APEA Predictor Exam with accurate answers /latest and verified, Exams of Nursing

Download APEA Predictor Exam with accurate answers /latest and verified and more Exams Nursing in PDF only on Docsity! APEA Predictor Exam with accurate answers /latest and verified 1.What is the biggest side effect of colchicine?: diarrhea 2.How would you describe the appearance of molluscum contagiosum?: - papules that are umbilicated and contain a caseous plug 3.How do we treat a broken clavicle in an infant?: no treatment; it should heal on it's own 4.At what week of pregnancy is the uterus palpable just above the pubic symphysis?: week 12 5.At what week of pregnancy is the fundus palpable halfway between the pubic symphysis and umbilicus?: week 16 6.At what week of pregnancy is the fundus of the uterus at the umbilicus?: - week 20 7.At what week of pregnancy is the fundus of the uterus halfway between the xiphoid process and umbilicus?: week 28 8.At what week of pregnancy is the fundus just below the xiphoid process?- : week 34 9. Increased sweat production is a sign of what endocrine disorder?: hyperthy- roidism 10.What is Paget's disease?: there 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 11.How do we treat Paget's diseease?: bisphosphonates 12.How should pregnant women wear their seatbelt?: with the shoulder strap like a normal person and then the groin strap below the belly and across the hips 13.What is another name for fifth disease?: parvovirus aka slapped cheek dis- ease aka erythema infectiosum 14.Which type of prevention are vaccinations?: primary 15.When should patients begin antiretroviral therapy for HIV infection?: as soon as it is detected, even if in the acute phase 16.What are the first generation antihistamines?: diphenhydramine (benadryl) and chlorpeniramine (actifed) 17.What are s/s of the secondary stage of syphilis?: rash on hands and feet, lymphadenopathy, fever 18.What is the recommended treatment for chronic bacterial prostatitis?: a fluoroquinolone (cipro or levo) + bactrim 36.Secondary amenorrhea is a lack of menses after of not having a period; but you have had one before: 3 months 37.What do we need to do first when a patient comes in with secondary amenorrhea?: rule out pregnancy 38.Anorexia can put you at risk for what?: osteoporosis, amenorrhea, cardiac damage 39.Amenorrhea is considered a risk factor for what?: osteoporosis 40.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 41.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 42.What is the causative organism of mastitis?: staph 43.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 44.What is one of the biggest risk factors for cervical cancer?: numerous sexual partners 45.Preeclampsia most commonly shows up at what time in pregnancy?: - around week 20 46.How do we treat UTIs in a pregnant woman?: can either do penicillin, cephalosporin, or a macrolide (can NOT do doxy or a fluoroquinolone) 47.When do fibrocystic breasts tend to flare up and cause tenderness and lumps?: about 10 days before menses 48.What can be a sequelae of an ectopic pregnancy?: pelvic inflammatory disease and infertility due to scarring of the fallopian tube (salpingitis) 49.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 50.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 51.If a patient's Coomb's test is negative, what do we do?: give rhogam at 28 weeks and 72 hours after birth 52.What is the only form of non-hormonal contraception other than barrier methods such as condoms?: IUD 53.The vaginal ring for contraception must be taken out how often?: every 3 weeks 54.If a patient is on birth control and is currently having breakthrough bleed- ing, then what do we do?: increase the progesterone 55.How do we treat temporal arteritis?: steroids 56.If a patient is on birth control and they miss one pill, what should they do?: double up 77.SCFE is most common in which patient population?: adolescents 78.What is legg-calve-perthe disease?: avascular necrosis of the femoral head due to a lack of blood supply 79. Legg-calve-perthes disease is most common in which patient population?- : young children 80.What is the radiographic study of choice for the knee?: MRI 81.What is the radiographic study of choice for the back?: x ray 82.What is bursitis?: a fluid collection in the bursa of a joint 83.How is bursitis treated?: a needle to instill intraarticular steroids and then pull off fluid 84.Bursitis can be a issue: recurrent 85.The medical term for knock knees: genu valgum 86.The medical term for bow legs: genu varum 87.What is myasthenia gravis?: an autoimmune disorder that causes muscle weakness of the voluntary muscles 88.Genu valgum is caused by a problem with what?: the medial collateral ligament; think valgum as in gum makes your knees stick together 89. Genu varum is caused by a problem with what?: the lateral collateral ligament 90.What are shin splints?: a medial tibial syndrome caused by overuse of the muscles 91.How do we treat shin splints?: rest and avoidance of exercise until the pain resolves 92.What is the tell-tale difference between a herniated disc and sciatica?: sci- atica feels better when you stand, a herniated disc feels better when you sit down 93.When will spinal or lumbar stenosis feel better?: when the patient sits down 94.What is Korsakoff syndrome?: a deficiency in thiamine and folate caused by alcoholism 95.What changes to the vagina occur with aging?: dryness, loss of rugae, less pubic hair 96.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 97.Heberden and bouchard's nodes are indicative of what disease process? What about swan neck deformities?: osteoarthritis; rheumatoid arthritis 98.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 99.How is Morton's neuroma diagnosed?: via a positive Muddler's or squeeze test causing pain 100. What is the hook test?: used to assess for a bicep tendon issue 101. How do we treat any rotator cuff injuries?: wear a sling to stabilize the arm and refer to ortho 102. How long do migraine headaches last?: 4-72 hours 103. How can we abort cluster headaches?: calcium or 100% oxygen application 104. Which type of headaches come with lacrimation and sinus symptoms?: - cluster headaches 105. What does the apprehension test assess for?: used to assess for stability of the shoulder or knee; assesses for stability 106. How does the parathyroid gland regulate calcium?: when parathyroid hor- mone 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 107. What is the first line treatment for trigeminal neuralgia?: carbamazepine (tegretol) or amitriptyline. also want to do gabapentin or something for nerve pain 108. What is the recommended treatment for Bell's palsy?: steroids and anti-vi- rals 109. How is the pain of trigeminal neuralgia vs temporal arteritis different?: in trigeminal neuralgia, the pain is like a shock hitting the side of your face whereas temporal arteritis is more like a headache 121. Who qualifies for a low dose CT scan for lung cancer screening purpos- es?: age 50-80 years anyone who currently smokes or has stopped smoking within the last 5 years 122. What does an ASC-US (atypical squamos cells of undetermined signifi- cance) pap smear result necessitate?: Do 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. 123. Which pap smear result is considered to be HPV positive?: LSIL 124. If a patient has LSIL with a negative HPV test, what would you do?: repeat in 1 year 125. If a patient has LSIL with no HPV test or a positive HPV test, what should you do?: refer for colposcopy 126. If a patient's pap results show NILM, what should you do?: repeat in 3 years 127. If a patient's pap results show ASC-H or HSIL what should you do?: refer for colposcopy 128. The valgus stress test assesses what?: the medial collateral ligament 129. The varus stress test assesses what?: the lateral collateral ligament 130. The Lachman's test assesses what?: the ACL 131. The McMurray's test assesses for what?: a torn meniscus 132. The anterior drawer test assesses what?: the acl 133. The posterior drawer test assesses what?: the posterior cruciate ligament (pcl) 134. a normal rise in blood sugar as a person's body prepares to wake up due to a release of cortisol and growth hormone: dawn phenomenon 135. How can you tell between the dawn and somogyi effect?: If 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.