APEA Predictor Exam latest update with
l# l# l# l# l#
complete solution
l# l#
l#
What l#is l#the l#biggest l#side l#effect l#of l#colchicine? l#- l#diarrhea l#
l#
How l#would l#you l#describe l#the l#appearance l#of l#molluscum l#contagiosum? l#- l#papules l#that l#are
l#umbilicated l#and l#contain l#a l#caseous l#plug l#
l#
How l#do l#we l#treat l#a l#broken l#clavicle l#in l#an l#infant? l#- l#no l#treatment; l#it l#should l#heal l#on l#it's
l#own l#
l#
At l#what l#week l#of l#pregnancy l#is l#the l#uterus l#palpable l#just l#above l#the l#pubic l#symphysis? l#-
l#week l#12 l#
l#
At l#what l#week l#of l#pregnancy l#is l#the l#fundus l#palpable l#halfway l#between l#the l#pubic
l#symphysis l#and l#umbilicus? l#- l#week l#16 l#
l#
At l#what l#week l#of l#pregnancy l#is l#the l#fundus l#of l#the l#uterus l#at l#the l#umbilicus? l#- l#week l#20 l#
l#
At l#what l#week l#of l#pregnancy l#is l#the l#fundus l#of l#the l#uterus l#halfway l#between l#the l#xiphoid
l#process l#and l#umbilicus? l#- l#week l#28 l#
l#
At l#what l#week l#of l#pregnancy l#is l#the l#fundus l#just l#below l#the l#xiphoid l#process? l#- l#week l#34 l#
l#
Increased l#sweat l#production l#is l#a l#sign l#of l#what l#endocrine l#disorder? l#- l#hyperthyroidism l#
l#
What l#is l#Paget's l#disease? l#- l#there l#is l#localized l#increased l#bone l#turnover l#and l#blood l#flow
l#resulting l#in l#the l#breakdown l#of l#bone l#and l#replacing l#it l#with l#weakened l#and l#highly l#vascular
l#bone l#putting l#the l#indiv l#at l#increased l#risk l#of l#fractures l#
l#
How l#do l#we l#treat l#Paget's l#diseease? l#- l#bisphosphonates l#
l#
How l#should l#pregnant l#women l#wear l#their l#seatbelt? l#- l#with l#the l#shoulder l#strap l#like l#a
l#normal l#person l#and l#then l#the l#groin l#strap l#below l#the l#belly l#and l#across l#the l#hips l#
l#
What l#is l#another l#name l#for l#fifth l#disease? l#- l#parvovirus l#aka l#slapped l#cheek l#disease l#aka
l#erythema l#infectiosum l#
l#
Which l#type l#of l#prevention l#are l#vaccinations? l#- l#primary l#
l#
When l#should l#patients l#begin l#antiretroviral l#therapy l#for l#HIV l#infection? l#- l#as l#soon l#as l#it l#is
l#detected, l#even l#if l#in l#the l#acute l#phase l#
l#
What l#are l#the l#first l#generation l#antihistamines? l#- l#diphenhydramine l#(benadryl) l#and
l#chlorpeniramine l#(actifed) l#
l#
What l#are l#s/s l#of l#the l#secondary l#stage l#of l#syphilis? l#- l#rash l#on l#hands l#and l#feet,
l#lymphadenopathy, l#fever l#
l#
What l#is l#the l#recommended l#treatment l#for l#chronic l#bacterial l#prostatitis? l#- l#a l#fluoroquinolone
l#(cipro l#or l#levo) l#+ l#bactrim l#
l#
, What l#is l#the l#recommended l#treatment l#for l#acute l#prostatitis? l#- l#cipro l#(if l#not l#STI l#related) l#or
l#ceftriaxone l#
l#
What l#are l#s/s l#of l#an l#intraductal l#breast l#papilloma? l#- l#clear l#to l#bloody l#unilateral l#nipple
l#discharge l#(bilateral l#is l#usually l#benign), l#and l#also l#a l#wart l#like l#lump l#palpated l#in l#the l#nipple
l#area l#
l#
If l#a l#patient l#has l#GABHS l#but l#has l#an l#allergy l#to l#penicillins, l#what l#is l#the l#second l#line
l#option? l#- l#first l#generation l#cephalosporins, l#unless l#the l#allergy l#is l#severe, l#then l#you l#would
l#consider l#macrolides l#like l#a l#-mycin l#
l#
PDE5 l#inhibitors l#(sildenafil, l#tadalafil) l#are l#contraindicated l#in l#which l#patient l#populations? l#-
l#in l#those l#who l#are l#on l#any l#type l#of l#nitrate l#or l#triptan l#because l#it l#could l#result l#in
l#hypotension l#
l#
What l#class l#of l#drug l#is l#sildenafil l#(viagra)? l#- l#a l#PDE5 l#inhibitor l#which l#can l#cause
l#hypotension l#so l#you l#should l#do l#a l#full l#cardiac l#assessment l#before l#starting l#a l#patient l#on
l#this l#and l#maybe l#do l#an l#EKG l#
l#
What l#are l#the l#symptoms l#of l#peripheral l#artery l#disease? l#- l#think l#P l#meaning l#pain, l#A
l#meaning l#absent l#or l#weak l#pulses, l#eschar l#or l#shiny l#legs, l#intermittent l#claudication l#
l#
What l#is l#first l#line l#treatment l#for l#PAD? l#- l#walking l#and l#physical l#activity l#to l#improve
l#circulation. l#second l#line l#is l#an l#aspirin l#or l#anti-platelet l#
l#
What l#should l#we l#tell l#our l#patients l#with l#PAD l#NOT l#to l#do? l#- l#do l#not l#elevate l#the l#feet;
l#keep l#them l#down l#
l#
How l#do l#we l#diagnose l#PAD? l#- l#an l#ABI l#< l#7; l#doppler l#can l#also l#be l#used l#to l#diagnose l#as
l#well l#but l#is l#the l#second l#choice l#
l#
What l#are l#s/s l#of l#peripheral l#vascular l#disease? l#- l#think l#V l#meaning l#volume l#overload l#aka
l#edema, l#may l#ache l#or l#be l#uncomfortable l#but l#is l#not l#painful, l#bounding l#pulses, l#ruddy
l#discoloration l#
l#
If l#a l#patient l#is l#on l#Coumadin l#but l#then l#they l#may l#need l#to l#go l#on l#an l#antibiotic l#for l#an
l#infection l#and l#Bactrim l#is l#the l#drug l#of l#choice, l#what l#should l#you l#do? l#- l#Bactrim l#increases
l#INR l#so l#we l#would l#want l#to l#decrease l#the l#coumadin l#dose l#while l#the l#patient l#is l#on l#this l#
l#
If l#a l#patient l#is l#on l#Coumadin l#but l#then l#they l#may l#need l#to l#go l#on l#Rifampin, l#what l#should
l#you l#do? l#- l#Rifampin l#decreases l#INR l#so l#we'd l#want l#to l#increase l#the l#coumadin l#dose l#
l#
If l#a l#patient l#on l#coumadin's l#INR l#is l#3.1-4 l#,what l#should l#you l#do? l#- l#decrease l#the l#weekly
l#dose l#by l#5-10% l#
l#
If l#a l#patient l#on l#coumadin's l#INR l#is l#4.1-5.0, l#what l#should l#you l#do? l#- l#hold l#one l#dose l#then
l#decrease l#the l#weekly l#dose l#by l#10% l#
l#
If l#a l#patient's l#INR l#is l#greater l#than l#5, l#what l#should l#you l#do? l#- l#consult l#cards, l#likely l#would
l#hold l#two l#doses l#then l#decrease l#the l#weekly l#dose l#
l#
An l#anorexic l#patient l#will l#have l#a l#BMI l#of l#what? l#- l#less l#than l#18 l#
l#
l# l# l# l# l#
complete solution
l# l#
l#
What l#is l#the l#biggest l#side l#effect l#of l#colchicine? l#- l#diarrhea l#
l#
How l#would l#you l#describe l#the l#appearance l#of l#molluscum l#contagiosum? l#- l#papules l#that l#are
l#umbilicated l#and l#contain l#a l#caseous l#plug l#
l#
How l#do l#we l#treat l#a l#broken l#clavicle l#in l#an l#infant? l#- l#no l#treatment; l#it l#should l#heal l#on l#it's
l#own l#
l#
At l#what l#week l#of l#pregnancy l#is l#the l#uterus l#palpable l#just l#above l#the l#pubic l#symphysis? l#-
l#week l#12 l#
l#
At l#what l#week l#of l#pregnancy l#is l#the l#fundus l#palpable l#halfway l#between l#the l#pubic
l#symphysis l#and l#umbilicus? l#- l#week l#16 l#
l#
At l#what l#week l#of l#pregnancy l#is l#the l#fundus l#of l#the l#uterus l#at l#the l#umbilicus? l#- l#week l#20 l#
l#
At l#what l#week l#of l#pregnancy l#is l#the l#fundus l#of l#the l#uterus l#halfway l#between l#the l#xiphoid
l#process l#and l#umbilicus? l#- l#week l#28 l#
l#
At l#what l#week l#of l#pregnancy l#is l#the l#fundus l#just l#below l#the l#xiphoid l#process? l#- l#week l#34 l#
l#
Increased l#sweat l#production l#is l#a l#sign l#of l#what l#endocrine l#disorder? l#- l#hyperthyroidism l#
l#
What l#is l#Paget's l#disease? l#- l#there l#is l#localized l#increased l#bone l#turnover l#and l#blood l#flow
l#resulting l#in l#the l#breakdown l#of l#bone l#and l#replacing l#it l#with l#weakened l#and l#highly l#vascular
l#bone l#putting l#the l#indiv l#at l#increased l#risk l#of l#fractures l#
l#
How l#do l#we l#treat l#Paget's l#diseease? l#- l#bisphosphonates l#
l#
How l#should l#pregnant l#women l#wear l#their l#seatbelt? l#- l#with l#the l#shoulder l#strap l#like l#a
l#normal l#person l#and l#then l#the l#groin l#strap l#below l#the l#belly l#and l#across l#the l#hips l#
l#
What l#is l#another l#name l#for l#fifth l#disease? l#- l#parvovirus l#aka l#slapped l#cheek l#disease l#aka
l#erythema l#infectiosum l#
l#
Which l#type l#of l#prevention l#are l#vaccinations? l#- l#primary l#
l#
When l#should l#patients l#begin l#antiretroviral l#therapy l#for l#HIV l#infection? l#- l#as l#soon l#as l#it l#is
l#detected, l#even l#if l#in l#the l#acute l#phase l#
l#
What l#are l#the l#first l#generation l#antihistamines? l#- l#diphenhydramine l#(benadryl) l#and
l#chlorpeniramine l#(actifed) l#
l#
What l#are l#s/s l#of l#the l#secondary l#stage l#of l#syphilis? l#- l#rash l#on l#hands l#and l#feet,
l#lymphadenopathy, l#fever l#
l#
What l#is l#the l#recommended l#treatment l#for l#chronic l#bacterial l#prostatitis? l#- l#a l#fluoroquinolone
l#(cipro l#or l#levo) l#+ l#bactrim l#
l#
, What l#is l#the l#recommended l#treatment l#for l#acute l#prostatitis? l#- l#cipro l#(if l#not l#STI l#related) l#or
l#ceftriaxone l#
l#
What l#are l#s/s l#of l#an l#intraductal l#breast l#papilloma? l#- l#clear l#to l#bloody l#unilateral l#nipple
l#discharge l#(bilateral l#is l#usually l#benign), l#and l#also l#a l#wart l#like l#lump l#palpated l#in l#the l#nipple
l#area l#
l#
If l#a l#patient l#has l#GABHS l#but l#has l#an l#allergy l#to l#penicillins, l#what l#is l#the l#second l#line
l#option? l#- l#first l#generation l#cephalosporins, l#unless l#the l#allergy l#is l#severe, l#then l#you l#would
l#consider l#macrolides l#like l#a l#-mycin l#
l#
PDE5 l#inhibitors l#(sildenafil, l#tadalafil) l#are l#contraindicated l#in l#which l#patient l#populations? l#-
l#in l#those l#who l#are l#on l#any l#type l#of l#nitrate l#or l#triptan l#because l#it l#could l#result l#in
l#hypotension l#
l#
What l#class l#of l#drug l#is l#sildenafil l#(viagra)? l#- l#a l#PDE5 l#inhibitor l#which l#can l#cause
l#hypotension l#so l#you l#should l#do l#a l#full l#cardiac l#assessment l#before l#starting l#a l#patient l#on
l#this l#and l#maybe l#do l#an l#EKG l#
l#
What l#are l#the l#symptoms l#of l#peripheral l#artery l#disease? l#- l#think l#P l#meaning l#pain, l#A
l#meaning l#absent l#or l#weak l#pulses, l#eschar l#or l#shiny l#legs, l#intermittent l#claudication l#
l#
What l#is l#first l#line l#treatment l#for l#PAD? l#- l#walking l#and l#physical l#activity l#to l#improve
l#circulation. l#second l#line l#is l#an l#aspirin l#or l#anti-platelet l#
l#
What l#should l#we l#tell l#our l#patients l#with l#PAD l#NOT l#to l#do? l#- l#do l#not l#elevate l#the l#feet;
l#keep l#them l#down l#
l#
How l#do l#we l#diagnose l#PAD? l#- l#an l#ABI l#< l#7; l#doppler l#can l#also l#be l#used l#to l#diagnose l#as
l#well l#but l#is l#the l#second l#choice l#
l#
What l#are l#s/s l#of l#peripheral l#vascular l#disease? l#- l#think l#V l#meaning l#volume l#overload l#aka
l#edema, l#may l#ache l#or l#be l#uncomfortable l#but l#is l#not l#painful, l#bounding l#pulses, l#ruddy
l#discoloration l#
l#
If l#a l#patient l#is l#on l#Coumadin l#but l#then l#they l#may l#need l#to l#go l#on l#an l#antibiotic l#for l#an
l#infection l#and l#Bactrim l#is l#the l#drug l#of l#choice, l#what l#should l#you l#do? l#- l#Bactrim l#increases
l#INR l#so l#we l#would l#want l#to l#decrease l#the l#coumadin l#dose l#while l#the l#patient l#is l#on l#this l#
l#
If l#a l#patient l#is l#on l#Coumadin l#but l#then l#they l#may l#need l#to l#go l#on l#Rifampin, l#what l#should
l#you l#do? l#- l#Rifampin l#decreases l#INR l#so l#we'd l#want l#to l#increase l#the l#coumadin l#dose l#
l#
If l#a l#patient l#on l#coumadin's l#INR l#is l#3.1-4 l#,what l#should l#you l#do? l#- l#decrease l#the l#weekly
l#dose l#by l#5-10% l#
l#
If l#a l#patient l#on l#coumadin's l#INR l#is l#4.1-5.0, l#what l#should l#you l#do? l#- l#hold l#one l#dose l#then
l#decrease l#the l#weekly l#dose l#by l#10% l#
l#
If l#a l#patient's l#INR l#is l#greater l#than l#5, l#what l#should l#you l#do? l#- l#consult l#cards, l#likely l#would
l#hold l#two l#doses l#then l#decrease l#the l#weekly l#dose l#
l#
An l#anorexic l#patient l#will l#have l#a l#BMI l#of l#what? l#- l#less l#than l#18 l#
l#