APEA Predictor Exam New Latest Version with 100%. Verified solutions-2023-2024, Exams of Nursing

Download APEA Predictor Exam New Latest Version with 100%. Verified solutions-2023-2024 and more Exams Nursing in PDF only on Docsity! APEA Predictor Exam New Latest Version with 100%. Verified solutions-2023-2024 and Questions from Actual Past Exam What is the biggest side effect of colchicine? diarrhea How would you describe the appearance of molluscum contagiosum? papules that are umbilicated and contain a caseous plug How do we treat a broken clavicle in an infant? no treatment; it should heal on it's own At what week of pregnancy is the uterus palpable just above the pubic symphysis? week 12 At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and umbilicus? week 16 At what week of pregnancy is the fundus of the uterus at the umbilicus? week 20 At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and umbilicus? week 28 At what week of pregnancy is the fundus just below the xiphoid process? week 34 Increased sweat production is a sign of what endocrine disorder? hyperthyroidism think V meaning volume overload aka edema, may ache or be uncomfortable but is not painful, bounding pulses, ruddy discoloration 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? Bactrim 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? Rifampin 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? decrease the weekly dose by 5-10% If a patient on coumadin's INR is 4.1-5.0, what should you do? hold one dose then decrease the weekly dose by 10% If a patient's INR is greater than 5, what should you do? consult cards, likely would hold two doses then decrease the weekly dose An anorexic patient will have a BMI of what? less than 18 What is primary amenorrhea? when the patient has never gotten their period before (there is an absence of menarche) but they have all of their secondary sex characteristics Secondary amenorrhea is a lack of menses after of not having a period; but you have had one before 3 months What do we need to do first when a patient comes in with secondary amenorrhea? rule out pregnancy Anorexia can put you at risk for what? osteoporosis, amenorrhea, cardiac damage Amenorrhea is considered a risk factor for what? osteoporosis 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? they get their period back If a pregnant woman has syphilis, what should we do? treat it with penicillin while she is pregnant because there is risk for spontaneous abortion What is the causative organism of mastitis? staph What is the first line treatment for mastitis? keflex (a cephalosporin). If that doesn't work, then try another antibiotic. If that STILL doesn't work, then refer for an ultrasound What is one of the biggest risk factors for cervical cancer? numerous sexual partners Preeclampsia most commonly shows up at what time in pregnancy? around week 20 How do we treat UTIs in a pregnant woman? can either do penicillin, cephalosporin, or a macrolide (can NOT do doxy or a fluoroquinolone) When do fibrocystic breasts tend to flare up and cause tenderness and lumps? about 10 days before menses What can be a sequelae of an ectopic pregnancy? pelvic inflammatory disease and infertility due to scarring of the fallopian tube (salpingitis) What is the Coomb's test and when is this completed? test given 8 weeks in to pregnancy to determine a woman's RH compatibility If a patient's Coomb's test is positive, what do we do? nothing, she is RH positive so we do not need to treat If a patient's Coomb's test is negative, what do we do? give rhogam at 28 weeks and 72 hours after birth What is the only form of non-hormonal contraception other than barrier methods such as condoms? IUD The vaginal ring for contraception must be taken out how often? every 3 weeks If a patient is on birth control and is currently having breakthrough bleeding, then what do we do? increase the progesterone How do we treat temporal arteritis? steroids If a patient is on birth control and they miss one pill, what should they do? double up If a patient is on birth control and they miss two pills, what should they do? SCFE is most common in which patient population? adolescents What is legg-calve-perthe disease? avascular necrosis of the femoral head due to a lack of blood supply Legg-calve-perthes disease is most common in which patient population? young children What is the radiographic study of choice for the knee? MRI What is the radiographic study of choice for the back? x ray What is bursitis? a fluid collection in the bursa of a joint How is bursitis treated? a needle to instill intraarticular steroids and then pull off fluid Bursitis can be a issue recurrent The medical term for knock knees genu valgum The medical term for bow legs genu varum What is myasthenia gravis? an autoimmune disorder that causes muscle weakness of the voluntary muscles Genu valgum is caused by a problem with what? the medial collateral ligament; think valgum as in gum makes your knees stick together Genu varum is caused by a problem with what? the lateral collateral ligament What are shin splints? a medial tibial syndrome caused by overuse of the muscles How do we treat shin splints? rest and avoidance of exercise until the pain resolves What is the tell-tale difference between a herniated disc and sciatica? sciatica feels better when you stand, a herniated disc feels better when you sit down When will spinal or lumbar stenosis feel better? when the patient sits down What is Korsakoff syndrome? a deficiency in thiamine and folate caused by alcoholism What changes to the vagina occur with aging? dryness, loss of rugae, less pubic hair What is a navicular fracture? also known as a scaphoid fracture; this impacts the snuff box and causes tenderness there. This will have to be casted to stabilize the fracture Heberden and bouchard's nodes are indicative of what disease process? What about swan neck deformities? osteoarthritis; rheumatoid arthritis What is Morton's neuroma? a mass between the 3rd and 4th toes that feels like a pebble; most common in women who wear high heels or tight shoes How is Morton's neuroma diagnosed? via a positive Muddler's or squeeze test causing pain What is the hook test? used to assess for a bicep tendon issue