APEA 3P TEST BANK WITH ANSWERS
(A+ GUIDE)
What is the biggest side effect of colchicine? - ANS diarrhea
How would you describe the appearance of molluscum contagiosum? - ANS papules that are
umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant? - ANS no treatment; it should heal on it's own
At what week of pregnancy is the uterus palpable just above the pubic symphysis? - ANS
week 12
At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and
umbilicus? - ANS week 16
At what week of pregnancy is the fundus of the uterus at the umbilicus? - ANS week 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process
and umbilicus? - ANS week 28
At what week of pregnancy is the fundus just below the xiphoid process? - ANS week 34
Increased sweat production is a sign of what endocrine disorder? - ANS hyperthyroidism
What is Paget's disease? - ANS there is localized increased bone turnover and blood flow
resulting in the breakdown of bone and replacing it with weakened and highly vascular bone
putting the indiv at increased risk of fractures
How do we treat Paget's diseease? - ANS bisphosphonates
How should pregnant women wear their seatbelt? - ANS with the shoulder strap like a normal
person and then the groin strap below the belly and across the hips
What is another name for fifth disease? - ANS parvovirus aka slapped cheek disease aka
erythema infectiosum
Which type of prevention are vaccinations? - ANS primary
When should patients begin antiretroviral therapy for HIV infection? - ANS as soon as it is
detected, even if in the acute phase
, What are the first generation antihistamines? - ANS diphenhydramine (benadryl) and
chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis? - ANS rash on hands and feet,
lymphadenopathy, fever
What is the recommended treatment for chronic bacterial prostatitis? - ANS a fluoroquinolone
(cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis? - ANS cipro (if not STI related) or
ceftriaxone
What are s/s of an intraductal breast papilloma? - ANS clear to bloody unilateral nipple
discharge (bilateral is usually benign), and also a wart like lump palpated in the nipple area
If a patient has GABHS but has an allergy to penicillins, what is the second line option? - ANS
first generation cephalosporins, unless the allergy is severe, then you would consider
macrolides like a -mycin
PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient populations? - ANS in
those who are on any type of nitrate or triptan because it could result in hypotension
What class of drug is sildenafil (viagra)? - ANS a PDE5 inhibitor which can cause hypotension
so you should do a full cardiac assessment before starting a patient on this and maybe do an
EKG
What are the symptoms of peripheral artery disease? - ANS think P meaning pain, A meaning
absent or weak pulses, eschar or shiny legs, intermittent claudication
What is first line treatment for PAD? - ANS walking and physical activity to improve circulation.
second line is an aspirin or anti-platelet
What should we tell our patients with PAD NOT to do? - ANS do not elevate the feet; keep
them down
How do we diagnose PAD? - ANS an ABI < 7; doppler can also be used to diagnose as well
but is the second choice
What are s/s of peripheral vascular disease? - ANS think V meaning volume overload aka
edema, may ache or be uncomfortable but is not painful, bounding pulses, ruddy discoloration
If a patient is on Coumadin but then they may need to go on an antibiotic for an infection and
Bactrim is the drug of choice, what should you do? - ANS Bactrim increases INR so we would
want to decrease the coumadin dose while the patient is on this
, If a patient is on Coumadin but then they may need to go on Rifampin, what should you do? -
ANS Rifampin decreases INR so we'd want to increase the coumadin dose
If a patient on coumadin's INR is 3.1-4 ,what should you do? - ANS decrease the weekly dose
by 5-10%
If a patient on coumadin's INR is 4.1-5.0, what should you do? - ANS hold one dose then
decrease the weekly dose by 10%
If a patient's INR is greater than 5, what should you do? - ANS consult cards, likely would hold
two doses then decrease the weekly dose
An anorexic patient will have a BMI of what? - ANS less than 18
What is primary amenorrhea? - ANS when the patient has never gotten their period before
(there is an absence of menarche) but they have all of their secondary sex characteristics
Secondary amenorrhea is a lack of menses after _________ of not having a period; but you
have had one before - ANS 3 months
What do we need to do first when a patient comes in with secondary amenorrhea? - ANS rule
out pregnancy
Anorexia can put you at risk for what? - ANS osteoporosis, amenorrhea, cardiac damage
Amenorrhea is considered a risk factor for what? - ANS osteoporosis
What is the best indication of an anorexic patient doing better? They tell you they are eating
more, they have weight gain, or they get their period back? - ANS they get their period back
If a pregnant woman has syphilis, what should we do? - ANS treat it with penicillin while she is
pregnant because there is risk for spontaneous abortion
What is the causative organism of mastitis? - ANS staph
What is the first line treatment for mastitis? - ANS keflex (a cephalosporin). If that doesn't
work, then try another antibiotic. If that STILL doesn't work, then refer for an ultrasound
What is one of the biggest risk factors for cervical cancer? - ANS numerous sexual partners
Preeclampsia most commonly shows up at what time in pregnancy? - ANS around week 20
, How do we treat UTIs in a pregnant woman? - ANS can either do penicillin, cephalosporin, or
a macrolide (can NOT do doxy or a fluoroquinolone)
When do fibrocystic breasts tend to flare up and cause tenderness and lumps? - ANS about
10 days before menses
What can be a sequelae of an ectopic pregnancy? - ANS pelvic inflammatory disease and
infertility due to scarring of the fallopian tube (salpingitis)
What is the Coomb's test and when is this completed? - ANS test given 8 weeks in to
pregnancy to determine a woman's RH compatibility
If a patient's Coomb's test is positive, what do we do? - ANS nothing, she is RH positive so we
do not need to treat
If a patient's Coomb's test is negative, what do we do? - ANS give rhogam at 28 weeks and 72
hours after birth
What is the only form of non-hormonal contraception other than barrier methods such as
condoms? - ANS IUD
The vaginal ring for contraception must be taken out how often? - ANS every 3 weeks
If a patient is on birth control and is currently having breakthrough bleeding, then what do we
do? - ANS increase the progesterone
How do we treat temporal arteritis? - ANS steroids
If a patient is on birth control and they miss one pill, what should they do? - ANS double up
If a patient is on birth control and they miss two pills, what should they do? - ANS double up
for 2 days
If any woman comes in with painless vaginal bleeding between periods (esp if she is
postmenopausal), what should you do? - ANS do a pregnancy test and then refer for
endometrial biopsy to rule out endometrial cancer
In terms of the breasts, _____________ is used for screening and _____________ is used for
diagnosis. - ANS mammogram; ultrasound
When do we screen for group B strep in pregnancy? - ANS weeks 35-37
When do we perform alpha fetoprotein screening in pregnancy? - ANS 15-20 weeks
(A+ GUIDE)
What is the biggest side effect of colchicine? - ANS diarrhea
How would you describe the appearance of molluscum contagiosum? - ANS papules that are
umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant? - ANS no treatment; it should heal on it's own
At what week of pregnancy is the uterus palpable just above the pubic symphysis? - ANS
week 12
At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and
umbilicus? - ANS week 16
At what week of pregnancy is the fundus of the uterus at the umbilicus? - ANS week 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process
and umbilicus? - ANS week 28
At what week of pregnancy is the fundus just below the xiphoid process? - ANS week 34
Increased sweat production is a sign of what endocrine disorder? - ANS hyperthyroidism
What is Paget's disease? - ANS there is localized increased bone turnover and blood flow
resulting in the breakdown of bone and replacing it with weakened and highly vascular bone
putting the indiv at increased risk of fractures
How do we treat Paget's diseease? - ANS bisphosphonates
How should pregnant women wear their seatbelt? - ANS with the shoulder strap like a normal
person and then the groin strap below the belly and across the hips
What is another name for fifth disease? - ANS parvovirus aka slapped cheek disease aka
erythema infectiosum
Which type of prevention are vaccinations? - ANS primary
When should patients begin antiretroviral therapy for HIV infection? - ANS as soon as it is
detected, even if in the acute phase
, What are the first generation antihistamines? - ANS diphenhydramine (benadryl) and
chlorpeniramine (actifed)
What are s/s of the secondary stage of syphilis? - ANS rash on hands and feet,
lymphadenopathy, fever
What is the recommended treatment for chronic bacterial prostatitis? - ANS a fluoroquinolone
(cipro or levo) + bactrim
What is the recommended treatment for acute prostatitis? - ANS cipro (if not STI related) or
ceftriaxone
What are s/s of an intraductal breast papilloma? - ANS clear to bloody unilateral nipple
discharge (bilateral is usually benign), and also a wart like lump palpated in the nipple area
If a patient has GABHS but has an allergy to penicillins, what is the second line option? - ANS
first generation cephalosporins, unless the allergy is severe, then you would consider
macrolides like a -mycin
PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient populations? - ANS in
those who are on any type of nitrate or triptan because it could result in hypotension
What class of drug is sildenafil (viagra)? - ANS a PDE5 inhibitor which can cause hypotension
so you should do a full cardiac assessment before starting a patient on this and maybe do an
EKG
What are the symptoms of peripheral artery disease? - ANS think P meaning pain, A meaning
absent or weak pulses, eschar or shiny legs, intermittent claudication
What is first line treatment for PAD? - ANS walking and physical activity to improve circulation.
second line is an aspirin or anti-platelet
What should we tell our patients with PAD NOT to do? - ANS do not elevate the feet; keep
them down
How do we diagnose PAD? - ANS an ABI < 7; doppler can also be used to diagnose as well
but is the second choice
What are s/s of peripheral vascular disease? - ANS think V meaning volume overload aka
edema, may ache or be uncomfortable but is not painful, bounding pulses, ruddy discoloration
If a patient is on Coumadin but then they may need to go on an antibiotic for an infection and
Bactrim is the drug of choice, what should you do? - ANS Bactrim increases INR so we would
want to decrease the coumadin dose while the patient is on this
, If a patient is on Coumadin but then they may need to go on Rifampin, what should you do? -
ANS Rifampin decreases INR so we'd want to increase the coumadin dose
If a patient on coumadin's INR is 3.1-4 ,what should you do? - ANS decrease the weekly dose
by 5-10%
If a patient on coumadin's INR is 4.1-5.0, what should you do? - ANS hold one dose then
decrease the weekly dose by 10%
If a patient's INR is greater than 5, what should you do? - ANS consult cards, likely would hold
two doses then decrease the weekly dose
An anorexic patient will have a BMI of what? - ANS less than 18
What is primary amenorrhea? - ANS when the patient has never gotten their period before
(there is an absence of menarche) but they have all of their secondary sex characteristics
Secondary amenorrhea is a lack of menses after _________ of not having a period; but you
have had one before - ANS 3 months
What do we need to do first when a patient comes in with secondary amenorrhea? - ANS rule
out pregnancy
Anorexia can put you at risk for what? - ANS osteoporosis, amenorrhea, cardiac damage
Amenorrhea is considered a risk factor for what? - ANS osteoporosis
What is the best indication of an anorexic patient doing better? They tell you they are eating
more, they have weight gain, or they get their period back? - ANS they get their period back
If a pregnant woman has syphilis, what should we do? - ANS treat it with penicillin while she is
pregnant because there is risk for spontaneous abortion
What is the causative organism of mastitis? - ANS staph
What is the first line treatment for mastitis? - ANS keflex (a cephalosporin). If that doesn't
work, then try another antibiotic. If that STILL doesn't work, then refer for an ultrasound
What is one of the biggest risk factors for cervical cancer? - ANS numerous sexual partners
Preeclampsia most commonly shows up at what time in pregnancy? - ANS around week 20
, How do we treat UTIs in a pregnant woman? - ANS can either do penicillin, cephalosporin, or
a macrolide (can NOT do doxy or a fluoroquinolone)
When do fibrocystic breasts tend to flare up and cause tenderness and lumps? - ANS about
10 days before menses
What can be a sequelae of an ectopic pregnancy? - ANS pelvic inflammatory disease and
infertility due to scarring of the fallopian tube (salpingitis)
What is the Coomb's test and when is this completed? - ANS test given 8 weeks in to
pregnancy to determine a woman's RH compatibility
If a patient's Coomb's test is positive, what do we do? - ANS nothing, she is RH positive so we
do not need to treat
If a patient's Coomb's test is negative, what do we do? - ANS give rhogam at 28 weeks and 72
hours after birth
What is the only form of non-hormonal contraception other than barrier methods such as
condoms? - ANS IUD
The vaginal ring for contraception must be taken out how often? - ANS every 3 weeks
If a patient is on birth control and is currently having breakthrough bleeding, then what do we
do? - ANS increase the progesterone
How do we treat temporal arteritis? - ANS steroids
If a patient is on birth control and they miss one pill, what should they do? - ANS double up
If a patient is on birth control and they miss two pills, what should they do? - ANS double up
for 2 days
If any woman comes in with painless vaginal bleeding between periods (esp if she is
postmenopausal), what should you do? - ANS do a pregnancy test and then refer for
endometrial biopsy to rule out endometrial cancer
In terms of the breasts, _____________ is used for screening and _____________ is used for
diagnosis. - ANS mammogram; ultrasound
When do we screen for group B strep in pregnancy? - ANS weeks 35-37
When do we perform alpha fetoprotein screening in pregnancy? - ANS 15-20 weeks
