APEA Predictor exam 2025-2026 Update
Questions and Correct Answers Rated A+
In the majority of children, the first permanent teeth start to erupt at the age
of 6 years. Which of the following are the first permanent teeth to erupt in
this time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines - ✔ANASWER✔-A. First Molars
All of the following are classified as activities of daily living (ADLs) except:
A. ability to feed self
B. Ability to manage bladder and bowel elimination
C. Personal hygiene and grooming
D. Grocery Shopping - ✔ANASWER✔-D. Grocery shopping
,You note the following result on a routine urinalysis of a 37-year old
primigravida who is at 30 weeks gestation. Leukocyte=trace,
nitrite=negative, protein=2+, blood=negative. Her weight has increased by
5 lbs during the past week. Which of the following is most likely?
A.HELLP syndrome
B. Pregnancy-induced hypertension (pre-eclampsia)
C. Eclampsia of pregnancy
D. Primary hypertension - ✔ANASWER✔-B. Pregnancy-induced
hypertension (pre-eclampsia). Classic triad of symptoms of preeclampsia
include hypertension, edema (weight gain), and proteinuria.
The mother of a 12 month old infant reports to the nurse practitioner that
her child had a high fever for several days, which spontaneously resolved.
After the fever resolved, the child developed a maculopapular rash. Which
of the following is the most likely diagnosis?
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes - ✔ANASWER✔-B. Roseola Infantum
(Exanthema subitum)
A 70-year old male patient complains of a bright red-colored spot in his left
eye for 2 days. He denies eye pain, visual changes, or headaches. He has
a new onset of cough from a recent viral upper respiratory infection. The
only medicine he is on Bayer aspirin, 1 tablet a day. Which of the following
is most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
,D. Subconjunctival hemorrhage - ✔ANASWER✔-D. Subconjunctival
hemorrhage. Bright red blood in a sharply defined area surrounded by
normal-appearing conjunctiva indicates subconjunctival hemorrhage.
A woman is being evaluated by the nurse practitioner for complaints of
dyspareunia. A microscopy slide reveals a large number of atrophic
squamous epithelial cells. The vaginal pH is 4.0. There are very few
leukocytes and no RBCs are seen on the wet smear. Which of the following
is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding. - ✔ANASWER✔-A. Atrophic vaginitis.
Symptoms of atrophic vaginitis include painful intercourse, atrophic
squamous epithelial cells, and a decrease in pH. Vaginal atrophy is caused
by lack of or imbalance of estrogen. Normal pH of the vagina is 4.0-5.0
(acidic)
The most common type of skin malignancy is:
A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi - ✔ANASWER✔-B. Basal skin cancer. It is several times
more common that squamous cell skin cancer according to the NIH.
Koplik's spots are associated with:
A. Poxvirius infections
B. Measles
C. Kawasaki's disease
, D. Reye's syndrome - ✔ANASWER✔-B. Measles. S/S include fever over
101, coryza, cough, conjunctivitis, rash, and koplik's spots on buccal
mucosa
At what level of prevention would you classify for lung cancer?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention - ✔ANASWER✔-D. primordial prevention.
Screening for lung cancer is not currently recommended in the general
population, but it is secondary prevention.
A test called the visual fields by confrontation is used to evaluate for:
A. Peripheral vision
B. Central vision
C. Visual acuity
D. Accomodation - ✔ANASWER✔-A. Peripheral vision
What is the most common cause of Cushing's syndrome? - ✔ANASWER✔-
Administration of a glucocorticoid or ACTH.
Iatrogenic Cushing's syndrome is the most common type. Exogenous
glucocorticoid administration produces a Cushing's Syndrome that is
reversible by discontinuation of the medication.
Cranial nerve IX - ✔ANASWER✔-Glossopharyngeal- swallowing and rise
of the palate, gag reflex
Questions and Correct Answers Rated A+
In the majority of children, the first permanent teeth start to erupt at the age
of 6 years. Which of the following are the first permanent teeth to erupt in
this time period?
A. First Molars
B. Second Molars
C. Lower or upper incisors
D. Canines - ✔ANASWER✔-A. First Molars
All of the following are classified as activities of daily living (ADLs) except:
A. ability to feed self
B. Ability to manage bladder and bowel elimination
C. Personal hygiene and grooming
D. Grocery Shopping - ✔ANASWER✔-D. Grocery shopping
,You note the following result on a routine urinalysis of a 37-year old
primigravida who is at 30 weeks gestation. Leukocyte=trace,
nitrite=negative, protein=2+, blood=negative. Her weight has increased by
5 lbs during the past week. Which of the following is most likely?
A.HELLP syndrome
B. Pregnancy-induced hypertension (pre-eclampsia)
C. Eclampsia of pregnancy
D. Primary hypertension - ✔ANASWER✔-B. Pregnancy-induced
hypertension (pre-eclampsia). Classic triad of symptoms of preeclampsia
include hypertension, edema (weight gain), and proteinuria.
The mother of a 12 month old infant reports to the nurse practitioner that
her child had a high fever for several days, which spontaneously resolved.
After the fever resolved, the child developed a maculopapular rash. Which
of the following is the most likely diagnosis?
A. Fifth Disease (erythema infectiosum)
B. Roseola infantum (exanthema subitum)
C. Varicella
D. Infantile maculopapular rashes - ✔ANASWER✔-B. Roseola Infantum
(Exanthema subitum)
A 70-year old male patient complains of a bright red-colored spot in his left
eye for 2 days. He denies eye pain, visual changes, or headaches. He has
a new onset of cough from a recent viral upper respiratory infection. The
only medicine he is on Bayer aspirin, 1 tablet a day. Which of the following
is most likely?
A. Corneal abrasion
B. Acute bacterial conjunctivitis
C. Acute uveitis
,D. Subconjunctival hemorrhage - ✔ANASWER✔-D. Subconjunctival
hemorrhage. Bright red blood in a sharply defined area surrounded by
normal-appearing conjunctiva indicates subconjunctival hemorrhage.
A woman is being evaluated by the nurse practitioner for complaints of
dyspareunia. A microscopy slide reveals a large number of atrophic
squamous epithelial cells. The vaginal pH is 4.0. There are very few
leukocytes and no RBCs are seen on the wet smear. Which of the following
is most likely?
A. Atrophic vaginitis
B. Bacterial Vaginosis
C. Trichomoniasis
D. This is a normal finding. - ✔ANASWER✔-A. Atrophic vaginitis.
Symptoms of atrophic vaginitis include painful intercourse, atrophic
squamous epithelial cells, and a decrease in pH. Vaginal atrophy is caused
by lack of or imbalance of estrogen. Normal pH of the vagina is 4.0-5.0
(acidic)
The most common type of skin malignancy is:
A. Squamous cell cancer
B. Basal skin cancer
C. Melanoma
D. Dysplastic nevi - ✔ANASWER✔-B. Basal skin cancer. It is several times
more common that squamous cell skin cancer according to the NIH.
Koplik's spots are associated with:
A. Poxvirius infections
B. Measles
C. Kawasaki's disease
, D. Reye's syndrome - ✔ANASWER✔-B. Measles. S/S include fever over
101, coryza, cough, conjunctivitis, rash, and koplik's spots on buccal
mucosa
At what level of prevention would you classify for lung cancer?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Primordial prevention - ✔ANASWER✔-D. primordial prevention.
Screening for lung cancer is not currently recommended in the general
population, but it is secondary prevention.
A test called the visual fields by confrontation is used to evaluate for:
A. Peripheral vision
B. Central vision
C. Visual acuity
D. Accomodation - ✔ANASWER✔-A. Peripheral vision
What is the most common cause of Cushing's syndrome? - ✔ANASWER✔-
Administration of a glucocorticoid or ACTH.
Iatrogenic Cushing's syndrome is the most common type. Exogenous
glucocorticoid administration produces a Cushing's Syndrome that is
reversible by discontinuation of the medication.
Cranial nerve IX - ✔ANASWER✔-Glossopharyngeal- swallowing and rise
of the palate, gag reflex
