APEA PREDICTOR EXAM 2024 TEST BANK 300+ QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES |ALREADY GRADED A+|BRAND NEW!!
• Stenotic valves don't - ansStenotic valves don't OPEN properly
1-week history of fever and pain over the left scrotum. It is accompanied by frequency and
dysuria. The scrotum is edematous and tender to touch. He denies flank pain, nausea, and
vomiting. He reports that the pain is lessened when he uses scrotal-support briefs. The
urinalysis shows 2+ blood and a large number of leukocytes. What is the most likely
diagnosis? - ansAcute epididymitis
2nd htn - ansrenal stenosis
adrenal tumors
A 35-year-old sexually active man presents with a 1-week history of fever and pain over the
left scrotum. It is accompanied by frequency and dysuria. The scrotum is edematous and
tender to touch. He denies flank pain, nausea, and vomiting. He reports that the pain is
lessened when he uses scrotal-support briefs. The urinalysis shows 2+ blood and a large
number of leukocytes. What is the most likely diagnosis? - ansAcute epididymitis
Explanation
Acute epididymitis is the infection presented here. Scrotal edema and pain with palpation do
not occur in urinary tract infection or pyelonephritis. Acute orchitis symptoms include
testicular pain and edema, are usually associated with the mumps, but do not have frequency
and dysuria.
A 40-year-old White woman with a body mass index (BMI) of 32 complains of colicky pain in
the right upper quadrant of her abdomen that gets worse if she eats fried food. During the
physical exam, the nurse practitioner presses deeply on the left lower quadrant of the
abdomen and the patient complains of pain on the right side of the lower abdomen. What is
the name of this finding? - ansRovsing's sign
A bruit is a murmur heard over the carotid artery in the neck, suggesting arterial narrowing
and atherosclerosis. It may increase risk of - anscerebrovascular disease
A normal result in the Rinne test is air conduction (AC) greater than bone conduction (BC).
When there is a conductive hearing loss (i.e., ceruminosis, otitis media), the result will be BC
greater than AC. The reason is that the sound waves are blocked (i.e., cerumen, fluid in middle
ear). Therefore, the patient cannot hear them as well as through bone conduction. - ans
A proton pump inhibitor (PPI) trial for 8 weeks is preferred for the treatment of
moderate/severe GERD whose symptoms are not responding to lifestyle changes. Given the
frequency of symptoms, a step-down approach should be considered in this patient. - ans
A split S2 heart sound is best heard at which of the following areas? - ansThe pulmonic area
A UTI is defined as the presence of 100,000 organisms per milliliter of urine in asymptomatic
patients or greater than 100 organisms per milliliter of urine with pyuria (>7 WBCs/mL) in a
symptomatic patient - ans
AAA screening - ans-all men 65-75 who have ever smoked
-abdominal US
,APEA PREDICTOR EXAM 2024 TEST BANK 300+ QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES |ALREADY GRADED A+|BRAND NEW!!
1 time only
abi - anspad
An ABI score of 1.0 to 1.4 is normal. Any value less than 1.0 is abnormal. A score of 0.5 or less
is indicative of severe PAD.
ABI <0.9 or >1.3 is highly suggestive of - anspad
An abdominal wall mass will become more prominent when the abdominal wall muscles are
tense. - ans
Arteriovenous nicking (AV nicking), copper wire arterioles, and flame hemorrhages are
associated with hypertensive retinopathy. - ans
bag of worms - ansvaricocele
Balanitis is caused by: - ansCandida albicans
best hypothyroidism screen - anstsh
Black Patient With or Without DM - ansThiazide diuretic
Calcium channel blocker
boggy - ansedema and tumor
BPH prostate - ansSymmetrically enlarged, firm, and smooth
Prostate feels rubbery and uniformly enlarged
bright-red-colored spot that has been present in his left eye for 2 days. - ansSubconjunctival
hemorrhage
calf pain with walking. What's going on? - ansblockage in lower vessels
intermittent claudication
peripheral artery disease
Cdiff 1st line - ansVancomycin https:
CF - anspersistent productive cough
colic - ans4-6 weeks
cones - anscolor
Cullen's sign is commonly seen in acute pancreatitis - ans
,APEA PREDICTOR EXAM 2024 TEST BANK 300+ QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES |ALREADY GRADED A+|BRAND NEW!!
cushing - anscortisol
Dawn phenomenon - ansEarly morning glucose elevation produced by the release of growth
hormone, which decreases peripheral uptake of glucose resulting in elevated morning glucose
levels. Admin of insulin at a later time in day will coordinate insulin peak with the hormone
release.
digoxin (Lanoxin) for 10 years. Her EKG is showing a new onset of atrial fibrillation. Her pulse
is 64 beats/min - ansOrder a serum thyroid-stimulating hormone (TSH), digoxin level, and an
electrolyte panel
Diverticulosis/diverticulitis - ansDiverticulosis may lead to Diverticulitis
DIVERTICULOSIS: pouch-like herniations of colon into muscularis layer, esp. sigmoid colon;
symptoms minimal, possible rectal bleeding
DIVERTICULITIS: inflammation of diverticula, may cause abscess; pain, cramping of lower left
Q, nausea/vomiting, slight fever, increased WBC; complications - bowel obstruction,
perforation with peritonitis, hemorrhage
Red flag: back pain
During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur grade
2/6 is auscultated. It is located on the fifth intercostal space (ICS) on the left side of the
midclavicular line. Which of the following identifications is correct? - ansMitral stenosis
During cardiac murmur assessment, which is the first grade intensity that a thrill can be
palpated? - ansg4
dysuria - ansOrder a urinalysis and urine for culture and sensitivity (C&S), and treat the patient
with antibiotics
enterobiasis infection in a 6-year-old girl
pin worms - ansscotch tape
Evidence of blood in the urine can be seen with kidney stones, bladder cancer, and acute
pyelonephritis. - ans
Evidence of blood in the urine can be seen with kidney stones, bladder cancer, and acute
pyelonephritis. - ans
Extreme tenderness and involuntary guarding at McBurney's point is a significant finding for
possible: - ansAcute appendicitis
For prediabetes, look for an A1C between. - ans5.7% to 6.4%,
fasting plasma glucose (FPG) of 100 to 125 mg/dL,
and/or 75-g oral glucose tolerance test (OGTT)
, APEA PREDICTOR EXAM 2024 TEST BANK 300+ QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES |ALREADY GRADED A+|BRAND NEW!!
2-hour postprandial glucose of 140 to 199 mg/dL
Grey-Turner's sign is highly suggestive of which of the following conditions?
Acute pancreatitis - ans
Hashimoto's thyroiditis? - ansAnti-thyroid peroxidase
and
anti-thyroglobulin antibodies
Heart Failure Clinical Signs and Symptoms - ansCrackles
S3 and/or S4 • Peripheral edema may be present
heart murmurs are caused by - ansturbulent blood flow
through the great vessels or across a heart valve occurs
HEAVY chest pressure - anscall 911
hf med - ansace
arb
htn stop - ansnsaids naproxen
hyperbilirubinemia - ans2-3 days after birth
Hypocalcemia - ansChvostek's sign i
IBS (irritable bowel syndrome) - ansDiarrhea and/or constipation
Abdominal pain relief after defecation
Mucus with stools
If left untreated, Zollinger-Ellison syndrome can cause which of the following?
Severe ulceration of the stomach or duodenum - ans
If Mrs. Boudreaux were to develop heart failure, which medications would be most beneficial
to discontinue? Select all that apply - ansamlodopine
naproxine
If pravastatin is chosen for Mr. Thibodeaux, 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.
intermittent claudication, he or she would first: - ansCheck the ankle and brachial blood
pressures before and after exercise
RATIONALES |ALREADY GRADED A+|BRAND NEW!!
• Stenotic valves don't - ansStenotic valves don't OPEN properly
1-week history of fever and pain over the left scrotum. It is accompanied by frequency and
dysuria. The scrotum is edematous and tender to touch. He denies flank pain, nausea, and
vomiting. He reports that the pain is lessened when he uses scrotal-support briefs. The
urinalysis shows 2+ blood and a large number of leukocytes. What is the most likely
diagnosis? - ansAcute epididymitis
2nd htn - ansrenal stenosis
adrenal tumors
A 35-year-old sexually active man presents with a 1-week history of fever and pain over the
left scrotum. It is accompanied by frequency and dysuria. The scrotum is edematous and
tender to touch. He denies flank pain, nausea, and vomiting. He reports that the pain is
lessened when he uses scrotal-support briefs. The urinalysis shows 2+ blood and a large
number of leukocytes. What is the most likely diagnosis? - ansAcute epididymitis
Explanation
Acute epididymitis is the infection presented here. Scrotal edema and pain with palpation do
not occur in urinary tract infection or pyelonephritis. Acute orchitis symptoms include
testicular pain and edema, are usually associated with the mumps, but do not have frequency
and dysuria.
A 40-year-old White woman with a body mass index (BMI) of 32 complains of colicky pain in
the right upper quadrant of her abdomen that gets worse if she eats fried food. During the
physical exam, the nurse practitioner presses deeply on the left lower quadrant of the
abdomen and the patient complains of pain on the right side of the lower abdomen. What is
the name of this finding? - ansRovsing's sign
A bruit is a murmur heard over the carotid artery in the neck, suggesting arterial narrowing
and atherosclerosis. It may increase risk of - anscerebrovascular disease
A normal result in the Rinne test is air conduction (AC) greater than bone conduction (BC).
When there is a conductive hearing loss (i.e., ceruminosis, otitis media), the result will be BC
greater than AC. The reason is that the sound waves are blocked (i.e., cerumen, fluid in middle
ear). Therefore, the patient cannot hear them as well as through bone conduction. - ans
A proton pump inhibitor (PPI) trial for 8 weeks is preferred for the treatment of
moderate/severe GERD whose symptoms are not responding to lifestyle changes. Given the
frequency of symptoms, a step-down approach should be considered in this patient. - ans
A split S2 heart sound is best heard at which of the following areas? - ansThe pulmonic area
A UTI is defined as the presence of 100,000 organisms per milliliter of urine in asymptomatic
patients or greater than 100 organisms per milliliter of urine with pyuria (>7 WBCs/mL) in a
symptomatic patient - ans
AAA screening - ans-all men 65-75 who have ever smoked
-abdominal US
,APEA PREDICTOR EXAM 2024 TEST BANK 300+ QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES |ALREADY GRADED A+|BRAND NEW!!
1 time only
abi - anspad
An ABI score of 1.0 to 1.4 is normal. Any value less than 1.0 is abnormal. A score of 0.5 or less
is indicative of severe PAD.
ABI <0.9 or >1.3 is highly suggestive of - anspad
An abdominal wall mass will become more prominent when the abdominal wall muscles are
tense. - ans
Arteriovenous nicking (AV nicking), copper wire arterioles, and flame hemorrhages are
associated with hypertensive retinopathy. - ans
bag of worms - ansvaricocele
Balanitis is caused by: - ansCandida albicans
best hypothyroidism screen - anstsh
Black Patient With or Without DM - ansThiazide diuretic
Calcium channel blocker
boggy - ansedema and tumor
BPH prostate - ansSymmetrically enlarged, firm, and smooth
Prostate feels rubbery and uniformly enlarged
bright-red-colored spot that has been present in his left eye for 2 days. - ansSubconjunctival
hemorrhage
calf pain with walking. What's going on? - ansblockage in lower vessels
intermittent claudication
peripheral artery disease
Cdiff 1st line - ansVancomycin https:
CF - anspersistent productive cough
colic - ans4-6 weeks
cones - anscolor
Cullen's sign is commonly seen in acute pancreatitis - ans
,APEA PREDICTOR EXAM 2024 TEST BANK 300+ QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES |ALREADY GRADED A+|BRAND NEW!!
cushing - anscortisol
Dawn phenomenon - ansEarly morning glucose elevation produced by the release of growth
hormone, which decreases peripheral uptake of glucose resulting in elevated morning glucose
levels. Admin of insulin at a later time in day will coordinate insulin peak with the hormone
release.
digoxin (Lanoxin) for 10 years. Her EKG is showing a new onset of atrial fibrillation. Her pulse
is 64 beats/min - ansOrder a serum thyroid-stimulating hormone (TSH), digoxin level, and an
electrolyte panel
Diverticulosis/diverticulitis - ansDiverticulosis may lead to Diverticulitis
DIVERTICULOSIS: pouch-like herniations of colon into muscularis layer, esp. sigmoid colon;
symptoms minimal, possible rectal bleeding
DIVERTICULITIS: inflammation of diverticula, may cause abscess; pain, cramping of lower left
Q, nausea/vomiting, slight fever, increased WBC; complications - bowel obstruction,
perforation with peritonitis, hemorrhage
Red flag: back pain
During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur grade
2/6 is auscultated. It is located on the fifth intercostal space (ICS) on the left side of the
midclavicular line. Which of the following identifications is correct? - ansMitral stenosis
During cardiac murmur assessment, which is the first grade intensity that a thrill can be
palpated? - ansg4
dysuria - ansOrder a urinalysis and urine for culture and sensitivity (C&S), and treat the patient
with antibiotics
enterobiasis infection in a 6-year-old girl
pin worms - ansscotch tape
Evidence of blood in the urine can be seen with kidney stones, bladder cancer, and acute
pyelonephritis. - ans
Evidence of blood in the urine can be seen with kidney stones, bladder cancer, and acute
pyelonephritis. - ans
Extreme tenderness and involuntary guarding at McBurney's point is a significant finding for
possible: - ansAcute appendicitis
For prediabetes, look for an A1C between. - ans5.7% to 6.4%,
fasting plasma glucose (FPG) of 100 to 125 mg/dL,
and/or 75-g oral glucose tolerance test (OGTT)
, APEA PREDICTOR EXAM 2024 TEST BANK 300+ QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES |ALREADY GRADED A+|BRAND NEW!!
2-hour postprandial glucose of 140 to 199 mg/dL
Grey-Turner's sign is highly suggestive of which of the following conditions?
Acute pancreatitis - ans
Hashimoto's thyroiditis? - ansAnti-thyroid peroxidase
and
anti-thyroglobulin antibodies
Heart Failure Clinical Signs and Symptoms - ansCrackles
S3 and/or S4 • Peripheral edema may be present
heart murmurs are caused by - ansturbulent blood flow
through the great vessels or across a heart valve occurs
HEAVY chest pressure - anscall 911
hf med - ansace
arb
htn stop - ansnsaids naproxen
hyperbilirubinemia - ans2-3 days after birth
Hypocalcemia - ansChvostek's sign i
IBS (irritable bowel syndrome) - ansDiarrhea and/or constipation
Abdominal pain relief after defecation
Mucus with stools
If left untreated, Zollinger-Ellison syndrome can cause which of the following?
Severe ulceration of the stomach or duodenum - ans
If Mrs. Boudreaux were to develop heart failure, which medications would be most beneficial
to discontinue? Select all that apply - ansamlodopine
naproxine
If pravastatin is chosen for Mr. Thibodeaux, 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.
intermittent claudication, he or she would first: - ansCheck the ankle and brachial blood
pressures before and after exercise
