APEA NR667 QUESTIONS AND VALID
CORRECT ANSWERS 2026
Ch and Gh = doxy 100mg BID x 7 days and rocephin (ceftriaxone) 500mg IM if <330lb,
if >330lbs than 1gm IM. - Correct Answer ✔✔
Ch=doxy 100mg BID x 7 days. Alternative: azithromycin 1gm oral single dose or levo
500mg daily x 7. In pregnancy Azithromycin 1 gm oral single dose or Amoxil 500 mg
TID for 7 days. Rescreen in 3 mos due to rates of reinfection and f/u in 1 mo if pregnant.
- Correct Answer ✔✔
Symptoms of chlamydia is vaginal/urethral white/gray discharge, dysuria, mild
abdominal pain, cervical motion tenderness, salpingitis, edematous/congested/friable
cervix. In women can manifest as cervicitis, urethritis, PID. Untreated risk for infertility
and ectopic preg. In men can lead to urethritis, epididymitis, prostatitis, proctitis.
Conjunctivitis and pharyngitis in both men and women. LABS: NAATS- highly sensitive
for Ch and Gh done through vaginal swab in women and U/A in men. Pregnancy test of
cure 3-4wks after tx and retest in 3rd trimester. Most common in <25yo - Correct
Answer ✔✔
Gh alone tx w/ rocephin 500mg IM <330lbs, if >330lb than 1gm IM. Gonorrhea painless
in women and painful in men. Assessment in men: purulent urethral discharge, dysuria,
testicular pain. Women: endocervical discharge, dysuria, bartholins gland abcess,
abnormal vag bleeding, cervical motion tenderness, abd/pelvic pain. LABS: NAAT u/a in
men, gram stain exudate, DNA probe, Culture of exudate or joint aspriate on Thayer
Martin agar. - Correct Answer ✔✔
Syphillis (Tryponema pallidum). Testing: EIA or CIA and if positive then Confirm w RPR.
Benzathine PCN G (Bicillin) 2.4 million units IM in adults and 50,000 units/kg IM in
children. If PCN allergy then Doxy 100mg BID x 14 days or tetracycline 500mg TID x 14
days. - Correct Answer ✔✔
Syphilis presents as a single, painless opensore (chancre) at site of inoculation
(genitals, mouth, skin, or rectum that heals by itself in 3-6 wks). Can go unnoticed if
untreated can cause skin rashes, fever, and swollen lymph nodes. Primary: painless
chancre, Secondary: nonpuritic rash on palms and feet. Condyloma lata- white
papules/warts. Latent: Asymptomatic + titer. Tertiary: neurosyphilis, soft tissue tumor,
valvular damage. - Correct Answer ✔✔
Trichomoniasis: Metronidazole 500mg po BID x 7 days (women) If HIV+ retest in 3mos
{NAAT}; Metronidazole 2gm po in a single dose (men and pregnant
women/breastfeeding). Alternate tx: Tinidazole 2g po in a single dose. Can be
asymptomatic. Vaginal discharge: frothy, yellow-green, cervical petechia "strawberry
, cervix". Men: dysuria, asymptomatic, epididymitis and prostatitis. DX: wet prep will see
flagellated motile cells. POC tests for trich in women: Affirm and Osom. PCR testing
urine for men. - Correct Answer ✔✔
HIV: Antiretroviral therapy (ART). Pregnancy - zidovudine (Retrovir) start as soon as
HIV Dx. Newborns give within 8 hrs. Bacteria: PCP (P. jirovecci pneumonia). DX:
HIV1/HIV2 antigen antivody immunoassay if + confirm with differentiation. If - order
RNA. Other ELISA for screen and Western blot to confirm. - Correct Answer ✔✔
AFP and knowing high for twins. Low for DS: Alpha-fetoprotein assess for genetic
defects. This will be elevated with twins and can be elevated in neural tube defects such
as spina bifida. Low AFP may mean that the baby has a genetic disorder such as
Down's syndrome. - Correct Answer ✔✔
Damage listeria can cause: Can lead to meningitis. Long term consequences may
include mental retardation, seizures, paralysis, blindness, and deafness. - Correct
Answer ✔✔
Rhogam and when to give: Immune globulin to prevent mothers who are RH (-) and tx
thrombocytopenia purpura in those who are RH (+). Give @ 28 wks of pregnancy to
prevent exposure the last few months. - Correct Answer ✔✔
Know what placental abruption looks like: S/S abdominal and back pain. Painful Vaginal
bleeding, contractions, uterine tenderness. Globular shaped uterine fundus on
palpation. - Correct Answer ✔✔
probable presumptive PG shit: Amenorrhea, nausea, fatigue, frequent urination, breast
enlargement and tenderness, constipation, and food cravings. - Correct Answer ✔✔
A few menopausal qs. Like best OTC supplement: Black Cohosh (hot flashes), flaxseed
(night sweats), calcium, vitamin D, St. John's wort (mood swings) - Correct Answer ✔✔
Best way to tell the diff between breast cancer and breast cyst: U/S (?) - Correct Answer
✔✔
Dark pigment through the fingernail and what does it mean: Herpetic whitlow was an
answer. It was on the finger (infection of skin around fingernail caused by HSV painful
blisters on fingers. Splinter hemorrhages under fingernail can occur with heart infection
such as endocarditis. - Correct Answer ✔✔
One was like a baby was tx for uti extensively and what next. It was weird answers.
Kidney US. Nothing. Abdominal US. According to APEA videos it would be a renal and
bladder u/s for next step after abx (cephlasporins such as cefixime, cefdinir, ceftibuten
3-5 days if afebrile and 10 days if febrile). - Correct Answer ✔✔
CORRECT ANSWERS 2026
Ch and Gh = doxy 100mg BID x 7 days and rocephin (ceftriaxone) 500mg IM if <330lb,
if >330lbs than 1gm IM. - Correct Answer ✔✔
Ch=doxy 100mg BID x 7 days. Alternative: azithromycin 1gm oral single dose or levo
500mg daily x 7. In pregnancy Azithromycin 1 gm oral single dose or Amoxil 500 mg
TID for 7 days. Rescreen in 3 mos due to rates of reinfection and f/u in 1 mo if pregnant.
- Correct Answer ✔✔
Symptoms of chlamydia is vaginal/urethral white/gray discharge, dysuria, mild
abdominal pain, cervical motion tenderness, salpingitis, edematous/congested/friable
cervix. In women can manifest as cervicitis, urethritis, PID. Untreated risk for infertility
and ectopic preg. In men can lead to urethritis, epididymitis, prostatitis, proctitis.
Conjunctivitis and pharyngitis in both men and women. LABS: NAATS- highly sensitive
for Ch and Gh done through vaginal swab in women and U/A in men. Pregnancy test of
cure 3-4wks after tx and retest in 3rd trimester. Most common in <25yo - Correct
Answer ✔✔
Gh alone tx w/ rocephin 500mg IM <330lbs, if >330lb than 1gm IM. Gonorrhea painless
in women and painful in men. Assessment in men: purulent urethral discharge, dysuria,
testicular pain. Women: endocervical discharge, dysuria, bartholins gland abcess,
abnormal vag bleeding, cervical motion tenderness, abd/pelvic pain. LABS: NAAT u/a in
men, gram stain exudate, DNA probe, Culture of exudate or joint aspriate on Thayer
Martin agar. - Correct Answer ✔✔
Syphillis (Tryponema pallidum). Testing: EIA or CIA and if positive then Confirm w RPR.
Benzathine PCN G (Bicillin) 2.4 million units IM in adults and 50,000 units/kg IM in
children. If PCN allergy then Doxy 100mg BID x 14 days or tetracycline 500mg TID x 14
days. - Correct Answer ✔✔
Syphilis presents as a single, painless opensore (chancre) at site of inoculation
(genitals, mouth, skin, or rectum that heals by itself in 3-6 wks). Can go unnoticed if
untreated can cause skin rashes, fever, and swollen lymph nodes. Primary: painless
chancre, Secondary: nonpuritic rash on palms and feet. Condyloma lata- white
papules/warts. Latent: Asymptomatic + titer. Tertiary: neurosyphilis, soft tissue tumor,
valvular damage. - Correct Answer ✔✔
Trichomoniasis: Metronidazole 500mg po BID x 7 days (women) If HIV+ retest in 3mos
{NAAT}; Metronidazole 2gm po in a single dose (men and pregnant
women/breastfeeding). Alternate tx: Tinidazole 2g po in a single dose. Can be
asymptomatic. Vaginal discharge: frothy, yellow-green, cervical petechia "strawberry
, cervix". Men: dysuria, asymptomatic, epididymitis and prostatitis. DX: wet prep will see
flagellated motile cells. POC tests for trich in women: Affirm and Osom. PCR testing
urine for men. - Correct Answer ✔✔
HIV: Antiretroviral therapy (ART). Pregnancy - zidovudine (Retrovir) start as soon as
HIV Dx. Newborns give within 8 hrs. Bacteria: PCP (P. jirovecci pneumonia). DX:
HIV1/HIV2 antigen antivody immunoassay if + confirm with differentiation. If - order
RNA. Other ELISA for screen and Western blot to confirm. - Correct Answer ✔✔
AFP and knowing high for twins. Low for DS: Alpha-fetoprotein assess for genetic
defects. This will be elevated with twins and can be elevated in neural tube defects such
as spina bifida. Low AFP may mean that the baby has a genetic disorder such as
Down's syndrome. - Correct Answer ✔✔
Damage listeria can cause: Can lead to meningitis. Long term consequences may
include mental retardation, seizures, paralysis, blindness, and deafness. - Correct
Answer ✔✔
Rhogam and when to give: Immune globulin to prevent mothers who are RH (-) and tx
thrombocytopenia purpura in those who are RH (+). Give @ 28 wks of pregnancy to
prevent exposure the last few months. - Correct Answer ✔✔
Know what placental abruption looks like: S/S abdominal and back pain. Painful Vaginal
bleeding, contractions, uterine tenderness. Globular shaped uterine fundus on
palpation. - Correct Answer ✔✔
probable presumptive PG shit: Amenorrhea, nausea, fatigue, frequent urination, breast
enlargement and tenderness, constipation, and food cravings. - Correct Answer ✔✔
A few menopausal qs. Like best OTC supplement: Black Cohosh (hot flashes), flaxseed
(night sweats), calcium, vitamin D, St. John's wort (mood swings) - Correct Answer ✔✔
Best way to tell the diff between breast cancer and breast cyst: U/S (?) - Correct Answer
✔✔
Dark pigment through the fingernail and what does it mean: Herpetic whitlow was an
answer. It was on the finger (infection of skin around fingernail caused by HSV painful
blisters on fingers. Splinter hemorrhages under fingernail can occur with heart infection
such as endocarditis. - Correct Answer ✔✔
One was like a baby was tx for uti extensively and what next. It was weird answers.
Kidney US. Nothing. Abdominal US. According to APEA videos it would be a renal and
bladder u/s for next step after abx (cephlasporins such as cefixime, cefdinir, ceftibuten
3-5 days if afebrile and 10 days if febrile). - Correct Answer ✔✔
