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APEA Predictor Exam

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2024/2025 Written for academic year
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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

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APEA Predictor Exam
ui ui




Whatuiisuitheuibiggestuisideuieffectuiofuicolchicine? diarrhea
Howuiwoulduiyouuidescribeuitheuiappearanceuiofuimolluscumuicontagiosum?
papulesuithatuiareuiumbilicateduianduicontainuiauicaseousuiplug
Howuidouiweuitreatuiauibrokenuiclavicleuiinuianuiinfant? nouitreatment;uiituishoulduihealuionuiit'suiown
Atuiwhatuiweekuiofuipregnancyuiisuitheuiuterusuipalpableuijustuiaboveuitheuipubicuisymphysis?
weekui12
Atuiwhatuiweekuiofuipregnancyuiisuitheuifundusuipalpableuihalfwayuibetweenuitheuipubicuisymphysisuiandui
umbilicus? weekui16
Atuiwhatuiweekuiofuipregnancyuiisuitheuifundusuiofuitheuiuterusuiatuitheuiumbilicus? weekui20
Atuiwhatuiweekuiofuipregnancyuiisuitheuifundusuiofuitheuiuterusuihalfwayuibetweenuitheuixiphoiduiprocessuia
nduiumbilicus? weekui28
Atuiwhatuiweekuiofuipregnancyuiisuitheuifundusuijustuibelowuitheuixiphoiduiprocess? weekui34
Increaseduisweatuiproductionuiisuiauisignuiofuiwhatuiendocrineuidisorder? hyperthyroidism
WhatuiisuiPaget'suidisease?
thereuiisuilocalizeduiincreaseduiboneuiturnoveruianduiblooduiflowuiresultinguiinuitheuibreakdownuiof
uiboneuianduireplacinguiituiwithuiweakeneduianduihighlyuivascularuiboneuiputtinguitheuiindivuiatuiincreaseduir

iskuiofuifractures
HowuidouiweuitreatuiPaget'suidiseease? bisphosphonates
Howuishoulduipregnantuiwomenuiwearuitheiruiseatbelt?
withuitheuishoulderuistrapuilikeuiauinormaluipersonuianduithenuitheuigroinuistrapuibelowuitheuibellyuia
nduiacrossuitheuihips
Whatuiisuianotheruinameuiforuififthuidisease?
parvovirusuiakauislappeduicheekuidiseaseuiakauierythemauiinfectiosum
Whichuitypeuiofuipreventionuiareuivaccinations? primary
WhenuishoulduipatientsuibeginuiantiretroviraluitherapyuiforuiHIVuiinfection?
asuisoonuiasuiituiisuidetected,uievenuiifuiinuitheuiacuteuiphase
Whatuiareuitheuifirstuigenerationuiantihistamines?
diphenhydramineui(benadryl)uianduichlorpeniramineui(actifed)
Whatuiareuis/suiofuitheuisecondaryuistageuiofuisyphilis?
rashuionuihandsuianduifeet,uilymphadenopathy,uifever
Whatuiisuitheuirecommendeduitreatmentuiforuichronicuibacterialuiprostatitis?
auifluoroquinoloneui(ciprouioruilevo)ui+uibactrim
Whatuiisuitheuirecommendeduitreatmentuiforuiacuteuiprostatitis?
ciproui(ifuinotuiSTIuirelated)uioruiceftriaxone
Whatuiareuis/suiofuianuiintraductaluibreastuipapilloma?
clearuitouibloodyuiunilateraluinippleuidischargeui(bilateraluiisuiusuallyuibenign),uianduialsouiauiwartui
likeuilumpuipalpateduiinuitheuinippleuiarea
IfuiauipatientuihasuiGABHSuibutuihasuianuiallergyuitouipenicillins,uiwhatuiisuitheuiseconduilineuioption?
firstuigenerationuicephalosporins,uiunlessuitheuiallergyuiisuisevere,uithenuiyouuiwoulduiconsideruim
acrolidesuilikeuiaui-mycin
PDE5uiinhibitorsui(sildenafil,uitadalafil)uiareuicontraindicateduiinuiwhichuipatientuipopulations?
inuithoseuiwhouiareuionuianyuitypeuiofuinitrateuioruitriptanuibecauseuiituicoulduiresultuiinuihypotension

, Whatuiclassuiofuidruguiisuisildenafilui(viagra)?
auiPDE5uiinhibitoruiwhichuicanuicauseuihypotensionuisouiyouuishoulduidouiauifulluicardiacuiassessm
entuibeforeuistartinguiauipatientuionuithisuianduimaybeuidouianuiEKG
Whatuiareuitheuisymptomsuiofuiperipheraluiarteryuidisease?
thinkuiPuimeaninguipain,uiAuimeaninguiabsentuioruiweakuipulses,uiescharuioruishinyuilegs,uiintermitt
entuiclaudication
WhatuiisuifirstuilineuitreatmentuiforuiPAD?
walkinguianduiphysicaluiactivityuitouiimproveuicirculation.uiseconduilineuiisuianuiaspirinuioruianti-
platelet
WhatuishoulduiweuitelluiouruipatientsuiwithuiPADuiNOTuitouido?
douinotuielevateuitheuifeet;uikeepuithemuidown
HowuidouiweuidiagnoseuiPAD?
anuiABIui<ui7;uidoppleruicanuialsouibeuiuseduitouidiagnoseuiasuiwelluibutuiisuitheuiseconduichoice
Whatuiareuis/suiofuiperipheraluivascularuidisease?
thinkuiVuimeaninguivolumeuioverloaduiakauiedema,uimayuiacheuioruibeuiuncomfortableuibutuiisuinot
uipainful,uiboundinguipulses,uiruddyuidiscoloration

IfuiauipatientuiisuionuiCoumadinuibutuithenuitheyuimayuineeduitouigouionuianuiantibioticuiforuianuiinfectionuiandu
iBactrimuiisuitheuidruguiofuichoice,uiwhatuishoulduiyouuido?

BactrimuiincreasesuiINRuisouiweuiwoulduiwantuitouidecreaseuitheuicoumadinuidoseuiwhileuitheuipati
entuiisuionuithis
IfuiauipatientuiisuionuiCoumadinuibutuithenuitheyuimayuineeduitouigouionuiRifampin,uiwhatuishoulduiyouuido?
RifampinuidecreasesuiINRuisouiwe'duiwantuitouiincreaseuitheuicoumadinuidose
Ifuiauipatientuionuicoumadin'suiINRuiisui3.1-4ui,whatuishoulduiyouuido?
decreaseuitheuiweeklyuidoseuibyui5-10%
Ifuiauipatientuionuicoumadin'suiINRuiisui4.1-5.0,uiwhatuishoulduiyouuido?
holduioneuidoseuithenuidecreaseuitheuiweeklyuidoseuibyui10%
Ifuiauipatient'suiINRuiisuigreateruithanui5,uiwhatuishoulduiyouuido?
consultuicards,uilikelyuiwoulduiholduitwouidosesuithenuidecreaseuitheuiweeklyuidose
AnuianorexicuipatientuiwilluihaveuiauiBMIuiofuiwhat? lessuithanui18
Whatuiisuiprimaryuiamenorrhea?
whenuitheuipatientuihasuineveruigottenuitheiruiperioduibeforeui(thereuiisuianuiabsenceuiofuimenarche)
uibutuitheyuihaveuialluiofuitheiruisecondaryuisexuicharacteristics

Secondaryuiamenorrheauiisuiauilackuiofuimensesuiafterui_________uiofuinotuihavinguiauiperiod;uibutuiyouuiha
veuihaduioneuibefore 3uimonths
Whatuidouiweuineeduitouidouifirstuiwhenuiauipatientuicomesuiinuiwithuisecondaryuiamenorrhea?
ruleuioutuipregnancy
Anorexiauicanuiputuiyouuiatuiriskuiforuiwhat? osteoporosis,uiamenorrhea,uicardiacuidamage
Amenorrheauiisuiconsidereduiauiriskuifactoruiforuiwhat? osteoporosis
Whatuiisuitheuibestuiindicationuiofuianuianorexicuipatientuidoinguibetter?uiTheyuitelluiyouuitheyuiareuieatingui
more,uitheyuihaveuiweightuigain,uioruitheyuigetuitheiruiperioduiback? theyuigetuitheiruiperioduiback
Ifuiauipregnantuiwomanuihasuisyphilis,uiwhatuishoulduiweuido?
treatuiituiwithuipenicillinuiwhileuisheuiisuipregnantuibecauseuithereuiisuiriskuiforuispontaneousuiaborti
on
Whatuiisuitheuicausativeuiorganismuiofuimastitis? staph

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