APEA Predictor Exam
What is the biggest side effect of colchicine?
ANSWER diarrhea
How would you describe the appearance of molluscum contagiosum?
ANSWER papules that are umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant?
ANSWER no treatment; it should heal on it's own
At what week of pregnancy is the uterus palpable just above the pubic symphysis?
ANSWER week 12
At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and
umbilicus?
ANSWER week 16
At what week of pregnancy is the fundus of the uterus at the umbilicus?
ANSWER week 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process
and umbilicus?
ANSWER week 28
At what week of pregnancy is the fundus just below the xiphoid process?
ANSWER week 34
,Increased sweat production is a sign of what endocrine disorder?
ANSWER hyperthyroidism
What is Paget's disease?
ANSWER 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?
ANSWER bisphosphonates
How should pregnant women wear their seatbelt?
ANSWER 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?
ANSWER parvovirus aka slapped cheek disease aka erythema infectiosum
Which type of prevention are vaccinations?
ANSWER primary
When should patients begin antiretroviral therapy for HIV infection?
ANSWER as soon as it is detected, even if in the acute phase
What are the first generation antihistamines?
ANSWER diphenhydramine (benadryl) and chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis?
, ANSWER rash on hands and feet, lymphadenopathy, fever
What is the recommended treatment for chronic bacterial prostatitis?
ANSWER a fluoroquinolone (cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis?
ANSWER cipro (if not STI related) or ceftriaxone
What are s/s of an intraductal breast papilloma?
ANSWER 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?
ANSWER 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?
ANSWER in those who are on any type of nitrate or triptan because it could result in
hypotension
What class of drug is sildenafil (viagra)?
ANSWER 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?
ANSWER think P meaning pain, A meaning absent or weak pulses, eschar or shiny legs,
intermittent claudication
What is first line treatment for PAD?
What is the biggest side effect of colchicine?
ANSWER diarrhea
How would you describe the appearance of molluscum contagiosum?
ANSWER papules that are umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant?
ANSWER no treatment; it should heal on it's own
At what week of pregnancy is the uterus palpable just above the pubic symphysis?
ANSWER week 12
At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and
umbilicus?
ANSWER week 16
At what week of pregnancy is the fundus of the uterus at the umbilicus?
ANSWER week 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process
and umbilicus?
ANSWER week 28
At what week of pregnancy is the fundus just below the xiphoid process?
ANSWER week 34
,Increased sweat production is a sign of what endocrine disorder?
ANSWER hyperthyroidism
What is Paget's disease?
ANSWER 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?
ANSWER bisphosphonates
How should pregnant women wear their seatbelt?
ANSWER 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?
ANSWER parvovirus aka slapped cheek disease aka erythema infectiosum
Which type of prevention are vaccinations?
ANSWER primary
When should patients begin antiretroviral therapy for HIV infection?
ANSWER as soon as it is detected, even if in the acute phase
What are the first generation antihistamines?
ANSWER diphenhydramine (benadryl) and chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis?
, ANSWER rash on hands and feet, lymphadenopathy, fever
What is the recommended treatment for chronic bacterial prostatitis?
ANSWER a fluoroquinolone (cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis?
ANSWER cipro (if not STI related) or ceftriaxone
What are s/s of an intraductal breast papilloma?
ANSWER 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?
ANSWER 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?
ANSWER in those who are on any type of nitrate or triptan because it could result in
hypotension
What class of drug is sildenafil (viagra)?
ANSWER 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?
ANSWER think P meaning pain, A meaning absent or weak pulses, eschar or shiny legs,
intermittent claudication
What is first line treatment for PAD?
