APEA PREDICTOR EXAM WITH ACTUAL
CORRECT ANSWERS.
What is the recommended treatment for chronic bacterial prostatitis? -
CorreCt Answers -a fluoroquinolone (cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis? - CorreCt
Answers -cipro (if not STI related) or ceftriaxone
What are s/s of an intraductal breast papilloma? - CorreCt Answers -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? - CorreCt Answers -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? - CorreCt Answers -in those who are on any type of nitrate or
triptan because it could result in hypotension
What class of drug is sildenafil (viagra)? - CorreCt Answers -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? - CorreCt Answers -
think P meaning pain, A meaning absent or weak pulses, eschar or shiny
legs, intermittent claudication
,What is first line treatment for PAD? - CorreCt Answers -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? - CorreCt Answers -
do not elevate the feet; keep them down
How do we diagnose PAD? - CorreCt Answers -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? - CorreCt Answers -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? -
CorreCt Answers -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? - CorreCt Answers -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? - CorreCt
Answers -decrease the weekly dose by 5-10%
, If a patient on coumadin's INR is 4.1-5.0, what should you do? - CorreCt
Answers -hold one dose then decrease the weekly dose by 10%
If a patient's INR is greater than 5, what should you do? - CorreCt Answers
-consult cards, likely would hold two doses then decrease the weekly dose
An anorexic patient will have a BMI of what? - CorreCt Answers -less than
18
What is primary amenorrhea? - CorreCt Answers -when the patient has
never gotten their period before (there is an absence of menarche) but they
have all of their secondary sex characteristics
Secondary amenorrhea is a lack of menses after _________ of not having
a period; but you have had one before - CorreCt Answers -3 months
What do we need to do first when a patient comes in with secondary
amenorrhea? - CorreCt Answers -rule out pregnancy
Anorexia can put you at risk for what? - CorreCt Answers -osteoporosis,
amenorrhea, cardiac damage
Amenorrhea is considered a risk factor for what? - CorreCt Answers -
osteoporosis
What is the best indication of an anorexic patient doing better? They tell
you they are eating more, they have weight gain, or they get their period
back? - CorreCt Answers -they get their period back
CORRECT ANSWERS.
What is the recommended treatment for chronic bacterial prostatitis? -
CorreCt Answers -a fluoroquinolone (cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis? - CorreCt
Answers -cipro (if not STI related) or ceftriaxone
What are s/s of an intraductal breast papilloma? - CorreCt Answers -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? - CorreCt Answers -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? - CorreCt Answers -in those who are on any type of nitrate or
triptan because it could result in hypotension
What class of drug is sildenafil (viagra)? - CorreCt Answers -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? - CorreCt Answers -
think P meaning pain, A meaning absent or weak pulses, eschar or shiny
legs, intermittent claudication
,What is first line treatment for PAD? - CorreCt Answers -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? - CorreCt Answers -
do not elevate the feet; keep them down
How do we diagnose PAD? - CorreCt Answers -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? - CorreCt Answers -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? -
CorreCt Answers -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? - CorreCt Answers -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? - CorreCt
Answers -decrease the weekly dose by 5-10%
, If a patient on coumadin's INR is 4.1-5.0, what should you do? - CorreCt
Answers -hold one dose then decrease the weekly dose by 10%
If a patient's INR is greater than 5, what should you do? - CorreCt Answers
-consult cards, likely would hold two doses then decrease the weekly dose
An anorexic patient will have a BMI of what? - CorreCt Answers -less than
18
What is primary amenorrhea? - CorreCt Answers -when the patient has
never gotten their period before (there is an absence of menarche) but they
have all of their secondary sex characteristics
Secondary amenorrhea is a lack of menses after _________ of not having
a period; but you have had one before - CorreCt Answers -3 months
What do we need to do first when a patient comes in with secondary
amenorrhea? - CorreCt Answers -rule out pregnancy
Anorexia can put you at risk for what? - CorreCt Answers -osteoporosis,
amenorrhea, cardiac damage
Amenorrhea is considered a risk factor for what? - CorreCt Answers -
osteoporosis
What is the best indication of an anorexic patient doing better? They tell
you they are eating more, they have weight gain, or they get their period
back? - CorreCt Answers -they get their period back
