APEA PMHNP STUDY CERTIFICATION EVALUATION QUESTIONS AND
ANSWERS
✔✔A 16yo is dx with primary dysmenorrhea. She has taken OTC ibuprofen in 800mg
increments every 8 hours for the past 3 months during her periods with minimal relief.
Which intervention will provide the greatest relief of her dysmenorrhea sx?
a: 30 minutes of regular exercise daily
b: Daily multivitamin with B12 supplementation
c: Combined oral contraceptives
d: Flurbiprofen during menses - ✔✔C
✔✔A patient who is scheduled for pelvic exam with pap should be advised to avoid
douching, sexual intercourse, and tampon use before her exam for how long?
a: 1 week
b: 36 hours
c: 48 hours
d: 24 hours - ✔✔C
✔✔A 26yo HIV-positive patient presents with photophobia and temperature of 103.2F.
He complains of headache. On exam, he is unable to demonstrate full extension of the
knee when his hip is flexed. Which choice below is the most likely diagnosis?
a: Septic arthritis
b: Septic bursitis
c: Meningitis
d: Pneumocystis infection - ✔✔C
✔✔A patient has suspected serotonin syndrome. How can this be diagnosed?
a: Clinical exam and index of suspicion
b: Elevated CK
c: Elevated white count and C-reactive protein
d: CT of the brain - ✔✔A
✔✔The greatest risk of transmitting HIV infection is during:
a: Late infection stage
b: High viral load periods
c: The time that detectable antibody is present
d: The acute phase - ✔✔B
✔✔A 35yo female has never had an abnormal pap and has regular periodic screening.
If she has a normal pap with normal HPV testing today, when should she have her next
cervical cancer screening?
a: 5 years
b: 3 years
c: 2-3 years
, d: 1 year - ✔✔A
✔✔A patient has the following lab values. This indicates that he:
HbsAg-Negative
Anti-HBc-negative
Anti-HBs-positive
a: Needs immunization for Hep B
b: Is immune to Hep b
c: Has chronic Hep B
d: Has acute Hep B and needs immunization - ✔✔B
✔✔A patient demonstrates leukocytosis. This means he:
a: Has a bacterial infection
b: Has a viral infection
c: Has an infection of unknown origin
d: Does not have an infection - ✔✔C
✔✔Which of the following statements regarding HIV is correct?
a: A CD4 count is the first abnormality seen in HIV
b: A normal CD4 count is <200/mm3
c: CD4 cell counts vary greatly in immunocompetent patients
d: There are few conditions that cause depletion of CD4 cells other than HIV - ✔✔D
✔✔A 30yo male who is sexually active complains of pain during bowel movements. The
digital rectal exam is negative for hemorrhoids but the prostate gland is tender. What
should be suspected?
a: Trichomoniasis
b: Benign prostatic hypertrophy
c: Prostate cancer
d: Acute bacterial prostatitis - ✔✔D
✔✔Which of the following lesions never blanches when pressure is applied?
a: Cherry angioma
b: Purpura or petechiae
c: Spider veins
d: Spider angioma - ✔✔B
✔✔The following lab values likely represent what type of anemia?
MCV: 74.1 (80-95)
MCH: 24 (27-31)
MCHC: 33.8% (32-36%)
RDW: 16% (11-14.5%)
a: Anemia of chronic disease
b: Vitamin B12 deficiency
c: Iron deficiency anemia
ANSWERS
✔✔A 16yo is dx with primary dysmenorrhea. She has taken OTC ibuprofen in 800mg
increments every 8 hours for the past 3 months during her periods with minimal relief.
Which intervention will provide the greatest relief of her dysmenorrhea sx?
a: 30 minutes of regular exercise daily
b: Daily multivitamin with B12 supplementation
c: Combined oral contraceptives
d: Flurbiprofen during menses - ✔✔C
✔✔A patient who is scheduled for pelvic exam with pap should be advised to avoid
douching, sexual intercourse, and tampon use before her exam for how long?
a: 1 week
b: 36 hours
c: 48 hours
d: 24 hours - ✔✔C
✔✔A 26yo HIV-positive patient presents with photophobia and temperature of 103.2F.
He complains of headache. On exam, he is unable to demonstrate full extension of the
knee when his hip is flexed. Which choice below is the most likely diagnosis?
a: Septic arthritis
b: Septic bursitis
c: Meningitis
d: Pneumocystis infection - ✔✔C
✔✔A patient has suspected serotonin syndrome. How can this be diagnosed?
a: Clinical exam and index of suspicion
b: Elevated CK
c: Elevated white count and C-reactive protein
d: CT of the brain - ✔✔A
✔✔The greatest risk of transmitting HIV infection is during:
a: Late infection stage
b: High viral load periods
c: The time that detectable antibody is present
d: The acute phase - ✔✔B
✔✔A 35yo female has never had an abnormal pap and has regular periodic screening.
If she has a normal pap with normal HPV testing today, when should she have her next
cervical cancer screening?
a: 5 years
b: 3 years
c: 2-3 years
, d: 1 year - ✔✔A
✔✔A patient has the following lab values. This indicates that he:
HbsAg-Negative
Anti-HBc-negative
Anti-HBs-positive
a: Needs immunization for Hep B
b: Is immune to Hep b
c: Has chronic Hep B
d: Has acute Hep B and needs immunization - ✔✔B
✔✔A patient demonstrates leukocytosis. This means he:
a: Has a bacterial infection
b: Has a viral infection
c: Has an infection of unknown origin
d: Does not have an infection - ✔✔C
✔✔Which of the following statements regarding HIV is correct?
a: A CD4 count is the first abnormality seen in HIV
b: A normal CD4 count is <200/mm3
c: CD4 cell counts vary greatly in immunocompetent patients
d: There are few conditions that cause depletion of CD4 cells other than HIV - ✔✔D
✔✔A 30yo male who is sexually active complains of pain during bowel movements. The
digital rectal exam is negative for hemorrhoids but the prostate gland is tender. What
should be suspected?
a: Trichomoniasis
b: Benign prostatic hypertrophy
c: Prostate cancer
d: Acute bacterial prostatitis - ✔✔D
✔✔Which of the following lesions never blanches when pressure is applied?
a: Cherry angioma
b: Purpura or petechiae
c: Spider veins
d: Spider angioma - ✔✔B
✔✔The following lab values likely represent what type of anemia?
MCV: 74.1 (80-95)
MCH: 24 (27-31)
MCHC: 33.8% (32-36%)
RDW: 16% (11-14.5%)
a: Anemia of chronic disease
b: Vitamin B12 deficiency
c: Iron deficiency anemia
