APEA Predictor Exam 2025 – Complete Study Guide
& Practice Questions REAL EXAM!!!
A 15 years old high school student with a mild sore throat and low-grade fever that has persisted for
about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The NP suspects
mononucleosis. Which of the following is the LEAST appropriate intervention?
Palpate the lymph nodes and spleen
Examine the posterior oropharynx for petechiae Obtain a CBC, throat culture, and heterophil antibody
test.
Obtain an urinalyses and serum for LFTs and amylase - ANSWER ✔---Obtain an urinalyses and
serum for LFTs and amylase
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 lymphadenopathy or posterior
cervical region. Splenomegaly can be present. A maculopapular or occasionally a petechial rash occurs in
less than 15% of patients. A diagnosis is usually made using the Monospot. In addition, neutropenia and
lymphocytosis are usually detected in the CBC
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:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
b. ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-Sulfamethoxazole for 3 days
d. 750 mg ciprofloxacin as a one-time dose - ANSWER ✔---. trimethoprim-sulfamethoxazole
(Bactrim, Sulfatrim) for 7-10 day
Explanation: trimethoprim-sulfamethoxazole (TMPS) is usually n appropriate medication to treat urinary
tract infections in most patients. In the case of community resistance to TMPS >20%^, another
medication should be substituted. In men, the appropriate length of time is 7 10 days. Women may be
treated for 3 days for uncomplicated UTI
Which agent is most effective for the treatment of nodulocystic acne?
Benzoyl peroxide (Benzac)
Retinoic acid (Retin A)
Topical tetracycline
Isotretinoin - ANSWER ✔---Isotretinoin
Explanation: Isotretinoin (Accutane) is a systemic agent indicated for treatment with severe
inflammatory acne. Guidelines for its use must be clearly understood by the patient. A woman of
& Practice Questions REAL EXAM!!!
A 15 years old high school student with a mild sore throat and low-grade fever that has persisted for
about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The NP suspects
mononucleosis. Which of the following is the LEAST appropriate intervention?
Palpate the lymph nodes and spleen
Examine the posterior oropharynx for petechiae Obtain a CBC, throat culture, and heterophil antibody
test.
Obtain an urinalyses and serum for LFTs and amylase - ANSWER ✔---Obtain an urinalyses and
serum for LFTs and amylase
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 lymphadenopathy or posterior
cervical region. Splenomegaly can be present. A maculopapular or occasionally a petechial rash occurs in
less than 15% of patients. A diagnosis is usually made using the Monospot. In addition, neutropenia and
lymphocytosis are usually detected in the CBC
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:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
b. ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-Sulfamethoxazole for 3 days
d. 750 mg ciprofloxacin as a one-time dose - ANSWER ✔---. trimethoprim-sulfamethoxazole
(Bactrim, Sulfatrim) for 7-10 day
Explanation: trimethoprim-sulfamethoxazole (TMPS) is usually n appropriate medication to treat urinary
tract infections in most patients. In the case of community resistance to TMPS >20%^, another
medication should be substituted. In men, the appropriate length of time is 7 10 days. Women may be
treated for 3 days for uncomplicated UTI
Which agent is most effective for the treatment of nodulocystic acne?
Benzoyl peroxide (Benzac)
Retinoic acid (Retin A)
Topical tetracycline
Isotretinoin - ANSWER ✔---Isotretinoin
Explanation: Isotretinoin (Accutane) is a systemic agent indicated for treatment with severe
inflammatory acne. Guidelines for its use must be clearly understood by the patient. A woman of
