APEA PREDICTOR EXAM 2023-2024 TEST
BANK 350+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES |ALREADY
GRADED A+|BRAND NEW!!
a normal rise in blood sugar as a person's body prepares to wake up due to a release of
cortisol and growth hormone - ANSdawn phenomenon
a rare complication of pregnancy characterized by the abnormal growth of trophoblasts, the
cells that normally develop into the placenta - ANSmolar pregnancy
Alpha fetoprotein screening in pregnancy can help determine the presence of what in
pregnancy? - ANSspina bifida and anencephaly
Amenorrhea is considered a risk factor for what? - ANSosteoporosis
An anorexic patient will have a BMI of what? - ANSless than 18
Anorexia can put you at risk for what? - ANSosteoporosis, amenorrhea, cardiac damage
At what week of pregnancy is the fundus just below the xiphoid process? - ANSweek 34
At what week of pregnancy is the fundus of the uterus at the umbilicus? - ANSweek 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process
and umbilicus? - ANSweek 28
At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and
umbilicus? - ANSweek 16
At what week of pregnancy is the uterus palpable just above the pubic symphysis? - ANSweek
12
Bursitis can be a __________ issue - ANSrecurrent
Genu valgum is caused by a problem with what? - ANSthe medial collateral ligament; think
valgum as in gum makes your knees stick together
Genu varum is caused by a problem with what? - ANSthe lateral collateral ligament
Heberden and bouchard's nodes are indicative of what disease process? What about swan
neck deformities? - ANSosteoarthritis; rheumatoid arthritis
How can we abort cluster headaches? - ANScalcium or 100% oxygen application
How can you tell between the dawn and somogyi effect? - ANSIf the blood sugar level is low at
2 a.m. to 3 a.m., suspect the Somogyi effect. If the blood sugar level is normal or high at 2 a.m.
to 3 a.m., it's likely the dawn phenomenon.
,APEA PREDICTOR EXAM 2023-2024 TEST
BANK 350+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES |ALREADY
GRADED A+|BRAND NEW!!
How do we diagnose PAD? - ANSan ABI < 7; doppler can also be used to diagnose as well but
is the second choice
How do we treat a broken clavicle in an infant? - ANSno treatment; it should heal on it's own
How do we treat any rotator cuff injuries? - ANSwear a sling to stabilize the arm and refer to
ortho
How do we treat developmental hip dysplasia in a child under 6 months? - ANSPavlik harness;
if older than 6 months may need surgery
How do we treat lupus flares? - ANSsteroids
How do we treat Paget's diseease? - ANSbisphosphonates
How do we treat shin splints? - ANSrest and avoidance of exercise until the pain resolves
How do we treat temporal arteritis? - ANSsteroids
How do we treat UTIs in a pregnant woman? - ANScan either do penicillin, cephalosporin, or a
macrolide (can NOT do doxy or a fluoroquinolone)
How does the parathyroid gland regulate calcium? - ANSwhen parathyroid hormone is
released, it pulls calcium out of the blood and into the circulation in response to
hypocalcemia. it also increases absorption of calcium from the intestine
How is bursitis treated? - ANSa needle to instill intraarticular steroids and then pull off fluid
How is fibromyalgia diagnosed? - ANSwhen at least 8 out of 11 points bilaterally are tender to
touch and the symptoms have lasted longer than 3 months
How is Morton's neuroma diagnosed? - ANSvia a positive Muddler's or squeeze test causing
pain
How is the pain of trigeminal neuralgia vs temporal arteritis different? - ANSin trigeminal
neuralgia, the pain is like a shock hitting the side of your face whereas temporal arteritis is
more like a headache
How long do migraine headaches last? - ANS4-72 hours
How should pregnant women wear their seatbelt? - ANSwith the shoulder strap like a normal
person and then the groin strap below the belly and across the hips
How would you describe the appearance of molluscum contagiosum? - ANSpapules that are
umbilicated and contain a caseous plug
,APEA PREDICTOR EXAM 2023-2024 TEST
BANK 350+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES |ALREADY
GRADED A+|BRAND NEW!!
If a patient has GABHS but has an allergy to penicillins, what is the second line option? -
ANSfirst generation cephalosporins, unless the allergy is severe, then you would consider
macrolides like a -mycin
If a patient has LSIL with a negative HPV test, what would you do? - ANSrepeat in 1 year
If a patient has LSIL with no HPV test or a positive HPV test, what should you do? - ANSrefer
for colposcopy
If a patient is on birth control and is currently having breakthrough bleeding, then what do we
do? - ANSincrease the progesterone
If a patient is on birth control and they miss one pill, what should they do? - ANSdouble up
If a patient is on birth control and they miss two pills, what should they do? - ANSdouble up for
2 days
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? - ANSBactrim increases INR so we would
want to decrease the coumadin dose while the patient is on this
If a patient is on Coumadin but then they may need to go on Rifampin, what should you do? -
ANSRifampin decreases INR so we'd want to increase the coumadin dose
If a patient on coumadin's INR is 3.1-4 ,what should you do? - ANSdecrease the weekly dose
by 5-10%
If a patient on coumadin's INR is 4.1-5.0, what should you do? - ANShold one dose then
decrease the weekly dose by 10%
If a patient's Coomb's test is negative, what do we do? - ANSgive rhogam at 28 weeks and 72
hours after birth
If a patient's Coomb's test is positive, what do we do? - ANSnothing, she is RH positive so we
do not need to treat
If a patient's INR is greater than 5, what should you do? - ANSconsult cards, likely would hold
two doses then decrease the weekly dose
If a patient's pap results show ASC-H or HSIL what should you do? - ANSrefer for colposcopy
If a patient's pap results show NILM, what should you do? - ANSrepeat in 3 years
, APEA PREDICTOR EXAM 2023-2024 TEST
BANK 350+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES |ALREADY
GRADED A+|BRAND NEW!!
If a pregnant woman comes in with painless vaginal bleeding, what should we be considering?
- ANSplacenta previa
If a pregnant woman has syphilis, what should we do? - ANStreat it with penicillin while she is
pregnant because there is risk for spontaneous abortion
If any woman comes in with painless vaginal bleeding between periods (esp if she is
postmenopausal), what should you do? - ANSdo a pregnancy test and then refer for
endometrial biopsy to rule out endometrial cancer
In terms of the breasts, _____________ is used for screening and _____________ is used for
diagnosis. - ANSmammogram; ultrasound
Increased sweat production is a sign of what endocrine disorder? - ANShyperthyroidism
It is recommended that all children younger than __________ with sickle cell anemia take daily
prophylactic antibiotics. What antibiotic is this? - ANS5 years old; penicillin
Legg-calve-perthes disease is most common in which patient population? - ANSyoung children
Patients with SLE are going to have what abnormal labwork? - ANSelevated ESR and CRP
PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient populations? - ANSin
those who are on any type of nitrate or triptan because it could result in hypotension
Preeclampsia most commonly shows up at what time in pregnancy? - ANSaround week 20
SCFE is most common in which patient population? - ANSadolescents
Secondary amenorrhea is a lack of menses after _________ of not having a period; but you have
had one before - ANS3 months
The anterior drawer test assesses what? - ANSthe acl
The Lachman's test assesses what? - ANSthe ACL
The McMurray's test assesses for what? - ANSa torn meniscus
The medical term for bow legs - ANSgenu varum
The medical term for knock knees - ANSgenu valgum
The posterior drawer test assesses what? - ANSthe posterior cruciate ligament (pcl)
The vaginal ring for contraception must be taken out how often? - ANSevery 3 weeks
BANK 350+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES |ALREADY
GRADED A+|BRAND NEW!!
a normal rise in blood sugar as a person's body prepares to wake up due to a release of
cortisol and growth hormone - ANSdawn phenomenon
a rare complication of pregnancy characterized by the abnormal growth of trophoblasts, the
cells that normally develop into the placenta - ANSmolar pregnancy
Alpha fetoprotein screening in pregnancy can help determine the presence of what in
pregnancy? - ANSspina bifida and anencephaly
Amenorrhea is considered a risk factor for what? - ANSosteoporosis
An anorexic patient will have a BMI of what? - ANSless than 18
Anorexia can put you at risk for what? - ANSosteoporosis, amenorrhea, cardiac damage
At what week of pregnancy is the fundus just below the xiphoid process? - ANSweek 34
At what week of pregnancy is the fundus of the uterus at the umbilicus? - ANSweek 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process
and umbilicus? - ANSweek 28
At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and
umbilicus? - ANSweek 16
At what week of pregnancy is the uterus palpable just above the pubic symphysis? - ANSweek
12
Bursitis can be a __________ issue - ANSrecurrent
Genu valgum is caused by a problem with what? - ANSthe medial collateral ligament; think
valgum as in gum makes your knees stick together
Genu varum is caused by a problem with what? - ANSthe lateral collateral ligament
Heberden and bouchard's nodes are indicative of what disease process? What about swan
neck deformities? - ANSosteoarthritis; rheumatoid arthritis
How can we abort cluster headaches? - ANScalcium or 100% oxygen application
How can you tell between the dawn and somogyi effect? - ANSIf the blood sugar level is low at
2 a.m. to 3 a.m., suspect the Somogyi effect. If the blood sugar level is normal or high at 2 a.m.
to 3 a.m., it's likely the dawn phenomenon.
,APEA PREDICTOR EXAM 2023-2024 TEST
BANK 350+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES |ALREADY
GRADED A+|BRAND NEW!!
How do we diagnose PAD? - ANSan ABI < 7; doppler can also be used to diagnose as well but
is the second choice
How do we treat a broken clavicle in an infant? - ANSno treatment; it should heal on it's own
How do we treat any rotator cuff injuries? - ANSwear a sling to stabilize the arm and refer to
ortho
How do we treat developmental hip dysplasia in a child under 6 months? - ANSPavlik harness;
if older than 6 months may need surgery
How do we treat lupus flares? - ANSsteroids
How do we treat Paget's diseease? - ANSbisphosphonates
How do we treat shin splints? - ANSrest and avoidance of exercise until the pain resolves
How do we treat temporal arteritis? - ANSsteroids
How do we treat UTIs in a pregnant woman? - ANScan either do penicillin, cephalosporin, or a
macrolide (can NOT do doxy or a fluoroquinolone)
How does the parathyroid gland regulate calcium? - ANSwhen parathyroid hormone is
released, it pulls calcium out of the blood and into the circulation in response to
hypocalcemia. it also increases absorption of calcium from the intestine
How is bursitis treated? - ANSa needle to instill intraarticular steroids and then pull off fluid
How is fibromyalgia diagnosed? - ANSwhen at least 8 out of 11 points bilaterally are tender to
touch and the symptoms have lasted longer than 3 months
How is Morton's neuroma diagnosed? - ANSvia a positive Muddler's or squeeze test causing
pain
How is the pain of trigeminal neuralgia vs temporal arteritis different? - ANSin trigeminal
neuralgia, the pain is like a shock hitting the side of your face whereas temporal arteritis is
more like a headache
How long do migraine headaches last? - ANS4-72 hours
How should pregnant women wear their seatbelt? - ANSwith the shoulder strap like a normal
person and then the groin strap below the belly and across the hips
How would you describe the appearance of molluscum contagiosum? - ANSpapules that are
umbilicated and contain a caseous plug
,APEA PREDICTOR EXAM 2023-2024 TEST
BANK 350+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES |ALREADY
GRADED A+|BRAND NEW!!
If a patient has GABHS but has an allergy to penicillins, what is the second line option? -
ANSfirst generation cephalosporins, unless the allergy is severe, then you would consider
macrolides like a -mycin
If a patient has LSIL with a negative HPV test, what would you do? - ANSrepeat in 1 year
If a patient has LSIL with no HPV test or a positive HPV test, what should you do? - ANSrefer
for colposcopy
If a patient is on birth control and is currently having breakthrough bleeding, then what do we
do? - ANSincrease the progesterone
If a patient is on birth control and they miss one pill, what should they do? - ANSdouble up
If a patient is on birth control and they miss two pills, what should they do? - ANSdouble up for
2 days
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? - ANSBactrim increases INR so we would
want to decrease the coumadin dose while the patient is on this
If a patient is on Coumadin but then they may need to go on Rifampin, what should you do? -
ANSRifampin decreases INR so we'd want to increase the coumadin dose
If a patient on coumadin's INR is 3.1-4 ,what should you do? - ANSdecrease the weekly dose
by 5-10%
If a patient on coumadin's INR is 4.1-5.0, what should you do? - ANShold one dose then
decrease the weekly dose by 10%
If a patient's Coomb's test is negative, what do we do? - ANSgive rhogam at 28 weeks and 72
hours after birth
If a patient's Coomb's test is positive, what do we do? - ANSnothing, she is RH positive so we
do not need to treat
If a patient's INR is greater than 5, what should you do? - ANSconsult cards, likely would hold
two doses then decrease the weekly dose
If a patient's pap results show ASC-H or HSIL what should you do? - ANSrefer for colposcopy
If a patient's pap results show NILM, what should you do? - ANSrepeat in 3 years
, APEA PREDICTOR EXAM 2023-2024 TEST
BANK 350+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES |ALREADY
GRADED A+|BRAND NEW!!
If a pregnant woman comes in with painless vaginal bleeding, what should we be considering?
- ANSplacenta previa
If a pregnant woman has syphilis, what should we do? - ANStreat it with penicillin while she is
pregnant because there is risk for spontaneous abortion
If any woman comes in with painless vaginal bleeding between periods (esp if she is
postmenopausal), what should you do? - ANSdo a pregnancy test and then refer for
endometrial biopsy to rule out endometrial cancer
In terms of the breasts, _____________ is used for screening and _____________ is used for
diagnosis. - ANSmammogram; ultrasound
Increased sweat production is a sign of what endocrine disorder? - ANShyperthyroidism
It is recommended that all children younger than __________ with sickle cell anemia take daily
prophylactic antibiotics. What antibiotic is this? - ANS5 years old; penicillin
Legg-calve-perthes disease is most common in which patient population? - ANSyoung children
Patients with SLE are going to have what abnormal labwork? - ANSelevated ESR and CRP
PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient populations? - ANSin
those who are on any type of nitrate or triptan because it could result in hypotension
Preeclampsia most commonly shows up at what time in pregnancy? - ANSaround week 20
SCFE is most common in which patient population? - ANSadolescents
Secondary amenorrhea is a lack of menses after _________ of not having a period; but you have
had one before - ANS3 months
The anterior drawer test assesses what? - ANSthe acl
The Lachman's test assesses what? - ANSthe ACL
The McMurray's test assesses for what? - ANSa torn meniscus
The medical term for bow legs - ANSgenu varum
The medical term for knock knees - ANSgenu valgum
The posterior drawer test assesses what? - ANSthe posterior cruciate ligament (pcl)
The vaginal ring for contraception must be taken out how often? - ANSevery 3 weeks
