APEA QBank Practice Test
A gray or white ring present around the peripheral iris - ANS - arcus senilis
\A loss of the central sulcus of the prostate on DRE is a sign of what? - ANS -
BPH
\A male patient presents to your clinic with a lump in his breast. How should we
work this up? - ANS - clinical breast exam, mammogram, AND ultrasound
\A positive "drop arm" test is a sign of what? - ANS - torn rotator cuff
\A woman who gets the MMR vaccine should wait at least __________ before
getting pregnant. - ANS - 4 weeks
\ACEIs can cause what electrolyte abnormality? - ANS - hyperkalemia
\After exposure to HIV, when will the patient seroconvert and become positive? -
ANS - 3 months
\An herbal supplement thought to help BPH - ANS - saw palmetto
\an inflammation in the hip joint that causes pain, limp and sometimes refusal to
bear weight. This occurs in pre-pubescent children and is the most common
cause of hip pain. It occurs when a viral infection, such as an upper respiratory
infection, moves to and settles in the hip joint. - ANS - transient synovitis
\Ankle inversion is a common complaint from a patient with what? - ANS - a
lateral ankle sprain
\Are saturated or unsaturated fatty acids better for you? - ANS - unsaturated
\Children can start to ride a tricycle around age _____ - ANS - 3
\Diphenhydramine has __________ properties and is contraindicated in which
patient populations? - ANS - anticholinergic; elderly and those with glaucoma
\Dix Hallpike maneuver is the standard clinical test for _______ - ANS - BPPV
\For a patient on warfarin who needs to receive a tetracycline antibiotic, how will
we adjust their warfarin? - ANS - tetracyclines depress prothrombin activity, same
as warfarin, so we need to decrease the warfarin to avoid an increase in INR and
significant bleeding
\Growing pains often start in what age group? - ANS - 3-5
\HCTZ can cause _________, whereas ACEI can cause _________ - ANS -
hypokalemia; hyperkalemia
\hey - ANS - stopped at top of page 7
\HMO and PPOs are called what? - ANS - managed care plans
\How can we best diagnose coarctation of the aorta? - ANS - by comparing the
upper and lower extremity blood pressures
\How do we manage rubella immunity in pregnant women? - ANS - we screen all
pregnant women with a rubella titer. If they had a protective rubella titer in a
, previous pregnancy, then they do not need to be checked again. If they are found
to not be immune when pregnant, then she should be vaccinated AFTER delivery
\How do we test cerebellar function? - ANS - rapid alternating movements, finger
to nose test, balance (romberg), gait
\How do we treat thrush in infants? - ANS - application of nystatin to inside of the
mouth, sterilize all pacifiers and bottle nipples; a topical antifungal may be
applied to the nipples
\How does plantar fasciitis usually present? - ANS - as pain in the morning with
resolution after several steps, but as it worsens the patient will start to complain
of heel pain throughout the day and with walking
\How is a diagnosis of neuroblastoma confirmed? - ANS - via serum
catecholamine testing and a biopsy
\How is influenza diagnosed? - ANS - a nasal swab
\How is permethrin applied to the skin for scabies? - ANS - a one time application
to all skin below the neck and then left on for 8-12 hours is sufficient
\How long must a tick be attached to the skin in order for Lyme disease to be
transferred? - ANS - 48 hours
\Hyperparathyroidism can cause what? - ANS - hypercalcemia and thus,
osteoporosis
\If a patient with strep comes back after 48 hours with no improvement on
antibiotics, what should you then prescribe? - ANS - a penicillin or cephalosporin
with beta lactamase coverage
\Immunizations are considered to be what level of prevention? - ANS - primary
\In the presence of an elevated serum TSH, what is the next step in management?
- ANS - repeat TSH plus free T4
\Is age less than 18 years a risk factor for an ectopic pregnancy? - ANS - no; but
personal history of PID, an IUD, previous ectopic pregnancy, previous tubal
surgery, pathology, or ligation all are risk factors
\Is Meniere's disease most often unilateral or bilateral? - ANS - unilateral
\Koilonychia is a sign of what? - ANS - iron deficiency anemia
\Normal weight people should gain how much weight during pregnancy? - ANS -
25-35 pounds
\Obese women should gain how much weight during pregnancy? - ANS - 11-20
pounds
\Oral contraceptive regimen in which both the estrogen and progesterone
concentrations vary throughout the cycle - ANS - quadriphasic
\Oral contraceptive regimen in which in the estrogen dose remains the same for
the first 21 days of the cycle, while progestin is lower in the first half and higher
in the second half - ANS - biphasic
A gray or white ring present around the peripheral iris - ANS - arcus senilis
\A loss of the central sulcus of the prostate on DRE is a sign of what? - ANS -
BPH
\A male patient presents to your clinic with a lump in his breast. How should we
work this up? - ANS - clinical breast exam, mammogram, AND ultrasound
\A positive "drop arm" test is a sign of what? - ANS - torn rotator cuff
\A woman who gets the MMR vaccine should wait at least __________ before
getting pregnant. - ANS - 4 weeks
\ACEIs can cause what electrolyte abnormality? - ANS - hyperkalemia
\After exposure to HIV, when will the patient seroconvert and become positive? -
ANS - 3 months
\An herbal supplement thought to help BPH - ANS - saw palmetto
\an inflammation in the hip joint that causes pain, limp and sometimes refusal to
bear weight. This occurs in pre-pubescent children and is the most common
cause of hip pain. It occurs when a viral infection, such as an upper respiratory
infection, moves to and settles in the hip joint. - ANS - transient synovitis
\Ankle inversion is a common complaint from a patient with what? - ANS - a
lateral ankle sprain
\Are saturated or unsaturated fatty acids better for you? - ANS - unsaturated
\Children can start to ride a tricycle around age _____ - ANS - 3
\Diphenhydramine has __________ properties and is contraindicated in which
patient populations? - ANS - anticholinergic; elderly and those with glaucoma
\Dix Hallpike maneuver is the standard clinical test for _______ - ANS - BPPV
\For a patient on warfarin who needs to receive a tetracycline antibiotic, how will
we adjust their warfarin? - ANS - tetracyclines depress prothrombin activity, same
as warfarin, so we need to decrease the warfarin to avoid an increase in INR and
significant bleeding
\Growing pains often start in what age group? - ANS - 3-5
\HCTZ can cause _________, whereas ACEI can cause _________ - ANS -
hypokalemia; hyperkalemia
\hey - ANS - stopped at top of page 7
\HMO and PPOs are called what? - ANS - managed care plans
\How can we best diagnose coarctation of the aorta? - ANS - by comparing the
upper and lower extremity blood pressures
\How do we manage rubella immunity in pregnant women? - ANS - we screen all
pregnant women with a rubella titer. If they had a protective rubella titer in a
, previous pregnancy, then they do not need to be checked again. If they are found
to not be immune when pregnant, then she should be vaccinated AFTER delivery
\How do we test cerebellar function? - ANS - rapid alternating movements, finger
to nose test, balance (romberg), gait
\How do we treat thrush in infants? - ANS - application of nystatin to inside of the
mouth, sterilize all pacifiers and bottle nipples; a topical antifungal may be
applied to the nipples
\How does plantar fasciitis usually present? - ANS - as pain in the morning with
resolution after several steps, but as it worsens the patient will start to complain
of heel pain throughout the day and with walking
\How is a diagnosis of neuroblastoma confirmed? - ANS - via serum
catecholamine testing and a biopsy
\How is influenza diagnosed? - ANS - a nasal swab
\How is permethrin applied to the skin for scabies? - ANS - a one time application
to all skin below the neck and then left on for 8-12 hours is sufficient
\How long must a tick be attached to the skin in order for Lyme disease to be
transferred? - ANS - 48 hours
\Hyperparathyroidism can cause what? - ANS - hypercalcemia and thus,
osteoporosis
\If a patient with strep comes back after 48 hours with no improvement on
antibiotics, what should you then prescribe? - ANS - a penicillin or cephalosporin
with beta lactamase coverage
\Immunizations are considered to be what level of prevention? - ANS - primary
\In the presence of an elevated serum TSH, what is the next step in management?
- ANS - repeat TSH plus free T4
\Is age less than 18 years a risk factor for an ectopic pregnancy? - ANS - no; but
personal history of PID, an IUD, previous ectopic pregnancy, previous tubal
surgery, pathology, or ligation all are risk factors
\Is Meniere's disease most often unilateral or bilateral? - ANS - unilateral
\Koilonychia is a sign of what? - ANS - iron deficiency anemia
\Normal weight people should gain how much weight during pregnancy? - ANS -
25-35 pounds
\Obese women should gain how much weight during pregnancy? - ANS - 11-20
pounds
\Oral contraceptive regimen in which both the estrogen and progesterone
concentrations vary throughout the cycle - ANS - quadriphasic
\Oral contraceptive regimen in which in the estrogen dose remains the same for
the first 21 days of the cycle, while progestin is lower in the first half and higher
in the second half - ANS - biphasic
