APEA PREDICTOR EXAM 2025 WITH
QUESTIONS AND WELL VERIFIED
ANSWERS
Cranial nerve IX CORRECT ANSWER Glossopharyngeal-
swallowing and rise of the palate, gag reflex
Cranial Nerve VIII CORRECT ANSWER Acoustic (Hearing and
balance)
Cranial Nerve XI CORRECT ANSWER Spinal Accessory (upper
trapezius)
Deep tendon reflex CORRECT ANSWER Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale CORRECT ANSWER CHADS2
C-Congestive heart failure
H-Hypertension
A-Age >75 years
,D- Diabetes
S-prior Stroke/TIA
In the majority of children, the first permanent teeth start to erupt at the
age of 6 years. Which of the following are the first permanent teeth to
erupt in this time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines CORRECT ANSWER A. First Molars
All of the following are classified as activities of daily living (ADLs)
except:
A. ability to feed self
B. Ability to manage bladder and bowel elimination
C. Personal hygiene and grooming
D. Grocery Shopping CORRECT ANSWER D. Grocery shopping
You note the following result on a routine urinalysis of a 37-year old
primigravida who is at 30 weeks gestation. Leukocyte=trace,
nitrite=negative, protein=2+, blood=negative. Her weight has increased
by 5 lbs during the past week. Which of the following is most likely?
A.HELLP syndrome
B. Pregnancy-induced hypertension (pre-eclampsia)
C. Eclampsia of pregnancy
,D. Primary hypertension CORRECT ANSWER B. Pregnancy-
induced hypertension (pre-eclampsia). Classic triad of symptoms of
preeclampsia include hypertension, edema (weight gain), and
proteinuria.
The mother of a 12 month old infant reports to the nurse practitioner that
her child had a high fever for several days, which spontaneously
resolved. After the fever resolved, the child developed a maculopapular
rash. Which of the following is the most likely diagnosis?
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes CORRECT ANSWER B. Roseola
Infantum (Exanthema subitum)
A 70-year old male patient complains of a bright red-colored spot in his
left eye for 2 days. He denies eye pain, visual changes, or headaches. He
has a new onset of cough from a recent viral upper respiratory infection.
The only medicine he is on Bayer aspirin, 1 tablet a day. Which of the
following is most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage CORRECT ANSWER D.
Subconjunctival hemorrhage. Bright red blood in a sharply defined area
surrounded by normal-appearing conjunctiva indicates subconjunctival
hemorrhage.
, A woman is being evaluated by the nurse practitioner for complaints of
dyspareunia. A microscopy slide reveals a large number of atrophic
squamous epithelial cells. The vaginal pH is 4.0. There are very few
leukocytes and no RBCs are seen on the wet smear. Which of the
following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding. CORRECT ANSWER A. Atrophic
vaginitis. Symptoms of atrophic vaginitis include painful intercourse,
atrophic squamous epithelial cells, and a decrease in pH. Vaginal atrophy
is caused by lack of or imbalance of estrogen. Normal pH of the vagina
is 4.0-5.0 (acidic)
The most common type of skin malignancy is:
A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi CORRECT ANSWER B. Basal skin cancer. It is
several times more common that squamous cell skin cancer according to
the NIH.
Koplik's spots are associated with:
A. Poxvirius infections
B. Measles
QUESTIONS AND WELL VERIFIED
ANSWERS
Cranial nerve IX CORRECT ANSWER Glossopharyngeal-
swallowing and rise of the palate, gag reflex
Cranial Nerve VIII CORRECT ANSWER Acoustic (Hearing and
balance)
Cranial Nerve XI CORRECT ANSWER Spinal Accessory (upper
trapezius)
Deep tendon reflex CORRECT ANSWER Ankle- S1 primarily
Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale CORRECT ANSWER CHADS2
C-Congestive heart failure
H-Hypertension
A-Age >75 years
,D- Diabetes
S-prior Stroke/TIA
In the majority of children, the first permanent teeth start to erupt at the
age of 6 years. Which of the following are the first permanent teeth to
erupt in this time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines CORRECT ANSWER A. First Molars
All of the following are classified as activities of daily living (ADLs)
except:
A. ability to feed self
B. Ability to manage bladder and bowel elimination
C. Personal hygiene and grooming
D. Grocery Shopping CORRECT ANSWER D. Grocery shopping
You note the following result on a routine urinalysis of a 37-year old
primigravida who is at 30 weeks gestation. Leukocyte=trace,
nitrite=negative, protein=2+, blood=negative. Her weight has increased
by 5 lbs during the past week. Which of the following is most likely?
A.HELLP syndrome
B. Pregnancy-induced hypertension (pre-eclampsia)
C. Eclampsia of pregnancy
,D. Primary hypertension CORRECT ANSWER B. Pregnancy-
induced hypertension (pre-eclampsia). Classic triad of symptoms of
preeclampsia include hypertension, edema (weight gain), and
proteinuria.
The mother of a 12 month old infant reports to the nurse practitioner that
her child had a high fever for several days, which spontaneously
resolved. After the fever resolved, the child developed a maculopapular
rash. Which of the following is the most likely diagnosis?
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes CORRECT ANSWER B. Roseola
Infantum (Exanthema subitum)
A 70-year old male patient complains of a bright red-colored spot in his
left eye for 2 days. He denies eye pain, visual changes, or headaches. He
has a new onset of cough from a recent viral upper respiratory infection.
The only medicine he is on Bayer aspirin, 1 tablet a day. Which of the
following is most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
D. Subconjunctival hemorrhage CORRECT ANSWER D.
Subconjunctival hemorrhage. Bright red blood in a sharply defined area
surrounded by normal-appearing conjunctiva indicates subconjunctival
hemorrhage.
, A woman is being evaluated by the nurse practitioner for complaints of
dyspareunia. A microscopy slide reveals a large number of atrophic
squamous epithelial cells. The vaginal pH is 4.0. There are very few
leukocytes and no RBCs are seen on the wet smear. Which of the
following is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding. CORRECT ANSWER A. Atrophic
vaginitis. Symptoms of atrophic vaginitis include painful intercourse,
atrophic squamous epithelial cells, and a decrease in pH. Vaginal atrophy
is caused by lack of or imbalance of estrogen. Normal pH of the vagina
is 4.0-5.0 (acidic)
The most common type of skin malignancy is:
A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi CORRECT ANSWER B. Basal skin cancer. It is
several times more common that squamous cell skin cancer according to
the NIH.
Koplik's spots are associated with:
A. Poxvirius infections
B. Measles
