APEA PRE-PREDICTOR NP EXAM LATEST 2023-2024
ACTUAL EXAM 140 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
If a patient is on birth control and is currently having breakthrough bleeding, then
what do we do? - ANSWER-increase the progesterone
How do we treat temporal arteritis? - ANSWER-steroids
If a patient is on birth control and they miss one pill, what should they do? -
ANSWER-double up
If a patient is on birth control and they miss two pills, what should they do? -
ANSWER-double up for 2 days
If any woman comes in with painless vaginal bleeding between periods (esp if she
is postmenopausal), what should you do? - ANSWER-do a pregnancy test and then
refer for endometrial biopsy to rule out endometrial cancer
In terms of the breasts, _____________ is used for screening and _____________
is used for diagnosis. - ANSWER-mammogram; ultrasound
When do we screen for group B strep in pregnancy? - ANSWER-weeks 35-37
When do we perform alpha fetoprotein screening in pregnancy? - ANSWER-15-20
weeks
,Alpha fetoprotein screening in pregnancy can help determine the presence of
what in pregnancy? - ANSWER-spina bifida and anencephaly
What is placenta previa? - ANSWER-when the placenta blocks the cervical
opening of the uterus
What is placenta abruptio? - ANSWER-when the placenta either fully or partially
detaches from the uterine wall
When does placental abruption most commonly occur? - ANSWER-in the third
trimester
What is the major difference in symptomalogy between placenta abruptio and
placenta previa? - ANSWER-a placental abruption is painful whereas placenta
previa is painless
If a pregnant woman comes in with painless vaginal bleeding, what should we be
considering? - ANSWER-placenta previa
What is the recommended treatment for polymyalgia rheumatica? - ANSWER-
steroids
Patients with SLE are going to have what abnormal labwork? - ANSWER-elevated
ESR and CRP
How do we treat lupus flares? - ANSWER-steroids
, What are common sequelae of fibromyalgia? - ANSWER-insomnia and depression
What is a great treatment option for fibromyalgia? - ANSWER-amitriptyline (a
TCA) because it helps with chronic pain, sleep, and depression
How is fibromyalgia diagnosed? - ANSWER-when at least 8 out of 11 points
bilaterally are tender to touch and the symptoms have lasted longer than 3
months
What is slipped capital femoral epiphysis? - ANSWER-when the femoral head of
the hip is out of place
What is the trendelenburg sign and when is it positive? - ANSWER-when the
patient is standing straight and the pelvis on the unaffected side drops; this is a
sign of a slipped capital femoral epiphysis
What is the main characteristic of a slipped capital femoral epiphysis? - ANSWER-
walking with a limp
SCFE is most common in which patient population? - ANSWER-adolescents
What is legg-calve-perthe disease? - ANSWER-avascular necrosis of the femoral
head due to a lack of blood supply
Legg-calve-perthes disease is most common in which patient population? -
ANSWER-young children
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