APEA NR667 Questions and answers
Rated A+ 2025/2026
Ch and Gh = doxy 100mg BID x 7 days and rocephin (ceftriaxone) 500mg IM if <330lb, if >330lbs than
1gm IM. - correct answer ✔
Ch=doxy 100mg BID x 7 days. Alternative: azithromycin 1gm oral single dose or levo 500mg daily x 7. In
pregnancy Azithromycin 1 gm oral single dose or Amoxil 500 mg TID for 7 days. Rescreen in 3 mos due to
rates of reinfection and f/u in 1 mo if pregnant. - correct answer ✔
Symptoms of chlamydia is vaginal/urethral white/gray discharge, dysuria, mild abdominal pain, cervical
motion tenderness, salpingitis, edematous/congested/friable cervix. In women can manifest as
cervicitis, urethritis, PID. Untreated risk for infertility and ectopic preg. In men can lead to urethritis,
epididymitis, prostatitis, proctitis. Conjunctivitis and pharyngitis in both men and women. LABS: NAATS-
highly sensitive for Ch and Gh done through vaginal swab in women and U/A in men. Pregnancy test of
cure 3-4wks after tx and retest in 3rd trimester. Most common in <25yo - correct answer ✔
Gh alone tx w/ rocephin 500mg IM <330lbs, if >330lb than 1gm IM. Gonorrhea painless in women and
painful in men. Assessment in men: purulent urethral discharge, dysuria, testicular pain. Women:
endocervical discharge, dysuria, bartholins gland abcess, abnormal vag bleeding, cervical motion
tenderness, abd/pelvic pain. LABS: NAAT u/a in men, gram stain exudate, DNA probe, Culture of exudate
or joint aspriate on Thayer Martin agar. - correct answer ✔
Syphillis (Tryponema pallidum). Testing: EIA or CIA and if positive then Confirm w RPR. Benzathine PCN G
(Bicillin) 2.4 million units IM in adults and 50,000 units/kg IM in children. If PCN allergy then Doxy 100mg
BID x 14 days or tetracycline 500mg TID x 14 days. - correct answer ✔
Syphilis presents as a single, painless opensore (chancre) at site of inoculation (genitals, mouth, skin, or
rectum that heals by itself in 3-6 wks). Can go unnoticed if untreated can cause skin rashes, fever, and
swollen lymph nodes. Primary: painless chancre, Secondary: nonpuritic rash on palms and feet.
Condyloma lata- white papules/warts. Latent: Asymptomatic + titer. Tertiary: neurosyphilis, soft tissue
tumor, valvular damage. - correct answer ✔
,Trichomoniasis: Metronidazole 500mg po BID x 7 days (women) If HIV+ retest in 3mos {NAAT};
Metronidazole 2gm po in a single dose (men and pregnant women/breastfeeding). Alternate tx:
Tinidazole 2g po in a single dose. Can be asymptomatic. Vaginal discharge: frothy, yellow-green, cervical
petechia "strawberry cervix". Men: dysuria, asymptomatic, epididymitis and prostatitis. DX: wet prep
will see flagellated motile cells. POC tests for trich in women: Affirm and Osom. PCR testing urine for
men. - correct answer ✔
HIV: Antiretroviral therapy (ART). Pregnancy - zidovudine (Retrovir) start as soon as HIV Dx. Newborns
give within 8 hrs. Bacteria: PCP (P. jirovecci pneumonia). DX: HIV1/HIV2 antigen antivody immunoassay
if + confirm with differentiation. If - order RNA. Other ELISA for screen and Western blot to confirm. -
correct answer ✔
AFP and knowing high for twins. Low for DS: Alpha-fetoprotein assess for genetic defects. This will be
elevated with twins and can be elevated in neural tube defects such as spina bifida. Low AFP may mean
that the baby has a genetic disorder such as Down's syndrome. - correct answer ✔
Damage listeria can cause: Can lead to meningitis. Long term consequences may include mental
retardation, seizures, paralysis, blindness, and deafness. - correct answer ✔
Rhogam and when to give: Immune globulin to prevent mothers who are RH (-) and tx
thrombocytopenia purpura in those who are RH (+). Give @ 28 wks of pregnancy to prevent exposure
the last few months. - correct answer ✔
Know what placental abruption looks like: S/S abdominal and back pain. Painful Vaginal bleeding,
contractions, uterine tenderness. Globular shaped uterine fundus on palpation. - correct answer ✔
probable presumptive PG shit: Amenorrhea, nausea, fatigue, frequent urination, breast enlargement
and tenderness, constipation, and food cravings. - correct answer ✔
A few menopausal qs. Like best OTC supplement: Black Cohosh (hot flashes), flaxseed (night sweats),
calcium, vitamin D, St. John's wort (mood swings) - correct answer ✔
, Best way to tell the diff between breast cancer and breast cyst: U/S (?) - correct answer ✔
Dark pigment through the fingernail and what does it mean: Herpetic whitlow was an answer. It was on
the finger (infection of skin around fingernail caused by HSV painful blisters on fingers. Splinter
hemorrhages under fingernail can occur with heart infection such as endocarditis. - correct answer ✔
One was like a baby was tx for uti extensively and what next. It was weird answers. Kidney US. Nothing.
Abdominal US. According to APEA videos it would be a renal and bladder u/s for next step after abx
(cephlasporins such as cefixime, cefdinir, ceftibuten 3-5 days if afebrile and 10 days if febrile). - correct
answer ✔
Know GFR is top for kidney function. Under 30 stop metformin - GFR >60 is normal - correct answer ✔
UTI tx. Bactrim DS (sulfa), Cipro (fluroquinolone), Nitrofurantin (Macrobid). Cephalosporins reserve for
children and pregnant women. Cephalexin, Amoxil, Augmentin (1st trimester) and Nitrofurantin 100mg
(2nd and 3rd trimester). - correct answer ✔
And Pyelo and what diagnostic tool: Pyelonephritis is kidney infection that requires hospitalization can
cause complications such as abscesses, renal damage, sepsis, renal failure, and death. Dx testing: U/A
with positive WBC casts, CBC: leukocytosis, increase sed rate. Blood culture and CT if septic.
Fluoroquinolone tx preferred such as Cipro. - correct answer ✔
A few kidney stones and tx and dx questions. U/A will have (+) blood results, pt ℅ LBP, frequent
urination. Renal U/S and/or CT of abdomen . - correct answer ✔
A few on abdominal qs and findings. Like described the signs for appendicitis: RLQ pain and tenderness,
fever, n/v, positive McBurney sign. - correct answer ✔
That's how it did for the knees. Tells you DX then you answer by what description fits the right tests. -
correct answer ✔
Rated A+ 2025/2026
Ch and Gh = doxy 100mg BID x 7 days and rocephin (ceftriaxone) 500mg IM if <330lb, if >330lbs than
1gm IM. - correct answer ✔
Ch=doxy 100mg BID x 7 days. Alternative: azithromycin 1gm oral single dose or levo 500mg daily x 7. In
pregnancy Azithromycin 1 gm oral single dose or Amoxil 500 mg TID for 7 days. Rescreen in 3 mos due to
rates of reinfection and f/u in 1 mo if pregnant. - correct answer ✔
Symptoms of chlamydia is vaginal/urethral white/gray discharge, dysuria, mild abdominal pain, cervical
motion tenderness, salpingitis, edematous/congested/friable cervix. In women can manifest as
cervicitis, urethritis, PID. Untreated risk for infertility and ectopic preg. In men can lead to urethritis,
epididymitis, prostatitis, proctitis. Conjunctivitis and pharyngitis in both men and women. LABS: NAATS-
highly sensitive for Ch and Gh done through vaginal swab in women and U/A in men. Pregnancy test of
cure 3-4wks after tx and retest in 3rd trimester. Most common in <25yo - correct answer ✔
Gh alone tx w/ rocephin 500mg IM <330lbs, if >330lb than 1gm IM. Gonorrhea painless in women and
painful in men. Assessment in men: purulent urethral discharge, dysuria, testicular pain. Women:
endocervical discharge, dysuria, bartholins gland abcess, abnormal vag bleeding, cervical motion
tenderness, abd/pelvic pain. LABS: NAAT u/a in men, gram stain exudate, DNA probe, Culture of exudate
or joint aspriate on Thayer Martin agar. - correct answer ✔
Syphillis (Tryponema pallidum). Testing: EIA or CIA and if positive then Confirm w RPR. Benzathine PCN G
(Bicillin) 2.4 million units IM in adults and 50,000 units/kg IM in children. If PCN allergy then Doxy 100mg
BID x 14 days or tetracycline 500mg TID x 14 days. - correct answer ✔
Syphilis presents as a single, painless opensore (chancre) at site of inoculation (genitals, mouth, skin, or
rectum that heals by itself in 3-6 wks). Can go unnoticed if untreated can cause skin rashes, fever, and
swollen lymph nodes. Primary: painless chancre, Secondary: nonpuritic rash on palms and feet.
Condyloma lata- white papules/warts. Latent: Asymptomatic + titer. Tertiary: neurosyphilis, soft tissue
tumor, valvular damage. - correct answer ✔
,Trichomoniasis: Metronidazole 500mg po BID x 7 days (women) If HIV+ retest in 3mos {NAAT};
Metronidazole 2gm po in a single dose (men and pregnant women/breastfeeding). Alternate tx:
Tinidazole 2g po in a single dose. Can be asymptomatic. Vaginal discharge: frothy, yellow-green, cervical
petechia "strawberry cervix". Men: dysuria, asymptomatic, epididymitis and prostatitis. DX: wet prep
will see flagellated motile cells. POC tests for trich in women: Affirm and Osom. PCR testing urine for
men. - correct answer ✔
HIV: Antiretroviral therapy (ART). Pregnancy - zidovudine (Retrovir) start as soon as HIV Dx. Newborns
give within 8 hrs. Bacteria: PCP (P. jirovecci pneumonia). DX: HIV1/HIV2 antigen antivody immunoassay
if + confirm with differentiation. If - order RNA. Other ELISA for screen and Western blot to confirm. -
correct answer ✔
AFP and knowing high for twins. Low for DS: Alpha-fetoprotein assess for genetic defects. This will be
elevated with twins and can be elevated in neural tube defects such as spina bifida. Low AFP may mean
that the baby has a genetic disorder such as Down's syndrome. - correct answer ✔
Damage listeria can cause: Can lead to meningitis. Long term consequences may include mental
retardation, seizures, paralysis, blindness, and deafness. - correct answer ✔
Rhogam and when to give: Immune globulin to prevent mothers who are RH (-) and tx
thrombocytopenia purpura in those who are RH (+). Give @ 28 wks of pregnancy to prevent exposure
the last few months. - correct answer ✔
Know what placental abruption looks like: S/S abdominal and back pain. Painful Vaginal bleeding,
contractions, uterine tenderness. Globular shaped uterine fundus on palpation. - correct answer ✔
probable presumptive PG shit: Amenorrhea, nausea, fatigue, frequent urination, breast enlargement
and tenderness, constipation, and food cravings. - correct answer ✔
A few menopausal qs. Like best OTC supplement: Black Cohosh (hot flashes), flaxseed (night sweats),
calcium, vitamin D, St. John's wort (mood swings) - correct answer ✔
, Best way to tell the diff between breast cancer and breast cyst: U/S (?) - correct answer ✔
Dark pigment through the fingernail and what does it mean: Herpetic whitlow was an answer. It was on
the finger (infection of skin around fingernail caused by HSV painful blisters on fingers. Splinter
hemorrhages under fingernail can occur with heart infection such as endocarditis. - correct answer ✔
One was like a baby was tx for uti extensively and what next. It was weird answers. Kidney US. Nothing.
Abdominal US. According to APEA videos it would be a renal and bladder u/s for next step after abx
(cephlasporins such as cefixime, cefdinir, ceftibuten 3-5 days if afebrile and 10 days if febrile). - correct
answer ✔
Know GFR is top for kidney function. Under 30 stop metformin - GFR >60 is normal - correct answer ✔
UTI tx. Bactrim DS (sulfa), Cipro (fluroquinolone), Nitrofurantin (Macrobid). Cephalosporins reserve for
children and pregnant women. Cephalexin, Amoxil, Augmentin (1st trimester) and Nitrofurantin 100mg
(2nd and 3rd trimester). - correct answer ✔
And Pyelo and what diagnostic tool: Pyelonephritis is kidney infection that requires hospitalization can
cause complications such as abscesses, renal damage, sepsis, renal failure, and death. Dx testing: U/A
with positive WBC casts, CBC: leukocytosis, increase sed rate. Blood culture and CT if septic.
Fluoroquinolone tx preferred such as Cipro. - correct answer ✔
A few kidney stones and tx and dx questions. U/A will have (+) blood results, pt ℅ LBP, frequent
urination. Renal U/S and/or CT of abdomen . - correct answer ✔
A few on abdominal qs and findings. Like described the signs for appendicitis: RLQ pain and tenderness,
fever, n/v, positive McBurney sign. - correct answer ✔
That's how it did for the knees. Tells you DX then you answer by what description fits the right tests. -
correct answer ✔
