APEA 2025 VERIFIED QUESTIONS AND CORRECT
ANSWERS
What is the difference between a Parkinsonian tremor and an essential tremor? -
CORRECT ANSWER-a Parkinson tremor is also known as a resting tremor and is seen
at rest, maylook like pill-rolling. an essential tremor is bilateral, symmetric and seen
when the handsare doing something
What can worsen and improve an essential tremor?
- CORRECT ANSWER-worsened by stress orfatigue, improved by alcohol
What is first-line treatment for trigeminal neuralgia?
- CORRECT ANSWER-carbamazepine(tegretol) or amtriptyline
Are Parkinsonian tremors unilateral or bilateral at first?
- CORRECT ANSWER-unilateral
Where is the TMJ best palpated?
- CORRECT ANSWER-anterior to the tragus
What are the primary bacteria in dog bites?
– CORRECT ANSWER-staph, strep, and pasteurella
What is the gold standard treatment of giant cell arteritis?
- CORRECT ANSWER-oral steroids andpotential artery biopsy by rheum
Cranial Nerve VIII
- CORRECT ANSWER-Acoustic (Hearing and balance)
Cranial nerve IX
- CORRECT ANSWER-Glossopharyngeal- swallowing and rise of the palate, gag
reflex
,Cranial Nerve XI
- CORRECT ANSWER-Spinal Accessory (upper trapezius)
,Deep tendon reflex
- CORRECT ANSWER-Ankle- S1 primarilyKnee-
Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale
- CORRECT ANSWER-CHADS2C-
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
(Exanthemasubitum)
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 redblood 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
ANSWERS
What is the difference between a Parkinsonian tremor and an essential tremor? -
CORRECT ANSWER-a Parkinson tremor is also known as a resting tremor and is seen
at rest, maylook like pill-rolling. an essential tremor is bilateral, symmetric and seen
when the handsare doing something
What can worsen and improve an essential tremor?
- CORRECT ANSWER-worsened by stress orfatigue, improved by alcohol
What is first-line treatment for trigeminal neuralgia?
- CORRECT ANSWER-carbamazepine(tegretol) or amtriptyline
Are Parkinsonian tremors unilateral or bilateral at first?
- CORRECT ANSWER-unilateral
Where is the TMJ best palpated?
- CORRECT ANSWER-anterior to the tragus
What are the primary bacteria in dog bites?
– CORRECT ANSWER-staph, strep, and pasteurella
What is the gold standard treatment of giant cell arteritis?
- CORRECT ANSWER-oral steroids andpotential artery biopsy by rheum
Cranial Nerve VIII
- CORRECT ANSWER-Acoustic (Hearing and balance)
Cranial nerve IX
- CORRECT ANSWER-Glossopharyngeal- swallowing and rise of the palate, gag
reflex
,Cranial Nerve XI
- CORRECT ANSWER-Spinal Accessory (upper trapezius)
,Deep tendon reflex
- CORRECT ANSWER-Ankle- S1 primarilyKnee-
Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Stroke risk scale
- CORRECT ANSWER-CHADS2C-
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
(Exanthemasubitum)
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 redblood 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
