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APEA PRE-PREDICTOR EXAM 2024 400+ QUESTIONS AND
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CORRECT DETAILED ANSWERS ALREADY GRADED A+
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A 15 years old high school student with a mild sore throat
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and low-grade fever that has persisted for about 3 weeks. She
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reports general malaise, fatigue, and loss of appetite. The NP
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suspects mononucleosis. Which of the following is the LEAST
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appropriate intervention? Palpate the lymph nodes and
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spleen
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Examine the posterior oropharynx for petechiae Obtain a CBC,
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throat culture, and heterophil antibody test.
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Obtain an urinalyses and serum for LFTs and amylase -
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CORRECT ANSWER-Obtain an urinalyses and serum for LFTs and
amylase
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Explanation: mononucleosis is a symptomatic infection caused
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by the Epstein-Bar virus. Common is people 15-24 years of age.
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Common signs and symptoms following incubation period (1-2
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months) include fatigue, chills, malaise, anorexia, white tonsillar
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exudates and lymphadenopathy or posterior cervical region.
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Splenomegaly can be present. A maculopapular or occasionally
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a petechial rash occurs in less than 15% of patients. A diagnosis
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is usually made using the Monospot. In addition, neutropenia
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and lymphocytosis are usually detected in the CBC
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A 32 years old male patient complaint of urinary frequency and
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burning on urination for 3 days. Urinalyses reveals bacteriuria
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and positive nitrites. He denies any past hx. Of urinary tract
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infections. The initial treatment should be:
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a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-
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10 day
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b. ciprofloxacin (Cipro) for 3-5 days
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c. Trimethoprim-Sulfamethoxazole for 3 days
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d. 750 mg ciprofloxacin as a one-time dose - CORRECT
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ANSWER-. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim)
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for 7-10 day
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Explanation: trimethoprim-sulfamethoxazole (TMPS) is usually n
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appropriate medication to treat urinary tract infections in most
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patients. In the case of community resistance to TMPS >20%^,
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another medication should be substituted. In men, the
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appropriate length of time is 7 10 days. Women may be treated
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for 3 days for uncomplicated UTI
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