APEA- Management Orthopedics (2025) Actual Exam Questions and Answers A+ Graded.

APEA- Management Orthopedics (2025)
Actual Exam Questions and Answers A+
Graded




A .55-year-old .male .patient .describes .severe .pain .at .the .base .of .his .left .first .toe.
.He .is .limping .and .says .he .can't .remember .hurting .his .toe. .Which .symptom
.below .suggests .something .other .than .gout?
Pain
Elevated .sedimentation .rate
Erythema
Fever .- .CORRECT .ANSWER-fever

A .man .fell .off .a .3-foot .stepladder .while .working .at .home. .He .presents .to .your
.office .with .complaints .of .foot .pain. .He .has .point .tenderness .over .the .medial
.malleolus .and .swelling, .but .he .is .able .to .ambulate. .How .should .this .be
.managed?
ACE .wrap .and .rest
Rest, .ice, .compression, .and .elevation
X-ray .of .the .foot .and .ankle
Nonweightbearing .for .3-7 .days .- .CORRECT .ANSWER-X-ray .of .the .foot .and
.ankle


rule .out .fracture .before .allowing .patient .is .allowed .to .walk

A .60-year-old .adult .with .an .antalgic .gait .and .complaints .of .hip .pain .is
.examined. .He .has .trochanteric .tenderness. .What .is .the .most .common .cause .of
.this?
Bone .cancer
Trochanteric .strain
Trochanteric .bursitis
Osteoarthritis .- .CORRECT .ANSWER-Trochanteric .bursitis

A .75-year-old .has .pain .from .osteoarthritis .in .her .right .knee. .What .intervention
.is .considered .first .line .to .treat .her .pain?
Exercise
Acetaminophen
Ibuprofen
Tramadol .- .CORRECT .ANSWER-exercise

, An .older .adult .with .a .complaint .of .shoulder .pain .has .a .positive ."drop .arm" .test.
.What .is .his .likely .diagnosis?
Peripheral .neuropathy
Shingles
Broken .clavicle
Torn .rotator .cuff .- .CORRECT .ANSWER-torn .rotator .cuff

What .medication .is .recommended .by .the .American .College .of .Rheumatology .as
.a .first .line .agent .for .a .patient .who .has .been .unsuccessful .with
.nonpharmacologic .interventions .for .osteoarthritis .pain?
Metaxalone
Acetaminophen
Ibuprofen
Tramadol .- .CORRECT .ANSWER-ibuprofen .

NSAID .is .first .line .after .exercise .in .treatment .of .OA .pain

A .14-year-old .male .client .reports .dull .anterior .knee .pain, .exacerbated .by
.kneeling. .What .is .the .likely .etiology?
Patellar .fasciitis
Osgood-Schlatter .disease
Osteosarcoma .of .the .tibia
Over .developed .quadriceps .- .CORRECT .ANSWER-Osgood-Schlatter .disease

A .49-year-old .Hispanic .man .who .is .a .migrant .farm .worker .presents .with
.complaints .of .left .hip .pain .that .is .progressive .and .is .interfering .with .his .ability
.to .work .and .perform .daily .activities. .Results .of .a .previous .X-ray .showed
.osteoarthritis .in .the .lumbar .spine .and .severe .osteoarthritis .in .the .left .hip. .The
.most .appropriate .intervention .for .this .patient .is .to .order .nonpharmacologic
.measures .(e.g., .walking .aid, .weight .loss) .and:
oral .acetaminophen.
an .oral .muscle .relaxant.
acetaminophen .and .physical .therapy.
an .oral .NSAID .and .a .referral .to .orthopedics. .- .CORRECT .ANSWER-an .oral
.NSAID .and .a .referral .to .orthopedics


osteroarthritis .
knee .effusion .
menisal .tear .- .CORRECT .ANSWER-meniscal .tear

An .older .adult .had .a .total .knee .replacement .(TKR) .10 .months .ago. .He .is .doing
.well. .He .states .that .he .is .having .a .dental .procedure .performed .in .1 .week. .What
.information .should .he .be .given .regarding .the .knee .replacement?
He .should .receive .an .antibiotic .injection .today.
He .should .receive .an .antibiotic .prior .to .dental .procedures.
He .should .not .routinely .receive .an .antibiotic .prior .to .dental .procedures.
There .are .no .recommendations .6 .months .after .his .surgery. .- .CORRECT
.ANSWER-He .should .not .routinely .receive .an .antibiotic .prior .to .dental
.procedures