APEA Predictor Exam 2024-2025 Test Bank, Exams of Nursing

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COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% A positive Auspitz sign is indicative of what? - anspsoriasis A U wave present on EKG is thought to represent what? - ansrepolarization of the purkinje fibers Alcohol and marijuana worsen which type of incontinence? - ansurge An overactive bladder is what type of incontinence? - ansurge incontinence Are nexplanon and norplant (levonorgestrol) combined contraceptives or progesterone only? - ansprogesterone only asking the patient to place both elbows on a table while keeping both forearms vertical and flexing both wrists - ansphalen sign Breastfeeding women cannot have which type of anti-contraceptive? - ansanything with estrogen in it; this includes things like cocps Can a mother take methadone while pregnant and breastfeeding? - ansyes Do cataracts cause myopia or presbyopia? - ansmyopia; meaning nearsightedness and they make things blurry that are farther away which is why driving at night becomes difficult Does subsequent mean before or after? - ansafter Dosage of folic acid in pregnancy to prevent neural tube defects - ans400mcg daily Erikson stage for 65 and older - ansego integrity vs despair Erikson stage from 3-5 years - ansinitiative vs guilt Erikson stage from 5-13 years - ansindustry vs inferiority Erikson stage from 13-21 years - ansidentity vs role confusion Erikson stage from 18 months to 3 years - ansautonomy vs shame and doubt Erikson stage from 21-39 years - ansintimacy vs isolation Erikson stage from 40-65 years - ansgenerativity vs stagnation COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% Erikson stage from birth to 18 months - anstrust vs mistrust Folic acid is which vitamin? - ansvitamin B9 GABHS infection puts individuals at the highest risk of developing what sequelae? - ansperitonsillar abscess, glomerulonephritis, rheumatic fever How do we treat rheumatic fever? - ansrefer to the hospital How does the pain in lateral vs. medial epicondylitis differ? - anslateral epicondylitis is worse with supination of the hand and medial epicondylitis is worse with pronation of the hand How is sickle cell anemia diagnosed? - anshemoglobin electrophoresis How is the fetal biophysical profile performed? - ansvia ultrasound and fetal heart rate monitoring How much weight should a normal weight woman gain in pregnancy? - ans25-35 pounds How much weight should an obese woman gain in pregnancy? - ans11-20 pounds How much weight should an overweight woman gain in pregnancy? - ans15-25 pounds How much weight should an underweight woman gain in pregnancy? - ans28-40 pounds Infants born to women who smoke are at increased risk for what? - anslow birth weight and preterm delivery involves tapping a finger along the problem nerve - anstinel sign Is myopia nearsightedness or farsightedness? - ansnearsightedness meaning it is hard to see things far away Is presbyopia nearsightedness or farsightedness? - ansfarsightedness meaning it can be harder to see things up close, such as reading a newspaper and may need to hold it farther away or use reading glasses Kawasaki disease is caused by what? - ansan acute vasculitis of the small and medium blood vessels COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% What is chorea? - ansabnormal involuntary movements What is considered legal blindness? - ans20/200 or worse What is round ligament pain? - ansa deep, sharp, stabbing or stretching sensation that begins or worsens with movement and can be unilateral or bilateral. This is a normal and benign part of pregnancy What is the best marker of an acute MI? - anstroponin What is the biggest risk associated with scabies? - anssecondary infection due to itching What is the diagnostic criteria for acute rheumatic fever? - ans2 major criteria OR 1 major + 2 minor criteria PLUS evidence of a recent strep infection What is the difference between chronic vs gestational hypertension? - anschronic htn is present before 20 weeks gestation or 12 weeks after delivery; gestational hypertension is after 20 weeks gestation What is the dosage preferred for folic acid deficiency? - ans1-5mg daily What is the gold standard for the diagnosis of herpes? - ansnucleic acid amplification test What is the leading cause of death in anorexia? - anssuicide What is the main difference between Kawasaki disease and scarlet fever? - ansKD has conjunctivitis and scarlet fever does not What is the most common cause of traveler's diarrhea? - anse coli What is the pain of temporal arteritis like? - ansnew onset headache, jaw pain with chewing What is the recommended treatment for BPH? - ansalpha blockers like terazosin, doxazosin, tamsulosin What is the recommended treatment for cat scratch disease? - ansusually self-limiting and presents with lymphadenopathy that goes away on it's own; severe cases may benefit from azithromycin COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% What is the recommended treatment for Kawasaki disease? - ansrefer to the ED, will likely need IVIG and high dose aspirin What is the recommended treatment for polymyalgia rheumatica? - ansPO steroids and refer to Rheumatology to confirm the diagnosis What is the recommended treatment for stress incontinence? - ansalpha agonists like sudafed, TCAs What is the recommended treatment for urge incontinence? - ansanticholinergics like oxybutynin What is the treatment for ankylosing spondylitis? - ansrefer to rheumatology for possible DMARDs What is the USPSTF's recommendation on scoliosis screening for adolescents? - ansinsufficient When are pregnant women screening for gestational diabetes? - answeek 24-28 When can a breastfeeding mother breast feed again after drinking alcohol? - answait 2- 3 hours per drink consumed before breastfeeding again When do troponins peak after a MI? - ans12 hours When is the fetal biophysical profile often performed? - ansin the third trimester, often after week 28-32 When should adolescent boys be screening for scoliosis? - ansbetween age 12-13 When should adolescent girls be screened for scoliosis? - ansas early as 10 years old and then again at age 12 When should an infant be able to display a conjugate gaze (track you all the way across the room)? - ans6 months Where are the biggest food sources of vitamin B12? - ansfish, meat, poultry, eggs, and dairy products, also fortified breakfast cereals and fortified nutritional yeasts Where is the aorta best auscultated? - ansat the second ICS to to the right of the sternum COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% a normal rise in blood sugar as a person's body prepares to wake up due to a release of cortisol and growth hormone - ANSdawn phenomenon a rare complication of pregnancy characterized by the abnormal growth of trophoblasts, the cells that normally develop into the placenta - ANSmolar pregnancy Alpha fetoprotein screening in pregnancy can help determine the presence of what in pregnancy? - ANSspina bifida and anencephaly Amenorrhea is considered a risk factor for what? - ANSosteoporosis An anorexic patient will have a BMI of what? - ANSless than 18 Anorexia can put you at risk for what? - ANSosteoporosis, amenorrhea, cardiac damage At what week of pregnancy is the fundus just below the xiphoid process? - ANSweek 34 At what week of pregnancy is the fundus of the uterus at the umbilicus? - ANSweek 20 At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and umbilicus? - ANSweek 28 At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and umbilicus? - ANSweek 16 At what week of pregnancy is the uterus palpable just above the pubic symphysis? - ANSweek 12 Bursitis can be a __________ issue - ANSrecurrent Genu valgum is caused by a problem with what? - ANSthe medial collateral ligament; think valgum as in gum makes your knees stick together Genu varum is caused by a problem with what? - ANSthe lateral collateral ligament Heberden and bouchard's nodes are indicative of what disease process? What about swan neck deformities? - ANSosteoarthritis; rheumatoid arthritis How can we abort cluster headaches? - ANScalcium or 100% oxygen application How can you tell between the dawn and somogyi effect? - ANSIf the blood sugar level is low at 2 a.m. to 3 a.m., suspect the Somogyi effect. If the blood sugar level is normal or high at 2 a.m. to 3 a.m., it's likely the dawn phenomenon. COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% If a patient's Coomb's test is positive, what do we do? - ANSnothing, she is RH positive so we do not need to treat If a patient's INR is greater than 5, what should you do? - ANSconsult cards, likely would hold two doses then decrease the weekly dose If a patient's pap results show ASC-H or HSIL what should you do? - ANSrefer for colposcopy If a patient's pap results show NILM, what should you do? - ANSrepeat in 3 years If a pregnant woman comes in with painless vaginal bleeding, what should we be considering? - ANSplacenta previa If a pregnant woman has syphilis, what should we do? - ANStreat it with penicillin while she is pregnant because there is risk for spontaneous abortion If any woman comes in with painless vaginal bleeding between periods (esp if she is postmenopausal), what should you do? - ANSdo 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. - ANSmammogram; ultrasound Increased sweat production is a sign of what endocrine disorder? - ANShyperthyroidism It is recommended that all children younger than __________ with sickle cell anemia take daily prophylactic antibiotics. What antibiotic is this? - ANS5 years old; penicillin Legg-calve-perthes disease is most common in which patient population? - ANSyoung children Patients with SLE are going to have what abnormal labwork? - ANSelevated ESR and CRP PDE5 inhibitors (sildenafil, tadalafil) are contraindicated in which patient populations? - ANSin those who are on any type of nitrate or triptan because it could result in hypotension Preeclampsia most commonly shows up at what time in pregnancy? - ANSaround week 20 SCFE is most common in which patient population? - ANSadolescents COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% Secondary amenorrhea is a lack of menses after _________ of not having a period; but you have had one before - ANS3 months The anterior drawer test assesses what? - ANSthe acl The Lachman's test assesses what? - ANSthe ACL The McMurray's test assesses for what? - ANSa torn meniscus The medical term for bow legs - ANSgenu varum The medical term for knock knees - ANSgenu valgum The posterior drawer test assesses what? - ANSthe posterior cruciate ligament (pcl) The vaginal ring for contraception must be taken out how often? - ANSevery 3 weeks The valgus stress test assesses what? - ANSthe medial collateral ligament The varus stress test assesses what? - ANSthe lateral collateral ligament What are common sequelae of fibromyalgia? - ANSinsomnia and depression What are s/s of Addison's disease? - ANSbronze or discolored skin, salt cravings What are s/s of an intraductal breast papilloma? - ANSclear to bloody unilateral nipple discharge (bilateral is usually benign), and also a wart like lump palpated in the nipple area What are s/s of peripheral vascular disease? - ANSthink V meaning volume overload aka edema, may ache or be uncomfortable but is not painful, bounding pulses, ruddy discoloration What are s/s of the secondary stage of syphilis? - ANSrash on hands and feet, lymphadenopathy, fever What are shin splints? - ANSa medial tibial syndrome caused by overuse of the muscles What are the first generation antihistamines? - ANSdiphenhydramine (benadryl) and chlorpeniramine (actifed) COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% What are the preventative treatment options for migraines? - ANSbeta blockers, amitriptyline, venlafaxine, topamax, valproate What are the symptoms of peripheral artery disease? - ANSthink P meaning pain, A meaning absent or weak pulses, eschar or shiny legs, intermittent claudication What bacteria is the leading cause of urethritis? - ANSneisseria gonorrhea What can be a sequelae of an ectopic pregnancy? - ANSpelvic inflammatory disease and infertility due to scarring of the fallopian tube (salpingitis) What changes to the vagina occur with aging? - ANSdryness, loss of rugae, less pubic hair What class of drug is sildenafil (viagra)? - ANSa 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 do we need to do first when a patient comes in with secondary amenorrhea? - ANSrule out pregnancy What does an ASC-US (atypical squamos cells of undetermined significance) pap smear result necessitate? - ANSDo HPV testing with this. If positive, repeat in one year if age 21-24 or send for colposcopy if older than 25. If negative, repeat pap in 3 years. What does the apprehension test assess for? - ANSused to assess for stability of the shoulder or knee; assesses for stability What is a great treatment option for fibromyalgia? - ANSamitriptyline (a TCA) because it helps with chronic pain, sleep, and depression What is a navicular fracture? - ANSalso known as a scaphoid fracture; this impacts the snuff box and causes tenderness there. This will have to be casted to stabilize the fracture What is Addison's disease? - ANSadrenal insufficiency; the patient will be low in cortisol and sodium but their potassium will be high What is another name for fifth disease? - ANSparvovirus aka slapped cheek disease aka erythema infectiosum What is bursitis? - ANSa fluid collection in the bursa of a joint COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% What should we tell our patients with PAD NOT to do? - ANSdo not elevate the feet; keep them down When can cervical cancer screening stop if no abnormal screening history is present? - ANSage 65 When do fibrocystic breasts tend to flare up and cause tenderness and lumps? - ANSabout 10 days before menses When do we perform alpha fetoprotein screening in pregnancy? - ANS15-20 weeks When do we screen for group B strep in pregnancy? - ANSweeks 35-37 When does placental abruption most commonly occur? - ANSin the third trimester When should breast cancer screening begin and end with a biannual mammogram? - ANSage 50-74 When should colorectal cancer screening stop? - ANSage 85 When should patients begin antiretroviral therapy for HIV infection? - ANSas soon as it is detected, even if in the acute phase When will spinal or lumbar stenosis feel better? - ANSwhen the patient sits down Which pap smear result is considered to be HPV positive? - ANSLSIL Which type of headaches come with lacrimation and sinus symptoms? - ANScluster headaches Which type of prevention are vaccinations? - ANSprimary Who qualifies for a low dose CT scan for lung cancer screening purposes? - ANSage 50-80 years anyone who currently smokes or has stopped smoking within the last 5 yearsWhere is the pulmonary artery best auscultated? - ansat the second ICS to the left of the sternum Which age group is rheumatic fever most common in? - anschildren ages 5-15 Which is the recommended diagnostic when a patient has a breast lump? - ansif less than 45, do an ultrasound. if older than 45, do a diagnostic mammogram. COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% Which medication is approved in Peds for the prevention of febrile seizures? - ansdiazepam Which nerve runs on the side of the pinky finger - ansulnar nerve Which nerve runs on the side of the thumb - ansmedian nerve Which SSRI is safest in pregnancy? Which poses the most risk? - anssertraline; paroxetineAntibiotic of choice for acute prostatitis - anscipro (or ceftriaxone if STI related) Antibiotic of choice for bacterial vaginosis - ansflagyl Antibiotic of choice for cellulitis - anskeflex or cefdinir Antibiotic of choice for chlamydia - ansazithromycin Antibiotic of choice for chronic bacterial prostatitis - ansbactrim plus cipro or levo Antibiotic of choice for dog or cat bite - ansaugmentin Antibiotic of choice for lyme disease - ansdoxycycline Antibiotic of choice for mastitis - anskeflex Antibiotic of choice for MRSA - ansbactrim, clindamycin, doxycycline Antibiotic of choice for PID - ansceftriaxone and doxycycline Antibiotic of choice for pyelonephritis - anscephalexin or bactrim Antibiotic of choice for syphilis - anspenicillin G Antibiotic of choice for trichomoniasis - ansflagyl Are Parkinsonian tremors unilateral or bilateral at first? - ansunilateral Boutonniere deformities are indicative of what disease? - ansrheumatoid arthritis Calcium is in an inverse relationship with what electrolyte? - ansphosphorous Causing harm or damage - ansdeleterious COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% How do you calculate ideal body weight for men? - ansstart at 106 pounds and then add 6 for every inch above 5 feet How is endometriosis diagnosed? - ansvia transvaginal ultrasound How is lichen sclerosus treated? - anstopical steroids, topical calcineuronin inhibitors to suppress the immune system, topical or oral retinoids, phototherapy Perineal pain is indicative of what in males? - ansprostatitis Post exposure prophylaxis for someone with HIV should be completed when? - answithin 72 hours of the exposure Recommended treatment for verruca (warts) - anstopical salicylic acid daily x 12 weeks Should patients undergo gonorrhea testing to confirm a cure after receiving treatment? - ansonly if they had pharyngeal gonorrhea, not vaginal or anal Tanner stage 1 female breast developmental - ansprepubertal Tanner stage 1 male genital development - ansprepubertal Tanner stage 2 female breast development - ansthelarche; the breasts bud as a small mound and the areola increases in diameter Tanner stage 2 male genital development - anstesticles and scrotum enlarge Tanner stage 3 female breast development - ansthe areola, breast, and nipple grow together in one mount Tanner stage 3 male genital development - anstesticles continue to enlarge and the penis lengthens Tanner stage 4 female breast development - ansthe areola and nipple separate from the breast to form a secondary mound Tanner stage 4 male genital development - anspenis lengthens, testicles enlarge, and the scrotum darkens Tanner stage 5 female breast development - ansmature nipples project only Tanner stage 5 male genital development - ansmature COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% At what week of pregnancy is the uterus palpable just above the pubic symphysis? - answeek 12 Bursitis can be a __________ issue - ansrecurrent Genu valgum is caused by a problem with what? - ansthe medial collateral ligament; think valgum as in gum makes your knees stick together Genu varum is caused by a problem with what? - ansthe lateral collateral ligament Heberden and bouchard's nodes are indicative of what disease process? What about swan neck deformities? - ansosteoarthritis; rheumatoid arthritis How can we abort cluster headaches? - anscalcium or 100% oxygen application How can you tell between the dawn and somogyi effect? - ansIf the blood sugar level is low at 2 a.m. to 3 a.m., suspect the Somogyi effect. If the blood sugar level is normal or high at 2 a.m. to 3 a.m., it's likely the dawn phenomenon. How do we diagnose PAD? - ansan ABI < 7; doppler can also be used to diagnose as well but is the second choice How do we treat a broken clavicle in an infant? - ansno treatment; it should heal on it's own How do we treat any rotator cuff injuries? - answear a sling to stabilize the arm and refer to ortho How do we treat developmental hip dysplasia in a child under 6 months? - ansPavlik harness; if older than 6 months may need surgery How do we treat lupus flares? - anssteroids How do we treat Paget's diseease? - ansbisphosphonates How do we treat shin splints? - ansrest and avoidance of exercise until the pain resolves How do we treat temporal arteritis? - anssteroids How do we treat UTIs in a pregnant woman? - anscan either do penicillin, cephalosporin, or a macrolide (can NOT do doxy or a fluoroquinolone) COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% How does the parathyroid gland regulate calcium? - answhen parathyroid hormone is released, it pulls calcium out of the blood and into the circulation in response to hypocalcemia. it also increases absorption of calcium from the intestine How is bursitis treated? - ansa needle to instill intraarticular steroids and then pull off fluid How is fibromyalgia diagnosed? - answhen at least 8 out of 11 points bilaterally are tender to touch and the symptoms have lasted longer than 3 months How is Morton's neuroma diagnosed? - ansvia a positive Muddler's or squeeze test causing pain How is the pain of trigeminal neuralgia vs temporal arteritis different? - ansin trigeminal neuralgia, the pain is like a shock hitting the side of your face whereas temporal arteritis is more like a headache How long do migraine headaches last? - ans4-72 hours How should pregnant women wear their seatbelt? - answith the shoulder strap like a normal person and then the groin strap below the belly and across the hips How would you describe the appearance of molluscum contagiosum? - anspapules that are umbilicated and contain a caseous plug If a patient has GABHS but has an allergy to penicillins, what is the second line option? - ansfirst generation cephalosporins, unless the allergy is severe, then you would consider macrolides like a -mycin If a patient has LSIL with a negative HPV test, what would you do? - ansrepeat in 1 year If a patient has LSIL with no HPV test or a positive HPV test, what should you do? - ansrefer for colposcopy If a patient is on birth control and is currently having breakthrough bleeding, then what do we do? - ansincrease the progesterone If a patient is on birth control and they miss one pill, what should they do? - ansdouble up If a patient is on birth control and they miss two pills, what should they do? - ansdouble up for 2 days COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% 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? - ansBactrim 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? - ansRifampin 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? - ansdecrease the weekly dose by 5-10% If a patient on coumadin's INR is 4.1-5.0, what should you do? - anshold one dose then decrease the weekly dose by 10% If a patient's Coomb's test is negative, what do we do? - ansgive rhogam at 28 weeks and 72 hours after birth If a patient's Coomb's test is positive, what do we do? - ansnothing, she is RH positive so we do not need to treat If a patient's INR is greater than 5, what should you do? - ansconsult cards, likely would hold two doses then decrease the weekly dose If a patient's pap results show ASC-H or HSIL what should you do? - ansrefer for colposcopy If a patient's pap results show NILM, what should you do? - ansrepeat in 3 years If a pregnant woman comes in with painless vaginal bleeding, what should we be considering? - ansplacenta previa If a pregnant woman has syphilis, what should we do? - anstreat it with penicillin while she is pregnant because there is risk for spontaneous abortion If any woman comes in with painless vaginal bleeding between periods (esp if she is postmenopausal), what should you do? - ansdo 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. - ansmammogram; ultrasound Increased sweat production is a sign of what endocrine disorder? - anshyperthyroidism COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% What is a great treatment option for fibromyalgia? - ansamitriptyline (a TCA) because it helps with chronic pain, sleep, and depression What is a navicular fracture? - ansalso known as a scaphoid fracture; this impacts the snuff box and causes tenderness there. This will have to be casted to stabilize the fracture What is Addison's disease? - ansadrenal insufficiency; the patient will be low in cortisol and sodium but their potassium will be high What is another name for fifth disease? - ansparvovirus aka slapped cheek disease aka erythema infectiosum What is bursitis? - ansa fluid collection in the bursa of a joint What is first line treatment for PAD? - answalking and physical activity to improve circulation. second line is an aspirin or anti-platelet What is Korsakoff syndrome? - ansa deficiency in thiamine and folate caused by alcoholism What is legg-calve-perthe disease? - ansavascular necrosis of the femoral head due to a lack of blood supply What is Morton's neuroma? - ansa mass between the 3rd and 4th toes that feels like a pebble; most common in women who wear high heels or tight shoes What is myasthenia gravis? - ansan autoimmune disorder that causes muscle weakness of the voluntary muscles What is one of the biggest risk factors for cervical cancer? - ansnumerous sexual partners What is Paget's disease? - ansthere 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 What is placenta abruptio? - answhen the placenta either fully or partially detaches from the uterine wall What is placenta previa? - answhen the placenta blocks the cervical opening of the uterus COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% What is primary amenorrhea? - answhen the patient has never gotten their period before (there is an absence of menarche) but they have all of their secondary sex characteristics What is slipped capital femoral epiphysis? - answhen the femoral head of the hip is out of place What is the best indication of an anorexic patient doing better? They tell you they are eating more, they have weight gain, or they get their period back? - ansthey get their period back What is the biggest side effect of colchicine? - ansdiarrhea What is the causative organism of mastitis? - ansstaph What is the Coomb's test and when is this completed? - anstest given 8 weeks in to pregnancy to determine a woman's RH compatibility What is the first line treatment for mastitis? - anskeflex (a cephalosporin). If that doesn't work, then try another antibiotic. If that STILL doesn't work, then refer for an ultrasound What is the first line treatment for trigeminal neuralgia? - anscarbamazepine (tegretol) or amitriptyline. also want to do gabapentin or something for nerve pain What is the hook test? - ansused to assess for a bicep tendon issue What is the main characteristic of a slipped capital femoral epiphysis? - answalking with a limp What is the major difference in symptomalogy between placenta abruptio and placenta previa? - ansa placental abruption is painful whereas placenta previa is painless What is the most common cause of hypercortisolism? - ansexcessive ACTH production What is the only form of non-hormonal contraception other than barrier methods such as condoms? - ansIUD What is the radiographic study of choice for the back? - ansx ray What is the radiographic study of choice for the knee? - ansMRI COMPLETE APEA PREDICTOR EXAM 2024-2025 TEST BANK 500+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|Already Graded A+|100% What is the recommended treatment for acute prostatitis? - anscipro (if not STI related) or ceftriaxone What is the recommended treatment for Bell's palsy? - anssteroids and anti-virals What is the recommended treatment for chronic bacterial prostatitis? - ansa fluoroquinolone (cipro or levo) + bactrim What is the recommended treatment for polymyalgia rheumatica? - anssteroids What is the tell-tale difference between a herniated disc and sciatica? - anssciatica feels better when you stand, a herniated disc feels better when you sit down What is the trendelenburg sign and when is it positive? - answhen the patient is standing straight and the pelvis on the unaffected side drops; this is a sign of a slipped capital femoral epiphysis What should we tell our patients with PAD NOT to do? - ansdo not elevate the feet; keep them down When can cervical cancer screening stop if no abnormal screening history is present? - ansage 65 When do fibrocystic breasts tend to flare up and cause tenderness and lumps? - ansabout 10 days before menses When do we perform alpha fetoprotein screening in pregnancy? - ans15-20 weeks When do we screen for group B strep in pregnancy? - answeeks 35-37 When does placental abruption most commonly occur? - ansin the third trimester When should breast cancer screening begin and end with a biannual mammogram? - ansage 50-74 When should colorectal cancer screening stop? - ansage 85 When should patients begin antiretroviral therapy for HIV infection? - ansas soon as it is detected, even if in the acute phase When will spinal or lumbar stenosis feel better? - answhen the patient sits down Which pap smear result is considered to be HPV positive? - ansLSIL