APEA 3P Pre Predictor Exam with
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APEA 3PPre Predictor Exam with Rationale |Verified
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1) A 15 years old high school student with a mild sore throat and low-grade fever that has w
persisted forabout 3 weeks. Shereports general malaise, fatigue, and loss of appetite. The NP w w
suspects mononucleosis. Which of the following is the LEAST appropriate intervention? w
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtaina CBC, throat culture, and heterophil antibodytest.
d. Obtain an urinalyses and serum for LFTs and amylase
w w w w w w w w
Explanation: mononucleosis is a symptomatic infection caused by the Epstein-Bar virus.
Common is people 15-24 years of age. Common signs and symptoms following incubation
period (1-2 months) include fatigue, chills, malaise, anorexia, white tonsillar exudates and w
lymphadenopathyor posterior cervical region. Splenomegalycan be present. A maculopapular or
occasionally a petechial rash occurs in less than 15% of patients. A diagnosis is usually made w w
usingthe Monospot. In addition, neutropenia and lymphocytosis are usuallydetected in the CBC. w w
2) A 32 years old male patient complaint of urinary frequency and burning on urination for 3
days. Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx. Of urinary tract
infections. The initial treatment should be: w
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day w w w w w
b. ciprofloxacin (Cipro) for 3-5 days w w
c. Trimethoprim-Sulfamethoxazolefor 3 days w w
d. 750 mg ciprofloxacin as a one-time dose w
Explanation: trimethoprim-sulfamethoxazole(TMPS) isusuallynappropriatemedication to
treat urinary tract infections in most patients. In the case of community resistance to TMPS
w w w
>20%^, another medication shouldbesubstituted. In men, the appropriate length oftimeis 7-10
w
days. Women may be treated for 3 days for uncomplicated UTI
w w w
3) Whichagent is most effective for the treatment of nodulocystic acne?
a. Benzoyl peroxide (Benzac)
w
b. Retinoic acid (Retin A) w
c. Topicaltetracycline
d. Isotretinoin)
Explanation: Isotretinoin (Accutane) is a systemic agent indicated for treatment with severe
inflammatoryacne. Guidelines for its use must beclearlyunderstood bythe patient.Awoman of
childbearing age must use an effective method of contraception because isotretinoin is
teratogenic.There aremanyrestrictions in prescribingthis medication becauseoftheteratogenic
effects is given during pregnancy. Therefore, it is a pregnancy category X.
4) An 18 y/o woman is taking a combined hormonal oral contraceptive. She should be
w
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instructed to use a backup method for the prevention of pregnancy
a. Throughout the week of placebo pills
b. If prescribed topiramate (Topamax) for the treatment of migraines.
w w w w w w w w
1
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c. If prescribed amoxicillin/clavulanate (Augmentin) forasinus infection
d. if she forgets to take a single dose of the contraceptive
Explanation: Anticonvulsant including phenytoin (Dilantin), carbamazepine (Tegretol),
primidone (Mysoline), topiramate (Topamax) and oxcarbazepine (Trileptal) reduce the
effectivenessofcontraceptives. Depo-medroxyprogesteroneacetate injectionsorlevonorgestrel-
releasing intrauterine devices would be a better method of contraceptive for patients taking
anticonvulsants. Most commonly used antibiotics have not been proven to reduce the
effectiveness of contraceptives. Rifampin is an exception, and additional …. Be used by women
taking this drug and using oral contraceptives, transdermal, or vaginal ring preparations.
Additional backup contraception should be used if taking antifungal agents. No additional w w
protection is needed thought the week of placebo pills. Missingone single doseof contraceptive w
does not require additional protection, missing more than one doses does.
5) A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5 w w
mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), and triglycerides= w
344 mg/dL(8.94 mmol/L).What agent havethe greatest effect on improving her lipid profile and w
reducing morbidity and mortality associates with dyslipidemia?
a. Niacin (Niaspan)
b. Atorvastatin
c. Omega 3 fatty acids
d. Fenofibrates
Explanation: First and foremost, it is essential to educate individuals on a heart-healthy lifestyle.
w w
LDL-C isoneof the major culprits in the development of atherosclerotic heart disease. The target
w w
level of LDL-C is between 50 to 70mg/dl to prevent plaque formation in the blood vessels. w
Guidelines strongly recommend statin therapy because they primarily lower LDL-C levels, but
w
they also have the secondary effects of lowering triglyceride and increasing HDL-C levels.
w
6) A 30 years old female comes into a clinic with classic signs and symptoms of appendicitis.
w w w
The NP fails to refer the patient to a surgeon. The appendix ruptures and the woman die. This is
w
an example of
a. Failureof diligence
b. Professionalliability
c. Negligence
d. Malpractice
Explanation: malpractice, a negligencetort, occurs when a health careprofessional’s actions fall
w w w
bellow the appropriate standard of care and hurts the patient. In this case the patient came with
sings and symptoms indicating appendicitis and the NP failed to refer the patient..
7) A NP has recentlybeen hiredto workin afasttrack facility. The NP employer askedif she
has ―a problem prescribing medications for emergency contraception.‖ The NP replies
affirmatively. This is:
a. Grounds for dismissal
b. An ethical dilemma for the NP
w w w w w
2
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Rationale | Verified Exam | 100% Accurate |
Latest Version
Downloaded by: walternpeter036 | Want to earn $1.236
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lOMoAR c PSD| 18211884
APEA 3PPre Predictor Exam with Rationale |Verified
Exam| 100% Accurate|Latest Version
1) A 15 years old high school student with a mild sore throat and low-grade fever that has w
persisted forabout 3 weeks. Shereports general malaise, fatigue, and loss of appetite. The NP w w
suspects mononucleosis. Which of the following is the LEAST appropriate intervention? w
a. Palpate the lymph nodes and spleen
b. Examine the posterior oropharynx for petechiae
c. Obtaina CBC, throat culture, and heterophil antibodytest.
d. Obtain an urinalyses and serum for LFTs and amylase
w w w w w w w w
Explanation: mononucleosis is a symptomatic infection caused by the Epstein-Bar virus.
Common is people 15-24 years of age. Common signs and symptoms following incubation
period (1-2 months) include fatigue, chills, malaise, anorexia, white tonsillar exudates and w
lymphadenopathyor posterior cervical region. Splenomegalycan be present. A maculopapular or
occasionally a petechial rash occurs in less than 15% of patients. A diagnosis is usually made w w
usingthe Monospot. In addition, neutropenia and lymphocytosis are usuallydetected in the CBC. w w
2) A 32 years old male patient complaint of urinary frequency and burning on urination for 3
days. Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx. Of urinary tract
infections. The initial treatment should be: w
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day w w w w w
b. ciprofloxacin (Cipro) for 3-5 days w w
c. Trimethoprim-Sulfamethoxazolefor 3 days w w
d. 750 mg ciprofloxacin as a one-time dose w
Explanation: trimethoprim-sulfamethoxazole(TMPS) isusuallynappropriatemedication to
treat urinary tract infections in most patients. In the case of community resistance to TMPS
w w w
>20%^, another medication shouldbesubstituted. In men, the appropriate length oftimeis 7-10
w
days. Women may be treated for 3 days for uncomplicated UTI
w w w
3) Whichagent is most effective for the treatment of nodulocystic acne?
a. Benzoyl peroxide (Benzac)
w
b. Retinoic acid (Retin A) w
c. Topicaltetracycline
d. Isotretinoin)
Explanation: Isotretinoin (Accutane) is a systemic agent indicated for treatment with severe
inflammatoryacne. Guidelines for its use must beclearlyunderstood bythe patient.Awoman of
childbearing age must use an effective method of contraception because isotretinoin is
teratogenic.There aremanyrestrictions in prescribingthis medication becauseoftheteratogenic
effects is given during pregnancy. Therefore, it is a pregnancy category X.
4) An 18 y/o woman is taking a combined hormonal oral contraceptive. She should be
w
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instructed to use a backup method for the prevention of pregnancy
a. Throughout the week of placebo pills
b. If prescribed topiramate (Topamax) for the treatment of migraines.
w w w w w w w w
1
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c. If prescribed amoxicillin/clavulanate (Augmentin) forasinus infection
d. if she forgets to take a single dose of the contraceptive
Explanation: Anticonvulsant including phenytoin (Dilantin), carbamazepine (Tegretol),
primidone (Mysoline), topiramate (Topamax) and oxcarbazepine (Trileptal) reduce the
effectivenessofcontraceptives. Depo-medroxyprogesteroneacetate injectionsorlevonorgestrel-
releasing intrauterine devices would be a better method of contraceptive for patients taking
anticonvulsants. Most commonly used antibiotics have not been proven to reduce the
effectiveness of contraceptives. Rifampin is an exception, and additional …. Be used by women
taking this drug and using oral contraceptives, transdermal, or vaginal ring preparations.
Additional backup contraception should be used if taking antifungal agents. No additional w w
protection is needed thought the week of placebo pills. Missingone single doseof contraceptive w
does not require additional protection, missing more than one doses does.
5) A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5 w w
mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), and triglycerides= w
344 mg/dL(8.94 mmol/L).What agent havethe greatest effect on improving her lipid profile and w
reducing morbidity and mortality associates with dyslipidemia?
a. Niacin (Niaspan)
b. Atorvastatin
c. Omega 3 fatty acids
d. Fenofibrates
Explanation: First and foremost, it is essential to educate individuals on a heart-healthy lifestyle.
w w
LDL-C isoneof the major culprits in the development of atherosclerotic heart disease. The target
w w
level of LDL-C is between 50 to 70mg/dl to prevent plaque formation in the blood vessels. w
Guidelines strongly recommend statin therapy because they primarily lower LDL-C levels, but
w
they also have the secondary effects of lowering triglyceride and increasing HDL-C levels.
w
6) A 30 years old female comes into a clinic with classic signs and symptoms of appendicitis.
w w w
The NP fails to refer the patient to a surgeon. The appendix ruptures and the woman die. This is
w
an example of
a. Failureof diligence
b. Professionalliability
c. Negligence
d. Malpractice
Explanation: malpractice, a negligencetort, occurs when a health careprofessional’s actions fall
w w w
bellow the appropriate standard of care and hurts the patient. In this case the patient came with
sings and symptoms indicating appendicitis and the NP failed to refer the patient..
7) A NP has recentlybeen hiredto workin afasttrack facility. The NP employer askedif she
has ―a problem prescribing medications for emergency contraception.‖ The NP replies
affirmatively. This is:
a. Grounds for dismissal
b. An ethical dilemma for the NP
w w w w w
2
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