APEA PRE-PREDICTOR 2025/2026 EXAM TEST BANK
OVERVIEW QUESTIONS AND ANSWERS
A disease due to infection with Group A Beta-hemolytic streptococcus, characterized by
an acute onset of fever, pharyngitis, headache, cervical lymphadenopathy, and a
sandpaper textured rash.
Scarlet fever
A deep, nonblanching rash on the flexor surfaces of the skin associated with scarlet
fever.
Pastia lines
The nurse practitioner should check the patient's TSH 6 weeks after starting thyroid
hormone replacement therapy.
TSH check timing after thyroid hormone replacement
The half-life of levothyroxine, the treatment of choice for thyroid replacement, is 7 days.
Half-life of levothyroxine
Essential for a patient with a history of cryptorchidism to monitor for increased risk of
testicular cancer.
Testicular self-examination
,The treatment of choice is a fluoroquinolone twice daily for 3 weeks to 4 months.
Chronic bacterial prostatitis treatment
Diabetes mellitus is a common underlying cause of frequent candidal vaginal infections.
Candidal vaginitis underlying condition
The S3 heart sound is low-pitched and occurs just after the S2 heart sound, produced
by rapid ventricular filling.
S3 heart sound characteristics
Normal PSA is 4 ng/ml or less; levels greater than 4 and less than 10 are associated
with BPH.
Normal PSA level
A PSA level of 10 or greater suggests prostate cancer.
Prostate cancer PSA level
Positive serum acid phosphatase is associated with malignancy of the prostate gland
with bone metastasis.
Positive serum acid phosphatase
,Symptoms include fever, pharyngitis, headache, cervical lymphadenopathy, and a
sandpaper textured rash.
Acute onset symptoms in a child
The cure rate with Bactrim-DS for chronic bacterial prostatitis is only about 30-40%.
Fluoroquinolone cure rate for CBP
Cryptorchidism is associated with an increased risk for testicular cancer.
Risk factors for testicular cancer
Pregnancy increases the incidence of candidiasis, but is unlikely a factor for a patient in
a monogamous relationship with an IUD.
Incidence of candidiasis during pregnancy
It is a common finding with right-sided heart failure, rapid growth, and the last trimester
of pregnancy.
Characteristics of S3 heart sound
Meaningful changes in TSH levels will be observed at 4-6 weeks after starting therapy.
Timing for checking TSH after therapy
, Frequent infections can be caused by underlying conditions such as diabetes mellitus.
Candidal vaginitis risk factors
Finding abnormalities on DRE necessitates appropriate lab orders and review of PSA
levels.
Prostate gland abnormalities
Administered twice daily for a duration of 3 weeks to 4 months.
Fluoroquinolone dosage for prostatitis
Swelling of the cervical lymph nodes often associated with infections such as scarlet
fever.
Cervical lymphadenopathy
A characteristic rash associated with scarlet fever that fades with pressure and
ultimately desquamates.
Sandpaper textured rash
Finding that most strongly correlates with myocardial infarction.
Elevated Troponin I levels
OVERVIEW QUESTIONS AND ANSWERS
A disease due to infection with Group A Beta-hemolytic streptococcus, characterized by
an acute onset of fever, pharyngitis, headache, cervical lymphadenopathy, and a
sandpaper textured rash.
Scarlet fever
A deep, nonblanching rash on the flexor surfaces of the skin associated with scarlet
fever.
Pastia lines
The nurse practitioner should check the patient's TSH 6 weeks after starting thyroid
hormone replacement therapy.
TSH check timing after thyroid hormone replacement
The half-life of levothyroxine, the treatment of choice for thyroid replacement, is 7 days.
Half-life of levothyroxine
Essential for a patient with a history of cryptorchidism to monitor for increased risk of
testicular cancer.
Testicular self-examination
,The treatment of choice is a fluoroquinolone twice daily for 3 weeks to 4 months.
Chronic bacterial prostatitis treatment
Diabetes mellitus is a common underlying cause of frequent candidal vaginal infections.
Candidal vaginitis underlying condition
The S3 heart sound is low-pitched and occurs just after the S2 heart sound, produced
by rapid ventricular filling.
S3 heart sound characteristics
Normal PSA is 4 ng/ml or less; levels greater than 4 and less than 10 are associated
with BPH.
Normal PSA level
A PSA level of 10 or greater suggests prostate cancer.
Prostate cancer PSA level
Positive serum acid phosphatase is associated with malignancy of the prostate gland
with bone metastasis.
Positive serum acid phosphatase
,Symptoms include fever, pharyngitis, headache, cervical lymphadenopathy, and a
sandpaper textured rash.
Acute onset symptoms in a child
The cure rate with Bactrim-DS for chronic bacterial prostatitis is only about 30-40%.
Fluoroquinolone cure rate for CBP
Cryptorchidism is associated with an increased risk for testicular cancer.
Risk factors for testicular cancer
Pregnancy increases the incidence of candidiasis, but is unlikely a factor for a patient in
a monogamous relationship with an IUD.
Incidence of candidiasis during pregnancy
It is a common finding with right-sided heart failure, rapid growth, and the last trimester
of pregnancy.
Characteristics of S3 heart sound
Meaningful changes in TSH levels will be observed at 4-6 weeks after starting therapy.
Timing for checking TSH after therapy
, Frequent infections can be caused by underlying conditions such as diabetes mellitus.
Candidal vaginitis risk factors
Finding abnormalities on DRE necessitates appropriate lab orders and review of PSA
levels.
Prostate gland abnormalities
Administered twice daily for a duration of 3 weeks to 4 months.
Fluoroquinolone dosage for prostatitis
Swelling of the cervical lymph nodes often associated with infections such as scarlet
fever.
Cervical lymphadenopathy
A characteristic rash associated with scarlet fever that fades with pressure and
ultimately desquamates.
Sandpaper textured rash
Finding that most strongly correlates with myocardial infarction.
Elevated Troponin I levels
