APEA PRE PREDICTOR NP EXAM LATEST ACTUAL EXAM 350+
QUESTIONS AND CORRECT ANSWERS WITH RATIONALES /UNTIL
NOW GRADED A
What is the USPSTF's recommendation on scoliosis screening for adolescents? -
insufficient
When should adolescent girls be screened for scoliosis? - as early as 10 years old and
then again at age 12
When should adolescent boys be screening for scoliosis? - between age 12-13
What is Auspitz sign? - the appearance of small bleeding points after successive layers
of scale have been removed from the surface of psoriatic papules or plaques
A positive Auspitz sign is indicative of what? - psoriasis
When are pregnant women screening for gestational diabetes? - week 24-28
What is round ligament pain? - a deep, sharp, stabbing or stretching sensation that
begins or worsens with movement and can be unilateral or bilateral. This is a normal
and benign part of pregnancy
What are the components of the fetal biophysical profile? - nonstress test (heart rate
monitoring), amniotic fluid analysis, fetal movements, fetal tone, and fetal breathing
How is the fetal biophysical profile performed? - via ultrasound and fetal heart rate
monitoring
When is the fetal biophysical profile often performed? - in the third trimester, often after
week 28-32
What is a normal kick count in pregnancy? - at least 10 kicks in a consecutive two hour
period
How much weight should an underweight woman gain in pregnancy? - 28-40 pounds
How much weight should a normal weight woman gain in pregnancy? - 25-35 pounds
How much weight should an overweight woman gain in pregnancy? - 15-25 pounds
How much weight should an obese woman gain in pregnancy? - 11-20 pounds
,Underweight and normal weight woman should be gaining how much weight per week
in their second and third trimesters? - 1 pound
Overweight and obese women should be gaining how much weight per week in their
second and third trimesters? - 0.5 pounds
What is the biggest risk associated with scabies? - secondary infection due to itching
What do scabies look like on the skin? - red papular bumps that have s shaped burrows
on them; may have fluid coming from them
Sickle cell anemia is what type of anemia? - normocytic
How is sickle cell anemia diagnosed? - hemoglobin electrophoresis
Which age group is rheumatic fever most common in? - children ages 5-15
What are the major symptoms of rheumatic fever? - carditis, arthritis, chorea, erythema
marginatum (rash), subcutaneous nodules
What are the minor symptoms of rheumatic fever? - fever, elevated ESR, prolonged PR
interval
How do we treat rheumatic fever? - refer to the hospital
What is chorea? - abnormal involuntary movements
What are the main s/s of rubeiola (measles) - Koplick spots + the 3 c's - cough, coryza,
conjunctivitis
GABHS infection puts individuals at the highest risk of developing what sequelae? -
peritonsillar abscess, glomerulonephritis, rheumatic fever
What is the diagnostic criteria for acute rheumatic fever? - 2 major criteria OR 1 major +
2 minor criteria PLUS evidence of a recent strep infection
When can a breastfeeding mother breast feed again after drinking alcohol? - wait 2-3
hours per drink consumed before breastfeeding again
Can a mother take methadone while pregnant and breastfeeding? - yes
Does subsequent mean before or after? - after
What is the recommended treatment for Kawasaki disease? - refer to the ED, will likely
need IVIG and high dose aspirin
,What are the s/s of Kawasaki disease? - fever + CREAM (conjunctivitis, rash, erythema
of palms and soles, adenopathy cervical, mucous membranes)
Kawasaki disease is caused by what? - an acute vasculitis of the small and medium
blood vessels
What is the main difference between Kawasaki disease and scarlet fever? - KD has
conjunctivitis and scarlet fever does not
The rash associated with acute rheumatic fever - erythema marginatum
The rash associated with parvovirus aka slapped cheek aka fifth disease - erythema
infectiosum
What does erythema marginatum of rheumatic fever look like? - erythematous with a
central clearing, not itchy
The medical term for tennis elbow - lateral epicondylitis
What is the leading cause of death in anorexia? - suicide
Erikson stage from birth to 18 months - trust vs mistrust
Erikson stage from 18 months to 3 years - autonomy vs shame and doubt
Erikson stage from 3-5 years - initiative vs guilt
Erikson stage from 5-13 years - industry vs inferiority
Erikson stage from 13-21 years - identity vs role confusion
Erikson stage from 21-39 years - intimacy vs isolation
Erikson stage from 40-65 years - generativity vs stagnation
Erikson stage for 65 and older - ego integrity vs despair
Macrobid/nitrofurantoin is contraindicated in which patients? - those with renal
insufficiency
Treatment options for complicated UTI - cipro or levo x 5-7 days
Treatment options for uncomplicated UTI - bactrim x 3 days, macrobid x 5 days,
fosfamycin 1g one time dose
, Olecranon bursitis is pain in which region of the elbow? - the posterior elbow; will also
have swelling and warmth
Lateral epicondylitis manifests as what type of elbow pain? - weak grip and pain with
gripping, pain with rotation of the wrist and forearm
The medical term for golfer's elbow - medial epicondylitis
How does the pain in lateral vs. medial epicondylitis differ? - lateral epicondylitis is
worse with supination of the hand and medial epicondylitis is worse with pronation of the
hand
involves tapping a finger along the problem nerve - tinel sign
asking the patient to place both elbows on a table while keeping both forearms vertical
and flexing both wrists - phalen sign
Which nerve runs on the side of the thumb - median nerve
Which nerve runs on the side of the pinky finger - ulnar nerve
What is ankylosing spondylitis? - an inflammatory condition affecting the spine causing
chronic back pain and stiffness that improves with exercise and enthesitis
What is the treatment for ankylosing spondylitis? - refer to rheumatology for possible
DMARDs
What are the s/s of polymyalgia rheumatica? - chronic pain in the proximal joints
(shoulders and hips) bilaterally with stiffness lasting for more than 45 minutes
What is the recommended treatment for polymyalgia rheumatica? - PO steroids and
refer to Rheumatology to confirm the diagnosis
Where are the biggest food sources of vitamin B12? - fish, meat, poultry, eggs, and
dairy products, also fortified breakfast cereals and fortified nutritional yeasts
What is the gold standard for the diagnosis of herpes? - nucleic acid amplification test
Most cases of acute sinusitis are viral and how can we treat them? - treat the symptoms
with intranasal steroids and saline rinses
What is the difference between chronic vs gestational hypertension? - chronic htn is
present before 20 weeks gestation or 12 weeks after delivery; gestational hypertension
is after 20 weeks gestation
QUESTIONS AND CORRECT ANSWERS WITH RATIONALES /UNTIL
NOW GRADED A
What is the USPSTF's recommendation on scoliosis screening for adolescents? -
insufficient
When should adolescent girls be screened for scoliosis? - as early as 10 years old and
then again at age 12
When should adolescent boys be screening for scoliosis? - between age 12-13
What is Auspitz sign? - the appearance of small bleeding points after successive layers
of scale have been removed from the surface of psoriatic papules or plaques
A positive Auspitz sign is indicative of what? - psoriasis
When are pregnant women screening for gestational diabetes? - week 24-28
What is round ligament pain? - a deep, sharp, stabbing or stretching sensation that
begins or worsens with movement and can be unilateral or bilateral. This is a normal
and benign part of pregnancy
What are the components of the fetal biophysical profile? - nonstress test (heart rate
monitoring), amniotic fluid analysis, fetal movements, fetal tone, and fetal breathing
How is the fetal biophysical profile performed? - via ultrasound and fetal heart rate
monitoring
When is the fetal biophysical profile often performed? - in the third trimester, often after
week 28-32
What is a normal kick count in pregnancy? - at least 10 kicks in a consecutive two hour
period
How much weight should an underweight woman gain in pregnancy? - 28-40 pounds
How much weight should a normal weight woman gain in pregnancy? - 25-35 pounds
How much weight should an overweight woman gain in pregnancy? - 15-25 pounds
How much weight should an obese woman gain in pregnancy? - 11-20 pounds
,Underweight and normal weight woman should be gaining how much weight per week
in their second and third trimesters? - 1 pound
Overweight and obese women should be gaining how much weight per week in their
second and third trimesters? - 0.5 pounds
What is the biggest risk associated with scabies? - secondary infection due to itching
What do scabies look like on the skin? - red papular bumps that have s shaped burrows
on them; may have fluid coming from them
Sickle cell anemia is what type of anemia? - normocytic
How is sickle cell anemia diagnosed? - hemoglobin electrophoresis
Which age group is rheumatic fever most common in? - children ages 5-15
What are the major symptoms of rheumatic fever? - carditis, arthritis, chorea, erythema
marginatum (rash), subcutaneous nodules
What are the minor symptoms of rheumatic fever? - fever, elevated ESR, prolonged PR
interval
How do we treat rheumatic fever? - refer to the hospital
What is chorea? - abnormal involuntary movements
What are the main s/s of rubeiola (measles) - Koplick spots + the 3 c's - cough, coryza,
conjunctivitis
GABHS infection puts individuals at the highest risk of developing what sequelae? -
peritonsillar abscess, glomerulonephritis, rheumatic fever
What is the diagnostic criteria for acute rheumatic fever? - 2 major criteria OR 1 major +
2 minor criteria PLUS evidence of a recent strep infection
When can a breastfeeding mother breast feed again after drinking alcohol? - wait 2-3
hours per drink consumed before breastfeeding again
Can a mother take methadone while pregnant and breastfeeding? - yes
Does subsequent mean before or after? - after
What is the recommended treatment for Kawasaki disease? - refer to the ED, will likely
need IVIG and high dose aspirin
,What are the s/s of Kawasaki disease? - fever + CREAM (conjunctivitis, rash, erythema
of palms and soles, adenopathy cervical, mucous membranes)
Kawasaki disease is caused by what? - an acute vasculitis of the small and medium
blood vessels
What is the main difference between Kawasaki disease and scarlet fever? - KD has
conjunctivitis and scarlet fever does not
The rash associated with acute rheumatic fever - erythema marginatum
The rash associated with parvovirus aka slapped cheek aka fifth disease - erythema
infectiosum
What does erythema marginatum of rheumatic fever look like? - erythematous with a
central clearing, not itchy
The medical term for tennis elbow - lateral epicondylitis
What is the leading cause of death in anorexia? - suicide
Erikson stage from birth to 18 months - trust vs mistrust
Erikson stage from 18 months to 3 years - autonomy vs shame and doubt
Erikson stage from 3-5 years - initiative vs guilt
Erikson stage from 5-13 years - industry vs inferiority
Erikson stage from 13-21 years - identity vs role confusion
Erikson stage from 21-39 years - intimacy vs isolation
Erikson stage from 40-65 years - generativity vs stagnation
Erikson stage for 65 and older - ego integrity vs despair
Macrobid/nitrofurantoin is contraindicated in which patients? - those with renal
insufficiency
Treatment options for complicated UTI - cipro or levo x 5-7 days
Treatment options for uncomplicated UTI - bactrim x 3 days, macrobid x 5 days,
fosfamycin 1g one time dose
, Olecranon bursitis is pain in which region of the elbow? - the posterior elbow; will also
have swelling and warmth
Lateral epicondylitis manifests as what type of elbow pain? - weak grip and pain with
gripping, pain with rotation of the wrist and forearm
The medical term for golfer's elbow - medial epicondylitis
How does the pain in lateral vs. medial epicondylitis differ? - lateral epicondylitis is
worse with supination of the hand and medial epicondylitis is worse with pronation of the
hand
involves tapping a finger along the problem nerve - tinel sign
asking the patient to place both elbows on a table while keeping both forearms vertical
and flexing both wrists - phalen sign
Which nerve runs on the side of the thumb - median nerve
Which nerve runs on the side of the pinky finger - ulnar nerve
What is ankylosing spondylitis? - an inflammatory condition affecting the spine causing
chronic back pain and stiffness that improves with exercise and enthesitis
What is the treatment for ankylosing spondylitis? - refer to rheumatology for possible
DMARDs
What are the s/s of polymyalgia rheumatica? - chronic pain in the proximal joints
(shoulders and hips) bilaterally with stiffness lasting for more than 45 minutes
What is the recommended treatment for polymyalgia rheumatica? - PO steroids and
refer to Rheumatology to confirm the diagnosis
Where are the biggest food sources of vitamin B12? - fish, meat, poultry, eggs, and
dairy products, also fortified breakfast cereals and fortified nutritional yeasts
What is the gold standard for the diagnosis of herpes? - nucleic acid amplification test
Most cases of acute sinusitis are viral and how can we treat them? - treat the symptoms
with intranasal steroids and saline rinses
What is the difference between chronic vs gestational hypertension? - chronic htn is
present before 20 weeks gestation or 12 weeks after delivery; gestational hypertension
is after 20 weeks gestation
