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APEA Review QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY GRADED A+
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APEA Review QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY GRADED A+
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APEA Review1.
2. • Stenotic valves don't - ANS-Stenotic valves don't OPEN properly
3. 1-week history of fever and pain over the left scrotum. It is accompanied by frequency
and dysuria. The scrotum is edematous and tender to touch. He denies flank pain,
nausea, and vomiting. He reports that the pain is lessened when he uses scrotal-support
briefs. The urinalysis shows 2+ blood and a large number of leukocytes. What is the
most likely diagnosis? - ANS-Acute epididymitis
4. 2nd htn - ANS-renal stenosis
5.
6. adrenal tumors
7. A 35-year-old sexually active man presents with a 1-week history of fever and pain over
the left scrotum. It is accompanied by frequency and dysuria. The scrotum is edematous
and tender to touch. He denies flank pain, nausea, and vomiting. He reports that the
pain is lessened when he uses scrotal-support briefs. The urinalysis shows 2+ blood and
a large number of leukocytes. What is the most likely diagnosis? - ANS-Acute
epididymitis
8. Explanation
9. Acute epididymitis is the infection presented here. Scrotal edema and pain with palpation
do not occur in urinary tract infection or pyelonephritis. Acute orchitis symptoms include
testicular pain and edema, are usually associated with the mumps, but do not have
frequency and dysuria.
10. A 40-year-old White woman with a body mass index (BMI) of 32 complains of colicky
pain in the right upper quadrant of her abdomen that gets worse if she eats fried food.
During the physical exam, the nurse practitioner presses deeply on the left lower
quadrant of the abdomen and the patient complains of pain on the right side of the lower
abdomen. What is the name of this finding? - ANS-Rovsing's sign
11. A bruit is a murmur heard over the carotid artery in the neck, suggesting arterial
narrowing and atherosclerosis. It may increase risk of - ANS-cerebrovascular disease
12. A normal result in the Rinne test is air conduction (AC) greater than bone conduction
(BC). When there is a conductive hearing loss (i.e., ceruminosis, otitis media), the result
will be BC greater than AC. The reason is that the sound waves are blocked (i.e.,
cerumen, fluid in middle ear). Therefore, the patient cannot hear them as well as through
bone conduction. - ANS-
13. A proton pump inhibitor (PPI) trial for 8 weeks is preferred for the treatment of
moderate/severe GERD whose symptoms are not responding to lifestyle changes. Given
the frequency of symptoms, a step-down approach should be considered in this patient. -
ANS-
14. A split S2 heart sound is best heard at which of the following areas? - ANS-The pulmonic
area
, 15. A UTI is defined as the presence of 100,000 organisms per milliliter of urine in
asymptomatic patients or greater than 100 organisms per milliliter of urine with pyuria
(>7 WBCs/mL) in a symptomatic patient - ANS-
16. AAA screening - ANS--all men 65-75 who have ever smoked
17. -abdominal US
18.
19. 1 time only
20. abi - ANS-pad
21.
22. An ABI score of 1.0 to 1.4 is normal. Any value less than 1.0 is abnormal. A score of 0.5
or less is indicative of severe PAD.
23. ABI <0.9 or >1.3 is highly suggestive of - ANS-pad
24. An abdominal wall mass will become more prominent when the abdominal wall muscles
are tense. - ANS-
25. Arteriovenous nicking (AV nicking), copper wire arterioles, and flame hemorrhages are
associated with hypertensive retinopathy. - ANS-
26. bag of worms - ANS-varicocele
27. Balanitis is caused by: - ANS-Candida albicans
28. best hypothyroidism screen - ANS-tsh
29. Black Patient With or Without DM - ANS-Thiazide diuretic
30.
31. Calcium channel blocker
32. boggy - ANS-edema and tumor
33. BPH prostate - ANS-Symmetrically enlarged, firm, and smooth
34.
35. Prostate feels rubbery and uniformly enlarged
36. bright-red-colored spot that has been present in his left eye for 2 days. -
ANS-Subconjunctival hemorrhage
37. calf pain with walking. What's going on? - ANS-blockage in lower vessels
38.
39. intermittent claudication
40.
41. peripheral artery disease
42. Cdiff 1st line - ANS-Vancomycin https:
43. CF - ANS-persistent productive cough
44. colic - ANS-4-6 weeks
45. cones - ANS-color
46. Cullen's sign is commonly seen in acute pancreatitis - ANS-
47. cushing - ANS-cortisol
48. Dawn phenomenon - ANS-Early morning glucose elevation produced by the release of
growth hormone, which decreases peripheral uptake of glucose resulting in elevated
morning glucose levels. Admin of insulin at a later time in day will coordinate insulin peak
with the hormone release.
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