APEA Predictor exam questions and
answers a+ grade assured.
Qs
Treatment of subclinical hypothyroidism is generally not indicated unless the TSH is
___________. - n
Ans✔
greater than 10
Qs
In the presence of an elevated serum TSH, what is the next step in management? -
n
Ans✔
repeat TSH plus free T4
Qs
Patients with a history of UC or Crohn's should have a colonoscopy how often? - n
Ans✔
every 1-5 years due to the increased risk of colorectal cancer
Qs
What is the first line treatment for community acquired atypical pneumonia? - n
Ans✔
macrolides such azithromycin. If the pt cannot take a macrolide, then they can do
levofloxacin or doxycycline
Qs
What is metatarsus adductus? - n
Ans✔
the medical term for in-toeing
,Qs
What is true regarding older adults who are overweight? - n
Ans✔
mortality in older adults related to overweight states declines over time
Qs
How do we manage rubella immunity in pregnant women? - n
Ans✔
we screen all pregnant women with a rubella titer. If they had a protective rubella
titer in a previous pregnancy, then they do not need to be checked again. If they
are found to not be immune when pregnant, then she should be vaccinated AFTER
delivery
Qs
How is permethrin applied to the skin for scabies? - n
Ans✔
a one time application to all skin below the neck and then left on for 8-12 hours is
sufficient
Qs
After exposure to HIV, when will the patient seroconvert and become positive? - n
Ans✔
3 months
Qs
Is age less than 18 years a risk factor for an ectopic pregnancy? - n
Ans✔
no; but personal history of PID, an IUD, previous ectopic pregnancy, previous tubal
surgery, pathology, or ligation all are risk factors
Qs
,What is Tanner stage 5 of breast development in females? - n
Ans✔
projection of the nipple only
Qs
What are two common classes of drugs that interact with grapefruit juice? - n
Ans✔
statins and CCBs
Qs
Ankle inversion is a common complaint from a patient with what? - n
Ans✔
a lateral ankle sprain
Qs
How can we best diagnose coarctation of the aorta? - n
Ans✔
by comparing the upper and lower extremity blood pressures
Qs
What is the most important risk factor for developing breast cancer in women of
average risk? - n
Ans✔
age
Qs
hey - n
Ans✔
stopped at top of page 7
, Qs
What is the recommended treatment for blepharitis? - n
Ans✔
erythromycin 1cm ribbon 5x daily for 7 days
Qs
What is the recommended treatment for severe anorexia with delusions? - n
Ans✔
2nd atypical antipsychotics
Qs
What lab values need to be monitored in a patient on Tizanidine? - n
Ans✔
LFTs and BP at baseline and 1 month after the max dose is achieved (can cause
hepatotoxicity and hypotension)
Qs
What class of drug is dabigatran (pradaxa)? - n
Ans✔
direct thrombin inhibitor
Qs
The most effective treatments for acne related to increased sebum production are
what? - n
Ans✔
oral contraceptives and isotretinoin
Qs
Oral contraceptive regimen in which both the estrogen and progesterone
concentrations vary throughout the cycle - n
Ans✔
answers a+ grade assured.
Qs
Treatment of subclinical hypothyroidism is generally not indicated unless the TSH is
___________. - n
Ans✔
greater than 10
Qs
In the presence of an elevated serum TSH, what is the next step in management? -
n
Ans✔
repeat TSH plus free T4
Qs
Patients with a history of UC or Crohn's should have a colonoscopy how often? - n
Ans✔
every 1-5 years due to the increased risk of colorectal cancer
Qs
What is the first line treatment for community acquired atypical pneumonia? - n
Ans✔
macrolides such azithromycin. If the pt cannot take a macrolide, then they can do
levofloxacin or doxycycline
Qs
What is metatarsus adductus? - n
Ans✔
the medical term for in-toeing
,Qs
What is true regarding older adults who are overweight? - n
Ans✔
mortality in older adults related to overweight states declines over time
Qs
How do we manage rubella immunity in pregnant women? - n
Ans✔
we screen all pregnant women with a rubella titer. If they had a protective rubella
titer in a previous pregnancy, then they do not need to be checked again. If they
are found to not be immune when pregnant, then she should be vaccinated AFTER
delivery
Qs
How is permethrin applied to the skin for scabies? - n
Ans✔
a one time application to all skin below the neck and then left on for 8-12 hours is
sufficient
Qs
After exposure to HIV, when will the patient seroconvert and become positive? - n
Ans✔
3 months
Qs
Is age less than 18 years a risk factor for an ectopic pregnancy? - n
Ans✔
no; but personal history of PID, an IUD, previous ectopic pregnancy, previous tubal
surgery, pathology, or ligation all are risk factors
Qs
,What is Tanner stage 5 of breast development in females? - n
Ans✔
projection of the nipple only
Qs
What are two common classes of drugs that interact with grapefruit juice? - n
Ans✔
statins and CCBs
Qs
Ankle inversion is a common complaint from a patient with what? - n
Ans✔
a lateral ankle sprain
Qs
How can we best diagnose coarctation of the aorta? - n
Ans✔
by comparing the upper and lower extremity blood pressures
Qs
What is the most important risk factor for developing breast cancer in women of
average risk? - n
Ans✔
age
Qs
hey - n
Ans✔
stopped at top of page 7
, Qs
What is the recommended treatment for blepharitis? - n
Ans✔
erythromycin 1cm ribbon 5x daily for 7 days
Qs
What is the recommended treatment for severe anorexia with delusions? - n
Ans✔
2nd atypical antipsychotics
Qs
What lab values need to be monitored in a patient on Tizanidine? - n
Ans✔
LFTs and BP at baseline and 1 month after the max dose is achieved (can cause
hepatotoxicity and hypotension)
Qs
What class of drug is dabigatran (pradaxa)? - n
Ans✔
direct thrombin inhibitor
Qs
The most effective treatments for acne related to increased sebum production are
what? - n
Ans✔
oral contraceptives and isotretinoin
Qs
Oral contraceptive regimen in which both the estrogen and progesterone
concentrations vary throughout the cycle - n
Ans✔
