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APEA PREDICTOR QUESTIONS AND ANSWERS
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APEA PREDICTOR QUESTIONS AND ANSWERS
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APEA PREDICTOR QUESTIONS ANDANSWERS
CranialxNervexVIIIx-xAcousticx(Hearingxandxbalance)
CranialxnervexIXx-xGlossopharyngeal-xswallowingxandxrisexofxthexpalate,xgagxreflex
CranialxNervexXIx-xSpinalxAccessoryx(upperxtrapezius)
Deepxtendonxreflexx-xAnkle-xS1xprimarily
Knee-xLumbarx2,3,4
Supinator(brachioradialis)-C5,6
BicepTriceps-C6,7
Strokexriskxscalex-xCHADS2
C-Congestivexheartxfailure
H-Hypertension
A-Agex>75xyears
D-xDiabetes
S-priorxStroke/TIA
Inxthexmajorityxofxchildren,xthexfirstxpermanentxteethxstartxtoxeruptxatxthexagexofx6xyears.xW
hichxofxthexfollowingxarexthexfirstxpermanentxteethxtoxeruptxinxthisxtimexperiod?x
A.xFirstxMolars
B.xSecondxMolars
C.xLowerxorxupperxincisors
D.xCaninesx-xA.xFirstxMolars
Allxofxthexfollowingxarexclassifiedxasxactivitiesxofxdailyxlivingx(ADLs)xexcept:x
A.xabilityxtoxfeedxself
B.xAbilityxtoxmanagexbladderxandxbowelxelimination
C.xPersonalxhygienexandxgrooming
D.xGroceryxShoppingx-xD.xGroceryxshopping
Youxnotexthexfollowingxresultxonxaxroutinexurinalysisxofxax37-
yearxoldxprimigravidaxwhoxisxatx30xweeksxgestation.xLeukocyte=trace,xnitrite=negative,xpr
otein=2+,xblood=negative.xHerxweightxhasxincreasedxbyx5xlbsxduringxthexpastxweek.xWhic
hxofxthexfollowingxisxmostxlikely?x
A.HELLPxsyndrome
,B.xPregnancy-inducedxhypertensionx(pre-eclampsia)
C.xEclampsiaxofxpregnancy
D.xPrimaryxhypertensionx-xB.xPregnancy-inducedxhypertensionx(pre-
eclampsia).xClassicxtriadxofxsymptomsxofxpreeclampsiaxincludexhypertension,xedemax(we
ightxgain),xandxproteinuria.
Thexmotherxofxax12xmonthxoldxinfantxreportsxtoxthexnursexpractitionerxthatxherxchildxhadxax
highxfeverxforxseveralxdays,xwhichxspontaneouslyxresolved.xAfterxthexfeverxresolved,xthexc
hildxdevelopedxaxmaculopapularxrash.xWhichxofxthexfollowingxisxthexmostxlikelyxdiagnosis?
x
A.xFifthxDiseasex(erythemaxinfectiosum)
B.xRoseolaxinfantumx(exanthemaxsubitum)
C.xVaricella
D.xInfantilexmaculopapularxrashesx-xB.xRoseolaxInfantumx(Exanthemaxsubitum)
Ax70-yearxoldxmalexpatientxcomplainsxofxaxbrightxred-
coloredxspotxinxhisxleftxeyexforx2xdays.xHexdeniesxeyexpain,xvisualxchanges,xorxheadaches.
xHexhasxaxnewxonsetxofxcoughxfromxaxrecentxviralxupperxrespiratoryxinfection.xThexonlyxme
dicinexhexisxonxBayerxaspirin,x1xtabletxaxday.xWhichxofxthexfollowingxisxmostxlikely?x
A.xCornealxabrasion
B.xAcutexbacterialxconjunctivitis
C.xAcutexuveitis
D.xSubconjunctivalxhemorrhagex-
xD.xSubconjunctivalxhemorrhage.xBrightxredxbloodxinxaxsharplyxdefinedxareaxsurroundedxb
yxnormal-appearingxconjunctivaxindicatesxsubconjunctivalxhemorrhage.
Axwomanxisxbeingxevaluatedxbyxthexnursexpractitionerxforxcomplaintsxofxdyspareunia.xAxm
icroscopyxslidexrevealsxaxlargexnumberxofxatrophicxsquamousxepithelialxcells.xThexvaginal
xpHxisx4.0.xTherexarexveryxfewxleukocytesxandxnoxRBCsxarexseenxonxthexwetxsmear.xWhic
hxofxthexfollowingxisxmostxlikely?x
A.xAtrophicxvaginitis
B.xBacterialxVaginosis
C.xTrichomoniasis
D.xThisxisxaxnormalxfinding.x-
xA.xAtrophicxvaginitis.xSymptomsxofxatrophicxvaginitisxincludexpainfulxintercourse,xatrophic
xsquamousxepithelialxcells,xandxaxdecreasexinxpH.xVaginalxatrophyxisxcausedxbyxlackxofxorx
imbalancexofxestrogen.xNormalxpHxofxthexvaginaxisx4.0-5.0x(acidic)
Thexmostxcommonxtypexofxskinxmalignancyxis:x
A.xSquamousxcellxcancer
B.xBasalxskinxcancer
C.xMelanoma
D.xDysplasticxnevix-
xB.xBasalxskinxcancer.xItxisxseveralxtimesxmorexcommonxthatxsquamousxcellxskinxcancerxa
ccordingxtoxthexNIH.
Koplik'sxspotsxarexassociatedxwith:x
,A.xPoxviriusxinfections
B.xMeasles
C.xKawasaki'sxdisease
D.xReye'sxsyndromex-
xB.xMeasles.xS/
Sxincludexfeverxoverx101,xcoryza,xcough,xconjunctivitis,xrash,xandxkoplik'sxspotsxonxbuccal
xmucosa
Atxwhatxlevelxofxpreventionxwouldxyouxclassifyxforxlungxcancer?x
A.xPrimaryxprevention
B.xSecondaryxprevention
C.xTertiaryxprevention
D.xPrimordialxpreventionx-
xD.xprimordialxprevention.xScreeningxforxlungxcancerxisxnotxcurrentlyxrecommendedxinxthex
generalxpopulation,xbutxitxisxsecondaryxprevention.
Axtestxcalledxthexvisualxfieldsxbyxconfrontationxisxusedxtoxevaluatexfor:x
A.xPeripheralxvision
B.xCentralxvision
C.xVisualxacuity
D.xAccomodationx-xA.xPeripheralxvision
WhatxisxthexmostxcommonxcausexofxCushing'sxsyndrome?x-
xAdministrationxofxaxglucocorticoidxorxACTH.x
IatrogenicxCushing'sxsyndromexisxthexmostxcommonxtype.xExogenousxglucocorticoidxadm
inistrationxproducesxaxCushing'sxSyndromexthatxisxreversiblexbyxdiscontinuationxofxthexme
dication.
Axpatientxwithxnoxsignificantxmedicalxhistoryxhasxvericosexveins.xShexcomplainsxofx'"achin
gxlegs".xThexinterventionxthatxwillxprovidexthexgreatestxreliefxforxherxcomplaintxisxto:x-
xElevatexherxlegsxperiodically.x
Thexinterventionxthatxwillxprovidexthexgreatestxreliefxforxthisxpatientxisxelevatingxherxlegsxpe
riodically.xThisxwillxfacilitatexvenousxreturn.xUsexofxsupportxstockingsxwillxprolongxthexlengt
hxofxtimexshexisxablextoxstandxinxplace,xbutxwillxnotxprovidexreliefxafterxherxlegsxbeginxachin
g.xSupportxstockingsxshouldxbexappliedxpriorxtoxgettingxoutxofxbed.
Ax25-yoxfemalexpatientxpresentsxforxaxroutinexwell-
womenxexam.xOnxphysicalxexam,xthexNPxnotesxaxscantxnipplexdischarge,xabsencexofxpal
pablexmass,xandxabsencexofxlymphxnodexenlargement.xWhatxisxthexmostxlikelyxdiagnosis?
x-xItraductalxpapilloma.x
Intraductalxpapillomaxoftenxpresentsxasxaxnon-
tenderxmassxwithxserousxorxbloodyxnipplexdischargexlocatedxinxthexductalxsystemxnearxthe
xareola.xBreastxcancer,xalthoughxusuallyxnon-
tender,xmayxpresentxwithxpain.xChestxwallxsyndromexmayxpresentxinxsomexwomenxasxbre
astxpain.xFibrocysticxbreastxdiseasexoftenxpresentsxwithxbilateralxbreastxpain.
, AccordingxtoxthexANA,xthexrolexofxthexNPxwhoxprovidesxprimaryxhealthxcarexisxthe:x-
xDirectxnursingxcarexrole.x
ThexNPxwithxaxtraditionalxnursingxcarexrolexisxaxprimaryxhealthxcarexprovider.xIncreasingxn
umbersxofxnursexpractitionersxarexassumingxindirectxrolesxsuchxasxeducator,xadministrato
r,xresearcher,xandxconsultant.
Anx8-
moxmalexpresentsxwithxhemarthrosisxofxbothxkneesxandxhematuria.xThexparentsxgivexnoxh
istoryxofxtrauma,xbutxsayx"xhexhasxalwaysxbruisedxeasily"xThexmostxlikelyxdiagnosisxis:x-
xAxtypexofxhemophilia.x
Hemophiliaxisxusuallyxdiagnosedxwithinxthexfirstxyearxofxlife.xItxcommonlyxpresentsxwithxhe
marthrosis,xbleedingxintoxsoftxtissue,xhematuria,xandxprolongedxbleedingxtimes.
Thexnursexpractitionerxisxfollowingxaxchildxwithxjuvemilexrheumatoidxarthritisx(JRA)xwhoxha
sxbeenxpreviouslyxdiagnosedxandxisxbeingxmanagedxforxthexdiseasexbyxaxpediatricxrheum
atologist.xThexmotherxasksxforxinformationxaboutxthexchild'sxlong-
termxprognosis.xThexappropriatexreplyxisxthat:x-
xmostxchildrenxwithxJRAxachievexcompletexremissionxbyxadulthood,xbutxitsxeffectsxmightxc
ausexlifelongxlimitations.x
Althoughxthexactivexdiseasexdoesxnotxcontinuexintoxadulthood,xthexcontractures,xgrowthxr
etardation,xbonexdeformities,xandxvisualximpairmentxassociatedxwithxJRAxmayxleadxtoxlifel
ongxfunctionalximpairments.xAxcomprehensivextreatmentxprogramxinvolvingxphysicalxther
apy,xoccupationalxtherapy,xnutrition,xeducation,xandxregularxopthalmologicxcarexcanxlimitxr
esidualxfunctionalxlimitations.
Approximatelyx70%xofxthexorganismsxfoundxinxcaninexoralxandxnasalxfluids,xandxconsequ
entlyxinxfreshxdogxbitexwounds,xare:x-xStaphylococcusxandxPasteurellaxmultocida.
xAllxofxthesexorganismsxarexfoundxinxcaninexoralxandxnasalxfluids,xandxculturedxfromxfreshx
dogxbitexwounds,xbutxthexmostxcommonx(70%)xarexStaphxandxPasteurellaxmultocida.
Educationxofxwomenxwithxfibrocysticxbreastxdiseasexshouldxincludexwhichxofxthexfollowingx
statements?x-xCaffeinexmayxtriggerxbreastxpain.x
Avoidancexofxallxmethylxanthinesx(egxcoffee,xtea,xchocolate)xhasxbeenxshownxtoxreducexb
reastxpainxinxwomenxwithxfibrocysticxbreastxdisease.xItxisxusuallyxaxbenignxcondition,xnotxa
xprecursorxofxmalignancy.xMammographyxisxrecommendedxoncexatxagex35xyears,xatxleast
xeveryx1-
2xyearsxafterxagex40,xandxthenxannuallyxbeginningxatxagex50xyears.xOralxcontraceptivesx
mayxhelpxreducexcyclicalxpainxandxswelling.
Congenitalxheartxdisordersxpresentxwithxsymptomsxat:x-xbirth,xinfancy,xorxinxchildhood.x
Axcommonxmisconceptionxisxthatxcongenitalxdisordersxalwaysxpresentxsymptomaticallyxat
xbirth.xTheyxcanxpresentxatxvariousxtimesxthroughoutxchildhoodxandxarexclassifiedxasxcyan
oticxorxacyanotic.xCardiacxdisordersxinxinfantsxandxchildrenxmayxbexacquiredxfromxrheuma
ticxfeverxorxkawasakixsyndrome.
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