APEA PREDICTOR EXAM APEA PRE-
PREDICTOR & NP BOARD EXAM HIGH-YIELD
PRACTICE Q&AS WITH COMPREHENSIVE
RATIONALES (UPDATED FOR AANP/ANCC
BLUEPRINTS)
A 32-year-old woman presents with sudden right lower quadrant pain, nausea, and
low-grade fever. Exam shows rebound tenderness. Most likely diagnosis?
A) Ovarian cyst rupture
B) Acute appendicitis
C) Ectopic pregnancy
D) Pelvic inflammatory disease
CORRECT ANSWER : B) Acute appendicitis
Rationale: Classic RLQ pain with rebound tenderness and systemic symptoms
indicates appendicitis. Other options may mimic, but location and signs point to
appendicitis.
A 10-year-old child has fever, sore throat, and sandpaper-like rash on trunk.
Causative organism?
,A) Staphylococcus aureus
B) Group A Streptococcus
C) Haemophilus influenzae
D) Epstein-Barr virus
CORRECT ANSWER : B) Group A Streptococcus
Rationale: Scarlet fever is caused by Group A Streptococcus; features include
pharyngitis, fever, and fine erythematous rash.
58-year-old man with type 2 diabetes, polyuria, polydipsia, blurred vision. HbA1c
3.
9.5%. Next
,step?
A) Observe and recheck labs in 3 months
B) Intensify glycemic control with lifestyle and meds
C) Start antibiotics
D) Schedule cardiac stress test
,CORRECT ANSWER : B) Intensify glycemic control with lifestyle and meds
Rationale: HbA1c >9% indicates poor control; therapy must be intensified.
25-year-old woman, 2 weeks postpartum, sudden dyspnea and pleuritic chest
4.
pain. Most urgent consideration?
A) Asthma exacerbation
B) Pulmonary embolism
C) Pneumonia
D) Myocardial infarction
CORRECT ANSWER : B) Pulmonary embolism
Rationale: Postpartum hypercoagulability + sudden dyspnea = high risk for PE.
6-year-old with fever, cough, coarse crackles, WBC 15,000/mm³. Empiric
5.
antibiotic for community-acquired pneumonia?
A) Azithromycin
B) Amoxicillin
C) Ciprofloxacin
D) Trimethoprim-sulfamethoxazole
CORRECT ANSWER : B) Amoxicillin
Rationale: First-line empiric therapy in healthy children is amoxicillin.
PREDICTOR & NP BOARD EXAM HIGH-YIELD
PRACTICE Q&AS WITH COMPREHENSIVE
RATIONALES (UPDATED FOR AANP/ANCC
BLUEPRINTS)
A 32-year-old woman presents with sudden right lower quadrant pain, nausea, and
low-grade fever. Exam shows rebound tenderness. Most likely diagnosis?
A) Ovarian cyst rupture
B) Acute appendicitis
C) Ectopic pregnancy
D) Pelvic inflammatory disease
CORRECT ANSWER : B) Acute appendicitis
Rationale: Classic RLQ pain with rebound tenderness and systemic symptoms
indicates appendicitis. Other options may mimic, but location and signs point to
appendicitis.
A 10-year-old child has fever, sore throat, and sandpaper-like rash on trunk.
Causative organism?
,A) Staphylococcus aureus
B) Group A Streptococcus
C) Haemophilus influenzae
D) Epstein-Barr virus
CORRECT ANSWER : B) Group A Streptococcus
Rationale: Scarlet fever is caused by Group A Streptococcus; features include
pharyngitis, fever, and fine erythematous rash.
58-year-old man with type 2 diabetes, polyuria, polydipsia, blurred vision. HbA1c
3.
9.5%. Next
,step?
A) Observe and recheck labs in 3 months
B) Intensify glycemic control with lifestyle and meds
C) Start antibiotics
D) Schedule cardiac stress test
,CORRECT ANSWER : B) Intensify glycemic control with lifestyle and meds
Rationale: HbA1c >9% indicates poor control; therapy must be intensified.
25-year-old woman, 2 weeks postpartum, sudden dyspnea and pleuritic chest
4.
pain. Most urgent consideration?
A) Asthma exacerbation
B) Pulmonary embolism
C) Pneumonia
D) Myocardial infarction
CORRECT ANSWER : B) Pulmonary embolism
Rationale: Postpartum hypercoagulability + sudden dyspnea = high risk for PE.
6-year-old with fever, cough, coarse crackles, WBC 15,000/mm³. Empiric
5.
antibiotic for community-acquired pneumonia?
A) Azithromycin
B) Amoxicillin
C) Ciprofloxacin
D) Trimethoprim-sulfamethoxazole
CORRECT ANSWER : B) Amoxicillin
Rationale: First-line empiric therapy in healthy children is amoxicillin.
