APEA QBank Practice Test Questions With Accurate Answers Graded A+.

What is the treatment of choice for community acquired, uncomplicated pneumonia? - correct answer amoxicillin Vitamin B12 deficiency anemia is a type of ____________ anemia. - correct answer pernicious; macrocytic Prostate infection or inflammation can cause a sharp rise in PSA values. When should this value go back down to normal levels and be checked after an acute infection? - correct answer 4 weeks The most common cause of atypical pneumonia in adults - correct answer mycoplasma pneumoniae An herbal supplement thought to help BPH - correct answer saw palmetto A male patient presents to your clinic with a lump in his breast. How should we work this up? - correct answer clinical breast exam, mammogram, AND ultrasound If a patient with strep comes back after 48 hours with no improvement on antibiotics, what should you then prescribe? - correct answer a penicillin or cephalosporin with beta lactamase coverage How long must a tick be attached to the skin in order for Lyme disease to be transferred? - correct answer 48 hours When should kids be treated for hypertension? - correct answer if they also have diabetes, are symptomatic, have hypertension > 95th percentile, or when end organ damage is present ACEIs can cause what electrolyte abnormality? - correct answer hyperkalemia A positive "drop arm" test is a sign of what? - correct answer torn rotator cuff The medical term for spoon shaped nails - correct answer koilonychia Koilonychia is a sign of what? - correct answer iron deficiency anemia How is influenza diagnosed? - correct answer a nasal swab What finding would be most likely to differentiate gout from septic arthritis? - correct answer fever would be indicative of septic arthritis Diphenhydramine has __________ properties and is contraindicated in which patient populations? - correct answer anticholinergic; elderly and those with glaucoma The medical term for flat feet - correct answer pes planus How does plantar fasciitis usually present? - correct answer as pain in the morning with resolution after several steps, but as it worsens the patient will start to complain of heel pain throughout the day and with walking Scope of practice for NPs is not influenced by which entity? - correct answer a court of law Used to establish a designated level of professional competence - correct answer licensure Treatment of subclinical hypothyroidism is generally not indicated unless the TSH is ___________. - correct answer greater than 10 In the presence of an elevated serum TSH, what is the next step in management? - correct answer repeat TSH plus free T4 Patients with a history of UC or Crohn's should have a colonoscopy how often? - correct answer every 1-5 years due to the increased risk of colorectal cancer What is the first line treatment for community acquired atypical pneumonia? - correct answer macrolides such azithromycin. If the pt cannot take a macrolide, then they can do levofloxacin or doxycycline What is metatarsus adductus? - correct answer the medical term for in-toeing What is true regarding older adults who are overweight? - correct answer mortality in older adults related to overweight states declines over time How do we manage rubella immunity in pregnant women? - correct answer 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 How is permethrin applied to the skin for scabies? - correct answer a one time application to all skin below the neck and then left on for 8-12 hours is sufficient After exposure to HIV, when will the patient seroconvert and become positive? - correct answer 3 months Is age less than 18 years a risk factor for an ectopic pregnancy? - correct answer no; but personal history of PID, an IUD, previous ectopic pregnancy, previous tubal surgery, pathology, or ligation all are risk factors What is Tanner stage 5 of breast development in females? - correct answer projection of the nipple only What are two common classes of drugs that interact with grapefruit juice? - correct answer statins and CCBs Ankle inversion is a common complaint from a patient with what? - correct answer a lateral ankle sprain How can we best diagnose coarctation of the aorta? - correct answer by comparing the upper and lower extremity blood pressures What is the most important risk factor for developing breast cancer in women of average risk? - correct answer age hey - correct answer stopped at top of page 7 What is the recommended treatment for blepharitis? - correct answer erythromycin 1cm ribbon 5x daily for 7 days What is the recommended treatment for severe anorexia with delusions? - correct answer 2nd atypical antipsychotics What lab values need to be monitored in a patient on Tizanidine? - correct answer LFTs and BP at baseline and 1 month after the max dose is achieved (can cause hepatotoxicity and hypotension) What class of drug is dabigatran (pradaxa)? - correct answer direct thrombin inhibitor The most effective treatments for acne related to increased sebum production are what? - correct answer oral contraceptives and isotretinoin Oral contraceptive regimen in which both the estrogen and progesterone concentrations vary throughout the cycle - correct answer quadriphasic Oral contraceptive regimen in which the estrogen and progestin doses are fixed throughout the cycle - correct answer monophasic Oral contraceptive regimen in which in the estrogen dose remains the same for the first 21 days of the cycle, while progestin is lower in the first