APEA PRE PREDICTOR EXAM 2024/25 TEST BANK 100
MCQS WITH ANSWERS AND DETAILED
EXPLANATIONS
1. A 12-year-old presents with ear pain of 36 hours duration. The nurse practitioner
diagnoses acute otitis media because the:
A. Tympanic membrane is perforated.
B. Bony landmarks are obscured, and the tympanic membrane is mildly erythematous,
dull, and immobile.
C. External canal is narrowed with erythema.
D. Fluid line is visible behind the tympanic membrane.
Answer: B. Bony landmarks are obscured, and the tympanic membrane is mildly
erythematous, dull, and immobile.
Explanation: Acute otitis media is characterized by tympanic membrane erythema,
dullness, immobility, and obscured bony landmarks due to middle ear effusion.
2. A 16-year-old sexually active student presents with greenish-gray frothy vaginal
discharge and itching. The nurse practitioner should suspect:
A. Bacterial vaginosis.
B. Trichomoniasis.
C. Candidiasis.
D. Chlamydia.
Answer: B. Trichomoniasis.
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,Explanation: Trichomoniasis, caused by Trichomonas vaginalis, presents with frothy,
malodorous discharge, vaginal edema, and strawberry cervix.
3. A 6-year-old with Lyme disease should be treated with:
A. Doxycycline.
B. Amoxicillin.
C. Azithromycin.
D. Cephalexin.
Answer: B. Amoxicillin.
Explanation: Doxycycline is avoided in children <9 years due to tooth discoloration.
Amoxicillin is first-line for pediatric Lyme disease.
4. A 2-year-old with high fever for 3 days, now afebrile with a maculopapular rash,
likely has:
A. Measles.
B. Roseola.
C. Scarlet fever.
D. Varicella.
Answer: B. Roseola.
Explanation: Roseola (HHV-6) presents with 3 days of high fever followed by a
blanching rash after fever resolution.
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,5. A 32-year-old diabetic with a 10-day sinus infection unresponsive to amoxicillin
should receive:
A. Amoxicillin-clavulanate.
B. Ciprofloxacin.
C. Azithromycin.
D. No antibiotics.
Answer: A. Amoxicillin-clavulanate.
Explanation: Augmentin covers beta-lactamase-producing bacteria, common in
recurrent/resistant sinusitis.
6. A 45-year-old with TSH levels of 13 mU/L and 15 mU/L likely has:
A. Hyperthyroidism.
B. Hypothyroidism.
C. Graves’ disease.
D. Thyroiditis.
Answer: B. Hypothyroidism.
Explanation: Elevated TSH (>5 mU/L) confirms primary hypothyroidism. Symptoms
include fatigue, weight gain, and cold intolerance.
Don’t forget to leave a ⭐⭐⭐⭐⭐ on Stuvia. Your review is my motivation. Success in your Exam, I believe in you
, 7. A 70-year-old with intermittent back pain for 3 years and neuropathic symptoms
should be treated with:
A. Opioids.
B. Amitriptyline.
C. NSAIDs.
D. Acetaminophen.
Answer: B. Amitriptyline.
Explanation: Tricyclic antidepressants (e.g., amitriptyline) are first-line for neuropathic
pain.
8. A patient with MRSA and sulfa allergy should receive:
A. TMP-SMX.
B. Doxycycline.
C. Cephalexin.
D. Amoxicillin.
Answer: B. Doxycycline.
Explanation: Doxycycline is an alternative for MRSA in sulfa-allergic patients.
9. The earliest clinical sign of heart failure is:
A. Dyspnea.
B. Weight gain.
C. Peripheral edema.
Don’t forget to leave a ⭐⭐⭐⭐⭐ on Stuvia. Your review is my motivation. Success in your Exam, I believe in you
MCQS WITH ANSWERS AND DETAILED
EXPLANATIONS
1. A 12-year-old presents with ear pain of 36 hours duration. The nurse practitioner
diagnoses acute otitis media because the:
A. Tympanic membrane is perforated.
B. Bony landmarks are obscured, and the tympanic membrane is mildly erythematous,
dull, and immobile.
C. External canal is narrowed with erythema.
D. Fluid line is visible behind the tympanic membrane.
Answer: B. Bony landmarks are obscured, and the tympanic membrane is mildly
erythematous, dull, and immobile.
Explanation: Acute otitis media is characterized by tympanic membrane erythema,
dullness, immobility, and obscured bony landmarks due to middle ear effusion.
2. A 16-year-old sexually active student presents with greenish-gray frothy vaginal
discharge and itching. The nurse practitioner should suspect:
A. Bacterial vaginosis.
B. Trichomoniasis.
C. Candidiasis.
D. Chlamydia.
Answer: B. Trichomoniasis.
Don’t forget to leave a ⭐⭐⭐⭐⭐ on Stuvia. Your review is my motivation. Success in your Exam, I believe in you
,Explanation: Trichomoniasis, caused by Trichomonas vaginalis, presents with frothy,
malodorous discharge, vaginal edema, and strawberry cervix.
3. A 6-year-old with Lyme disease should be treated with:
A. Doxycycline.
B. Amoxicillin.
C. Azithromycin.
D. Cephalexin.
Answer: B. Amoxicillin.
Explanation: Doxycycline is avoided in children <9 years due to tooth discoloration.
Amoxicillin is first-line for pediatric Lyme disease.
4. A 2-year-old with high fever for 3 days, now afebrile with a maculopapular rash,
likely has:
A. Measles.
B. Roseola.
C. Scarlet fever.
D. Varicella.
Answer: B. Roseola.
Explanation: Roseola (HHV-6) presents with 3 days of high fever followed by a
blanching rash after fever resolution.
Don’t forget to leave a ⭐⭐⭐⭐⭐ on Stuvia. Your review is my motivation. Success in your Exam, I believe in you
,5. A 32-year-old diabetic with a 10-day sinus infection unresponsive to amoxicillin
should receive:
A. Amoxicillin-clavulanate.
B. Ciprofloxacin.
C. Azithromycin.
D. No antibiotics.
Answer: A. Amoxicillin-clavulanate.
Explanation: Augmentin covers beta-lactamase-producing bacteria, common in
recurrent/resistant sinusitis.
6. A 45-year-old with TSH levels of 13 mU/L and 15 mU/L likely has:
A. Hyperthyroidism.
B. Hypothyroidism.
C. Graves’ disease.
D. Thyroiditis.
Answer: B. Hypothyroidism.
Explanation: Elevated TSH (>5 mU/L) confirms primary hypothyroidism. Symptoms
include fatigue, weight gain, and cold intolerance.
Don’t forget to leave a ⭐⭐⭐⭐⭐ on Stuvia. Your review is my motivation. Success in your Exam, I believe in you
, 7. A 70-year-old with intermittent back pain for 3 years and neuropathic symptoms
should be treated with:
A. Opioids.
B. Amitriptyline.
C. NSAIDs.
D. Acetaminophen.
Answer: B. Amitriptyline.
Explanation: Tricyclic antidepressants (e.g., amitriptyline) are first-line for neuropathic
pain.
8. A patient with MRSA and sulfa allergy should receive:
A. TMP-SMX.
B. Doxycycline.
C. Cephalexin.
D. Amoxicillin.
Answer: B. Doxycycline.
Explanation: Doxycycline is an alternative for MRSA in sulfa-allergic patients.
9. The earliest clinical sign of heart failure is:
A. Dyspnea.
B. Weight gain.
C. Peripheral edema.
Don’t forget to leave a ⭐⭐⭐⭐⭐ on Stuvia. Your review is my motivation. Success in your Exam, I believe in you
