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apea predictor exam

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What is one of the biggest risk factors for cervical cancer? - ANSWER numerous sexual partners Preeclampsia most commonly shows up at what time in pregnancy? - ANSWER around week 20 How do we treat UTIs in a pregnant woman? - ANSWER can either do penicillin, cephalosporin, or a macrolide (can NOT do doxy or a fluoroquinolone)

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APEA Predictor Exam 1st Edition with
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What is one of the biggest risk factors for cervical cancer? - ANSWER numerous
sexual partners
Preeclampsia most commonly shows up at what time in pregnancy? - ANSWER
around week 20
How do we treat UTIs in a pregnant woman? - ANSWER can either do penicillin,

cephalosporin, or a macrolide (can NOT do doxy or a fluoroquinolone)

When do fibrocystic breasts tend to flare up and cause tenderness and lumps? -
ANSWER about 10 days before menses
What can be a sequelae of an ectopic pregnancy? - ANSWER pelvic inflammatory
disease and infertility due to scarring of the fallopian tube (salpingitis)
What is the Coomb's test and when is this completed? - ANSWER test given 8 weeks
in to pregnancy to determine a woman's RH compatibility
If a patient's Coomb's test is positive, what do we do? - ANSWER nothing, she is RH
positive so we do not need to treat
If a patient's Coomb's test is negative, what do we do? - ANSWER give rhogam at 28
weeks and 72 hours after birth
What is the only form of non-hormonal contraception other than barrier methods such
as condoms? - ANSWER IUD
The vaginal ring for contraception must be taken out how often? - ANSWER every 3
weeks
If a patient is on birth control and is currently having breakthrough bleeding, then what
do we do? - ANSWER increase the progesterone
How do we treat temporal arteritis? - ANSWER steroids
If a patient is on birth control and they miss one pill, what should they do? - ANSWER
double up
If a patient is on birth control and they miss two pills, what should they do? - ANSWER
double up for 2 days
If any woman comes in with painless vaginal bleeding between periods (esp if she is
postmenopausal), what should you do? - ANSWER do a pregnancy test and then refer
for endometrial biopsy to rule out endometrial cancer
In terms of the breasts, _____________ is used for screening and _____________ is
used for diagnosis. - ANSWER mammogram; ultrasound
When do we screen for group B strep in pregnancy? - ANSWER weeks 35-37
When do we perform alpha fetoprotein screening in pregnancy? - ANSWER 15-20
weeks

, Alpha fetoprotein screening in pregnancy can help determine the presence of what in
pregnancy? - ANSWER spina bifida and anencephaly
What is placenta previa? - ANSWER when the placenta blocks the cervical opening of
the uterus
What is placenta abruptio? - ANSWER when the placenta either fully or partially
detaches from the uterine wall
When does placental abruption most commonly occur? - ANSWER in the third
trimester
What is the major difference in symptomalogy between placenta abruptio and placenta
previa? - ANSWER a placental abruption is painful whereas placenta previa is painless




What is the biggest side effect of colchicine? - ANSWER diarrhea
How would you describe the appearance of molluscum contagiosum? - ANSWER
papules that are umbilicated and contain a caseous plug
How do we treat a broken clavicle in an infant? - ANSWER no treatment; it should heal
on it's own
At what week of pregnancy is the uterus palpable just above the pubic symphysis? -
ANSWER week 12
At what week of pregnancy is the fundus palpable halfway between the pubic
symphysis and umbilicus? - ANSWER week 16
At what week of pregnancy is the fundus of the uterus at the umbilicus? - ANSWER
week 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid
process and umbilicus? - ANSWER week 28
At what week of pregnancy is the fundus just below the xiphoid process? - ANSWER
week 34
Increased sweat production is a sign of what endocrine disorder? - ANSWER
hyperthyroidism
What is Paget's disease? - ANSWER there is localized increased bone turnover and
blood flow resulting in the breakdown of bone and replacing it with weakened and highly
vascular bone putting the indiv at increased risk of fractures
How do we treat Paget's diseease? - ANSWER bisphosphonates
How should pregnant women wear their seatbelt? - ANSWER with the shoulder strap
like a normal person and then the groin strap below the belly and across the hips
What is another name for fifth disease? - ANSWER parvovirus aka slapped cheek
disease aka erythema infectiosum
Which type of prevention are vaccinations? - ANSWER primary
When should patients begin antiretroviral therapy for HIV infection? - ANSWER as
soon as it is detected, even if in the acute phase
What are the first generation antihistamines? - ANSWER diphenhydramine (benadryl)
and chlorpeniramine (actifed)
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