APEA Pre-Predictor Exam – Test Bank Overview – Latest
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2026 Update – Practice Questions and Review Answers
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1. A disease due to infection with Group A Beta-he- Scarlet fever
molytic streptococcus, characterized by an acute
onset of fever, pharyngitis, headache, cervical lym-
phadenopathy, and a sandpaper textured rash.
2. A deep, nonblanching rash on the flexor surfaces of Pastia lines
the skin associated with scarlet fever.
3. The nurse practitioner should check the patient's TSH check timing after thy-
TSH 6 weeks after starting thyroid hormone replace- roid hormone replacement
ment therapy.
4. The half-life of levothyroxine, the treatment of choice Half-life of levothyroxine
for thyroid replacement, is 7 days.
5. Essential for a patient with a history of cryp- Testicular self-examination
torchidism to monitor for increased risk of testicular
cancer.
6. The treatment of choice is a fluoroquinolone twice Chronic bacterial prostatitis
daily for 3 weeks to 4 months. treatment
7. Diabetes mellitus is a common underlying cause of Candidal vaginitis underly-
frequent candidal vaginal infections. ing condition
8. The S3 heart sound is low-pitched and occurs just af- S3 heart sound characteris-
ter the S2 heart sound, produced by rapid ventricular tics
filling.
9. Normal PSA is 4 ng/ml or less; levels greater than 4 Normal PSA level
and less than 10 are associated with BPH.
10. A PSA level of 10 or greater suggests prostate cancer. Prostate cancer PSA level
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11. Positive serum acid phosphatase is associated with Positive serum acid phos-
malignancy of the prostate gland with bone metas- phatase
tasis.
12. Symptoms include fever, pharyngitis, headache, cer- Acute onset symptoms in a
vical lymphadenopathy, and a sandpaper textured child
rash.
13. The cure rate with Bactrim-DS for chronic bacterial Fluoroquinolone cure rate
prostatitis is only about 30-40%. for CBP
14. Cryptorchidism is associated with an increased risk Risk factors for testicular
for testicular cancer. cancer
15. Pregnancy increases the incidence of candidiasis, Incidence of candidiasis
but is unlikely a factor for a patient in a monoga- during pregnancy
mous relationship with an IUD.
16. It is a common finding with right-sided heart failure, Characteristics of S3 heart
rapid growth, and the last trimester of pregnancy. sound
17. Meaningful changes in TSH levels will be observed at Timing for checking TSH af-
4-6 weeks after starting therapy. ter therapy
18. Frequent infections can be caused by underlying Candidal vaginitis risk fac-
conditions such as diabetes mellitus. tors
19. Finding abnormalities on DRE necessitates appropri- Prostate gland abnormali-
ate lab orders and review of PSA levels. ties
20. Administered twice daily for a duration of 3 weeks to Fluoroquinolone dosage for
4 months. prostatitis
21. Cervical lymphadenopathy
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Swelling of the cervical lymph nodes often associat-
ed with infections such as scarlet fever.
22. A characteristic rash associated with scarlet fever Sandpaper textured rash
that fades with pressure and ultimately desqua-
mates.
23. Finding that most strongly correlates with myocar- Elevated Troponin I levels
dial infarction.
24. Not diagnostic of a myocardial infarction (MI); may Elevated creatinine kinase
be elevated from IM injection, surgery, or extensive (CK)
skeletal muscle trauma.
25. Usually indicates ischemic myocardium, but not nec- ST segment depression on
essarily post-MI. EKG
26. Reflect myocardial damage. Elevated ST segments
27. Specific for myocardial smooth muscle; if elevated, MB bands
the patient may have had a very recent MI.
28. Most accurate marker of cardiac damage, more spe- Troponin measurement
cific and sensitive than CK MB.
29. Hypothyroidism is a common secondary cause; TSH Secondary cause of hyper-
should always be checked and corrected before lipidemia
treatment.
30. Include pregnancy, excessive weight gain, excessive Other causes of secondary
alcohol intake, insulin resistance or deficiency, ob- hyperlipidemia
structive liver disease, and uremia.
31.
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