APEA Predictor Exam
Study online at https://quizlet.com/_f3l28q
1. What is the biggest side effect of colchicine?: diarrhea
2. How would you describe the appearance of molluscum contagiosum?: -
papules that are umbilicated and contain a caseous plug
3. How do we treat a broken clavicle in an infant?: no treatment; it should heal
on it's own
4. At what week of pregnancy is the uterus palpable just above the pubic
symphysis?: week 12
5. At what week of pregnancy is the fundus palpable halfway between the
pubic symphysis and umbilicus?: week 16
6. At what week of pregnancy is the fundus of the uterus at the umbilicus?: -
week 20
7. At what week of pregnancy is the fundus of the uterus halfway between the
xiphoid process and umbilicus?: week 28
8. At what week of pregnancy is the fundus just below the xiphoid process?-
: week 34
9. Increased sweat production is a sign of what endocrine disorder?: hyperthy-
roidism
10. What is Paget's disease?: 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
11. How do we treat Paget's diseease?: bisphosphonates
12. How should pregnant women wear their seatbelt?: with the shoulder strap
like a normal person and then the groin strap below the belly and across the hips
13. What is another name for fifth disease?: parvovirus aka slapped cheek dis-
ease aka erythema infectiosum
14. Which type of prevention are vaccinations?: primary
15. When should patients begin antiretroviral therapy for HIV infection?: as
soon as it is detected, even if in the acute phase
16. What are the first generation antihistamines?: diphenhydramine (benadryl)
and chlorpeniramine (actifed)
17. What are s/s of the secondary stage of syphilis?: rash on hands and feet,
lymphadenopathy, fever
18. What is the recommended treatment for chronic bacterial prostatitis?: a
fluoroquinolone (cipro or levo) + bactrim
19. What is the recommended treatment for acute prostatitis?: cipro (if not STI
related) or ceftriaxone
20. What are s/s of an intraductal breast papilloma?: clear to bloody unilateral
nipple discharge (bilateral is usually benign), and also a wart like lump palpated in
the nipple area
1/7
, APEA Predictor Exam
Study online at https://quizlet.com/_f3l28q
21. If a patient has GABHS but has an allergy to penicillins, what is the second
line option?: first generation cephalosporins, unless the allergy is severe, then you
would consider macrolides like a -mycin
22. PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient
populations?: in those who are on any type of nitrate or triptan because it could
result in hypotension
23. What class of drug is sildenafil (viagra)?: 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
24. What are the symptoms of peripheral artery disease?: think P meaning pain,
A meaning absent or weak pulses, eschar or shiny legs, intermittent claudication
25. What is first line treatment for PAD?: walking and physical activity to improve
circulation. second line is an aspirin or anti-platelet
26. What should we tell our patients with PAD NOT to do?: do not elevate the
feet; keep them down
27. How do we diagnose PAD?: an ABI < 7; doppler can also be used to diagnose
as well but is the second choice
28. What are s/s of peripheral vascular disease?: think V meaning volume over-
load aka edema, may ache or be uncomfortable but is not painful, bounding pulses,
ruddy discoloration
29. 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?: Bactrim
increases INR so we would want to decrease the coumadin dose while the patient
is on this
30. If a patient is on Coumadin but then they may need to go on Rifampin, what
should you do?: Rifampin decreases INR so we'd want to increase the coumadin
dose
31. If a patient on coumadin's INR is 3.1-4 ,what should you do?: decrease the
weekly dose by 5-10%
32. If a patient on coumadin's INR is 4.1-5.0, what should you do?: hold one
dose then decrease the weekly dose by 10%
33. If a patient's INR is greater than 5, what should you do?: consult cards, likely
would hold two doses then decrease the weekly dose
34. An anorexic patient will have a BMI of what?: less than 18
35. What is primary amenorrhea?: when the patient has never gotten their period
before (there is an absence of menarche) but they have all of their secondary sex
characteristics
36. Secondary amenorrhea is a lack of menses after _________ of not having
a period; but you have had one before: 3 months
2/7
Study online at https://quizlet.com/_f3l28q
1. What is the biggest side effect of colchicine?: diarrhea
2. How would you describe the appearance of molluscum contagiosum?: -
papules that are umbilicated and contain a caseous plug
3. How do we treat a broken clavicle in an infant?: no treatment; it should heal
on it's own
4. At what week of pregnancy is the uterus palpable just above the pubic
symphysis?: week 12
5. At what week of pregnancy is the fundus palpable halfway between the
pubic symphysis and umbilicus?: week 16
6. At what week of pregnancy is the fundus of the uterus at the umbilicus?: -
week 20
7. At what week of pregnancy is the fundus of the uterus halfway between the
xiphoid process and umbilicus?: week 28
8. At what week of pregnancy is the fundus just below the xiphoid process?-
: week 34
9. Increased sweat production is a sign of what endocrine disorder?: hyperthy-
roidism
10. What is Paget's disease?: 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
11. How do we treat Paget's diseease?: bisphosphonates
12. How should pregnant women wear their seatbelt?: with the shoulder strap
like a normal person and then the groin strap below the belly and across the hips
13. What is another name for fifth disease?: parvovirus aka slapped cheek dis-
ease aka erythema infectiosum
14. Which type of prevention are vaccinations?: primary
15. When should patients begin antiretroviral therapy for HIV infection?: as
soon as it is detected, even if in the acute phase
16. What are the first generation antihistamines?: diphenhydramine (benadryl)
and chlorpeniramine (actifed)
17. What are s/s of the secondary stage of syphilis?: rash on hands and feet,
lymphadenopathy, fever
18. What is the recommended treatment for chronic bacterial prostatitis?: a
fluoroquinolone (cipro or levo) + bactrim
19. What is the recommended treatment for acute prostatitis?: cipro (if not STI
related) or ceftriaxone
20. What are s/s of an intraductal breast papilloma?: clear to bloody unilateral
nipple discharge (bilateral is usually benign), and also a wart like lump palpated in
the nipple area
1/7
, APEA Predictor Exam
Study online at https://quizlet.com/_f3l28q
21. If a patient has GABHS but has an allergy to penicillins, what is the second
line option?: first generation cephalosporins, unless the allergy is severe, then you
would consider macrolides like a -mycin
22. PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient
populations?: in those who are on any type of nitrate or triptan because it could
result in hypotension
23. What class of drug is sildenafil (viagra)?: 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
24. What are the symptoms of peripheral artery disease?: think P meaning pain,
A meaning absent or weak pulses, eschar or shiny legs, intermittent claudication
25. What is first line treatment for PAD?: walking and physical activity to improve
circulation. second line is an aspirin or anti-platelet
26. What should we tell our patients with PAD NOT to do?: do not elevate the
feet; keep them down
27. How do we diagnose PAD?: an ABI < 7; doppler can also be used to diagnose
as well but is the second choice
28. What are s/s of peripheral vascular disease?: think V meaning volume over-
load aka edema, may ache or be uncomfortable but is not painful, bounding pulses,
ruddy discoloration
29. 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?: Bactrim
increases INR so we would want to decrease the coumadin dose while the patient
is on this
30. If a patient is on Coumadin but then they may need to go on Rifampin, what
should you do?: Rifampin decreases INR so we'd want to increase the coumadin
dose
31. If a patient on coumadin's INR is 3.1-4 ,what should you do?: decrease the
weekly dose by 5-10%
32. If a patient on coumadin's INR is 4.1-5.0, what should you do?: hold one
dose then decrease the weekly dose by 10%
33. If a patient's INR is greater than 5, what should you do?: consult cards, likely
would hold two doses then decrease the weekly dose
34. An anorexic patient will have a BMI of what?: less than 18
35. What is primary amenorrhea?: when the patient has never gotten their period
before (there is an absence of menarche) but they have all of their secondary sex
characteristics
36. Secondary amenorrhea is a lack of menses after _________ of not having
a period; but you have had one before: 3 months
2/7
