APEA PRE-PREDICTOR// APEA PRE-PREDICTOR 2024-
2025 ACTUAL EXAM TEST BANK 850+ QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) with most tested
questions |ALREADY GRADED A+
This document presents a high-yield set of clinically relevant multiple-choice questions designed for
pediatric and primary care exam prep in 2025. It includes common conditions such as bronchitis,
Mycoplasma pneumoniae, asthma, sinusitis, and nursemaid’s elbow, with correct answers and
rationales. Ideal for NPs, PAs, and medical students preparing for boards or clinical rotations.
You note the following result on a routine urinalysis of a 37-year old primigravida who is at 30 weeks
gestation. Leukocyte=trace, nitrite=negative, protein=2+, blood=negative. Her weight has increased by 5
lbs during the past week. Which of the following is most likely?
A.HELLP syndrome
B. Pregnancy-induced hypertension (pre-eclampsia)
C. Eclampsia of pregnancy
D. Primary hypertension - answer-B. Pregnancy-induced hypertension (pre-eclampsia). Classic triad of
symptoms of preeclampsia include hypertension, edema (weight gain), and proteinuria.
The mother of a 12 month old infant reports to the nurse practitioner that her child had a high fever for
several days, which spontaneously resolved. After the fever resolved, the child developed a
maculopapular rash. Which of the following is the most likely diagnosis?
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes - answer-B. Roseola Infantum (Exanthema subitum)
A 70-year old male patient complains of a bright red-colored spot in his left eye for 2 days. He denies eye
pain, visual changes, or headaches. He has a new onset of cough from a recent viral upper respiratory
infection. The only medicine he is on Bayer aspirin, 1 tablet a day. Which of the following is most likely?
A. Corneal abrasion
,B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - answer-D. Subconjunctival hemorrhage. Bright red blood in a sharply
defined area surrounded by normal-appearing conjunctiva indicates subconjunctival hemorrhage.
A woman is being evaluated by the nurse practitioner for complaints of dyspareunia. A microscopy slide
reveals a large number of atrophic squamous epithelial cells. The vaginal pH is 4.0. There are very few
leukocytes and no RBCs are seen on the wet smear. Which of the following is most likely? A. Atrophic
vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding. - answer-A. Atrophic vaginitis. Symptoms of atrophic vaginitis include
painful intercourse, atrophic squamous epithelial cells, and a decrease in pH. Vaginal atrophy is caused
by lack of or imbalance of estrogen. Normal pH of the vagina is 4.0-5.0 (acidic)
The most common type of skin malignancy is:
A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi - answer-B. Basal skin cancer. It is several times more common that squamous cell
skin cancer according to the NIH.
Koplik's spots are associated with:
A. Poxvirius infections
B. Measles
C. Kawasaki's disease
D. Reye's syndrome - answer-B. Measles. S/S include fever over 101, coryza, cough, conjunctivitis, rash,
and koplik's spots on buccal mucosa
,At what level of prevention would you classify for lung cancer?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention - answer-D. primordial prevention. Screening for lung cancer is not currently
recommended in the general population, but it is secondary prevention.
A test called the visual fields by confrontation is used to evaluate for:
A. Peripheral vision
B. Central vision
C. Visual acuity
D. Accomodation - answer-A. Peripheral vision
A 14yo male with bronchitis is being treated with fluids and expectorants. He returns to the clinic with a
fever of 103F, right pleuritic chest pain, and green sputum. Which of the following examination results
would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion - answer-A. Right lower lobe crackles.
2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow"). After closed
manipulation, the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
, D. A click is felt while the child is extending and rotating the arm - answer-C. The child quickly begins to
use the affected arm.
Which of the following would be an appropriate alternative to erythromycin therapy in an 18 year old
patient with Mycoplasma pneumoniae infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin) - answer-A. Azithromycin
A 10-month old presents with a rash, runny nose, and cough. Examination reveals a cluster of tiny white
papuls with an erythematous base on the buccal mucosa. What does this suggest? A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles - answer-D. Measles
Office Spriometry performed with an albuterol nebulizer treatment can confirm a diagnosis of asthma
because it indicates:
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway obstruction - answer-D. Whether a patient has reversible
airway obstruction
An 18yr old patient presents with complaints of maxillary facial pain and yellow nasal discharge for 14
days. What is the appropriate initial pharmacologic intervention?
A. Amoxicillin-Clavulanate (Augmentin)
2025 ACTUAL EXAM TEST BANK 850+ QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) with most tested
questions |ALREADY GRADED A+
This document presents a high-yield set of clinically relevant multiple-choice questions designed for
pediatric and primary care exam prep in 2025. It includes common conditions such as bronchitis,
Mycoplasma pneumoniae, asthma, sinusitis, and nursemaid’s elbow, with correct answers and
rationales. Ideal for NPs, PAs, and medical students preparing for boards or clinical rotations.
You note the following result on a routine urinalysis of a 37-year old primigravida who is at 30 weeks
gestation. Leukocyte=trace, nitrite=negative, protein=2+, blood=negative. Her weight has increased by 5
lbs during the past week. Which of the following is most likely?
A.HELLP syndrome
B. Pregnancy-induced hypertension (pre-eclampsia)
C. Eclampsia of pregnancy
D. Primary hypertension - answer-B. Pregnancy-induced hypertension (pre-eclampsia). Classic triad of
symptoms of preeclampsia include hypertension, edema (weight gain), and proteinuria.
The mother of a 12 month old infant reports to the nurse practitioner that her child had a high fever for
several days, which spontaneously resolved. After the fever resolved, the child developed a
maculopapular rash. Which of the following is the most likely diagnosis?
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes - answer-B. Roseola Infantum (Exanthema subitum)
A 70-year old male patient complains of a bright red-colored spot in his left eye for 2 days. He denies eye
pain, visual changes, or headaches. He has a new onset of cough from a recent viral upper respiratory
infection. The only medicine he is on Bayer aspirin, 1 tablet a day. Which of the following is most likely?
A. Corneal abrasion
,B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage - answer-D. Subconjunctival hemorrhage. Bright red blood in a sharply
defined area surrounded by normal-appearing conjunctiva indicates subconjunctival hemorrhage.
A woman is being evaluated by the nurse practitioner for complaints of dyspareunia. A microscopy slide
reveals a large number of atrophic squamous epithelial cells. The vaginal pH is 4.0. There are very few
leukocytes and no RBCs are seen on the wet smear. Which of the following is most likely? A. Atrophic
vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding. - answer-A. Atrophic vaginitis. Symptoms of atrophic vaginitis include
painful intercourse, atrophic squamous epithelial cells, and a decrease in pH. Vaginal atrophy is caused
by lack of or imbalance of estrogen. Normal pH of the vagina is 4.0-5.0 (acidic)
The most common type of skin malignancy is:
A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi - answer-B. Basal skin cancer. It is several times more common that squamous cell
skin cancer according to the NIH.
Koplik's spots are associated with:
A. Poxvirius infections
B. Measles
C. Kawasaki's disease
D. Reye's syndrome - answer-B. Measles. S/S include fever over 101, coryza, cough, conjunctivitis, rash,
and koplik's spots on buccal mucosa
,At what level of prevention would you classify for lung cancer?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention - answer-D. primordial prevention. Screening for lung cancer is not currently
recommended in the general population, but it is secondary prevention.
A test called the visual fields by confrontation is used to evaluate for:
A. Peripheral vision
B. Central vision
C. Visual acuity
D. Accomodation - answer-A. Peripheral vision
A 14yo male with bronchitis is being treated with fluids and expectorants. He returns to the clinic with a
fever of 103F, right pleuritic chest pain, and green sputum. Which of the following examination results
would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion - answer-A. Right lower lobe crackles.
2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow"). After closed
manipulation, the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
, D. A click is felt while the child is extending and rotating the arm - answer-C. The child quickly begins to
use the affected arm.
Which of the following would be an appropriate alternative to erythromycin therapy in an 18 year old
patient with Mycoplasma pneumoniae infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin) - answer-A. Azithromycin
A 10-month old presents with a rash, runny nose, and cough. Examination reveals a cluster of tiny white
papuls with an erythematous base on the buccal mucosa. What does this suggest? A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles - answer-D. Measles
Office Spriometry performed with an albuterol nebulizer treatment can confirm a diagnosis of asthma
because it indicates:
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway obstruction - answer-D. Whether a patient has reversible
airway obstruction
An 18yr old patient presents with complaints of maxillary facial pain and yellow nasal discharge for 14
days. What is the appropriate initial pharmacologic intervention?
A. Amoxicillin-Clavulanate (Augmentin)
