APEA QBank AANP Review
A 75 year old patient is experiencing progressive confusion and memory deterioration. Which
condition mimics dementia that this patient should be tested for? - ANS -neurosyphilis
\A benign epidermal tumor that is a well-demarcated, coin-like, pigmented lesion with a stuck on
appearance - ANS -seborrheic keratosis
\A bluish tint to the vagina and cervix due to increased vascularity during pregnancy - ANS
-Chadwick's sign
\A BMI of less than _____ is considered underweight - ANS -18.5
\A child presents with erythematous papules and vesicles that are weeping, oozing, and crusty.
They are located all over the forehead, wrists, elbows, and backs of knees. What is this most
likely to be? - ANS -atopic dermatitis
\A condition that presents with symptomatic limb ischemia upon exertion is termed: - ANS
-atherosclerotic peripheral arterial disease
\A depressed patient is started on an SSRI. When should another antidepressant be tried if
there is no response? - ANS -8-12 weeks
\A disorder that results in the destruction of platelets due to an autoimmune response - ANS
-idiopathic thrombocytopenic purpura
\A feeling of constantly needing to pass stool - ANS -tenesmus
\A palpable softening of the cervical isthmus during pregnancy - ANS -Hegar's sign
\A patient is experiencing a dull achy pain in the epigastric area with eating. This type of pain is
consistent with what? - ANS -a gastric ulcer
\A patient who is unable to touch his left scapula with his right hand likely has what? - ANS -a
rotator cuff tear
\A protruding abdominal mass after bending over, lifting, or coughing, and is painful with
coughing, is often what in adults? - ANS -inguinal hernia
\A reduction in vision in one or both eyes causing loss of binocular vision - ANS -amblyopia
\A report of "knee locking" is a classic complaint of what? - ANS -a meniscal tear
\a skin disorder that causes the nose to enlarge and become red, bumpy, and bulbous - ANS
-rhinophyma
\A softening of the skin at the angles of the mouth which may be due to nutritional deficiency -
ANS -angular cheilitis
\A stool specimen that is positive for WBCs is a sign of what? - ANS -a viral or bacterial
infection
\A subtype of strabismus that describes an inward turning of the eye - ANS -esotropia
\A superficial dermatophyte/fungal infection of the skin of the scalp, eyebrows, and eyelashes -
ANS -tinea capitis
\A widened pulse pressure greater than or equal to 60 in an older adult is a risk factor for what?
- ANS -cardiovascular disease, stroke, renal disease
\ACEI induced coughs usually begin how soon after starting the medication? - ANS -within 2
weeks
\Actinic keratosis is a precursor for what? - ANS -squamous cell carcinoma
, \ADHD is a risk factor for both depression and what else? - ANS -substance abuse
\Adrenarche is the early presence of pubic hair in girls aged __________ - ANS -5-8 years old
\Age is the most common cause of presbycusis, but what other conditions may play a role in
quickening the onset of this? - ANS -white, infections, smoking, hypertension, diabetes,
vascular disease, immune disorders, hormonal factors
\An abnormal growth of squamous epithelium in the middle ear and mastoid - ANS
-cholesteatoma
\An acute viral illness that presents with a burning retrosternal discomfort and a dry cough is
suggestive of what? - ANS -tracheobronchitis
\An inability to extend the knee is a sign of what? - ANS -a partial or complete patellar tendon
tear
\An intervention being performed to prevent the occurrence of the same event happening again
is an example of ___________ prevention. Give an example. - ANS -secondary; taking a daily
aspirin to prevent another stroke after already having one
\Angular cheilitis can be caused by what? - ANS -nutritional deficiency
\Are males or females more likely to commit suicide? - ANS -males
\Are the sickling of RBCS in sickle cell anemia reversible? - ANS -initially, yes they are
reversible with oxygenation. But repeated episodes cause the cells to become irreversibly
sickled.
\Athletic amenorrhea increases one's risk of developing what? - ANS -osteoporosis; this is
because there is a loss of body fat and body fat is what produces estrogen so estrogen levels
decline
\AV nicking is most commonly seen on retinal exam of which chronic condition? - ANS
-hypertension
\Bacteria most commonly responsible for pyelonephritis - ANS -e coli
\Bacterial invasion of the renal parenchyma - ANS -pyelonephritis
\Beta blockers are contraindicated in which cardiovascular condition? - ANS -variant
(prinzmetal) angina bc they may induce coronary vasospasm from unopposed alpha receptor
activity
\Body lice are vectors for which diseases? - ANS -epidemic typhus, trench fever, relapsing fever
\Body lice primarily live where? - ANS -on bedding and clothing, not people
\Breath sounds heard over the periphery of the lung fields are what? - ANS -vesicular; they are
quiet and wispy
\C. trachomatis stands for what common type of bacteria infection? - ANS -chlamydia
\Can a pregnant woman be on levothyroxine during pregnancy? - ANS -yes, she should
continue it and have TSH checked monthly because she may need a higher dose as thyroid
hormone needs increase during pregnancy
\Can a pregnant woman get the MMR vaccine while pregnant? - ANS -yes
\Cancer in the bone marrow that results in skeletal destruction - ANS -multiple myeloma
\Cells within the epidermis that are primarily responsible for protecting the skin from UV rays in
sunlight - ANS -melanocytes
\Children and teens present with depression most commonly how? - ANS -irritability
\Children with complaints of mudbone pain should be worked for what MNM differential? - ANS
-acute lymphocytic leukemia
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