APEA 3P Post Assessment Actual Exam Questions with all Questions Accurately Answered 2024/2025
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Course
APEA 3P
Institution
APEA 3P
APEA 3P Post Assessment Actual Exam Questions with all Questions Accurately Answered 2024/2025
This patient has hepatitis C. He has a reactive HCV antibody (anti-HCV). This is a positive screen for hepatitis C. The HCV RNA level is detectable, which confirms infection. When both the anti-HCV and...
APEA 3P Post Assessment Actual Exam
Questions with all Questions Accurately
Answered 2024/2025
This patient has hepatitis C. He has a reactive HCV antibody
(anti-HCV). This is a positive screen for hepatitis C. The HCV
RNA level is detectable, which confirms infection. When both the
anti-HCV and HCV RNA are positive, the patient can be
diagnosed with hepatitis C. At this time, there is no immunization
for hepatitis C.
A patient presents with complaints of bright red stools over the
past week. This symptom could be consistent with:
A. cancer of the ascending colon.
B. cancer of the sigmoid colon.
C. gastric ulcers.
D. small bowel obstruction.
B.
Bright red blood in the stools is more characteristic of left-sided
colon cancer (descending and sigmoid colon) or rectal
hemorrhoids. If blood occurs in the stool in right-sided colon
cancers (ascending colon) or gastric ulcers, the stool will be
black and tarry.
A healthcare provider was stuck with a needle from a patient
suspected to be infected with HIV. A rapid HIV test was
performed on the patient and found to be positive. This means
that:
A. HIV prophylaxis should be initiated.
B. the patient is infected with HIV.
C. the HIV status of the patient requires further testing.
, D. the HIV status of the healthcare provider requires further
testing.
C.
A rapid HIV is always performed on the source patient. It is
known as an ELISA (enzyme-linked immunosorbent assay). In the
patient suspected of being HIV positive, it is performed to
establish whether or not he was positive at the time of the needle
stick. In this case, it was found to be positive, but, this is a
screening test, and false positives can occur. Therefore, a
confirmatory test, the western blot, is routinely performed on the
patient’s specimen to confirm the findings of the ELISA. The
healthcare provider will usually be tested with a rapid HIV but it
is done to establish HIV status at the time of the needlestick. The
results of a rapid test can be performed in less than 20 minutes.
The relationship between duodenal ulcer disease and H. pylori
infection is:
A. distant.
B. very unlikely
C. possible.
D. very likely.
D.
H. pylori is a gram-negative organism that is a major etiologic
factor in development of duodenal ulcer disease, gastric
adenocarcinoma and lymphoma of the stomach. Only about 10-
15% of patients with H. pylori infection actually develop
duodenal ulcer disease, but this is the largest contributor to
duodenal ulcer development. Other etiologic factors in duodenal
ulcer development are NSAID overuse and smoking.
A 26-year-old female complains of pain at McBurney’s point. She
feels nauseated. Her vital signs are provided (in the image). The
most appropriate initial action by the NP is to:
A. order a CBC and pregnancy test.
B. order an abdominal ultrasound.
, C. order a KUB.
D. order an abdominal CT.
A.
Patients with appendicitis usually have pain at McBurney’s point,
the painful area in the right lower quadrant of the abdomen.
However, because this patient is of child bearing age, pregnancy
is part of the differential and must be ruled out initially. Once
pregnancy status is determined, patient disposition can be
determined. If pregnancy is ruled out, then workup for
appendicitis can proceed. CT scan of abdomen has very high
sensitivity and specificity for appendicitis (95 and 94%,
respectively) and so it is the gold standard for diagnosis of
appendicitis.
A 35-year-old patient has the following laboratory values (in the
image). How should they be interpreted?
A. The patient had hepatitis B.
B. The patient has hepatitis B.
C. The patient should consider Hepatitis B immunization.
D. The patient has had Hepatitis B immunization.
C.
This patient has a negative hepatitis B surface antigen (HBsAg).
Therefore, he does not have hepatitis B. The patient has a
negative hepatitis B core antibody (anti-HBc). Therefore, he has
never had hepatitis B. The patient has a negative hepatitis B
surface antibody (anti-HBs). Therefore, he is not considered
immune, and immunization should be considered. There is a
remote possibility that this patient has been immunized but did
not produce hepatitis B surface antibodies. If this were the case,
he should consider immunization once again.
A 24-year-old male has recently returned from a weekend
camping trip with friends. He has ulcerative colitis and a history
, of migraine headaches. He reports a 2-day history of headache,
nausea, and vomiting with weakness. Which of the following is
not part of the differential diagnosis?
A. Migraine headache
B. Exacerbation of ulcerative colitis
C. Acute gastroenteritis
D. Norovirus
B.
The patient presents with headache, nausea and vomiting. His
symptoms could be due to migraine headache or acute
gastroenteritis. Norovirus is a common cause of gastroenteritis.
An exacerbation of ulcerative colitis would produce lower GI
symptoms (diarrhea, flatulence, or bleeding), not nausea,
vomiting, and headache.
A patient has been diagnosed with viral gastroenteritis. He has
nausea and vomiting, and has started having lower abdominal
cramps. What is the most effective intervention for him?
A. An antidiarrheal
B. An antiemetic
C. An antispasmodic
D. Oral rehydration
D.
Patients with viral gastroenteritis should be treated
symptomatically. The goal of therapy is to prevent dehydration
and replace electrolyte losses. Antidiarrheals, antispasmodics,
and antiemetics can decrease nausea, vomiting, abdominal
cramping and symptoms of diarrhea, but should be used with
extreme caution when given to older adults or children younger
than 5 years of age. Clinical judgment should dictate when it is
prudent to initiate these agents.
Which of the following would be usual in a patient with biliary
colic?
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