APEA PRACTICE EXAM QUESTIONS AND ANSWERS GRADED A
2026
a patient presents with symmetrical erythematous lesions on extensor surfaces of elbows,
knees, and back. margins are sharply defined. this is most likely:
a. plaque psoriasis
b. tinea corposis
c. atopic dermatitis
d. eczema -ANSWER-a. plaque psoriasis
which patient is not considered at high risk for colorectal cancer?
a. 20 year old with hx of abdominal radiation from childhood cancer
b. 30 year old woman whose grandma was diagnosed with CR CA at age 65
c. 38 year old woman with ulcerative colitis
d. 50 year old man with 1st degree relative diagnosed with CR CA at age 45 -ANSWER-B- 30
year old whose grandmother was diagnosed at age 65
serious adverse effects of azithromycin -ANSWER-D. QT prolongation
serious side effect of sildenafil -ANSWER-c. priapism
pt taking PPI for 6 months has diarrhea for 3 weeks. consider: -ANSWER-d. c. diff
abnormal finding:
a. apical pulse in 22 year old man
b. systolic murmur in a woman who is 18 weeks pregnant with BMI of 38
c. S4 in 58 year old obese man with DM
d. BP of 118/65 in a frail 78 year old man. -ANSWER-c. S4 in obese man with DM
, side effect of azelastine opthalmic drops for allergic conjunctivitis -ANSWER-a. bitter taste
presbycusis -ANSWER-c. symmetrical hearing loss
do not give corticosteroids in combination with -ANSWER-live vaccines
side effects of levonorgestrel to prevent pregnancy include -ANSWER-nausea/vomiting
cervical motion tenderness (chandelier sign) suggestive of -ANSWER-PID
increased efficacy of ARBS without increased side effects when administered with -ANSWER-
chlorothiazide
symptomatic female with midsystolic click and late systolic murmur indicative of -ANSWER-
MVP
peak bilirubin level in full term infant -ANSWER-3-4 days for full term infant
premature: 5-7 days
side effect of amoxicillin in children -ANSWER-abdominal pain
hypersensitivty- nausea, vomiting, pruritis, urticaria etc
monoarticular pain in first metatarsophalangeal joint; edematous and inflamed -ANSWER-
gouty arthritis
not a common neuro sign for suspected meningitis -ANSWER-papilledema
bactrim is not effective against -ANSWER-psuedomonas aeruginosa
2026
a patient presents with symmetrical erythematous lesions on extensor surfaces of elbows,
knees, and back. margins are sharply defined. this is most likely:
a. plaque psoriasis
b. tinea corposis
c. atopic dermatitis
d. eczema -ANSWER-a. plaque psoriasis
which patient is not considered at high risk for colorectal cancer?
a. 20 year old with hx of abdominal radiation from childhood cancer
b. 30 year old woman whose grandma was diagnosed with CR CA at age 65
c. 38 year old woman with ulcerative colitis
d. 50 year old man with 1st degree relative diagnosed with CR CA at age 45 -ANSWER-B- 30
year old whose grandmother was diagnosed at age 65
serious adverse effects of azithromycin -ANSWER-D. QT prolongation
serious side effect of sildenafil -ANSWER-c. priapism
pt taking PPI for 6 months has diarrhea for 3 weeks. consider: -ANSWER-d. c. diff
abnormal finding:
a. apical pulse in 22 year old man
b. systolic murmur in a woman who is 18 weeks pregnant with BMI of 38
c. S4 in 58 year old obese man with DM
d. BP of 118/65 in a frail 78 year old man. -ANSWER-c. S4 in obese man with DM
, side effect of azelastine opthalmic drops for allergic conjunctivitis -ANSWER-a. bitter taste
presbycusis -ANSWER-c. symmetrical hearing loss
do not give corticosteroids in combination with -ANSWER-live vaccines
side effects of levonorgestrel to prevent pregnancy include -ANSWER-nausea/vomiting
cervical motion tenderness (chandelier sign) suggestive of -ANSWER-PID
increased efficacy of ARBS without increased side effects when administered with -ANSWER-
chlorothiazide
symptomatic female with midsystolic click and late systolic murmur indicative of -ANSWER-
MVP
peak bilirubin level in full term infant -ANSWER-3-4 days for full term infant
premature: 5-7 days
side effect of amoxicillin in children -ANSWER-abdominal pain
hypersensitivty- nausea, vomiting, pruritis, urticaria etc
monoarticular pain in first metatarsophalangeal joint; edematous and inflamed -ANSWER-
gouty arthritis
not a common neuro sign for suspected meningitis -ANSWER-papilledema
bactrim is not effective against -ANSWER-psuedomonas aeruginosa
