APEA QBank Practice Test Well tackled 2024

A gray or white ring present around the peripheral iris - ANSWERSarcus senilis A loss of the central sulcus of the prostate on DRE is a sign of what? - ANSWERSBPH A male patient presents to your clinic with a lump in his breast. How should we work this up? - ANSWERSclinical breast exam, mammogram, AND ultrasound A positive "drop arm" test is a sign of what? - ANSWERStorn rotator cuff A woman who gets the MMR vaccine should wait at least __________ before getting pregnant. - ANSWERS4 weeks ACEIs can cause what electrolyte abnormality? - ANSWERShyperkalemia After exposure to HIV, when will the patient seroconvert and become positive? - ANSWERS3 months An herbal supplement thought to help BPH - ANSWERSsaw palmetto an inflammation in the hip joint that causes pain, limp and sometimes refusal to bear weight. This occurs in pre-pubescent children and is the most common cause of hip pain. It occurs when a viral infection, such as an upper respiratory infection, moves to and settles in the hip joint. - ANSWERStransient synovitis Ankle inversion is a common complaint from a patient with what? - ANSWERSa lateral ankle sprain Are saturated or unsaturated fatty acids better for you? - ANSWERSunsaturated Children can start to ride a tricycle around age _____ - ANSWERS3 Diphenhydramine has __________ properties and is contraindicated in which patient populations? - ANSWERSanticholinergic; elderly and those with glaucoma Dix Hallpike maneuver is the standard clinical test for _______ - ANSWERSBPPV For a patient on warfarin who needs to receive a tetracycline antibiotic, how will we adjust their warfarin? - ANSWERStetracyclines depress prothrombin activity, same as warfarin, so we need to decrease the warfarin to avoid an increase in INR and significant bleeding Growing pains often start in what age group? - ANSWERS3-5 HCTZ can cause _________, whereas ACEI can cause _________ - ANSWERShypokalemia; hyperkalemia hey - ANSWERSstopped at top of page 7 HMO and PPOs are called what? - ANSWERSmanaged care plans How can we best diagnose coarctation of the aorta? - ANSWERSby comparing the upper and lower extremity blood pressures How do we manage rubella immunity in pregnant women? - ANSWERSwe screen all pregnant women with a rubella titer. If they had a protective rubella titer in a previous pregnancy, then they do not need to be checked again. If they are found to not be immune when pregnant, then she should be vaccinated AFTER delivery How do we test cerebellar function? - ANSWERSrapid alternating movements, finger to nose test, balance (romberg), gait How do we treat thrush in infants? - ANSWERSapplication of nystatin to inside of the mouth, sterilize all pacifiers and bottle nipples; a topical antifungal may be applied to the nipples How does plantar fasciitis usually present? - ANSWERSas pain in the morning with resolution after several steps, but as it worsens the patient will start to complain of heel pain throughout the day and with walking How is a diagnosis of neuroblastoma confirmed? - ANSWERSvia serum catecholamine testing and a biopsy How is influenza diagnosed? - ANSWERSa nasal swab How is permethrin applied to the skin for scabies? - ANSWERSa one time application to all skin below the neck and then left on for 8-12 hours is sufficient How long must a tick be attached to the skin in order for Lyme disease to be transferred? - ANSWERS48 hours Hyperparathyroidism can cause what? - ANSWERShypercalcemia and thus, osteoporosis If a patient with strep comes back after 48 hours with no improvement on antibiotics, what should you then prescribe? - ANSWERSa penicillin or cephalosporin with beta lactamase coverage Immunizations are considered to be what level of prevention? - ANSWERSprimary In the presence of an elevated serum TSH, what is the next step in management? - ANSWERSrepeat TSH plus free T4 Is age less than 18 years a risk factor for an ectopic pregnancy? - ANSWERSno; but personal history of PID, an IUD, previous ectopic pregnancy, previous tubal surgery, pathology, or ligation all are risk factors Is Meniere's disease most often unilateral or bilateral? - ANSWERSunilateral Koilonychia is a sign of what? - ANSWERSiron deficiency anemia Normal weight people should gain how much weight during pregnancy? - ANSWERS25-35 pounds Obese women should gain how much weight during pregnancy? - ANSWERS11-20 pounds Oral contraceptive regimen in which both the estrogen and progesterone concentrations vary throughout the cycle - ANSWERSquadriphasic Oral contraceptive regimen in which in the estrogen dose remains the same for the first 21 days of the cycle, while progestin is lower in the first half and higher in the second half - ANSWERSbiphasic Oral contraceptive regimen in which the estrogen and progestin doses are fixed throughout the cycle - ANSWERSmonophasic Oral contraceptive regimen in which the estrogen remains consistent and the progestin dose varies - ANSWERStriphasic Overweight women should gain how much weight during pregnancy? - ANSWERS15-25 pounds