APEA 3P exam -3
a normal rise in blood sugar as a person's body prepares to wake up due to a
release of cortisol and growth hormone - ANS - dawn phenomenon
\a rare complication of pregnancy characterized by the abnormal growth of
trophoblasts, the cells that normally develop into the placenta - ANS - molar
pregnancy
\Alpha fetoprotein screening in pregnancy can help determine the presence of
what in pregnancy? - ANS - spina bifida and anencephaly
\Amenorrhea is considered a risk factor for what? - ANS - osteoporosis
\An anorexic patient will have a BMI of what? - ANS - less than 18
\Anorexia can put you at risk for what? - ANS - osteoporosis, amenorrhea, cardiac
damage
\At what week of pregnancy is the fundus just below the xiphoid process? - ANS -
week 34
\At what week of pregnancy is the fundus of the uterus at the umbilicus? - ANS -
week 20
\At what week of pregnancy is the fundus of the uterus halfway between the
xiphoid process and umbilicus? - ANS - week 28
\At what week of pregnancy is the fundus palpable halfway between the pubic
symphysis and umbilicus? - ANS - week 16
\At what week of pregnancy is the uterus palpable just above the pubic
symphysis? - ANS - week 12
\Bursitis can be a __________ issue - ANS - recurrent
\Genu valgum is caused by a problem with what? - ANS - the medial collateral
ligament; think valgum as in gum makes your knees stick together
\Genu varum is caused by a problem with what? - ANS - the lateral collateral
ligament
\Heberden and bouchard's nodes are indicative of what disease process? What
about swan neck deformities? - ANS - osteoarthritis; rheumatoid arthritis
\How can we abort cluster headaches? - ANS - calcium or 100% oxygen
application
\How can you tell between the dawn and somogyi effect? - ANS - If the blood
sugar level is low at 2 a.m. to 3 a.m., suspect the Somogyi effect. If the blood
sugar level is normal or high at 2 a.m. to 3 a.m., it's likely the dawn phenomenon.
\How do we diagnose PAD? - ANS - an ABI < 7; doppler can also be used to
diagnose as well but is the second choice
, \How do we treat a broken clavicle in an infant? - ANS - no treatment; it should
heal on it's own
\How do we treat any rotator cuff injuries? - ANS - wear a sling to stabilize the arm
and refer to ortho
\How do we treat developmental hip dysplasia in a child under 6 months? - ANS -
Pavlik harness; if older than 6 months may need surgery
\How do we treat lupus flares? - ANS - steroids
\How do we treat Paget's diseease? - ANS - bisphosphonates
\How do we treat shin splints? - ANS - rest and avoidance of exercise until the
pain resolves
\How do we treat temporal arteritis? - ANS - steroids
\How do we treat UTIs in a pregnant woman? - ANS - can either do penicillin,
cephalosporin, or a macrolide (can NOT do doxy or a fluoroquinolone)
\How does the parathyroid gland regulate calcium? - ANS - when parathyroid
hormone is released, it pulls calcium out of the blood and into the circulation in
response to hypocalcemia. it also increases absorption of calcium from the
intestine
\How is bursitis treated? - ANS - a needle to instill intraarticular steroids and then
pull off fluid
\How is fibromyalgia diagnosed? - ANS - when at least 8 out of 11 points
bilaterally are tender to touch and the symptoms have lasted longer than 3
months
\How is Morton's neuroma diagnosed? - ANS - via a positive Muddler's or squeeze
test causing pain
\How is the pain of trigeminal neuralgia vs temporal arteritis different? - ANS - in
trigeminal neuralgia, the pain is like a shock hitting the side of your face whereas
temporal arteritis is more like a headache
\How long do migraine headaches last? - ANS - 4-72 hours
\How should pregnant women wear their seatbelt? - ANS - with the shoulder strap
like a normal person and then the groin strap below the belly and across the hips
\How would you describe the appearance of molluscum contagiosum? - ANS -
papules that are umbilicated and contain a caseous plug
\If a patient has GABHS but has an allergy to penicillins, what is the second line
option? - ANS - first generation cephalosporins, unless the allergy is severe, then
you would consider macrolides like a -mycin
\If a patient has LSIL with a negative HPV test, what would you do? - ANS - repeat
in 1 year
\If a patient has LSIL with no HPV test or a positive HPV test, what should you
do? - ANS - refer for colposcopy
a normal rise in blood sugar as a person's body prepares to wake up due to a
release of cortisol and growth hormone - ANS - dawn phenomenon
\a rare complication of pregnancy characterized by the abnormal growth of
trophoblasts, the cells that normally develop into the placenta - ANS - molar
pregnancy
\Alpha fetoprotein screening in pregnancy can help determine the presence of
what in pregnancy? - ANS - spina bifida and anencephaly
\Amenorrhea is considered a risk factor for what? - ANS - osteoporosis
\An anorexic patient will have a BMI of what? - ANS - less than 18
\Anorexia can put you at risk for what? - ANS - osteoporosis, amenorrhea, cardiac
damage
\At what week of pregnancy is the fundus just below the xiphoid process? - ANS -
week 34
\At what week of pregnancy is the fundus of the uterus at the umbilicus? - ANS -
week 20
\At what week of pregnancy is the fundus of the uterus halfway between the
xiphoid process and umbilicus? - ANS - week 28
\At what week of pregnancy is the fundus palpable halfway between the pubic
symphysis and umbilicus? - ANS - week 16
\At what week of pregnancy is the uterus palpable just above the pubic
symphysis? - ANS - week 12
\Bursitis can be a __________ issue - ANS - recurrent
\Genu valgum is caused by a problem with what? - ANS - the medial collateral
ligament; think valgum as in gum makes your knees stick together
\Genu varum is caused by a problem with what? - ANS - the lateral collateral
ligament
\Heberden and bouchard's nodes are indicative of what disease process? What
about swan neck deformities? - ANS - osteoarthritis; rheumatoid arthritis
\How can we abort cluster headaches? - ANS - calcium or 100% oxygen
application
\How can you tell between the dawn and somogyi effect? - ANS - If the blood
sugar level is low at 2 a.m. to 3 a.m., suspect the Somogyi effect. If the blood
sugar level is normal or high at 2 a.m. to 3 a.m., it's likely the dawn phenomenon.
\How do we diagnose PAD? - ANS - an ABI < 7; doppler can also be used to
diagnose as well but is the second choice
, \How do we treat a broken clavicle in an infant? - ANS - no treatment; it should
heal on it's own
\How do we treat any rotator cuff injuries? - ANS - wear a sling to stabilize the arm
and refer to ortho
\How do we treat developmental hip dysplasia in a child under 6 months? - ANS -
Pavlik harness; if older than 6 months may need surgery
\How do we treat lupus flares? - ANS - steroids
\How do we treat Paget's diseease? - ANS - bisphosphonates
\How do we treat shin splints? - ANS - rest and avoidance of exercise until the
pain resolves
\How do we treat temporal arteritis? - ANS - steroids
\How do we treat UTIs in a pregnant woman? - ANS - can either do penicillin,
cephalosporin, or a macrolide (can NOT do doxy or a fluoroquinolone)
\How does the parathyroid gland regulate calcium? - ANS - when parathyroid
hormone is released, it pulls calcium out of the blood and into the circulation in
response to hypocalcemia. it also increases absorption of calcium from the
intestine
\How is bursitis treated? - ANS - a needle to instill intraarticular steroids and then
pull off fluid
\How is fibromyalgia diagnosed? - ANS - when at least 8 out of 11 points
bilaterally are tender to touch and the symptoms have lasted longer than 3
months
\How is Morton's neuroma diagnosed? - ANS - via a positive Muddler's or squeeze
test causing pain
\How is the pain of trigeminal neuralgia vs temporal arteritis different? - ANS - in
trigeminal neuralgia, the pain is like a shock hitting the side of your face whereas
temporal arteritis is more like a headache
\How long do migraine headaches last? - ANS - 4-72 hours
\How should pregnant women wear their seatbelt? - ANS - with the shoulder strap
like a normal person and then the groin strap below the belly and across the hips
\How would you describe the appearance of molluscum contagiosum? - ANS -
papules that are umbilicated and contain a caseous plug
\If a patient has GABHS but has an allergy to penicillins, what is the second line
option? - ANS - first generation cephalosporins, unless the allergy is severe, then
you would consider macrolides like a -mycin
\If a patient has LSIL with a negative HPV test, what would you do? - ANS - repeat
in 1 year
\If a patient has LSIL with no HPV test or a positive HPV test, what should you
do? - ANS - refer for colposcopy
