APEA 3P Practice Qbank Questions with Answers

1. The groove of the metacarpophalangeal joint can be palpated by having the patient: a. Flex his hand 2. When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: a. vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on percussion 3. The ankle-brachial index is a screening test used to assess a person’s risk for: a. Peripheral artery disease 4. Olecranon bursitis may be caused by all of the following except: a. Frozen shoulder 5. In patients who have allergic rhinitis, the nasal mucosa appears: a. Pale 6. A term used to describe an increase in muscular bulk with diminished strength is: a. pseudohypertrophy 7. If abdominal pain persists when the patient raises his head and shoulders, the origin of the tenderness is probably: a. In the abdominal wall 8. On auscultation of the abdomen, rushes of high-pitched sounds are audible and coincide with abdominal cramps. These findings are most consistent with: a. Intestinal obstruction 9. Ophthalmoscopic examination of the fundus reveals tiny, round, red spots in and around the macular area. These findings are consistent with: a. Microaneurysms 10. Symptoms of a subdural hematoma include: a. Noticeable bleeding between the dura and the cerebrum on x-ray 11. On examination of the adult patient, symptoms of flexed posture, tremor, rigidity, and shuffling gait are observed. These findings are consistent with: a. Parkinson’s disease 12. When discussing the musculoskeletal system, all of the following statements related to articular structure disease are true except which one? a. Articular disease is usually due to stiffness or pain 13. Focal tenderness over the trochanter confirms: a. Bursitis 14. Assessing the neurological status of a child with a ventriculoperitoneal shunt should include: a. Use of the Glasgow coma scale 15. The earliest recognizable clinical manifestation(s) of cystic fibrosis in an infant is: a. Salty taste on the skin lOMoARcPSD| 16. A reddish blue, irregularly shaped, solid and spongy mass of blood vessels that may be present at birth and enlarge during the first 10 to 15 months is characteristic of a: a. Cavernous hemangioma 17. The hamstring muscles flex the knee and are located on the: a. Posterior aspect of the thigh 18. Ophthalmoscopic examination reveals dark specks noted between the fundus and the lens. These specks are most likely: a. Vitreous floaters 19. When performing the first Leopold maneuver on a pregnant woman, if the buttocks and head are not easily palpated at the fundus, the fetus is said to be in: a. Transverse lie 20. When performing a musculoskeletal examination, the nurse practitioner instructs the patient to move his arm in front of his body. This motion of the shoulder girdle would be an example of: a. Flexion 21. To locate the twelfth rib, palpate: a. Between the spine and the lateral chest 22. Walking on the toes and heels may reveal: a. Distal muscular weakness in the legs 23. When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of a gloved hand. From a standing position, the fingers should be inserted into the vagina while exerting pressure primarily: a. Posteriorly 24. During pregnancy, which hormone results in increased blood viscosity? a. Erythropoietin 25. Resting tremors refer to those tremors that disappear: a. With voluntary movement 26. A patient presents with complaints of bright red stools over the past week. This symptom could be consistent with: a. Cancer of the sigmoid colon 27. Mydriasis is a term used to describe: a. Dilation of the pupils 28. When performing a musculoskeletal exam on a patient with mechanical low back pain, osteoporosis is suspected. Positive findings would include all of the following except: a. Calf wasting 29. Which stage of pressure is consistent with findings on dermatologic examination of a full thickness tissue loss and subcutaneous fat visible with mild slough on the right hip? a. Stage III 30. The vertebral column angles sharply posteriorly and becomes immovable at the: a. Lumbosacral junction 31. Which one of the following is at the HIGHEST risk for suicide? a. A 52-year-old white man 32. When auscultating heart sounds arising from the aortic valve in an adult patient, place the stethoscope: lOMoARcPSD| a. Between the 2nd and 3rd intercostal spaces at the right upper sternal border 33. Pain and crepitus over the patella suggests: a. Roughening of the patellar undersurface 34. Which one of the following findings is NOT typical in a patient who has delirium? a. Intact attention and concentration 35. When examining the skin, multiple areas of circumscribed elevations of the skin filled with serous fluid measuring approximately 0.5cm were noted. These types of lesions could be seen in: a. Herpes simplex or varicella 36. The principal muscles involved when closing the mouth are innervated by which cranial nerve? a. Cranial nerve V (Trigeminal) 37. The structure that creates a channel for the vertebral artery is known as the: a. Transverse Foramen 38. Which of the following is NOT a compliant patient with type 1 diabetes? a. Polycythemia 39. When suspecting pediculosis capitis, the chief complaint is: a. Itching 40. The structure that appears as the large swelling posteriorly on the superior ramus of the ischium and bears most of the weight in sitting, is known as the: a. Ischial tuberosity 41. When percussing the posterior chest, which one of the following techniques would be omitted? a. Percuss areas over the scapulae 42. On examination of the pupils, both are round but the right pupil appears larger than the left and reacts much slower to light. This condition may be indicative of: a. A tonic pupil 43. During the type of seizure activity, the patient experiences partial seizures that resemble tonic-clonic seizures. The patient may recall the aura and unilateral neurologic deficit is present during the postictal period. This type of seizure activity is referred to as a: a. focal seizure that becomes generalized 44. A female patient complains of weakness in both arms when transferring the wet clothes from the washer and placing them in the dryer. This finding could be suggestive of which type of weakness pattern? a. Symmetric 45. To palpate the right ovary when performing the bimanual vaginal exam, the abdominal hand should be on the right lower quadrant and the pelvic hand needs to be: a. In the right lateral fornix 46. A serious disturbance in a person’s mental abilities that results in a decreased awareness of one’s environment and confused thinking is referred to as: a. Delirium 47. Which of the following screening tests for hearing loss can detect both sensorineural and conductive hearing loss?