, bounding pulses, ruddy
discoloration
31. 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? - Answer Bactrim increases INR so
we would want to decrease the coumadin dose while the patient is on this
32. If a patient is on Coumadin but then they may need to go on Rifampin, what should you do?
- Answer Rifampin decreases INR so we'd want to increase the coumadin dose
33. If a patient on coumadin's INR is 3.1-4 ,what should you do? - Answer decrease the
weekly dose by 5-10%
APEA PREDICTOR EXAM WITH QUESTIONS
AND 100% CORRECT ANSWERS
2. What is the biggest side effect of colchicine? - Answer diarrhea
3. How would you describe the appearance of molluscum contagiosum? - Answer papules
that are umbilicated and contain a caseous plug
4. How do we treat a broken clavicle in an infant? - Answer no treatment; it should heal on
it's own
5. At what week of pregnancy is the uterus palpable just above the pubic symphysis? - Answer
week 12
6. At what week of pregnancy is the fundus palpable halfway between the pubic symphysis
and umbilicus? - Answer week 16
7. At what week of pregnancy is the fundus of the uterus at the umbilicus? - Answer week 20
8. At what week of pregnancy is the fundus of the uterus halfway between the xiphoid
process and umbilicus? - Answer week 28
9. At what week of pregnancy is the fundus just below the xiphoid process? - Answer week 34
10. Increased sweat production is a sign of what endocrine disorder? - Answer hyperthyroidism
11. What is Paget's disease? - 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
12. How do we treat Paget's diseease? - Answer bisphosphonates
13. How should pregnant women wear their seatbelt? - Answer with the shoulder strap like a
normal person and then the groin strap below the belly and across the hips
14. What is another name for fifth disease? - Answer parvovirus aka slapped cheek disease aka
erythema infectiosum
15. Which type of prevention are vaccinations? - Answer primary
16. When should patients begin antiretroviral therapy for HIV infection? - Answer as soon as
it is detected, even if in the acute phase
17. What are the first generation antihistamines? - Answer diphenhydramine (benadryl) and
chlorpeniramine (actifed)
18. What are s/s of the secondary stage of syphilis? - Answer rash on hands and feet,
lymphadenopathy, fever
, 19.
20. What is the recommended treatment for chronic bacterial prostatitis? - Answer a
fluoroquinolone (cipro or levo) + bactrim
21. What is the recommended treatment for acute prostatitis? - Answer cipro (if not STI
related) or ceftriaxone
22. What are s/s of an intraductal breast papilloma? - Answer clear to bloody unilateral nipple
discharge (bilateral is usually benign), and also a wart like lump palpated in the nipple area
23. If a patient has GABHS but has an allergy to penicillins, what is the second line option? -
Answer first generation cephalosporins, unless the allergy is severe, then you would
consider macrolides like a -mycin
24. PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient populations? -
Answer in those who are on any type of nitrate or triptan because it could result in
hypotension
25. What class of drug is sildenafil (viagra)? - 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
26. What are the symptoms of peripheral artery disease? - Answer think P meaning pain, A
meaning absent or weak pulses, eschar or shiny legs, intermittent claudication
27. What is first line treatment for PAD? - Answer walking and physical activity to improve
circulation. second line is an aspirin or anti-platelet
28. What should we tell our patients with PAD NOT to do? - Answer do not elevate the feet;
keep them down
29. How do we diagnose PAD? - Answer an ABI < 7; doppler can also be used to diagnose
as well but is the second choice
30. What are s/s of peripheral vascular disease? - Answer think V meaning volume overload
aka edema, may ache or be uncomfortable but is not painful, bounding pulses, ruddy
discoloration
31. 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? - Answer Bactrim increases INR so
we would want to decrease the coumadin dose while the patient is on this
32. If a patient is on Coumadin but then they may need to go on Rifampin, what should you do?
- Answer Rifampin decreases INR so we'd want to increase the coumadin dose
33. If a patient on coumadin's INR is 3.1-4 ,what should you do? - Answer decrease the
weekly dose by 5-10%
