APEA PREDICTOR EXAM VERSION C 2023-
2024 TESTBANK QUESTIONS AND
CORRECT VERIFIED ANSWERS (DETAILED
ANSWERS)WITH RATIONALES|ALREADY
GRADED A+
What is the biggest side effect of colchicine? - ANSWER-
diarrhea
How would you describe the appearance of molluscum
contagiosum? - ANSWER-papules that are umbilicated and
contain a caseous plug
How do we treat a broken clavicle in an infant? - ANSWER-no
treatment; it should heal on it's own
At what week of pregnancy is the uterus palpable just above
the pubic symphysis? - ANSWER-week 12
At what week of pregnancy is the fundus palpable halfway
between the pubic symphysis and umbilicus? - ANSWER-
week 16
At what week of pregnancy is the fundus of the uterus at the
umbilicus? - ANSWER-week 20
,At what week of pregnancy is the fundus of the uterus
halfway between the xiphoid process and umbilicus? -
ANSWER-week 28
At what week of pregnancy is the fundus just below the
xiphoid process? - ANSWER-week 34
Increased sweat production is a sign of what endocrine
disorder? - ANSWER-hyperthyroidism
What is Paget's disease? - ANSWER-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? - ANSWER-
bisphosphonates
How should pregnant women wear their seatbelt? - ANSWER-
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? - ANSWER-parvovirus
aka slapped cheek disease aka erythema infectiosum
Which type of prevention are vaccinations? - ANSWER-
primary
When should patients begin antiretroviral therapy for HIV
infection? - ANSWER-as soon as it is detected, even if in the
acute phase
What are the first generation antihistamines? - ANSWER-
diphenhydramine (benadryl) and chlorpeniramine (actifed)
,What are s/s of the secondary stage of syphilis? - ANSWER-
rash on hands and feet, lymphadenopathy, fever
What is the recommended treatment for chronic bacterial
prostatitis? - ANSWER-a fluoroquinolone (cipro or levo) +
bactrim
What is the recommended treatment for acute prostatitis? -
ANSWER-cipro (if not STI related) or ceftriaxone
What are s/s of an intraductal breast papilloma? - ANSWER-
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? - ANSWER-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? - ANSWER-in those who are on
any type of nitrate or triptan because it could result in
hypotension
What class of drug is sildenafil (viagra)? - ANSWER-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? -
ANSWER-think P meaning pain, A meaning absent or weak
pulses, eschar or shiny legs, intermittent claudication
, What is first line treatment for PAD? - ANSWER-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? -
ANSWER-do not elevate the feet; keep them down
How do we diagnose PAD? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-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? -
ANSWER-decrease the weekly dose by 5-10%
If a patient on coumadin's INR is 4.1-5.0, what should you do?
- ANSWER-hold one dose then decrease the weekly dose by
10%
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