APEA PREDICTOR EXAM 2 TEST PAPER 2026
COMPLETE RESPONSES GRADED A+
◉ first grade intensity that a thrill can be palpated. Answer: ansg4
◉ dysuria. Answer: Order a urinalysis and urine for culture and
sensitivity (C&S), and treat the patient with antibiotics
◉ enterobiasis infection. Answer: in a 6-year-old girl pin worms -
ansscotch tape
◉ Evidence of blood in the urine. Answer: can be seen with kidney
stones, bladder cancer, and acute pyelonephritis.
◉ Extreme tenderness and involuntary guarding at McBurney's
point. Answer: is a significant finding for possible: - ansAcute
appendicitis
◉ prediabetes. Answer: look for an A1C between 5.7% to 6.4%,
fasting plasma glucose (FPG) of 100 to 125 mg/dL, and/or 75-g oral
glucose tolerance test (OGTT) 2-hour postprandial glucose of 140 to
199 mg/dL
,◉ Grey-Turner's sign. Answer: is highly suggestive of which of the
following conditions? Acute pancreatitis
◉ Hashimoto's thyroiditis. Answer: Anti-thyroid peroxidase and
anti-thyroglobulin antibodies
◉ Heart Failure Clinical Signs and Symptoms. Answer: Crackles, S3
and/or S4, Peripheral edema may be present
◉ heart murmurs. Answer: are caused by turbulent blood flow
through the great vessels or across a heart valve occurs
◉ HEAVY chest pressure. Answer: anscall 911
◉ hf med. Answer: ansace arb
◉ htn stop. Answer: ansnsaids naproxen
◉ hyperbilirubinemia. Answer: ans2-3 days after birth
◉ Hypocalcemia. Answer: ansChvostek's sign
,◉ IBS (irritable bowel syndrome). Answer: Diarrhea and/or
constipation, Abdominal pain relief after defecation, Mucus with
stools
◉ Zollinger-Ellison syndrome. Answer: If left untreated, it can cause
severe ulceration of the stomach or duodenum
◉ If Mrs. Boudreaux were to develop heart failure. Answer: which
medications would be most beneficial to discontinue? Select all that
apply - ansamlodopine, naproxine
◉ If pravastatin is chosen for Mr. Thibodeaux. Answer: how would
you manage this? Select all that apply. - ansCheck liver enzymes
prior to initiation of statin. Start him on 40 mg today and recheck
lipids/LFTs in 8 weeks.
◉ Koilonychia. Answer: is also known as spoon-shaped nails. The
finger nails are thin and have a concave shape. Koilonychia is
associated with severe iron-deficiency anemia.
◉ labyrinthitis or vestibular neuritis. Answer: except: -
ansSymptoms provoked by changes in head position, Vertigo with
nausea and vomiting, Nystagmus
◉ Microaneurysms. Answer: are seen with diabetic retinopathy.
, ◉ Arteriovenous (AV) nicking. Answer: Seen with uncontrolled
hypertension.
◉ Copper wire arterioles. Answer: Seen with uncontrolled
hypertension.
◉ Flame hemorrhages. Answer: Seen with uncontrolled
hypertension.
◉ Murphy's sign. Answer: Suggestive of acute cholecystitis and
gallbladder disease; elicited by palpating the subcostal region on the
right upper abdomen, causing the patient to abruptly stop
inspiration due to severe pain.
◉ Mitral valve prolapse (MVP). Answer: A systolic murmur
accompanied by a mid systolic click located at the apical area.
◉ Severe mitral regurgitation. Answer: A potential complication of
mitral valve prolapse (MVP).
◉ Endocarditis. Answer: A potential complication of mitral valve
prolapse (MVP).
COMPLETE RESPONSES GRADED A+
◉ first grade intensity that a thrill can be palpated. Answer: ansg4
◉ dysuria. Answer: Order a urinalysis and urine for culture and
sensitivity (C&S), and treat the patient with antibiotics
◉ enterobiasis infection. Answer: in a 6-year-old girl pin worms -
ansscotch tape
◉ Evidence of blood in the urine. Answer: can be seen with kidney
stones, bladder cancer, and acute pyelonephritis.
◉ Extreme tenderness and involuntary guarding at McBurney's
point. Answer: is a significant finding for possible: - ansAcute
appendicitis
◉ prediabetes. Answer: look for an A1C between 5.7% to 6.4%,
fasting plasma glucose (FPG) of 100 to 125 mg/dL, and/or 75-g oral
glucose tolerance test (OGTT) 2-hour postprandial glucose of 140 to
199 mg/dL
,◉ Grey-Turner's sign. Answer: is highly suggestive of which of the
following conditions? Acute pancreatitis
◉ Hashimoto's thyroiditis. Answer: Anti-thyroid peroxidase and
anti-thyroglobulin antibodies
◉ Heart Failure Clinical Signs and Symptoms. Answer: Crackles, S3
and/or S4, Peripheral edema may be present
◉ heart murmurs. Answer: are caused by turbulent blood flow
through the great vessels or across a heart valve occurs
◉ HEAVY chest pressure. Answer: anscall 911
◉ hf med. Answer: ansace arb
◉ htn stop. Answer: ansnsaids naproxen
◉ hyperbilirubinemia. Answer: ans2-3 days after birth
◉ Hypocalcemia. Answer: ansChvostek's sign
,◉ IBS (irritable bowel syndrome). Answer: Diarrhea and/or
constipation, Abdominal pain relief after defecation, Mucus with
stools
◉ Zollinger-Ellison syndrome. Answer: If left untreated, it can cause
severe ulceration of the stomach or duodenum
◉ If Mrs. Boudreaux were to develop heart failure. Answer: which
medications would be most beneficial to discontinue? Select all that
apply - ansamlodopine, naproxine
◉ If pravastatin is chosen for Mr. Thibodeaux. Answer: how would
you manage this? Select all that apply. - ansCheck liver enzymes
prior to initiation of statin. Start him on 40 mg today and recheck
lipids/LFTs in 8 weeks.
◉ Koilonychia. Answer: is also known as spoon-shaped nails. The
finger nails are thin and have a concave shape. Koilonychia is
associated with severe iron-deficiency anemia.
◉ labyrinthitis or vestibular neuritis. Answer: except: -
ansSymptoms provoked by changes in head position, Vertigo with
nausea and vomiting, Nystagmus
◉ Microaneurysms. Answer: are seen with diabetic retinopathy.
, ◉ Arteriovenous (AV) nicking. Answer: Seen with uncontrolled
hypertension.
◉ Copper wire arterioles. Answer: Seen with uncontrolled
hypertension.
◉ Flame hemorrhages. Answer: Seen with uncontrolled
hypertension.
◉ Murphy's sign. Answer: Suggestive of acute cholecystitis and
gallbladder disease; elicited by palpating the subcostal region on the
right upper abdomen, causing the patient to abruptly stop
inspiration due to severe pain.
◉ Mitral valve prolapse (MVP). Answer: A systolic murmur
accompanied by a mid systolic click located at the apical area.
◉ Severe mitral regurgitation. Answer: A potential complication of
mitral valve prolapse (MVP).
◉ Endocarditis. Answer: A potential complication of mitral valve
prolapse (MVP).
