APEA PRE PREDICTOR EXAM ACTUAL
QUESTIONS AND ANSWERS - LATEST AND
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1. A 14yo male with bronchitis is being treated with fluids and expectorants.
He returns to the clinic with a fever of 103F, right pleuritic chest pain, and green
sputum. Which of the following examination results would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion
- ANSWER: A. Right lower lobe crackles.
2. A 15 year old patients returns for contraceptive services 2 weeks after a
diagnosis of trichomonas vaginitis and treatment with 2gm of metronidazole
(Flagyl). She reports that discharge and itching are gone, but she is urinating
frequently, accompanied with alot of burning. The patient has not resumed sexual
activity and has menstrated since her last visit. Examination reveals mild
suprapubic tenderness, no leukorrhea, and a normal wet mount. Gonococcal culture
and chlamydia tests are negative. Which diagnostic test should be performed
immediately?
A. Urine pregnancy test
B. Microscopic exam of urine
C. Herpes simplex virus culture
D. Repeat chlamydia test.
- ANSWER: B. Microscopic exam of urine.
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3. A 15 year old patients returns for contraceptive services 2 weeks after a
diagnosis of trichomonas vaginitis and treatment with 2gm of metronidazole
(Flagyl). She reports that discharge and itching are gone, but she is urinating
frequently, accompanied with alot of burning. The patient has not resumed sexual
activity and has menstrated since her last visit. Examination reveals mild
suprapubic tenderness, no leukorrhea, and a normal wet mount. Gonococcal culture
and chlamydia tests are negative. Which diagnostic test should be performed
immediately?
A. Urine pregnancy test
B. Microscopic exam of urine
C. Herpes simplex virus culture
D. Repeat chlamydia test.
- ANSWER: B. Microscopic exam of urine.
4. 14 year old patient who fell on a outstretched hand complains of proximal
forearm pain. X-ray reveals a positive fat pad sign, and the patient is unable to
fully extend the elbow. No definitive bony changes are seen on xray. The most
likely working diagnosis is:
A. upper arm sprain
B. lateral epicondylitis
C. Radial head fracture
D. Olecranon bursitis
- ANSWER: C. Radial head fracture.
4. 14 year old patient who fell on a outstretched hand complains of proximal
forearm pain. X-ray reveals a positive fat pad sign, and the patient is unable to
fully extend the elbow. No definitive bony changes are seen on xray. The most
likely working diagnosis is:
A. upper arm sprain
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B. lateral epicondylitis
C. Radial head f
D. Olecranon bursitis
- ANSWER: C. Radial head fracture.
5. 2 year old child is diagnosed with radial head subluxation ("nursemaid's
elbow"). After closed manipulation, the best indication of successful treatment is
that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the arm
- ANSWER: C. The child quickly begins to use the affected arm.
6. 2 year old child is diagnosed with radial head subluxation ("nursemaid's
elbow"). After closed manipulation, the best indication of successful treatment is
that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the arm
- ANSWER: C. The child quickly begins to use the affected arm.
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7. A 10-month old presents with a rash, runny nose, and cough. Examination
reveals a cluster of tiny white papuls with an erythematous base on the buccal
mucosa. What does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles
- ANSWER: D. Measles
8. A 10-month old presents with a rash, runny nose, and cough. Examination
reveals a cluster of tiny white papuls with an erythematous base on the buccal
mucosa. What does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles
- ANSWER: D. Measles
9. A 14yo male with bronchitis is being treated with fluids and expectorants.
He returns to the clinic with a fever of 103F, right pleuritic chest pain, and green
sputum. Which of the following examination results would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion
- ANSWER: A. Right lower lobe crackles.