APEA 2025 LATEST EXAM UPDATE WITH 100+ QUESTIONS AND MOST
CORRECT ANSWERS GRADED A+
What is the biggest side effect of colchicine? VERIFIED ANSWER diarrhea
How would you describe the appearance of molluscum contagiosum? VERIFIED ANSWER papules that
are umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant? VERIFIED ANSWER no treatment; it should heal on it's
own
At what week of pregnancy is the uterus palpable just above the pubic symphysis? VERIFIED ANSWER
week 12
At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and umbilicus?
VERIFIED ANSWER week 16
At what week of pregnancy is the fundus of the uterus at the umbilicus? VERIFIED ANSWER week 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and
umbilicus? VERIFIED ANSWER week 28
At what week of pregnancy is the fundus just below the xiphoid process? VERIFIED ANSWER week 34
Increased sweat production is a sign of what endocrine disorder? VERIFIED ANSWER hyperthyroidism
What is Paget's disease? VERIFIED 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? VERIFIED ANSWER bisphosphonates
,How should pregnant women wear their seatbelt? VERIFIED 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? VERIFIED ANSWER parvovirus aka slapped cheek disease aka
erythema infectiosum
Which type of prevention are vaccinations? VERIFIED ANSWER primary
When should patients begin antiretroviral therapy for HIV infection? VERIFIED ANSWER as soon as it is
detected, even if in the acute phase
What are the first generation antihistamines? VERIFIED ANSWER diphenhydramine (benadryl) and
chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis? VERIFIED ANSWER rash on hands and feet,
lymphadenopathy, fever
What is the recommended treatment for chronic bacterial prostatitis? VERIFIED ANSWER a
fluoroquinolone (cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis? VERIFIED ANSWER cipro (if not STI related) or
ceftriaxone
What are s/s of an intraductal breast papilloma? VERIFIED 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? VERIFIED
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? VERIFIED 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)? VERIFIED 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? VERIFIED ANSWER think P meaning pain, A
meaning absent or weak pulses, eschar or shiny legs, intermittent claudication
What is first line treatment for PAD? VERIFIED ANSWER 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? VERIFIED ANSWER do not elevate the feet; keep
them down
How do we diagnose PAD? VERIFIED ANSWER 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? VERIFIED ANSWER 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? VERIFIED ANSWER Bactrim increases INR so we would want to
decrease the coumadin dose while the patient is on this
If a patient is on Coumadin but then they may need to go on Rifampin, what should you do? VERIFIED
ANSWER Rifampin decreases INR so we'd want to increase the coumadin dose
If a patient on coumadin's INR is 3.1-4 ,what should you do? VERIFIED ANSWER decrease the weekly
dose by 5-10%
If a patient on coumadin's INR is 4.1-5.0, what should you do? VERIFIED ANSWER hold one dose then
decrease the weekly dose by 10%
CORRECT ANSWERS GRADED A+
What is the biggest side effect of colchicine? VERIFIED ANSWER diarrhea
How would you describe the appearance of molluscum contagiosum? VERIFIED ANSWER papules that
are umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant? VERIFIED ANSWER no treatment; it should heal on it's
own
At what week of pregnancy is the uterus palpable just above the pubic symphysis? VERIFIED ANSWER
week 12
At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and umbilicus?
VERIFIED ANSWER week 16
At what week of pregnancy is the fundus of the uterus at the umbilicus? VERIFIED ANSWER week 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and
umbilicus? VERIFIED ANSWER week 28
At what week of pregnancy is the fundus just below the xiphoid process? VERIFIED ANSWER week 34
Increased sweat production is a sign of what endocrine disorder? VERIFIED ANSWER hyperthyroidism
What is Paget's disease? VERIFIED 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? VERIFIED ANSWER bisphosphonates
,How should pregnant women wear their seatbelt? VERIFIED 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? VERIFIED ANSWER parvovirus aka slapped cheek disease aka
erythema infectiosum
Which type of prevention are vaccinations? VERIFIED ANSWER primary
When should patients begin antiretroviral therapy for HIV infection? VERIFIED ANSWER as soon as it is
detected, even if in the acute phase
What are the first generation antihistamines? VERIFIED ANSWER diphenhydramine (benadryl) and
chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis? VERIFIED ANSWER rash on hands and feet,
lymphadenopathy, fever
What is the recommended treatment for chronic bacterial prostatitis? VERIFIED ANSWER a
fluoroquinolone (cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis? VERIFIED ANSWER cipro (if not STI related) or
ceftriaxone
What are s/s of an intraductal breast papilloma? VERIFIED 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? VERIFIED
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? VERIFIED 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)? VERIFIED 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? VERIFIED ANSWER think P meaning pain, A
meaning absent or weak pulses, eschar or shiny legs, intermittent claudication
What is first line treatment for PAD? VERIFIED ANSWER 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? VERIFIED ANSWER do not elevate the feet; keep
them down
How do we diagnose PAD? VERIFIED ANSWER 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? VERIFIED ANSWER 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? VERIFIED ANSWER Bactrim increases INR so we would want to
decrease the coumadin dose while the patient is on this
If a patient is on Coumadin but then they may need to go on Rifampin, what should you do? VERIFIED
ANSWER Rifampin decreases INR so we'd want to increase the coumadin dose
If a patient on coumadin's INR is 3.1-4 ,what should you do? VERIFIED ANSWER decrease the weekly
dose by 5-10%
If a patient on coumadin's INR is 4.1-5.0, what should you do? VERIFIED ANSWER hold one dose then
decrease the weekly dose by 10%
