REAL APEA FINAL EXAM QUESTION AND CORRECT
DETAILED ANSWERS LATEST SOLUTIONS 2024-2025
ALREADY GRADED A+
What characteristic should make the nurse practitioner suspect that a
pneumonia is secondary to DRSP?
Recent airplane travel
Exposure to another patient who has DRSP
Adolescence
Recent antibiotic exposure - ANSWER-Recent antibiotic exposure
What characteristic best distinguishes asthma from COPD?
Severity of shortness of breath
Need for rescue medicine
Use of steroids for exacerbations
Presence of inflammation - ANSWER-Presence of inflammation
A 70 year old smoker presents with right unilateral wheezing. A chest x-ray
demonstrates right enlarged hilar nodes. What should be done next?
Refer to oncology
Order CT chest with contrast
Order pulmonary function tests
Order CBC, CMP - ANSWER-Order CT chest with contrast
, REAL APEA FINAL EXAM QUESTION AND CORRECT
DETAILED ANSWERS LATEST SOLUTIONS 2024-2025
ALREADY GRADED A+
A 74 year old patient has symptoms of depression. Treatment with
sertraline is being considered. Which studies might be most important to
order?
EKG, B12, TSH
B12, folate, TSH
CBC, B12, folate
EKG, B12, folate, TSH - ANSWER-B12, folate, TSH
A patient who was on Lisinopril developed a cough. What finding in this
patient supports a diagnosis of ACE inhibitor related cough?
It is accompanied by a wheeze.
It is a productive cough.
He has shortness of breath.
Cough started 4 days after lisinopril was begun. - ANSWER-Cough started 4 days
after lisinopril was begun
A 24 year old college student (otherwise healthy, non-smoker) has
community acquired pneumonia. She has taken amoxicillin with clavulanate
for the past 3 days. Her fever persists. How should she be managed?
Continue amoxicillin with clavulanate for 2 more days.
, REAL APEA FINAL EXAM QUESTION AND CORRECT
DETAILED ANSWERS LATEST SOLUTIONS 2024-2025
ALREADY GRADED A+
Stop amoxicillin with clavulanate and start levofloxacin.
Start doxycycline.
Stop amoxicillin with clavulanate and start azithromycin. - ANSWER-Stop
Augmentin and start azithromycin
A young adult who has asthma has used low dose steroid inhaler twice
daily with good control for the past 3 months. In the last two weeks, he has
had daily symptoms of cough and chest tightness. What plan would help
alleviate his symptoms?
Add oral steroid once daily for 5 days
Add a LABA twice daily
Add a long acting anticholinergic medication
Discontinue the steroid, add a LABA - ANSWER-Add a LABA twice daily
What patient is most likely to harbor an atypical pathogen?
A 19 year old type 1 diabetic
A 27 year old with asthma, recent sinus infection treated with
amox/clav
A 39 year old smoker of 1 PPD
A 48 year old who has teenagers in the household - ANSWER-A 48 year old who
has teenagers in the household
, REAL APEA FINAL EXAM QUESTION AND CORRECT
DETAILED ANSWERS LATEST SOLUTIONS 2024-2025
ALREADY GRADED A+
A patient who has moderate persistent asthma takes fluticasone twice daily
but is still having symptoms. What medication listed below will be of little
benefit in management of this patient's wheezing and cough? Select all that
apply.
Theophylline
Albuterol
Tiotropium
Salmeterol - ANSWER-Theophylline and tiotropium
Mr. Boudreaux, a 78 year old male smoker, has Stage II COPD. He has
received a prescription for ipratropium. What problem is likely after he begins
the ipratropium? Medical History: Dysrhythmias, Cataracts, Osteoporosis,
Glaucoma, HTN, Pre-DM
Hypertension
Urinary retention
Pathologic fracture
Increased intraocular pressure - ANSWER-Increased intraocular pressure
A 30 year old female patient with moderate persistent asthma has a
temperature of 102°F, bilateral wheezes, mild SOB, and purulent sputum.
DETAILED ANSWERS LATEST SOLUTIONS 2024-2025
ALREADY GRADED A+
What characteristic should make the nurse practitioner suspect that a
pneumonia is secondary to DRSP?
Recent airplane travel
Exposure to another patient who has DRSP
Adolescence
Recent antibiotic exposure - ANSWER-Recent antibiotic exposure
What characteristic best distinguishes asthma from COPD?
Severity of shortness of breath
Need for rescue medicine
Use of steroids for exacerbations
Presence of inflammation - ANSWER-Presence of inflammation
A 70 year old smoker presents with right unilateral wheezing. A chest x-ray
demonstrates right enlarged hilar nodes. What should be done next?
Refer to oncology
Order CT chest with contrast
Order pulmonary function tests
Order CBC, CMP - ANSWER-Order CT chest with contrast
, REAL APEA FINAL EXAM QUESTION AND CORRECT
DETAILED ANSWERS LATEST SOLUTIONS 2024-2025
ALREADY GRADED A+
A 74 year old patient has symptoms of depression. Treatment with
sertraline is being considered. Which studies might be most important to
order?
EKG, B12, TSH
B12, folate, TSH
CBC, B12, folate
EKG, B12, folate, TSH - ANSWER-B12, folate, TSH
A patient who was on Lisinopril developed a cough. What finding in this
patient supports a diagnosis of ACE inhibitor related cough?
It is accompanied by a wheeze.
It is a productive cough.
He has shortness of breath.
Cough started 4 days after lisinopril was begun. - ANSWER-Cough started 4 days
after lisinopril was begun
A 24 year old college student (otherwise healthy, non-smoker) has
community acquired pneumonia. She has taken amoxicillin with clavulanate
for the past 3 days. Her fever persists. How should she be managed?
Continue amoxicillin with clavulanate for 2 more days.
, REAL APEA FINAL EXAM QUESTION AND CORRECT
DETAILED ANSWERS LATEST SOLUTIONS 2024-2025
ALREADY GRADED A+
Stop amoxicillin with clavulanate and start levofloxacin.
Start doxycycline.
Stop amoxicillin with clavulanate and start azithromycin. - ANSWER-Stop
Augmentin and start azithromycin
A young adult who has asthma has used low dose steroid inhaler twice
daily with good control for the past 3 months. In the last two weeks, he has
had daily symptoms of cough and chest tightness. What plan would help
alleviate his symptoms?
Add oral steroid once daily for 5 days
Add a LABA twice daily
Add a long acting anticholinergic medication
Discontinue the steroid, add a LABA - ANSWER-Add a LABA twice daily
What patient is most likely to harbor an atypical pathogen?
A 19 year old type 1 diabetic
A 27 year old with asthma, recent sinus infection treated with
amox/clav
A 39 year old smoker of 1 PPD
A 48 year old who has teenagers in the household - ANSWER-A 48 year old who
has teenagers in the household
, REAL APEA FINAL EXAM QUESTION AND CORRECT
DETAILED ANSWERS LATEST SOLUTIONS 2024-2025
ALREADY GRADED A+
A patient who has moderate persistent asthma takes fluticasone twice daily
but is still having symptoms. What medication listed below will be of little
benefit in management of this patient's wheezing and cough? Select all that
apply.
Theophylline
Albuterol
Tiotropium
Salmeterol - ANSWER-Theophylline and tiotropium
Mr. Boudreaux, a 78 year old male smoker, has Stage II COPD. He has
received a prescription for ipratropium. What problem is likely after he begins
the ipratropium? Medical History: Dysrhythmias, Cataracts, Osteoporosis,
Glaucoma, HTN, Pre-DM
Hypertension
Urinary retention
Pathologic fracture
Increased intraocular pressure - ANSWER-Increased intraocular pressure
A 30 year old female patient with moderate persistent asthma has a
temperature of 102°F, bilateral wheezes, mild SOB, and purulent sputum.
