APEA PREDICTOR 2026 EXAM PREPARATION QUESTIONS
AND ANSWERS WITH EXPERT RATIONALES | INSTANT
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Cranial Nerve VIII - correct answer -Acoustic (Hearing and balance)
Cranial nerve IX - correct answer -Glossopharyngeal- swallowing and rise of the palate, gag
reflex
Cranial Nerve XI - correct answer -Spinal Accessory (upper trapezius)
Deep tendon reflex - correct answer -Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale - correct 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 - correct 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 - correct 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 - correct 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 - correct 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 - correct 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. - correct 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 - correct 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 - correct 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 - correct 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 - correct answer -A. Peripheral vision
What is the most common cause of Cushing's syndrome? - correct 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.
AND ANSWERS WITH EXPERT RATIONALES | INSTANT
Cranial Nerve VIII - correct answer -Acoustic (Hearing and balance)
Cranial nerve IX - correct answer -Glossopharyngeal- swallowing and rise of the palate, gag
reflex
Cranial Nerve XI - correct answer -Spinal Accessory (upper trapezius)
Deep tendon reflex - correct answer -Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale - correct 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 - correct 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 - correct 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 - correct 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 - correct 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 - correct 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. - correct 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 - correct 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 - correct 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 - correct 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 - correct answer -A. Peripheral vision
What is the most common cause of Cushing's syndrome? - correct 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.
