APEA PREDICTOR EXAM 2023-2024 TEST
BANK 300+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES |ALREADY
GRADED A+|BRAND NEW!!
a normal rise in blood sugar as a person's body prepares to wake up due to a release of
cortisol and growth hormone - ANSdawn phenomenon
a rare complication of pregnancy characterized by the abnormal growth of trophoblasts,
the cells that normally develop into the placenta - ANSmolar pregnancy
Alpha fetoprotein screening in pregnancy can help determine the presence of what in
pregnancy? - ANSspina bifida and anencephaly
Amenorrhea is considered a risk factor for what? - ANSosteoporosis
An anorexic patient will have a BMI of what? - ANSless than 18
Anorexia can put you at risk for what? - ANSosteoporosis, amenorrhea, cardiac damage
At what week of pregnancy is the fundus just below the xiphoid process? - ANSweek 34
At what week of pregnancy is the fundus of the uterus at the umbilicus? - ANSweek 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid
process and umbilicus? - ANSweek 28
At what week of pregnancy is the fundus palpable halfway between the pubic
symphysis and umbilicus? - ANSweek 16
At what week of pregnancy is the uterus palpable just above the pubic symphysis? -
ANSweek 12
Bursitis can be a issue - ANSrecurrent
Genu valgum is caused by a problem with what? - ANSthe medial collateral ligament;
think valgum as in gum makes your knees stick together
Genu varum is caused by a problem with what? - ANSthe lateral collateral ligament
Heberden and bouchard's nodes are indicative of what disease process? What about
swan neck deformities? - ANSosteoarthritis; rheumatoid arthritis
How can we abort cluster headaches? - ANScalcium or 100% oxygen application
,APEA PREDICTOR EXAM 2023-2024 TEST
BANK 300+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES |ALREADY
GRADED A+|BRAND NEW!!
How can you tell between the dawn and somogyi effect? - ANSIf 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? - ANSan 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? - ANSno treatment; it should heal on it's
own
How do we treat any rotator cuff injuries? - ANSwear a sling to stabilize the arm and
refer to ortho
How do we treat developmental hip dysplasia in a child under 6 months? - ANSPavlik
harness; if older than 6 months may need surgery
How do we treat lupus flares? - ANSsteroids
How do we treat Paget's diseease? - ANSbisphosphonates
How do we treat shin splints? - ANSrest and avoidance of exercise until the pain
resolves
How do we treat temporal arteritis? - ANSsteroids
How do we treat UTIs in a pregnant woman? - ANScan either do penicillin,
cephalosporin, or a macrolide (can NOT do doxy or a fluoroquinolone)
How does the parathyroid gland regulate calcium? - ANSwhen 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? - ANSa needle to instill intraarticular steroids and then pull off
fluid
How is fibromyalgia diagnosed? - ANSwhen 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? - ANSvia a positive Muddler's or squeeze test
causing pain
,APEA PREDICTOR EXAM 2023-2024 TEST
BANK 300+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES |ALREADY
GRADED A+|BRAND NEW!!
How is the pain of trigeminal neuralgia vs temporal arteritis different? - ANSin 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? - ANS4-72 hours
How should pregnant women wear their seatbelt? - ANSwith 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? - ANSpapules
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?
- ANSfirst 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? - ANSrepeat in 1
year
If a patient has LSIL with no HPV test or a positive HPV test, what should you do? -
ANSrefer for colposcopy
If a patient is on birth control and is currently having breakthrough bleeding, then what
do we do? - ANSincrease the progesterone
If a patient is on birth control and they miss one pill, what should they do? - ANSdouble
up
If a patient is on birth control and they miss two pills, what should they do? - ANSdouble
up for 2 days
If a patient is on Coumadin but then they may need to go on an antibiotic for an infection
and Bactrim is the drug of choice, what should you do? - ANSBactrim increases INR so
we would want to decrease the coumadin dose while the patient is on this
If a patient is on Coumadin but then they may need to go on Rifampin, what should you
do? - ANSRifampin decreases INR so we'd want to increase the coumadin dose
If a patient on coumadin's INR is 3.1-4 ,what should you do? - ANSdecrease the weekly
dose by 5-10%
, APEA PREDICTOR EXAM 2023-2024 TEST
BANK 300+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES |ALREADY
GRADED A+|BRAND NEW!!
If a patient on coumadin's INR is 4.1-5.0, what should you do? - ANShold one dose then
decrease the weekly dose by 10%
If a patient's Coomb's test is negative, what do we do? - ANSgive rhogam at 28 weeks
and 72 hours after birth
If a patient's Coomb's test is positive, what do we do? - ANSnothing, she is RH positive
so we do not need to treat
If a patient's INR is greater than 5, what should you do? - ANSconsult cards, likely
would hold two doses then decrease the weekly dose
If a patient's pap results show ASC-H or HSIL what should you do? - ANSrefer for
colposcopy
If a patient's pap results show NILM, what should you do? - ANSrepeat in 3 years
If a pregnant woman comes in with painless vaginal bleeding, what should we be
considering? - ANSplacenta previa
If a pregnant woman has syphilis, what should we do? - ANStreat it with penicillin while
she is pregnant because there is risk for spontaneous abortion
If any woman comes in with painless vaginal bleeding between periods (esp if she is
postmenopausal), what should you do? - ANSdo 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. - ANSmammogram; ultrasound
Increased sweat production is a sign of what endocrine disorder? - ANShyperthyroidism
It is recommended that all children younger than with sickle cell anemia
take daily prophylactic antibiotics. What antibiotic is this? - ANS5 years old; penicillin
Legg-calve-perthes disease is most common in which patient population? - ANSyoung
children
Patients with SLE are going to have what abnormal labwork? - ANSelevated ESR and
CRP
BANK 300+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES |ALREADY
GRADED A+|BRAND NEW!!
a normal rise in blood sugar as a person's body prepares to wake up due to a release of
cortisol and growth hormone - ANSdawn phenomenon
a rare complication of pregnancy characterized by the abnormal growth of trophoblasts,
the cells that normally develop into the placenta - ANSmolar pregnancy
Alpha fetoprotein screening in pregnancy can help determine the presence of what in
pregnancy? - ANSspina bifida and anencephaly
Amenorrhea is considered a risk factor for what? - ANSosteoporosis
An anorexic patient will have a BMI of what? - ANSless than 18
Anorexia can put you at risk for what? - ANSosteoporosis, amenorrhea, cardiac damage
At what week of pregnancy is the fundus just below the xiphoid process? - ANSweek 34
At what week of pregnancy is the fundus of the uterus at the umbilicus? - ANSweek 20
At what week of pregnancy is the fundus of the uterus halfway between the xiphoid
process and umbilicus? - ANSweek 28
At what week of pregnancy is the fundus palpable halfway between the pubic
symphysis and umbilicus? - ANSweek 16
At what week of pregnancy is the uterus palpable just above the pubic symphysis? -
ANSweek 12
Bursitis can be a issue - ANSrecurrent
Genu valgum is caused by a problem with what? - ANSthe medial collateral ligament;
think valgum as in gum makes your knees stick together
Genu varum is caused by a problem with what? - ANSthe lateral collateral ligament
Heberden and bouchard's nodes are indicative of what disease process? What about
swan neck deformities? - ANSosteoarthritis; rheumatoid arthritis
How can we abort cluster headaches? - ANScalcium or 100% oxygen application
,APEA PREDICTOR EXAM 2023-2024 TEST
BANK 300+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES |ALREADY
GRADED A+|BRAND NEW!!
How can you tell between the dawn and somogyi effect? - ANSIf 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? - ANSan 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? - ANSno treatment; it should heal on it's
own
How do we treat any rotator cuff injuries? - ANSwear a sling to stabilize the arm and
refer to ortho
How do we treat developmental hip dysplasia in a child under 6 months? - ANSPavlik
harness; if older than 6 months may need surgery
How do we treat lupus flares? - ANSsteroids
How do we treat Paget's diseease? - ANSbisphosphonates
How do we treat shin splints? - ANSrest and avoidance of exercise until the pain
resolves
How do we treat temporal arteritis? - ANSsteroids
How do we treat UTIs in a pregnant woman? - ANScan either do penicillin,
cephalosporin, or a macrolide (can NOT do doxy or a fluoroquinolone)
How does the parathyroid gland regulate calcium? - ANSwhen 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? - ANSa needle to instill intraarticular steroids and then pull off
fluid
How is fibromyalgia diagnosed? - ANSwhen 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? - ANSvia a positive Muddler's or squeeze test
causing pain
,APEA PREDICTOR EXAM 2023-2024 TEST
BANK 300+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES |ALREADY
GRADED A+|BRAND NEW!!
How is the pain of trigeminal neuralgia vs temporal arteritis different? - ANSin 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? - ANS4-72 hours
How should pregnant women wear their seatbelt? - ANSwith 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? - ANSpapules
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?
- ANSfirst 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? - ANSrepeat in 1
year
If a patient has LSIL with no HPV test or a positive HPV test, what should you do? -
ANSrefer for colposcopy
If a patient is on birth control and is currently having breakthrough bleeding, then what
do we do? - ANSincrease the progesterone
If a patient is on birth control and they miss one pill, what should they do? - ANSdouble
up
If a patient is on birth control and they miss two pills, what should they do? - ANSdouble
up for 2 days
If a patient is on Coumadin but then they may need to go on an antibiotic for an infection
and Bactrim is the drug of choice, what should you do? - ANSBactrim increases INR so
we would want to decrease the coumadin dose while the patient is on this
If a patient is on Coumadin but then they may need to go on Rifampin, what should you
do? - ANSRifampin decreases INR so we'd want to increase the coumadin dose
If a patient on coumadin's INR is 3.1-4 ,what should you do? - ANSdecrease the weekly
dose by 5-10%
, APEA PREDICTOR EXAM 2023-2024 TEST
BANK 300+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES |ALREADY
GRADED A+|BRAND NEW!!
If a patient on coumadin's INR is 4.1-5.0, what should you do? - ANShold one dose then
decrease the weekly dose by 10%
If a patient's Coomb's test is negative, what do we do? - ANSgive rhogam at 28 weeks
and 72 hours after birth
If a patient's Coomb's test is positive, what do we do? - ANSnothing, she is RH positive
so we do not need to treat
If a patient's INR is greater than 5, what should you do? - ANSconsult cards, likely
would hold two doses then decrease the weekly dose
If a patient's pap results show ASC-H or HSIL what should you do? - ANSrefer for
colposcopy
If a patient's pap results show NILM, what should you do? - ANSrepeat in 3 years
If a pregnant woman comes in with painless vaginal bleeding, what should we be
considering? - ANSplacenta previa
If a pregnant woman has syphilis, what should we do? - ANStreat it with penicillin while
she is pregnant because there is risk for spontaneous abortion
If any woman comes in with painless vaginal bleeding between periods (esp if she is
postmenopausal), what should you do? - ANSdo 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. - ANSmammogram; ultrasound
Increased sweat production is a sign of what endocrine disorder? - ANShyperthyroidism
It is recommended that all children younger than with sickle cell anemia
take daily prophylactic antibiotics. What antibiotic is this? - ANS5 years old; penicillin
Legg-calve-perthes disease is most common in which patient population? - ANSyoung
children
Patients with SLE are going to have what abnormal labwork? - ANSelevated ESR and
CRP
