APEA PREDICTOR EXAM 2024-2025 REAL EXAM QUESTIONS AND
t t t t t t t
CORRECT ANSWERS WITH RATIONALES|ALREADY GRADED
t t t t t
A+|BRAND NEW!!
t t
1).A 15 years old high school student with a mild sore throat and low-grade fever that has
t t t t t t t t t t t t t t t t
persisted for about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The NP
t t t t t t t t t t t t t t t t
suspects mononucleosis. Which of the following is the LEAST appropriate intervention?
t t t t t t t t t t t
A.Palpate the lymph nodes and spleen t t t t t
B .Examine the posterior oropharynx for petechiae Obtain a CBC, throat culture, and heterophil
t t t t t t t t t t t t t
antibody test.
t t
C. Obtain an urinalyses and serum for LFTs and amylase - ANSWERS- Obtain an urinalysesand
t t t t t t t t t t t t t t t
serum for LFTs and amylase
t t t t t
Explanation: mononucleosis is a symptomatic infection caused by the Epstein-Bar virus. t t t t t t t t t t
Common is people 15-24 years of age. Common signs and symptoms following incubation
t t t t t t t t t t t t t
period (1-2 months) include fatigue, chills, malaise, anorexia, white tonsillar exudates and
t t t t t t t t t t t t
lymphadenopathy or posterior cervical region. Splenomegaly can be present. A maculopapularor
t t t t t t t t t t t t
occasionally a petechial rash occurs in less than 15% of patients. A diagnosis is usually madeusing
t t t t t t t t t t t t t t t t t
the Monospot. In addition, neutropenia and lymphocytosis are usually detected in the CBC
t t t t t t t t t t t t t
2) A 32 years old male patient complaint of urinary frequency and burning on urination for 3
t t t t t t t t t t t t t t t
days. Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx. Of urinary tract
t t t t t t t t t t t t t t t
infections. The initial treatment should be:
t t t t t t
a. trimethoprim-sulfamethoxazole (Bactrim, Sulfatrim) for 7-10 day t t t t t
b. ciprofloxacin (Cipro) for 3-5 days t t t t
c. Trimethoprim-Sulfamethoxazole for 3 days t t t
d. 750 mg ciprofloxacin as a one-time dose - ANSWERS- . trimethoprim-sulfamethoxazole
t t t t t t t t t t
(Bactrim, Sulfatrim) for 7-10 day
t t t t t
Explanation: trimethoprim-sulfamethoxazole (TMPS) is usually n appropriate medication to t t t t t t t t
treat urinary tract infections in most patients. In the case of community resistance to TMPS
t t t t t t t t t t t t t t t
>20%^, another medication should be substituted. In men, the appropriate length of time is 7 10
t t t t t t t t t t t t t t t
days. Women may be treated for 3 days for uncomplicated UTI
t t t t t t t t t t t
3) Which agent is most effective for the treatment of nodulocystic acne?
t t t t t t t t t t
a.Benzoyl peroxide (Benzac)
t t t
b.Retinoic acid (Retin A) t t t
, c.Topical tetracycline t
d.Isotretinoin - ANSWERS- Isotretinoin t t t
Explanation: Isotretinoin (Accutane) is a systemic agent indicated for treatment with severe
t t t t t t t t t t t
inflammatory acne. Guidelines for its use must be clearly understood by the patient. A womanof
t t t t t t t t t t t t t t t t
childbearing age must use an effective method of contraception because isotretinoin is 1 There
t t t t t t t t t t t t t t
are many restrictions in prescribing this medication because of the teratogenic effects is given
t t t t t t t t t t t t t t
during pregnancy. Therefore, it is a pregnancy category X.
t t t t t t t t t
4) An 18 y/o woman is taking a combined hormonal oral contraceptive. She should be instructedto
t t t t t t t t t t t t t t t
use a backup method for the prevention of pregnancy
t t t t t t t t t
a. Throughout the week of placebo pills t t t t t
b. If prescribed topiramate (Topamax) for the treatment of migraines. c.If
t t t t t t t t t
prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
t t t t t t t
d.if sheforgets to take a single dose of the contraceptive - ANSWERS- If prescribed topiramate
t t t t t t t t t t t t t t t
(Topamax) for the treatment of migraines.
t t t t t t
Explanation: Anticonvulsant including phenytoin (Dilantin), carbamazepine (Tegretol),
t t t t t t
primidone (Mysoline), topiramate (Topamax) and oxcarbazepine (Trileptal) reduce the
t t t t t t t t t
effectiveness of contraceptives. Depo-medroxyprogesterone acetate injections or
t t t t t t t
levonorgestrel-releasing intrauterine devices would be a better method of contraceptive for
t t t t t t t t t t t
patients taking anticonvulsants. Most commonly used antibiotics have not been proven to
t t t t t t t t t t t t
reduce the effectiveness of contraceptives. Rifampin is an exception, and additional Be used
t t t t t t t t t t t t t
by women taking this drug and using oral contraceptives, transdermal, or vaginal ring
t t t t t t t t t t t t
preparations. Additional backup contraception should be used if taking antifungal agents. No
t t t t t t t t t t t t
additional protection is needed thought the week of placebo pills. Missing one single dose of
t t t t t t t t t t t t t t t
contraceptive does not require additional protection, missing more than one doses does.
t t t t t t t t t t t t
5) mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), and t t t t t t t t t t t
triglycerides= 344 mg/dL (8.94 mmol/L). What agent have the greatest effect on improving her
t t t t t t t t t t t t t t
lipid profile and reducing morbidity and mortality associates with dyslipidemia?
t t t t t t t t t t
a.Atorvastatin
b.Niacin (Niaspan)
t t
c.Omega 3 fatty acids
t t t t
d.Fenofibrates - ANSWERS- Atorvastatin t t t
Explanation: First and foremost, it is essential to educate individuals on a heart-healthy
t t t t t t t t t t t t
lifestyle. LDL-C is one of the major culprits in the development of atherosclerotic heart disease.The
t t t t t t t t t t t t t t t t
target level of LDL-C is between 50 to 70mg/dl to prevent plaque formation in the blood
t t t t t t t t t t t t t t t t
vessels. Guidelines strongly recommend statin therapy because they primarily lower LDL-C
t t t t t t t t t t t
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Ascorers. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
