APEA FNP board EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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view questions 2026 A+ GRADE ASSURED COMPLETE S
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OLUTIONS AND VERIFIED ANSWERS (489AA) vc vc vc vc




QUESTION 1 vc




Murphy's sign (how to) vc vc vc




ANSWER

on deep inspiration (pt), palpate firmly RUQ below the costovertebral angel
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QUESTION 2 vc




Murphy's sign (diagnostic of?) vc vc vc




ANSWER

biliary disorders gallbladder comes in contact w/fingers and may elect pain (+) to be positive, same ma
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neuver must not elicit pain on left side -breath in, diaphragm moves down, abd contents move down, -
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hold breath, gallbladder comes by fingers
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QUESTION 3 vc




antihypertensive to avoid in emphysema vc vc vc vc




ANSWER

Beta-blockers -reduction in forced expiratory volume -increased airway hyperresponsiveness -
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inhibition of bronchodilator response to beta agonists
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QUESTION 4 vc




threatened abortion (definition) vc vc




ANSWER

vaginal bleeding and cramping present, but cervix remains closed
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,QUESTION 5 vc




milky white discharge (increased) alkaline pH cells with blurred margins (microscope)
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ANSWER

BV also: fishy odor, adherent discharge pos whiff (when discharge mixed w/ KOH) = fishy odor
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QUESTION 6 vc




low levels of alpha fetoprotein and estriol w/ high levels of hcg (what to order and what
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does it mean?) vc vc




ANSWER

ultrasound down syndrome or fetal demise
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QUESTION 7 vc




normally elevated lab in someone expecting twins
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ANSWER

alpha fetoprotein AFP produced by fetal (and mother's) liver, common to be higher if having twins
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QUESTION 8 vc




"Triple Screen" (prenatal screening) vs. Quad screen
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ANSWER

between 15 - vc vc



22 weeks: AFP (high in NTD, low in Downs) Estradiol (abnormal in Downs) HCG (abnormal in Downs)
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w/ inhibin A (hormone released by placenta)
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QUESTION 9 vc




why doesn't Chlamydia affect the labia or vagina?
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ANSWER

typically affects cervix, endometrial lining, fallopian tubes and pelvic cavity
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QUESTION 10 vc




positive obturator sign (definition) if positive
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,ANSWER

acute appendicitis pain evicted by internal rotation of the right hip from 90degrees flexion
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QUESTION 11 vc




psoas sign (definition) if positive
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ANSWER

acute appendicitis pain w/ passive extension of the thigh while pt is lying on side w/ bent knees -or-
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knee moves posterior (behind the patient) causing tightness in abd cavity
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QUESTION 12 vc




treatment for mild preeclampsia vc vc vc




ANSWER

best rest w/ BR privileges monitor wight and bp monitor urinary protein serum creatine and plts
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QUESTION 13 vc




pap (cytology) comes back normal but there is "inflammation" noted - what to do?
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ANSWER

pt needs STI testing may have cervicitis
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QUESTION 14 vc




TORCH what is this acronym stand for?
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ANSWER

fetal abnormalities T: toxoplasmosis O: other R: rubella C: cytomegalovirus H: herpes
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QUESTION 15 vc




T/F HPV of the larynx can cause laryngeal cancer
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ANSWER

true



QUESTION 16 vc




what are Heberden's nodes
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, ANSWER

bony overgrowth classic sign of osteoarthritis hard nontender nodules at distal interphalangeal joints en
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larged middle phalangeal joints are called Bouchard's node
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QUESTION 17 vc




what do order if fundal height is more than 3cm off the weeks of gestation age
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ANSWER

order an ultrasound more than 2cm either way is abnormal
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QUESTION 18 vc




anhedonia - definition vc vc




ANSWER

loss of interest in activities that the patient finds pleasurable
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QUESTION 19 vc




apraxia - definition vc vc




ANSWER

loss of ability to execute purposeful movements despite desire to perform them -
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disorder of motor planning from cerebrum not a sign of depression
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QUESTION 20 vc




apathy - definition vc vc




ANSWER

lack of interest, enthusiasm, or concern
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QUESTION 21 vc




Signs of an ectopic pregnancy
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ANSWER

amenorrhea w/ new onset of bloody spotting with: adnexal tenderness and cervical motion tenderness
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* need UPT and send to the ED
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QUESTION 22 vc