APEA Predictor Exam Study Questions
with Answers Already Graded A+
1. What is the biggest side effect of colchicine? - ANSWER diarrhea
2. Stenotic valves - ANSWER Stenotic valves don't OPEN properly.
3. Acute epididymitis - ANSWER The most likely diagnosis for a patient with
fever, pain over the left scrotum, frequency, and dysuria, with urinalysis
showing 2+ blood and a large number of leukocytes.
4. Renal stenosis - ANSWER A cause of secondary hypertension (2nd htn).
5. Copper wire arterioles - ANSWER Seen with uncontrolled hypertension.
6. Flame hemorrhages - ANSWER Seen with uncontrolled hypertension.
7. Murphy's sign - ANSWER Suggestive of acute cholecystitis and gallbladder
disease; elicited by palpating the subcostal region on the right upper
abdomen, causing the patient to abruptly stop inspiration due to severe pain.
8. Mitral valve prolapse (MVP) - ANSWER A systolic murmur accompanied
by a mid systolic click located at the apical area.
9. Severe mitral regurgitation - ANSWER A potential complication of mitral
valve prolapse (MVP).
,10.Endocarditis - ANSWER A potential complication of mitral valve prolapse
(MVP).
11.Increased risk of stroke and transient ischemic attack - ANSWER A
potential complication of mitral valve prolapse (MVP).
12.Myeloma - ANSWER A cancer of the plasma cells that affects the bone
marrow, producing antibodies and causing symptoms like bone pain,
fractures, hypercalcemia, depressed immunity, and anemia.
13.Non-infectious epididymitis - ANSWER Caused by prolonged sitting, such
as in truck drivers, and reflux of urine into the epididymis.
14.Non-old diabetes mellitus (DM) - ANSWER Characterized by a blood
pressure of 150/90.
15.Non-black Patient With or Without DM - ANSWER Recommended to use a
thiazide diuretic.
16.ACE ARB - ANSWER A medication option for hypertension.
17.Hepatitis B and C - ANSWER Only hepatitis viruses associated with
hepatocellular cancer.
18.Ofloxacin ear drops - ANSWER Not considered ototoxic.
19.Aminoglycoside otic drops - ANSWER Ototoxic and should not be used to
treat otitis media or perforation of the tympanic membrane.
,20.Older diabetes mellitus (DM) - ANSWER Characterized by a blood
pressure of 140/90.
21.Papiledema - ANSWER Optic disc swelling caused by increased
intracranial pressure, usually bilateral, with signs including venous
engorgement and blurring of optic margins.
22.Pulse deficit - ANSWER Difference between the apical and radial pulse
rates.
23.Pulsus paradoxus - ANSWER A decrease in systolic blood pressure on
inspiration.
24.Regurgitant valves - ANSWER Do not close properly.
25.s2 - ANSWER Heard at the second intercostal space, left sternal border.
26.Estimated glomerular filtration rate (eGFR) - ANSWER A sensitive test for
evaluating renal function.
27.Triglyceride level of 950 mg/dL - ANSWER Initiate a prescription of
fenofibrate (Tricor).
28.Statin medications - ANSWER Can affect liver function and increase liver
enzymes, causing weakness, fatigue, and muscle aches.
, 29.Symptoms of ulcerative colitis - ANSWER Include bloody diarrhea mixed
with mucus, nausea/vomiting, abdominal pain, and possible weight loss with
long-term diarrhea.
30.Synthroid starting dose - ANSWER 25 mcg, check in 6 weeks
31.Visual fields by confrontation - ANSWER Used to evaluate for peripheral
vision
32.Best test for diagnosing glaucoma - ANSWER Tonometry 10 22
33.Classic triad of symptoms of Meniere's disease - ANSWER Episodic
vertigo, tinnitus, and sensorineural hearing loss (low frequency)
34.Cover/uncover test - ANSWER Screens for strabismus
35.Blood pressure goal for patients aged 60 years or older - ANSWER Less
than 150/90
36.Gold standard for diagnosis of thalassemia - ANSWER Hemoglobin
electrophoresis
37.Most common cause of nongonococcal urethritis - ANSWER Chlamydia
trachomatis
38.Important clue for ulcerative colitis - ANSWER Bloody stools covered with
mucus and pus along with systemic symptoms (fatigue, low-grade fever)
with Answers Already Graded A+
1. What is the biggest side effect of colchicine? - ANSWER diarrhea
2. Stenotic valves - ANSWER Stenotic valves don't OPEN properly.
3. Acute epididymitis - ANSWER The most likely diagnosis for a patient with
fever, pain over the left scrotum, frequency, and dysuria, with urinalysis
showing 2+ blood and a large number of leukocytes.
4. Renal stenosis - ANSWER A cause of secondary hypertension (2nd htn).
5. Copper wire arterioles - ANSWER Seen with uncontrolled hypertension.
6. Flame hemorrhages - ANSWER Seen with uncontrolled hypertension.
7. Murphy's sign - ANSWER Suggestive of acute cholecystitis and gallbladder
disease; elicited by palpating the subcostal region on the right upper
abdomen, causing the patient to abruptly stop inspiration due to severe pain.
8. Mitral valve prolapse (MVP) - ANSWER A systolic murmur accompanied
by a mid systolic click located at the apical area.
9. Severe mitral regurgitation - ANSWER A potential complication of mitral
valve prolapse (MVP).
,10.Endocarditis - ANSWER A potential complication of mitral valve prolapse
(MVP).
11.Increased risk of stroke and transient ischemic attack - ANSWER A
potential complication of mitral valve prolapse (MVP).
12.Myeloma - ANSWER A cancer of the plasma cells that affects the bone
marrow, producing antibodies and causing symptoms like bone pain,
fractures, hypercalcemia, depressed immunity, and anemia.
13.Non-infectious epididymitis - ANSWER Caused by prolonged sitting, such
as in truck drivers, and reflux of urine into the epididymis.
14.Non-old diabetes mellitus (DM) - ANSWER Characterized by a blood
pressure of 150/90.
15.Non-black Patient With or Without DM - ANSWER Recommended to use a
thiazide diuretic.
16.ACE ARB - ANSWER A medication option for hypertension.
17.Hepatitis B and C - ANSWER Only hepatitis viruses associated with
hepatocellular cancer.
18.Ofloxacin ear drops - ANSWER Not considered ototoxic.
19.Aminoglycoside otic drops - ANSWER Ototoxic and should not be used to
treat otitis media or perforation of the tympanic membrane.
,20.Older diabetes mellitus (DM) - ANSWER Characterized by a blood
pressure of 140/90.
21.Papiledema - ANSWER Optic disc swelling caused by increased
intracranial pressure, usually bilateral, with signs including venous
engorgement and blurring of optic margins.
22.Pulse deficit - ANSWER Difference between the apical and radial pulse
rates.
23.Pulsus paradoxus - ANSWER A decrease in systolic blood pressure on
inspiration.
24.Regurgitant valves - ANSWER Do not close properly.
25.s2 - ANSWER Heard at the second intercostal space, left sternal border.
26.Estimated glomerular filtration rate (eGFR) - ANSWER A sensitive test for
evaluating renal function.
27.Triglyceride level of 950 mg/dL - ANSWER Initiate a prescription of
fenofibrate (Tricor).
28.Statin medications - ANSWER Can affect liver function and increase liver
enzymes, causing weakness, fatigue, and muscle aches.
, 29.Symptoms of ulcerative colitis - ANSWER Include bloody diarrhea mixed
with mucus, nausea/vomiting, abdominal pain, and possible weight loss with
long-term diarrhea.
30.Synthroid starting dose - ANSWER 25 mcg, check in 6 weeks
31.Visual fields by confrontation - ANSWER Used to evaluate for peripheral
vision
32.Best test for diagnosing glaucoma - ANSWER Tonometry 10 22
33.Classic triad of symptoms of Meniere's disease - ANSWER Episodic
vertigo, tinnitus, and sensorineural hearing loss (low frequency)
34.Cover/uncover test - ANSWER Screens for strabismus
35.Blood pressure goal for patients aged 60 years or older - ANSWER Less
than 150/90
36.Gold standard for diagnosis of thalassemia - ANSWER Hemoglobin
electrophoresis
37.Most common cause of nongonococcal urethritis - ANSWER Chlamydia
trachomatis
38.Important clue for ulcerative colitis - ANSWER Bloody stools covered with
mucus and pus along with systemic symptoms (fatigue, low-grade fever)
