Apea predictor Exam A+GRADED..
1. A 15 years old high school student with a mild sore throat and low-grade
fever that has persisted for about 3 weeks. She reports general malaise,
fatigue, and loss of appetite. The NP suspects mononucleosis. Which of the
following is the LEAST appropriate intervention?
Palpate the lymph nodes and spleen
Examine the posterior oropharynx for petechiae Obtain a CBC, throat culture,
and heterophil antibody test.
Obtain an urinalyses and serum for LFTs and amylase: Obtain an urinalyses
and serum for LFTs and amylase
Explanation: mononucleosis is a symptomatic infection caused by the Epstein-Bar
virus. Common is people 15-24 years of age. Common signs and symptoms follow-
ing incubation period (1-2 months) include fatigue, chills, malaise, anorexia, white
tonsillar exudates and lymphadenopathy or posterior cervical region. Splenomegaly
can be present. A maculopapular or occasionally a petechial rash occurs in less
than 15% of patients. A diagnosis is usually made using the Monospot. In addition,
neutropenia and lymphocytosis are usually detected in the CBC
2. A 32 years old male patient complaint of urinary frequency and burning on
urination for 3 days. Urinalyses reveals bacteriuria and positive nitrites. He
denies any past hx. Of urinary tract infections.The initial treatment should be:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
b. ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-Sulfamethoxazole for 3 days
d. 750 mg ciprofloxacin as a one-time dose: . trimethoprim-sulfamethoxazole
(Bactrim, Sulfatrim) for 7-10 day
Explanation: trimethoprim-sulfamethoxazole (TMPS) is usually n appropriate med-
ication to treat urinary tract infections in most patients. In the case of community
, resistance to TMPS >20%^, another medication should be substituted. In men, the
appropriate length of time is 7 10 days. Women may be treated for 3 days for
uncomplicated UTI
1. A 15 years old high school student with a mild sore throat and low-grade
fever that has persisted for about 3 weeks. She reports general malaise,
fatigue, and loss of appetite. The NP suspects mononucleosis. Which of the
following is the LEAST appropriate intervention?
Palpate the lymph nodes and spleen
Examine the posterior oropharynx for petechiae Obtain a CBC, throat culture,
and heterophil antibody test.
Obtain an urinalyses and serum for LFTs and amylase: Obtain an urinalyses
and serum for LFTs and amylase
Explanation: mononucleosis is a symptomatic infection caused by the Epstein-Bar
virus. Common is people 15-24 years of age. Common signs and symptoms follow-
ing incubation period (1-2 months) include fatigue, chills, malaise, anorexia, white
tonsillar exudates and lymphadenopathy or posterior cervical region. Splenomegaly
can be present. A maculopapular or occasionally a petechial rash occurs in less
than 15% of patients. A diagnosis is usually made using the Monospot. In addition,
neutropenia and lymphocytosis are usually detected in the CBC
2. A 32 years old male patient complaint of urinary frequency and burning on
urination for 3 days. Urinalyses reveals bacteriuria and positive nitrites. He
denies any past hx. Of urinary tract infections.The initial treatment should be:
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day
b. ciprofloxacin (Cipro) for 3-5 days
c. Trimethoprim-Sulfamethoxazole for 3 days
d. 750 mg ciprofloxacin as a one-time dose: . trimethoprim-sulfamethoxazole
(Bactrim, Sulfatrim) for 7-10 day
Explanation: trimethoprim-sulfamethoxazole (TMPS) is usually n appropriate med-
ication to treat urinary tract infections in most patients. In the case of community
, resistance to TMPS >20%^, another medication should be substituted. In men, the
appropriate length of time is 7 10 days. Women may be treated for 3 days for
uncomplicated UTI
