APEA Predictor Exam Missed Questions with Answers 2024

What is the biggest side effect of colchicine? - diarrhea How would you describe the appearance of molluscum contagiosum? - papules that are umbilicated and contain a caseous plug How do we treat a broken clavicle in an infant? - no treatment; it should heal on it's own At what week of pregnancy is the uterus palpable just above the pubic symphysis? - week 12 At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and umbilicus? - week 16 At what week of pregnancy is the fundus of the uterus at the umbilicus? - week 20 At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and umbilicus? - week 28 At what week of pregnancy is the fundus just below the xiphoid process? - week 34 Increased sweat production is a sign of what endocrine disorder? - hyperthyroidism What is Paget's disease? - there is localized increased bone turnover and blood flow resulting in the breakdown of bone and replacing it with weakened and highly vascular bone putting the indiv at increased risk of fractures How do we treat Paget's diseease? - bisphosphonates How should pregnant women wear their seatbelt? - with the shoulder strap like a normal person and then the groin strap below the belly and across the hips What is another name for fifth disease? - parvovirus aka slapped cheek disease aka erythema infectiosum Which type of prevention are vaccinations? - primary When should patients begin antiretroviral therapy for HIV infection? - as soon as it is detected, even if in the acute phase What are the first generation antihistamines? - diphenhydramine (benadryl) and chlorpeniramine (actifed) What are s/s of the secondary stage of syphilis? - rash on hands and feet, lymphadenopathy, fever What is the recommended treatment for chronic bacterial prostatitis? - a fluoroquinolone (cipro or levo) + bactrim What is the recommended treatment for acute prostatitis? - cipro (if not STI related) or ceftriaxone What are s/s of an intraductal breast papilloma? - clear to bloody unilateral nipple discharge (bilateral is usually benign), and also a wart like lump palpated in the nipple area If a patient has GABHS but has an allergy to penicillins, what is the second line option? - first generation cephalosporins, unless the allergy is severe, then you would consider macrolides like a -mycin PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient populations? - in those who are on any type of nitrate or triptan because it could result in hypotension What class of drug is sildenafil (viagra)? - a PDE5 inhibitor which can cause hypotension so you should do a full cardiac assessment before starting a patient on this and maybe do an EKG What are the symptoms of peripheral artery disease? - think P meaning pain, A meaning absent or weak pulses, eschar or shiny legs, intermittent claudication What is first line treatment for PAD? - walking and physical activity to improve circulation. second line is an aspirin or anti-platelet What should we tell our patients with PAD NOT to do? - do not elevate the feet; keep them down How do we diagnose PAD? - an ABI < 7; doppler can also be used to diagnose as well but is the second choice What are s/s of peripheral vascular disease? - think V meaning volume overload aka edema, may ache or be uncomfortable but is not painful, bounding pulses, ruddy discoloration If a patient is on Coumadin but then they may need to go on an antibiotic for an infection and Bactrim is the drug of choice, what should you do? - Bactrim increases INR so we would want to decrease the coumadin dose while the patient is on this