APEA Predictor 2025 \2026– Finals
Week Study Guide & Practice Questions
REAL EXAM
Cranial Nerve VIII - ANSWER ✔---Acoustic (Hearing and balance)
Cranial nerve IX - ANSWER ✔---Glossopharyngeal- swallowing and rise of the palate, gag reflex
Cranial Nerve XI - ANSWER ✔---Spinal Accessory (upper trapezius)
Deep tendon reflex - ANSWER ✔---Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
,Stroke risk scale - ANSWER ✔---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 - ANSWER ✔---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 - ANSWER ✔---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 - ANSWER ✔---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 - ANSWER ✔---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 - ANSWER ✔---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 dyspareunia. A microscopy slide
reveals a large number of atrophic squamous epithelial cells. The vaginal pH is 4.0. There are very few
leukocytes and no RBCs are seen on the wet smear. Which of the following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding. - ANSWER ✔---A. Atrophic vaginitis. Symptoms of atrophic vaginitis
include painful intercourse, atrophic squamous epithelial cells, and a decrease in pH. Vaginal atrophy is
caused by lack of or imbalance of estrogen. Normal pH of the vagina is 4.0-5.0 (acidic)
The most common type of skin malignancy is:
A. Squamous cell cancer
B. Basal skin cancer
, C. Melanoma
D. Dysplastic nevi - ANSWER ✔---B. Basal skin cancer. It is several times more common that
squamous cell skin cancer according to the NIH.
Koplik's spots are associated with:
A. Poxvirius infections
B. Measles
C. Kawasaki's disease
D. Reye's syndrome - ANSWER ✔---B. Measles. S/S include fever over 101, coryza, cough,
conjunctivitis, rash, and koplik's spots on buccal mucosa
At what level of prevention would you classify for lung cancer?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention - ANSWER ✔---D. primordial prevention. Screening for lung cancer is not
currently recommended in the general population, but it is secondary prevention.
A test called the visual fields by confrontation is used to evaluate for:
A. Peripheral vision
B. Central vision
C. Visual acuity
D. Accomodation - ANSWER ✔---A. Peripheral vision
What is the most common cause of Cushing's syndrome? - ANSWER ✔---Administration of a
glucocorticoid or ACTH.
Iatrogenic Cushing's syndrome is the most common type. Exogenous glucocorticoid administration
produces a Cushing's Syndrome that is reversible by discontinuation of the medication.
Week Study Guide & Practice Questions
REAL EXAM
Cranial Nerve VIII - ANSWER ✔---Acoustic (Hearing and balance)
Cranial nerve IX - ANSWER ✔---Glossopharyngeal- swallowing and rise of the palate, gag reflex
Cranial Nerve XI - ANSWER ✔---Spinal Accessory (upper trapezius)
Deep tendon reflex - ANSWER ✔---Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
,Stroke risk scale - ANSWER ✔---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 - ANSWER ✔---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 - ANSWER ✔---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 - ANSWER ✔---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 - ANSWER ✔---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 - ANSWER ✔---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 dyspareunia. A microscopy slide
reveals a large number of atrophic squamous epithelial cells. The vaginal pH is 4.0. There are very few
leukocytes and no RBCs are seen on the wet smear. Which of the following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding. - ANSWER ✔---A. Atrophic vaginitis. Symptoms of atrophic vaginitis
include painful intercourse, atrophic squamous epithelial cells, and a decrease in pH. Vaginal atrophy is
caused by lack of or imbalance of estrogen. Normal pH of the vagina is 4.0-5.0 (acidic)
The most common type of skin malignancy is:
A. Squamous cell cancer
B. Basal skin cancer
, C. Melanoma
D. Dysplastic nevi - ANSWER ✔---B. Basal skin cancer. It is several times more common that
squamous cell skin cancer according to the NIH.
Koplik's spots are associated with:
A. Poxvirius infections
B. Measles
C. Kawasaki's disease
D. Reye's syndrome - ANSWER ✔---B. Measles. S/S include fever over 101, coryza, cough,
conjunctivitis, rash, and koplik's spots on buccal mucosa
At what level of prevention would you classify for lung cancer?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention - ANSWER ✔---D. primordial prevention. Screening for lung cancer is not
currently recommended in the general population, but it is secondary prevention.
A test called the visual fields by confrontation is used to evaluate for:
A. Peripheral vision
B. Central vision
C. Visual acuity
D. Accomodation - ANSWER ✔---A. Peripheral vision
What is the most common cause of Cushing's syndrome? - ANSWER ✔---Administration of a
glucocorticoid or ACTH.
Iatrogenic Cushing's syndrome is the most common type. Exogenous glucocorticoid administration
produces a Cushing's Syndrome that is reversible by discontinuation of the medication.
