1|Page
APEA PREDICTOR EXAM: COMPREHENSIVE PRACTICE
QUESTIONS WITH VERIFIED CORRECT ANSWERS, DETAILED
RATIONALES, AND EXPERT TEST-TAKING STRATEGIES
(PRE-PREDICTOR ASSESSMENT REVIEW GUIDE).
An overactive bladder is what type of incontinence? - ANSWER-urge incontinence
What is the recommended treatment for urge incontinence? - ANSWER-anticholinergics
like oxybutynin
What is the recommended treatment for stress incontinence? - ANSWER-alpha
agonists like sudafed, TCAs
What is the recommended treatment for BPH? - ANSWER-alpha blockers like terazosin,
doxazosin, tamsulosin
Alcohol and marijuana worsen which type of incontinence? - ANSWER-urge
Which SSRI is safest in pregnancy? Which poses the most risk? - ANSWER-sertraline;
paroxetine
Infants born to women who smoke are at increased risk for what? - ANSWER-low birth
weight and preterm delivery
What is the best marker of an acute MI? - ANSWER-troponin
When do troponins peak after a MI? - ANSWER-12 hours
When should an infant be able to display a conjugate gaze (track you all the way across
the room)? - ANSWER-6 months
Which medication is approved in Peds for the prevention of febrile seizures? -
ANSWER-diazepam
Folic acid is which vitamin? - ANSWER-vitamin B9
What is the dosage preferred for folic acid deficiency? - ANSWER-1-5mg daily
Dosage of folic acid in pregnancy to prevent neural tube defects - ANSWER-400mcg
daily
,2|Page
What are ECG changes you may see on a patient with hypokalemia? - ANSWER-
tachyarrhythmas, ST depression, prolonged QT, and U wave present
What are ECG changes you may see on a patient with hyperkalemia? - ANSWER-
peaked T waves
A U wave present on EKG is thought to represent what? - ANSWER-repolarization of
the purkinje fibers
What is considered legal blindness? - ANSWER-20/200 or worse
What is the pain of temporal arteritis like? - ANSWER-new onset headache, jaw pain
with chewing
Are nexplanon and norplant (levonorgestrol) combined contraceptives or progesterone
only? - ANSWER-progesterone only
Breastfeeding women cannot have which type of anti-contraceptive? - ANSWER-
anything with estrogen in it; this includes things like cocps
What is the treatment of choice for community acquired, uncomplicated pneumonia? -
ANSWER-amoxicillin
Vitamin B12 deficiency anemia is a type of ____________ anemia. - ANSWER-
pernicious; macrocytic
Prostate infection or inflammation can cause a sharp rise in PSA values. When should
this value go back down to normal levels and be checked after an acute infection? -
ANSWER-4 weeks
The most common cause of atypical pneumonia in adults - ANSWER-mycoplasma
pneumoniae
An herbal supplement thought to help BPH - ANSWER-saw palmetto
A male patient presents to your clinic with a lump in his breast. How should we work this
up? - ANSWER-clinical breast exam, mammogram, AND ultrasound
If a patient with strep comes back after 48 hours with no improvement on antibiotics,
what should you then prescribe? - ANSWER-a penicillin or cephalosporin with beta
lactamase coverage
How long must a tick be attached to the skin in order for Lyme disease to be
transferred? - ANSWER-48 hours
,3|Page
When should kids be treated for hypertension? - ANSWER-if they also have diabetes,
are symptomatic, have hypertension > 95th percentile, or when end organ damage is
present
ACEIs can cause what electrolyte abnormality? - ANSWER-hyperkalemia
A positive "drop arm" test is a sign of what? - ANSWER-torn rotator cuff
The medical term for spoon shaped nails - ANSWER-koilonychia
Koilonychia is a sign of what? - ANSWER-iron deficiency anemia
How is influenza diagnosed? - ANSWER-a nasal swab
What finding would be most likely to differentiate gout from septic arthritis? - ANSWER-
fever would be indicative of septic arthritis
Diphenhydramine has __________ properties and is contraindicated in which patient
populations? - ANSWER-anticholinergic; elderly and those with glaucoma
The medical term for flat feet - ANSWER-pes planus
How does plantar fasciitis usually present? - ANSWER-as pain in the morning with
resolution after several steps, but as it worsens the patient will start to complain of heel
pain throughout the day and with walking
Scope of practice for NPs is not influenced by which entity? - ANSWER-a court of law
Used to establish a designated level of professional competence - ANSWER-licensure
Treatment of subclinical hypothyroidism is generally not indicated unless the TSH is
___________. - ANSWER-greater than 10
In the presence of an elevated serum TSH, what is the next step in management? -
ANSWER-repeat TSH plus free T4
Patients with a history of UC or Crohn's should have a colonoscopy how often? -
ANSWER-every 1-5 years due to the increased risk of colorectal cancer
What is the first line treatment for community acquired atypical pneumonia? - ANSWER-
macrolides such azithromycin. If the pt cannot take a macrolide, then they can do
levofloxacin or doxycycline
What is metatarsus adductus? - ANSWER-the medical term for in-toeing
, 4|Page
What is true regarding older adults who are overweight? - ANSWER-mortality in older
adults related to overweight states declines over time
How do we manage rubella immunity in pregnant women? - ANSWER-we screen all
pregnant women with a rubella titer. If they had a protective rubella titer in a previous
pregnancy, then they do not need to be checked again. If they are found to not be
immune when pregnant, then she should be vaccinated AFTER delivery
How is permethrin applied to the skin for scabies? - ANSWER-a one time application to
all skin below the neck and then left on for 8-12 hours is sufficient
After exposure to HIV, when will the patient seroconvert and become positive? -
ANSWER-3 months
Is age less than 18 years a risk factor for an ectopic pregnancy? - ANSWER-no; but
personal history of PID, an IUD, previous ectopic pregnancy, previous tubal surgery,
pathology, or ligation all are risk factors
What is Tanner stage 5 of breast development in females? - ANSWER-projection of the
nipple only
What are two common classes of drugs that interact with grapefruit juice? - ANSWER-
statins and CCBs
Ankle inversion is a common complaint from a patient with what? - ANSWER-a lateral
ankle sprain
How can we best diagnose coarctation of the aorta? - ANSWER-by comparing the
upper and lower extremity blood pressures
What is the most important risk factor for developing breast cancer in women of average
risk? - ANSWER-age
hey - ANSWER-stopped at top of page 7
What is the recommended treatment for blepharitis? - ANSWER-erythromycin 1cm
ribbon 5x daily for 7 days
What is the recommended treatment for severe anorexia with delusions? - ANSWER-
2nd atypical antipsychotics
What is the biggest side effect of colchicine? - ANSWER-diarrhea
APEA PREDICTOR EXAM: COMPREHENSIVE PRACTICE
QUESTIONS WITH VERIFIED CORRECT ANSWERS, DETAILED
RATIONALES, AND EXPERT TEST-TAKING STRATEGIES
(PRE-PREDICTOR ASSESSMENT REVIEW GUIDE).
An overactive bladder is what type of incontinence? - ANSWER-urge incontinence
What is the recommended treatment for urge incontinence? - ANSWER-anticholinergics
like oxybutynin
What is the recommended treatment for stress incontinence? - ANSWER-alpha
agonists like sudafed, TCAs
What is the recommended treatment for BPH? - ANSWER-alpha blockers like terazosin,
doxazosin, tamsulosin
Alcohol and marijuana worsen which type of incontinence? - ANSWER-urge
Which SSRI is safest in pregnancy? Which poses the most risk? - ANSWER-sertraline;
paroxetine
Infants born to women who smoke are at increased risk for what? - ANSWER-low birth
weight and preterm delivery
What is the best marker of an acute MI? - ANSWER-troponin
When do troponins peak after a MI? - ANSWER-12 hours
When should an infant be able to display a conjugate gaze (track you all the way across
the room)? - ANSWER-6 months
Which medication is approved in Peds for the prevention of febrile seizures? -
ANSWER-diazepam
Folic acid is which vitamin? - ANSWER-vitamin B9
What is the dosage preferred for folic acid deficiency? - ANSWER-1-5mg daily
Dosage of folic acid in pregnancy to prevent neural tube defects - ANSWER-400mcg
daily
,2|Page
What are ECG changes you may see on a patient with hypokalemia? - ANSWER-
tachyarrhythmas, ST depression, prolonged QT, and U wave present
What are ECG changes you may see on a patient with hyperkalemia? - ANSWER-
peaked T waves
A U wave present on EKG is thought to represent what? - ANSWER-repolarization of
the purkinje fibers
What is considered legal blindness? - ANSWER-20/200 or worse
What is the pain of temporal arteritis like? - ANSWER-new onset headache, jaw pain
with chewing
Are nexplanon and norplant (levonorgestrol) combined contraceptives or progesterone
only? - ANSWER-progesterone only
Breastfeeding women cannot have which type of anti-contraceptive? - ANSWER-
anything with estrogen in it; this includes things like cocps
What is the treatment of choice for community acquired, uncomplicated pneumonia? -
ANSWER-amoxicillin
Vitamin B12 deficiency anemia is a type of ____________ anemia. - ANSWER-
pernicious; macrocytic
Prostate infection or inflammation can cause a sharp rise in PSA values. When should
this value go back down to normal levels and be checked after an acute infection? -
ANSWER-4 weeks
The most common cause of atypical pneumonia in adults - ANSWER-mycoplasma
pneumoniae
An herbal supplement thought to help BPH - ANSWER-saw palmetto
A male patient presents to your clinic with a lump in his breast. How should we work this
up? - ANSWER-clinical breast exam, mammogram, AND ultrasound
If a patient with strep comes back after 48 hours with no improvement on antibiotics,
what should you then prescribe? - ANSWER-a penicillin or cephalosporin with beta
lactamase coverage
How long must a tick be attached to the skin in order for Lyme disease to be
transferred? - ANSWER-48 hours
,3|Page
When should kids be treated for hypertension? - ANSWER-if they also have diabetes,
are symptomatic, have hypertension > 95th percentile, or when end organ damage is
present
ACEIs can cause what electrolyte abnormality? - ANSWER-hyperkalemia
A positive "drop arm" test is a sign of what? - ANSWER-torn rotator cuff
The medical term for spoon shaped nails - ANSWER-koilonychia
Koilonychia is a sign of what? - ANSWER-iron deficiency anemia
How is influenza diagnosed? - ANSWER-a nasal swab
What finding would be most likely to differentiate gout from septic arthritis? - ANSWER-
fever would be indicative of septic arthritis
Diphenhydramine has __________ properties and is contraindicated in which patient
populations? - ANSWER-anticholinergic; elderly and those with glaucoma
The medical term for flat feet - ANSWER-pes planus
How does plantar fasciitis usually present? - ANSWER-as pain in the morning with
resolution after several steps, but as it worsens the patient will start to complain of heel
pain throughout the day and with walking
Scope of practice for NPs is not influenced by which entity? - ANSWER-a court of law
Used to establish a designated level of professional competence - ANSWER-licensure
Treatment of subclinical hypothyroidism is generally not indicated unless the TSH is
___________. - ANSWER-greater than 10
In the presence of an elevated serum TSH, what is the next step in management? -
ANSWER-repeat TSH plus free T4
Patients with a history of UC or Crohn's should have a colonoscopy how often? -
ANSWER-every 1-5 years due to the increased risk of colorectal cancer
What is the first line treatment for community acquired atypical pneumonia? - ANSWER-
macrolides such azithromycin. If the pt cannot take a macrolide, then they can do
levofloxacin or doxycycline
What is metatarsus adductus? - ANSWER-the medical term for in-toeing
, 4|Page
What is true regarding older adults who are overweight? - ANSWER-mortality in older
adults related to overweight states declines over time
How do we manage rubella immunity in pregnant women? - ANSWER-we screen all
pregnant women with a rubella titer. If they had a protective rubella titer in a previous
pregnancy, then they do not need to be checked again. If they are found to not be
immune when pregnant, then she should be vaccinated AFTER delivery
How is permethrin applied to the skin for scabies? - ANSWER-a one time application to
all skin below the neck and then left on for 8-12 hours is sufficient
After exposure to HIV, when will the patient seroconvert and become positive? -
ANSWER-3 months
Is age less than 18 years a risk factor for an ectopic pregnancy? - ANSWER-no; but
personal history of PID, an IUD, previous ectopic pregnancy, previous tubal surgery,
pathology, or ligation all are risk factors
What is Tanner stage 5 of breast development in females? - ANSWER-projection of the
nipple only
What are two common classes of drugs that interact with grapefruit juice? - ANSWER-
statins and CCBs
Ankle inversion is a common complaint from a patient with what? - ANSWER-a lateral
ankle sprain
How can we best diagnose coarctation of the aorta? - ANSWER-by comparing the
upper and lower extremity blood pressures
What is the most important risk factor for developing breast cancer in women of average
risk? - ANSWER-age
hey - ANSWER-stopped at top of page 7
What is the recommended treatment for blepharitis? - ANSWER-erythromycin 1cm
ribbon 5x daily for 7 days
What is the recommended treatment for severe anorexia with delusions? - ANSWER-
2nd atypical antipsychotics
What is the biggest side effect of colchicine? - ANSWER-diarrhea
