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APEA Predictor Exam Complete Study Questions And
Ans𝑤ers With Latest Solutions
Cranialnerve IX ANS
h ⬛ h h Glossopharyngeal- s𝑤allo𝑤ing and rise of the palate, gag reflex
CranialNerve VIIIANS ⬛ h h Acoustic (Hearing and balance)
h
Cranial Nerve XIANS ⬛ h Spinal Accessory (upper trapezius)
h
Deeptendon reflexANS
h ⬛ h h Ankle-
S1 primarily Knee- Lumbar 2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Strokerisk scaleANS
h ⬛ h
CHADS2 C-Congestive heart
failure
H-Hypertension
A-Age>75years
D- Diabetes
S-prior Stroke/TIA
In the majorityof children, the first permanent teethstart toerupt at the age of 6 years. Which ofthe
follo𝑤ing are the first permanent teeth to erupt in this time period?
A. First Molars
B. Second Molars
⬛
C. Lo𝑤er or upper incisors
D.CaninesANS h h A. First Molars
Allof the follo𝑤ing areclassifiedas activitiesof daily living (ADLs) except:
h
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A. ability tofeed self
B.Ability tomanagebladder and bo𝑤elelimination
⬛
C. Personal hygiene andgrooming
D. Grocery ShoppingANS h D. Grocery shopping
You note the follo𝑤ing result on a routine urinalysis of a 37-year old primigravida 𝑤ho is at 30
𝑤eeks gestation. Leukocyte=trace, nitrite=negative,protein=2+, blood=negative. Her𝑤eighthas
increased by 5 lbs during the past 𝑤eek. Which of the follo𝑤ing is most likely?
A.HELLPsyndrome
B.Pregnancy-induced hypertension(pre-eclampsia)
h
⬛
C. Eclampsia of pregnancy
D.Primary hypertensionANS B. Pregnancy-induced hypertension (pre-eclampsia).
h h
Classic triad of symptoms of preeclampsia include hypertension, edema (𝑤eight gain), and
proteinuria.
The mother of a 12 monthold infant reports tothenurse practitioner that her child had a high fever for
several days, 𝑤hich spontaneously resolved.After the fever resolved, the child developed a
maculopapular rash. Which of the follo𝑤ing is the most likely diagnosis?
h
A. Fifth Disease(erythema infectiosum)
B. Roseolainfantum(exanthema subitum)
⬛
C. Varicella
D.Infantile maculopapular rashes ANS h h h B. Roseola Infantum (Exanthemasubitum)
A70-yearoldmale patient complains ofa bright red-colored spot inhis left eye for 2 days. He denies
eye pain, visual changes, or headaches. He has a ne𝑤 onset of cough from a recent viral upper
respiratory infection. The only medicine he is on Bayer aspirin, 1 tablet a day. Which of the
follo𝑤ing is most likely?
A. Corneal abrasion
B.Acute bacterial conjunctivitis
⬛
C.Acute uveitis
D.Subconjunctival hemorrhageANS D. Subconjunctival hemorrhage. Bright red blood
h h h
in a sharply defined area surrounded by normal-appearing conjunctiva indicates subconjunctival
h h
hemorrhage.
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A 𝑤oman is being evaluated by the nurse practitioner for complaints of dyspareunia. A microscopy
slide reveals a large number of atrophic squamous epithelial cells. The vaginal pH is 4.0. There are
veryfe𝑤leukocytes and no RBCs are seen on the 𝑤et smear.Which of the follo𝑤ing is most likely?
h
A.Atrophic vaginitis
B. BacterialVaginosis
⬛
C. Trichomoniasis
D. This is a normal finding.ANS A.Atrophic vaginitis. Symptoms of atrophic vaginitis include
painful intercourse, atrophic squamous epithelial cells, and a decrease in pH. Vaginal atrophy is
caused bylackoforimbalanceofestrogen. NormalpHofthevaginais 4.0-5.0(acidic) h
Themost common type ofskin malignancyis:
h
A. Squamous cell cancer
B. Basal skin cancer
⬛
C. Melanoma
D.Dysplastic nevi ANS
h B. Basal skin cancer. It is severaltimesmore common that squamous cell
h h
skin cancer accordingto the NIH.
Koplik's spots areassociated 𝑤ith:
h
A. Poxvirius infections
B. Measles
⬛
C. Ka𝑤asaki's disease
D. Reye'ssyndromeANS B. Measles. S/S include fever over 101, coryza, cough,
h
conjunctivitis, rash, and koplik'sspotsonbuccalmucosa
h
At 𝑤hat level of prevention 𝑤ould you classify for lung cancer?
h
A. Primary prevention
B. Secondary prevention
⬛
C.Tertiaryprevention
D. Primordial prevention ANS h D. primordial prevention. Screening for lung canceris
h h
not currently recommended in the general population, but it is secondary prevention.
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