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APEA PREDICTOR EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

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APEA PREDICTOR EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE Terms in this set (135) What is the biggest side effect of colchicine? diarrhea How would you describe the appearance of molluscum contagiosum? papules that are umbilicated and contain a caseous plug How do we treat a broken clavicle in an infant? no treatment; it should heal on it's own At what week of pregnancy is the uterus palpable just above the pubic symphysis? week 12 At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and umbilicus? week 16 At what week of pregnancy is the fundus of the uterus at the umbilicus? week 20 At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and umbilicus? week 28 At what week of pregnancy is the fundus just below the xiphoid process? week 34 Increased sweat production is a sign of what endocrine disorder? hyperthyroidism What is Paget's disease? there is localized increased bone turnover and blood flow resulting in the breakdown of bone and replacing it with weakened and highly vascular bone putting the indiv at increased risk of fractures How do we treat Paget's diseease? bisphosphonates How should pregnant women wear their seatbelt? with the shoulder strap like a normal person and then the groin strap below the belly and across the hips What is another name for fifth disease? parvovirus aka slapped cheek disease aka erythema infectiosum Which type of prevention are vaccinations? primary When should patients begin antiretroviral therapy for HIV infection? as soon as it is detected, even if in the acute phase What are the first generation antihistamines? diphenhydramine (benadryl) and chlorpeniramine (actifed) What are s/s of the secondary stage of syphilis? rash on hands and feet, lymphadenopathy, fever What is the recommended treatment for chronic bacterial prostatitis? a fluoroquinolone (cipro or levo) + bactrim What is the recommended treatment for acute prostatitis? cipro (if not STI related) or ceftriaxone What are s/s of an intraductal breast papilloma? clear to bloody unilateral nipple discharge (bilateral is usually benign), and also a wart like lump palpated in the nipple area If a patient has GABHS but has an allergy to penicillins, what is the second line option? first generation cephalosporins, unless the allergy is severe, then you would consider macrolides like a -mycin PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient populations? in those who are on any type of nitrate or triptan because it could result in hypotension What class of drug is sildenafil (viagra)? a PDE5 inhibitor which can cause hypotension so you should do a full cardiac assessment before starting a patient on this and maybe do an EKG What are the symptoms of peripheral artery disease? think P meaning pain, A meaning absent or weak pulses, eschar or shiny legs, intermittent claudication What is first line treatment for PAD? walking and physical activity to improve circulation. second line is an aspirin or anti- platelet What should we tell our patients with PAD NOT to do? do not elevate the feet; keep them down How do we diagnose PAD? an ABI 7; doppler can also be used to diagnose as well but is the second choice What are s/s of peripheral vascular disease? think V meaning volume overload aka edema, may ache or be uncomfortable but is not painful, bounding pulses, ruddy discoloration If a patient is on Coumadin but then they may need to go on an antibiotic for an infection and Bactrim is the drug of choice, what should you do? Bactrim increases INR so we would want to decrease the coumadin dose while the patient is on this If a patient is on Coumadin but then they may need to go on Rifampin, what should you do? Rifampin decreases INR so we'd want to increase the coumadin dose If a patient on coumadin's INR is 3.1-4 ,what should you do? decrease the weekly dose by 5-10%

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3/23/25, 7:33 APEA Predictor Exam Flashcards |
AM
APEA PREDICTOR EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (135)


What is the biggest side effect of diarrhea
colchicine?

How would you describe the appearance papules that are umbilicated and contain a caseous plug
of molluscum contagiosum?

How do we treat a broken clavicle in an no treatment; it should heal on it's own
infant?

At what week of pregnancy is the uterus week 12
palpable just above the pubic symphysis?

At what week of pregnancy is the fundus week 16
palpable halfway between the pubic
symphysis and umbilicus?




At what week of pregnancy is the fundus of week 20
the uterus at the umbilicus?

At what week of pregnancy is the fundus week 28
of the uterus halfway between the
xiphoid process and umbilicus?

At what week of pregnancy is the fundus week 34
just below the xiphoid process?

Increased sweat production is a sign of hyperthyroidism
what endocrine disorder?

there is localized increased bone turnover and blood flow resulting in the
What is Paget's disease? breakdown of bone and replacing it with weakened and highly vascular bone putting
the indiv at increased risk of fractures

How do we treat Paget's diseease? bisphosphonates

How should pregnant women wear their with the shoulder strap like a normal person and then the groin strap below the belly
seatbelt? and across the hips

What is another name for fifth disease? parvovirus aka slapped cheek disease aka erythema infectiosum

Which type of prevention are vaccinations? primary

When should patients begin antiretroviral as soon as it is detected, even if in the acute phase
therapy for HIV infection?

What are the first generation diphenhydramine (benadryl) and chlorpeniramine (actifed)
antihistamines?

What are s/s of the secondary stage of rash on hands and feet, lymphadenopathy, fever
syphilis?

What is the recommended treatment for a fluoroquinolone (cipro or levo) + bactrim
chronic bacterial prostatitis?

What is the recommended treatment for cipro (if not STI related) or ceftriaxone
acute prostatitis?

What are s/s of an intraductal breast clear to bloody unilateral nipple discharge (bilateral is usually benign), and also a
papilloma? wart like lump palpated in the nipple area

1/
6

, 3/23/25, 7:33 APEA Predictor Exam Flashcards |
AM
If a patient has GABHS but has an allergy to first generation cephalosporins, unless the allergy is severe, then you would
penicillins, what is the second line option? consider macrolides like a -mycin

PDE5 inhibitors (sildenafil, tadalafil) are in those who are on any type of nitrate or triptan because it could result in
contraindicated in which patient hypotension
populations?




a PDE5 inhibitor which can cause hypotension so you should do a full cardiac
What class of drug is sildenafil (viagra)?
assessment before starting a patient on this and maybe do an EKG

What are the symptoms of peripheral think P meaning pain, A meaning absent or weak pulses, eschar or shiny
artery disease? legs, intermittent claudication

walking and physical activity to improve circulation. second line is an aspirin or anti-
What is first line treatment for PAD?
platelet

What should we tell our patients with PAD do not elevate the feet; keep them down
NOT to do?

How do we diagnose PAD? an ABI < 7; doppler can also be used to diagnose as well but is the second choice

What are s/s of peripheral vascular think V meaning volume overload aka edema, may ache or be uncomfortable but is
disease? not painful, bounding pulses, ruddy discoloration

If a patient is on Coumadin but then Bactrim increases INR so we would want to decrease the coumadin dose while the
they may need to go on an antibiotic patient is on this
for an infection and Bactrim is the drug of
choice,
what should you do?




If a patient is on Coumadin but then they Rifampin decreases INR so we'd want to increase the coumadin dose
may need to go on Rifampin, what should
you do?

If a patient on coumadin's INR is 3.1-4 ,what decrease the weekly dose by 5-10%
should you do?




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