2024 APEA REAL EXAM WITH 100% 300 VERIFIED
QUESTIONS AND ANSWERS ALREADY A GRADE
What is the first line treatment for trigeminal neuralgia? - carbamazepine (tegretol) or
amitriptyline. also want to do gabapentin or something for nerve pain
What is the recommended treatment for Bell's palsy? - steroids and anti-virals
How is the pain of trigeminal neuralgia vs temporal arteritis different? - in trigeminal
neuralgia, the pain is like a shock hitting the side of your face whereas temporal arteritis
is more like a headache
What are the preventative treatment options for migraines? - beta blockers,
amitriptyline, venlafaxine, topamax, valproate
What is Addison's disease? - adrenal insufficiency; the patient will be low in cortisol and
sodium but their potassium will be high
What are s/s of Addison's disease? - bronze or discolored skin, salt cravings
a rare complication of pregnancy characterized by the abnormal growth of trophoblasts,
the cells that normally develop into the placenta - molar pregnancy
What bacteria is the leading cause of urethritis? - neisseria gonorrhea
What is the most common cause of hypercortisolism? - excessive ACTH production
How do we treat developmental hip dysplasia in a child under 6 months? - Pavlik
harness; if older than 6 months may need surgery
It is recommended that all children younger than __________ with sickle cell anemia
take daily prophylactic antibiotics. What antibiotic is this? - 5 years old; penicillin
When can cervical cancer screening stop if no abnormal screening history is present? -
age 65
When should breast cancer screening begin and end with a biannual mammogram? -
age 50-74
When should colorectal cancer screening stop? - age 85
,Who qualifies for a low dose CT scan for lung cancer screening purposes? - age 50-80
years anyone who currently smokes or has stopped smoking within the last 5 years
What does an ASC-US (atypical squamos cells of undetermined significance) pap
smear result necessitate? - Do HPV testing with this. If positive, repeat in one year if
age 21-24 or send for colposcopy if older than 25. If negative, repeat pap in 3 years.
Which pap smear result is considered to be HPV positive? - LSIL
If a patient has LSIL with a negative HPV test, what would you do? - repeat in 1 year
If a patient has LSIL with no HPV test or a positive HPV test, what should you do? -
refer for colposcopy
If a patient's pap results show NILM, what should you do? - repeat in 3 years
If a patient's pap results show ASC-H or HSIL what should you do? - refer for
colposcopy
The valgus stress test assesses what? - the medial collateral ligament
The varus stress test assesses what? - the lateral collateral ligament
The Lachman's test assesses what? - the ACL
The McMurray's test assesses for what? - a torn meniscus
The anterior drawer test assesses what? - the acl
The posterior drawer test assesses what? - the posterior cruciate ligament (pcl)
a normal rise in blood sugar as a person's body prepares to wake up due to a release of
cortisol and growth hormone - dawn phenomenon
How can you tell between the dawn and somogyi effect? - If the blood sugar level is low
at 2 a.m. to 3 a.m., suspect the Somogyi effect. If the blood sugar level is normal or high
at 2 a.m. to 3 a.m., it's likely the dawn phenomenon.
A 14yo male with bronchitis is being treated with fluids and expectorants. He returns to
the clinic with a fever of 103F, right pleuritic chest pain, and green sputum. Which of the
following examination results would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion - A. Right lower lobe crackles.
,2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow"). After
closed manipulation, the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the arm - C. The child quickly
begins to use the affected arm.
Which of the following would be an appropriate alternative to erythromycin therapy in an
18 year old patient with Mycoplasma pneumoniae infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin) - A. Azithromycin
A 10-month old presents with a rash, runny nose, and cough. Examination reveals a
cluster of tiny white papuls with an erythematous base on the buccal mucosa. What
does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles - D. Measles
Office Spriometry performed with an albuterol nebulizer treatment can confirm a
diagnosis of asthma because it indicates:
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway obstruction - D. Whether a patient has
reversible airway obstruction
An 18yr old patient presents with complaints of maxillary facial pain and yellow nasal
discharge for 14 days. What is the appropriate initial pharmacologic intervention?
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
C. Levofloxacin (Levaquin)
D. Erythromycin - A. Amoxicillin-Clavulanate (Augmentin)
Which of the following is the leading cause of cancer-related deaths in the majority of
women?
A. cervical Cancer
B. Ovarian Cancer
C. Breat Cancer
D. Lung Cancer - D. Lung Cancer
A 29-year old male with noncomplicated Chlamidia infection may exhibit:
, A. Urticaria
B. No remarkable clinical symptoms
C. A green mucoid penile discharge
D. A penile ulcer - B. No remarkable clinical symptoms
To assess a patient's ability to think abstractly, a nurse practitioner could ask the
patient:
A. The meaning of a common proverb
B. What action the patient would take if their was a fire in the house
C. To count backwards from 100 by 7s
D. To spell a word backward. - A. The meaning of a common proverb
A common rule to follow when prescribing many medications for the elderly is to:
A. Give most medications in the morning to allow slowed body functions to have time to
adjust to the drug.
B. Start at a lower dose than what is commonly prescribed for adults, and increase the
dose slowly.
C. Perform a creatinine clearance test for baseline data on all person over age 70
before starting on new medications.
D. Give medication with a full glass of water to promote absorption and limit harm to the
kidneys. - B. Start at a low dose than what is commonly prescribed for adults, and
increase the dose slowly.
A 72 year old female presents with a medical history unremarkable except for the
occasional headache. She enjoyed emotional health throughout marriage and
childrearing, although her family history is significant for strokes and nervous
breakdowns. Since her husband died a year ago, however, she has been waking every
morning at 3am, is reluctant to go out although she has family member living nearby,
and feels a continual urge to sleep. She cannot discuss her late husband without crying.
Differential diagnoses would include:
A. Stroke, depression, and hyperthyroidism
B. Depression, Unresolved grief, and hypothyroidism
C. Migraine, anxiety disorder, and hypertension
D. Dementia, delirium, and pna - B. Depression, Unresolved grief, and hypothyroidism
The parent of a 13-year old diagnosed with seizure disorder calls to report that the child
is exhibiting symptoms of a cold, but has no fever. The nurse practitioner should advise
the parent that development of fever may:
A. make the seizure medication less effective
B. Lower the seizure threshold
C. Increase the seizure threshold
D. Have no effect on the seizure threshold - B. Lower the seizure threshold
After a 3-week camping trip, an 11-year old is seen for a target lesion with central
clearing, located in the inguinal area. The patient has had a severe headache, malaise,
QUESTIONS AND ANSWERS ALREADY A GRADE
What is the first line treatment for trigeminal neuralgia? - carbamazepine (tegretol) or
amitriptyline. also want to do gabapentin or something for nerve pain
What is the recommended treatment for Bell's palsy? - steroids and anti-virals
How is the pain of trigeminal neuralgia vs temporal arteritis different? - in trigeminal
neuralgia, the pain is like a shock hitting the side of your face whereas temporal arteritis
is more like a headache
What are the preventative treatment options for migraines? - beta blockers,
amitriptyline, venlafaxine, topamax, valproate
What is Addison's disease? - adrenal insufficiency; the patient will be low in cortisol and
sodium but their potassium will be high
What are s/s of Addison's disease? - bronze or discolored skin, salt cravings
a rare complication of pregnancy characterized by the abnormal growth of trophoblasts,
the cells that normally develop into the placenta - molar pregnancy
What bacteria is the leading cause of urethritis? - neisseria gonorrhea
What is the most common cause of hypercortisolism? - excessive ACTH production
How do we treat developmental hip dysplasia in a child under 6 months? - Pavlik
harness; if older than 6 months may need surgery
It is recommended that all children younger than __________ with sickle cell anemia
take daily prophylactic antibiotics. What antibiotic is this? - 5 years old; penicillin
When can cervical cancer screening stop if no abnormal screening history is present? -
age 65
When should breast cancer screening begin and end with a biannual mammogram? -
age 50-74
When should colorectal cancer screening stop? - age 85
,Who qualifies for a low dose CT scan for lung cancer screening purposes? - age 50-80
years anyone who currently smokes or has stopped smoking within the last 5 years
What does an ASC-US (atypical squamos cells of undetermined significance) pap
smear result necessitate? - Do HPV testing with this. If positive, repeat in one year if
age 21-24 or send for colposcopy if older than 25. If negative, repeat pap in 3 years.
Which pap smear result is considered to be HPV positive? - LSIL
If a patient has LSIL with a negative HPV test, what would you do? - repeat in 1 year
If a patient has LSIL with no HPV test or a positive HPV test, what should you do? -
refer for colposcopy
If a patient's pap results show NILM, what should you do? - repeat in 3 years
If a patient's pap results show ASC-H or HSIL what should you do? - refer for
colposcopy
The valgus stress test assesses what? - the medial collateral ligament
The varus stress test assesses what? - the lateral collateral ligament
The Lachman's test assesses what? - the ACL
The McMurray's test assesses for what? - a torn meniscus
The anterior drawer test assesses what? - the acl
The posterior drawer test assesses what? - the posterior cruciate ligament (pcl)
a normal rise in blood sugar as a person's body prepares to wake up due to a release of
cortisol and growth hormone - dawn phenomenon
How can you tell between the dawn and somogyi effect? - If the blood sugar level is low
at 2 a.m. to 3 a.m., suspect the Somogyi effect. If the blood sugar level is normal or high
at 2 a.m. to 3 a.m., it's likely the dawn phenomenon.
A 14yo male with bronchitis is being treated with fluids and expectorants. He returns to
the clinic with a fever of 103F, right pleuritic chest pain, and green sputum. Which of the
following examination results would be expected?
A. Right lower lobe crackles
B. Decreased Fremitus
C. Bilateral Wheezing
D. Normal Percussion - A. Right lower lobe crackles.
,2 year old child is diagnosed with radial head subluxation ("nursemaid's elbow"). After
closed manipulation, the best indication of successful treatment is that:
A. Swelling dissipates immediately
B. Pulse and sensation are restored
C. The child quickly begins to use the affected arm
D. A click is felt while the child is extending and rotating the arm - C. The child quickly
begins to use the affected arm.
Which of the following would be an appropriate alternative to erythromycin therapy in an
18 year old patient with Mycoplasma pneumoniae infection?
A. Azithromycin (Zithromax)
B. Cephalexin (Keflex)
C. Amoxicillin
D. Clindamycin (Cleocin) - A. Azithromycin
A 10-month old presents with a rash, runny nose, and cough. Examination reveals a
cluster of tiny white papuls with an erythematous base on the buccal mucosa. What
does this suggest?
A. Scarlet fever
B. Rubella
C. Erythema infectiosum
D. Measles - D. Measles
Office Spriometry performed with an albuterol nebulizer treatment can confirm a
diagnosis of asthma because it indicates:
A. Oxygen saturation
B. Whether airway obstruction is from pulmonary fibrosis
C. Chronic carbon dioxide retention
D. Whether a patient has reversible airway obstruction - D. Whether a patient has
reversible airway obstruction
An 18yr old patient presents with complaints of maxillary facial pain and yellow nasal
discharge for 14 days. What is the appropriate initial pharmacologic intervention?
A. Amoxicillin-Clavulanate (Augmentin)
B. Ceftriaxone (Rocephin)
C. Levofloxacin (Levaquin)
D. Erythromycin - A. Amoxicillin-Clavulanate (Augmentin)
Which of the following is the leading cause of cancer-related deaths in the majority of
women?
A. cervical Cancer
B. Ovarian Cancer
C. Breat Cancer
D. Lung Cancer - D. Lung Cancer
A 29-year old male with noncomplicated Chlamidia infection may exhibit:
, A. Urticaria
B. No remarkable clinical symptoms
C. A green mucoid penile discharge
D. A penile ulcer - B. No remarkable clinical symptoms
To assess a patient's ability to think abstractly, a nurse practitioner could ask the
patient:
A. The meaning of a common proverb
B. What action the patient would take if their was a fire in the house
C. To count backwards from 100 by 7s
D. To spell a word backward. - A. The meaning of a common proverb
A common rule to follow when prescribing many medications for the elderly is to:
A. Give most medications in the morning to allow slowed body functions to have time to
adjust to the drug.
B. Start at a lower dose than what is commonly prescribed for adults, and increase the
dose slowly.
C. Perform a creatinine clearance test for baseline data on all person over age 70
before starting on new medications.
D. Give medication with a full glass of water to promote absorption and limit harm to the
kidneys. - B. Start at a low dose than what is commonly prescribed for adults, and
increase the dose slowly.
A 72 year old female presents with a medical history unremarkable except for the
occasional headache. She enjoyed emotional health throughout marriage and
childrearing, although her family history is significant for strokes and nervous
breakdowns. Since her husband died a year ago, however, she has been waking every
morning at 3am, is reluctant to go out although she has family member living nearby,
and feels a continual urge to sleep. She cannot discuss her late husband without crying.
Differential diagnoses would include:
A. Stroke, depression, and hyperthyroidism
B. Depression, Unresolved grief, and hypothyroidism
C. Migraine, anxiety disorder, and hypertension
D. Dementia, delirium, and pna - B. Depression, Unresolved grief, and hypothyroidism
The parent of a 13-year old diagnosed with seizure disorder calls to report that the child
is exhibiting symptoms of a cold, but has no fever. The nurse practitioner should advise
the parent that development of fever may:
A. make the seizure medication less effective
B. Lower the seizure threshold
C. Increase the seizure threshold
D. Have no effect on the seizure threshold - B. Lower the seizure threshold
After a 3-week camping trip, an 11-year old is seen for a target lesion with central
clearing, located in the inguinal area. The patient has had a severe headache, malaise,
