APEA FINAL PAPER QUESTIONS AND COMPLETE SOLUTIONS
⫸ A 62 year old male presents with leg pain and occasional numbness that is worse with
ambulation and improved with lumbar flexion. What is the likely diagnosis? Answer: spinal
stenosis
⫸ What is not a typical symptom of late stage HIV? Answer: persistent vomiting
⫸ A pregnant patient presents for her 16 week prenatal visit. Her blood pressure had reduced
from 118/79 to 109/68. What hemodynamic change is responsible for this? Answer: decrease
in systemic vascular resistance
⫸ Your 62 year old patient has been taking Griseofulvin 500 mg po BID for 3 weeks to treat
tinea capitis and has only had marginal improvement. What is your next step? Answer: continue
current therapy for 6-8 weeks
⫸ Rapid HIV testing would be more appropriate for a patient with complaints of: Answer:
painful urination, dyspareunia, and penile or vaginal discharge
⫸ What is a frequent side effect of SSRIs? Answer: sexual dysfunction
⫸ You might suspect small bowel obstruction in a patient who complains of: Answer: vomiting
and pain
⫸ What finding would be suggestive of osteosarcoma in a pediatric patient? Answer: pain in the
affected bone
⫸ What clinical manifestation suggests primary syphilis? Answer: a single painless genital
lesion
⫸ What medication is used first line for a patient with benign positional vertigo? Answer:
Meclizinete
, ⫸ Which symptom is most associated with testicular torsion? Answer: testicular pain
⫸ A clinical breast exam should include palpation at the tail of Spence. Where is this located?
Answer: Laterally across the anterior axillary fold
⫸ Which area does not drain to the right lymph duct? Answer: the right leg
⫸ Which presentation is most suspicious for penile cancer? Answer: a nontender, indurated
penile nodule
⫸ What is important to consider before prescribing metronidazole for giardiasis? Answer:
whether the patient drinks alcohol
⫸ In which condition would the use of triptans for migraine headaches be contraindicated?
Answer: hypertension
⫸ How would a 60 year old man typically describe prostate pain? Answer: located in the perineum
⫸ What is the most common characteristic among patients with migraine headache? Answer: family
history
⫸ Which patient would be at highest risk for contracting TB? Answer: a low income immigrant
⫸ Which is not a location of pain associated with kidney and ureter disorders? Answer: suprapubic
⫸ Which medication is appropriate for a woman with bladder sphincter dysfunction and stress
incontinence? Answer: Urispas (flavoxate)
⫸ Which condition is associated with chronic, bloody diarrhea? Answer: Crohn's disease
⫸ Which medication is indicated for patients with generalized anxiety disorder? Answer: buspirone
(buspar)
⫸ A 62 year old male presents with leg pain and occasional numbness that is worse with
ambulation and improved with lumbar flexion. What is the likely diagnosis? Answer: spinal
stenosis
⫸ What is not a typical symptom of late stage HIV? Answer: persistent vomiting
⫸ A pregnant patient presents for her 16 week prenatal visit. Her blood pressure had reduced
from 118/79 to 109/68. What hemodynamic change is responsible for this? Answer: decrease
in systemic vascular resistance
⫸ Your 62 year old patient has been taking Griseofulvin 500 mg po BID for 3 weeks to treat
tinea capitis and has only had marginal improvement. What is your next step? Answer: continue
current therapy for 6-8 weeks
⫸ Rapid HIV testing would be more appropriate for a patient with complaints of: Answer:
painful urination, dyspareunia, and penile or vaginal discharge
⫸ What is a frequent side effect of SSRIs? Answer: sexual dysfunction
⫸ You might suspect small bowel obstruction in a patient who complains of: Answer: vomiting
and pain
⫸ What finding would be suggestive of osteosarcoma in a pediatric patient? Answer: pain in the
affected bone
⫸ What clinical manifestation suggests primary syphilis? Answer: a single painless genital
lesion
⫸ What medication is used first line for a patient with benign positional vertigo? Answer:
Meclizinete
, ⫸ Which symptom is most associated with testicular torsion? Answer: testicular pain
⫸ A clinical breast exam should include palpation at the tail of Spence. Where is this located?
Answer: Laterally across the anterior axillary fold
⫸ Which area does not drain to the right lymph duct? Answer: the right leg
⫸ Which presentation is most suspicious for penile cancer? Answer: a nontender, indurated
penile nodule
⫸ What is important to consider before prescribing metronidazole for giardiasis? Answer:
whether the patient drinks alcohol
⫸ In which condition would the use of triptans for migraine headaches be contraindicated?
Answer: hypertension
⫸ How would a 60 year old man typically describe prostate pain? Answer: located in the perineum
⫸ What is the most common characteristic among patients with migraine headache? Answer: family
history
⫸ Which patient would be at highest risk for contracting TB? Answer: a low income immigrant
⫸ Which is not a location of pain associated with kidney and ureter disorders? Answer: suprapubic
⫸ Which medication is appropriate for a woman with bladder sphincter dysfunction and stress
incontinence? Answer: Urispas (flavoxate)
⫸ Which condition is associated with chronic, bloody diarrhea? Answer: Crohn's disease
⫸ Which medication is indicated for patients with generalized anxiety disorder? Answer: buspirone
(buspar)
