APEA Exam #3
A 2-month vintage toddler has an asymmetric Morrow reflex. Which assertion is actual?
A. This is everyday. It develops bilaterally later
b. This shows a side of dominance
c. The toddler could have a listening to hassle
d. The infant could have a start injury - ANS-D
A 2-month old is recognized with thrush. An examination of this patinet's saliva demonstrates all
except what?
A. Hyphae
b. Yeast
c. Spores
d. A fine KOH - ANS-C
A 2-year antique with sickle mobile anemia need to acquire which immunizations?
A. All routine youth immunizations at an increased price
b. All recurring early life immunizations at a decelerated fee
c. All routine formative years immunizations at the standard fee
d. Immunizations need to be restricted in this institution - ANS-C
A 3-year antique lady had a fever of 102 Farenheit for the ultimate 3 days. Today she woke up
from a snooze and is febrile. She has a maculopapular rash. Which assertion is proper:
a. This child in all likelihood has measles
b. The rash will blanch
c. This is a streptococcal rash
d. This will be Kawasaki sickness - ANS-B
A 3-year vintage girl is brought into the sanatorium by way of her mom who reports that she is
constantly scratching her private part. The affected person states that it itches. On exam, the
vagina is pink and indignant. How have to the nurse practitioner proceed:
a. Call CPS for suspected sexual abuse
b. Prescribe a cortisone cream
c. Collect a vaginal swab of the outside vagina for microscopic assessment
d. Prescribe a topical antifungal - ANS-C
A 4-12 months old has been dx with measles. The NP identifies Koplik's spots. These are:
a. Spots on the skin that are pathognomonic for measles
b. Red earrings found at the tongue with white centers
c. Found on the inside cheek and are granular
,d. Blanchable areas at the trunk and extremities - ANS-C
A 6-week vintage toddler is discovered to have a high-quality Barlow and Ortolani maneuvers.
What check have to the NP order to assess and verify developmental dysplasia of the hip?
A. Frog lake X-rays
b. Simple hip X-rays
c. Ultrasound of the hip
d. CT of the hip - ANS-C
A 6-yr antique complains that his legs harm. His mom states that he has complained for the
beyond two weeks and she or he concept it become from playing outside too much. When
asked to become aware of the painful regions, the child points to the mid-shaft of the femur. He
grimaces barely when requested to walk. What have to be a part of the differential analysis?
A. Osgood-schlatter sickness
b. Growing pains
c. Acute lymphocytic leukemia
d. Psychogenic ache - ANS-C
A 6-12 months vintage affected person has sore throat, coryza, hoarseness and diarrhea. What
is the possibly etiology?
A. Group A streptococcus
b. H. Para influenza
c. Viral ideology
d. Mycoplasma - ANS-C
A nine-yr vintage boy has been identified with chickenpox. A drug that should be averted in him
is:
a. Penicillin
b. Aspirin
c. Ibuprofen
d. Sulfa - ANS-B
A 13-year vintage male has exhibited the primary signal that he's experiencing sexual
maturation. He has:
a. An increase in testicular size
b. An enlargement of the scrotum
c. An increase in period of the penis
d. Scrotal and penile modifications - ANS-A
A 22-12 months old female has been identified with polycystic ovary syndrome. What is a not
unusual locating?
A. Low testosterone degree
b. Elevated insulin ranges
c. Positive pregnancy test
, d. Elevated BP - ANS-B
A 25year antique male affected person is education for a marathon. He reviews an acute onset
of scrotal pain after a 10-mile run. He has nausea and is found to have an uneven high driving
testis on the right aspect. What should be suspected?
A. Sports hernia
b. Epididymitis
c. Testicular torsion
d. Prostatitis - ANS-C
A 28-yr vintage has a grade 3 murmur. Which characteristic shows a need for referral?
A. A fixed split
b. An boom in splitting with inspiration
c. A split S2 with suggestion
d. Changes in depth with position exchange - ANS-A
A 30-year old female patient who complains of fatigue undergoes a screening TSH. Her TSH
eight M LU/L. What have to be carried out next?
A. Begin thyroid supplementation
b. Repeat the TSH and add T4
c. Begin supplementation and repeat the TSH in four-6 weeks
d. Measure the T4 and recollect repeating the check in a month - ANS-B
A 38-year vintage affected person recognized with bipolar ailment has taken lithium for lots
months. His temper has stabilized. He changed into advised to record frequent urination even
as taking lithium. What is probably the underlying cause of his frequent urination?
A. Blood sugar elevations
b. Diabetes insipidus
c. Urinary tract contamination
d. Improved lithium stage - ANS-B
A 43-year old Hispanic male has an audible diastolic murmur first-rate heard in the mitral
listening factor. There is not any audible click on. His fame has been monitored for the beyond
years. This murmur is probably what?
A. Mitral valve prolapse
b. Acute mitral regurgitation
c. Chronic mitral stenosis
d. Mitral Stenosis - ANS-D
A forty five-yr antique girl affected person has had fatigue for the past three months and a 10
pound weight benefit. She previously had normal durations occurring about each 30 days
however in the last three months her periods have varied between 30 and forty five days. Her
TSH price is 13M LU/L. It was repeated and one week later located to be 15 M LU/L. What
explains this locating?
A 2-month vintage toddler has an asymmetric Morrow reflex. Which assertion is actual?
A. This is everyday. It develops bilaterally later
b. This shows a side of dominance
c. The toddler could have a listening to hassle
d. The infant could have a start injury - ANS-D
A 2-month old is recognized with thrush. An examination of this patinet's saliva demonstrates all
except what?
A. Hyphae
b. Yeast
c. Spores
d. A fine KOH - ANS-C
A 2-year antique with sickle mobile anemia need to acquire which immunizations?
A. All routine youth immunizations at an increased price
b. All recurring early life immunizations at a decelerated fee
c. All routine formative years immunizations at the standard fee
d. Immunizations need to be restricted in this institution - ANS-C
A 3-year antique lady had a fever of 102 Farenheit for the ultimate 3 days. Today she woke up
from a snooze and is febrile. She has a maculopapular rash. Which assertion is proper:
a. This child in all likelihood has measles
b. The rash will blanch
c. This is a streptococcal rash
d. This will be Kawasaki sickness - ANS-B
A 3-year vintage girl is brought into the sanatorium by way of her mom who reports that she is
constantly scratching her private part. The affected person states that it itches. On exam, the
vagina is pink and indignant. How have to the nurse practitioner proceed:
a. Call CPS for suspected sexual abuse
b. Prescribe a cortisone cream
c. Collect a vaginal swab of the outside vagina for microscopic assessment
d. Prescribe a topical antifungal - ANS-C
A 4-12 months old has been dx with measles. The NP identifies Koplik's spots. These are:
a. Spots on the skin that are pathognomonic for measles
b. Red earrings found at the tongue with white centers
c. Found on the inside cheek and are granular
,d. Blanchable areas at the trunk and extremities - ANS-C
A 6-week vintage toddler is discovered to have a high-quality Barlow and Ortolani maneuvers.
What check have to the NP order to assess and verify developmental dysplasia of the hip?
A. Frog lake X-rays
b. Simple hip X-rays
c. Ultrasound of the hip
d. CT of the hip - ANS-C
A 6-yr antique complains that his legs harm. His mom states that he has complained for the
beyond two weeks and she or he concept it become from playing outside too much. When
asked to become aware of the painful regions, the child points to the mid-shaft of the femur. He
grimaces barely when requested to walk. What have to be a part of the differential analysis?
A. Osgood-schlatter sickness
b. Growing pains
c. Acute lymphocytic leukemia
d. Psychogenic ache - ANS-C
A 6-12 months vintage affected person has sore throat, coryza, hoarseness and diarrhea. What
is the possibly etiology?
A. Group A streptococcus
b. H. Para influenza
c. Viral ideology
d. Mycoplasma - ANS-C
A nine-yr vintage boy has been identified with chickenpox. A drug that should be averted in him
is:
a. Penicillin
b. Aspirin
c. Ibuprofen
d. Sulfa - ANS-B
A 13-year vintage male has exhibited the primary signal that he's experiencing sexual
maturation. He has:
a. An increase in testicular size
b. An enlargement of the scrotum
c. An increase in period of the penis
d. Scrotal and penile modifications - ANS-A
A 22-12 months old female has been identified with polycystic ovary syndrome. What is a not
unusual locating?
A. Low testosterone degree
b. Elevated insulin ranges
c. Positive pregnancy test
, d. Elevated BP - ANS-B
A 25year antique male affected person is education for a marathon. He reviews an acute onset
of scrotal pain after a 10-mile run. He has nausea and is found to have an uneven high driving
testis on the right aspect. What should be suspected?
A. Sports hernia
b. Epididymitis
c. Testicular torsion
d. Prostatitis - ANS-C
A 28-yr vintage has a grade 3 murmur. Which characteristic shows a need for referral?
A. A fixed split
b. An boom in splitting with inspiration
c. A split S2 with suggestion
d. Changes in depth with position exchange - ANS-A
A 30-year old female patient who complains of fatigue undergoes a screening TSH. Her TSH
eight M LU/L. What have to be carried out next?
A. Begin thyroid supplementation
b. Repeat the TSH and add T4
c. Begin supplementation and repeat the TSH in four-6 weeks
d. Measure the T4 and recollect repeating the check in a month - ANS-B
A 38-year vintage affected person recognized with bipolar ailment has taken lithium for lots
months. His temper has stabilized. He changed into advised to record frequent urination even
as taking lithium. What is probably the underlying cause of his frequent urination?
A. Blood sugar elevations
b. Diabetes insipidus
c. Urinary tract contamination
d. Improved lithium stage - ANS-B
A 43-year old Hispanic male has an audible diastolic murmur first-rate heard in the mitral
listening factor. There is not any audible click on. His fame has been monitored for the beyond
years. This murmur is probably what?
A. Mitral valve prolapse
b. Acute mitral regurgitation
c. Chronic mitral stenosis
d. Mitral Stenosis - ANS-D
A forty five-yr antique girl affected person has had fatigue for the past three months and a 10
pound weight benefit. She previously had normal durations occurring about each 30 days
however in the last three months her periods have varied between 30 and forty five days. Her
TSH price is 13M LU/L. It was repeated and one week later located to be 15 M LU/L. What
explains this locating?
