Package deal
APEA Exams Bundle-Questions with Correct Answers/ Verified/ Complete and Accurate
APEA Exams Bundle-Questions with Correct Answers/ Verified/ Complete and Accurate
[Show more]APEA Exams Bundle-Questions with Correct Answers/ Verified/ Complete and Accurate
[Show more]Acute bacterial rhinosinusitis 
Nasal congestion, obstruction • Purulent nasal discharge* • Maxillary tooth discomfort • Facial pain, 
pressure worse with bending forward* 
Symptoms >10 days without clinical improvement • Onset with severe symptoms (fever, purulent 
drainage) lasting at l...
Preview 2 out of 6 pages
Add to cartAcute bacterial rhinosinusitis 
Nasal congestion, obstruction • Purulent nasal discharge* • Maxillary tooth discomfort • Facial pain, 
pressure worse with bending forward* 
Symptoms >10 days without clinical improvement • Onset with severe symptoms (fever, purulent 
drainage) lasting at l...
1 Lifts head, Equal movements in all extremities 
2 none to speak of 
3 Regards another's face • Human eyes are bright and shiny, so newborns should track caregivers' 
eyes 
4 Cry: communication tool for hunger, pain, attention, cold • High-pitched cry can indicate 
neurologic disorder 
5 Moro...
Preview 2 out of 8 pages
Add to cart1 Lifts head, Equal movements in all extremities 
2 none to speak of 
3 Regards another's face • Human eyes are bright and shiny, so newborns should track caregivers' 
eyes 
4 Cry: communication tool for hunger, pain, attention, cold • High-pitched cry can indicate 
neurologic disorder 
5 Moro...
Anemia= 1. RBC count 2. Hemoglobin 3. Hematocrit - Reduction in one or more RBC 
measurement? 
less than 80 
between 80-96 
greater than 96 - size of the RBC MCV 
Microcytic? 
normocytic? 
macrocytic? 
too pale 
just right
Preview 2 out of 6 pages
Add to cartAnemia= 1. RBC count 2. Hemoglobin 3. Hematocrit - Reduction in one or more RBC 
measurement? 
less than 80 
between 80-96 
greater than 96 - size of the RBC MCV 
Microcytic? 
normocytic? 
macrocytic? 
too pale 
just right
Neurotransmitters (NTs)= MAO system 
Norepinephrine 
Serotonin and GABA (aahhh) 
Dopamine 
Others - what controls mood? 
Neurotransmitters: • Serotonin (5-HT), GABA, norepinephrine, dopamine 
NTs: help communication between neurons in the synaptic cleft 
Transporters: help neurotransmitters move a...
Preview 2 out of 9 pages
Add to cartNeurotransmitters (NTs)= MAO system 
Norepinephrine 
Serotonin and GABA (aahhh) 
Dopamine 
Others - what controls mood? 
Neurotransmitters: • Serotonin (5-HT), GABA, norepinephrine, dopamine 
NTs: help communication between neurons in the synaptic cleft 
Transporters: help neurotransmitters move a...
Idiopathic facial nerve palsy 
• Acute, spontaneous, unilateral facial paralysis 
• ??? Reactivation of herpes simplex virus - BELL'S PALSY 
Mild traumatic brain injury (GCS ≥13) 
• Physical rest 24-48 hours with gradual return to activities 
• Cognitive rest: minimize cognitive activitie...
Preview 1 out of 4 pages
Add to cartIdiopathic facial nerve palsy 
• Acute, spontaneous, unilateral facial paralysis 
• ??? Reactivation of herpes simplex virus - BELL'S PALSY 
Mild traumatic brain injury (GCS ≥13) 
• Physical rest 24-48 hours with gradual return to activities 
• Cognitive rest: minimize cognitive activitie...
Osteoarthritis - Pain: exacerbated by activity; 
relieved by rest; 
sometimes occurring at night 
• AM stiffness resolving in ≤60 minutes 
• Tenderness to palpation of involved joints 
• Crepitus (audible) 
•Joint effusion may be present 
• Osteophytes palpable bony enlargements 
• Joi...
Preview 2 out of 7 pages
Add to cartOsteoarthritis - Pain: exacerbated by activity; 
relieved by rest; 
sometimes occurring at night 
• AM stiffness resolving in ≤60 minutes 
• Tenderness to palpation of involved joints 
• Crepitus (audible) 
•Joint effusion may be present 
• Osteophytes palpable bony enlargements 
• Joi...
Gram positive organisms - Streptococcus spp. (loves mucus membranes, lungs, dental, group B ) 
Staphylococcus spp. (skin bug, MRSA) 
Enterococcus (UTI) 
C. Diff 
all others are gram negative
Preview 1 out of 3 pages
Add to cartGram positive organisms - Streptococcus spp. (loves mucus membranes, lungs, dental, group B ) 
Staphylococcus spp. (skin bug, MRSA) 
Enterococcus (UTI) 
C. Diff 
all others are gram negative
greater than or equal to 140/90 with CKD and DM less than 60 
Greater than or equal to 150/90 and greater than 60 
130-139 mm Hg or 80-89 mm Hg 
≥140 mm Hg or ≥90 mm Hg - When to start BP TX according to JNC 8? 
Stage 1 ? 
Stage 2? 
-50% reduction: atorvastatin 40, 8 
-50% reduction
Preview 1 out of 3 pages
Add to cartgreater than or equal to 140/90 with CKD and DM less than 60 
Greater than or equal to 150/90 and greater than 60 
130-139 mm Hg or 80-89 mm Hg 
≥140 mm Hg or ≥90 mm Hg - When to start BP TX according to JNC 8? 
Stage 1 ? 
Stage 2? 
-50% reduction: atorvastatin 40, 8 
-50% reduction
1) Abscess = furuncle = boil: 
2)Bulla or blister: 
3) Macule: 
4) Nodule: 
5) Papule: 
6) Plaque: 
7) Vesicle: 
8) Wheal (hive): - 1. deep infection of hair follicles 
2. fluid-filled or pus-filled >0.5 cm 
3. flat change in skin with a color change (brown, blue, red, or hypopigmented) 
4. solid...
Preview 2 out of 7 pages
Add to cart1) Abscess = furuncle = boil: 
2)Bulla or blister: 
3) Macule: 
4) Nodule: 
5) Papule: 
6) Plaque: 
7) Vesicle: 
8) Wheal (hive): - 1. deep infection of hair follicles 
2. fluid-filled or pus-filled >0.5 cm 
3. flat change in skin with a color change (brown, blue, red, or hypopigmented) 
4. solid...
1. Metofrmin 
2. Glimepiride (Amaryl), glipizide (Glucotrol), glyburide (Diabeta, Micronase) 
3. Repaglinide (Prandin), nateglinide (Starlix) 
4. Alogliptin (Nesina), linagliptin (Tradjenta), saxagliptin (Onglyza), sitagliptin (Januvia) 
5. Exenatide (Byetta, Bydureon), liraglutide (Victoza), dulagl...
Preview 2 out of 5 pages
Add to cart1. Metofrmin 
2. Glimepiride (Amaryl), glipizide (Glucotrol), glyburide (Diabeta, Micronase) 
3. Repaglinide (Prandin), nateglinide (Starlix) 
4. Alogliptin (Nesina), linagliptin (Tradjenta), saxagliptin (Onglyza), sitagliptin (Januvia) 
5. Exenatide (Byetta, Bydureon), liraglutide (Victoza), dulagl...
S. saprophyticus: 
Proteus: 
Klebsiella: 
Intercourse, inadequate hydration Voiding infrequently (every 2-3 hours = normal): - most 
common bacteria in women who have STI? 
if have stone what bacteria it causes? 
If have catheter in place what bacteria it causes? 
What pathogenisis of UTI? 
• Scre...
Preview 1 out of 4 pages
Add to cartS. saprophyticus: 
Proteus: 
Klebsiella: 
Intercourse, inadequate hydration Voiding infrequently (every 2-3 hours = normal): - most 
common bacteria in women who have STI? 
if have stone what bacteria it causes? 
If have catheter in place what bacteria it causes? 
What pathogenisis of UTI? 
• Scre...
Nutritional Supplementation (ensure) in underweight patients - low BMI is associated with worse 
outcome for COPD patients so consider? 
H. influenza (gram negative) and streptococcus pneumoiae (gram positive) - When treating 
COPD patients pick an antibiotic that has coverage against both? 
SABA or...
Preview 1 out of 4 pages
Add to cartNutritional Supplementation (ensure) in underweight patients - low BMI is associated with worse 
outcome for COPD patients so consider? 
H. influenza (gram negative) and streptococcus pneumoiae (gram positive) - When treating 
COPD patients pick an antibiotic that has coverage against both? 
SABA or...
Initiate thiazide- type diuretic or ACEI or ARB or CCB alone or in combination - No diabetes or 
CKD. greater than 60 years. BP less than 150/90 (non-black) 
A. Maximize first medication before adding second or 
B. Add second medication before reaching maximum dose of first medication or 
C. Start w...
Preview 2 out of 7 pages
Add to cartInitiate thiazide- type diuretic or ACEI or ARB or CCB alone or in combination - No diabetes or 
CKD. greater than 60 years. BP less than 150/90 (non-black) 
A. Maximize first medication before adding second or 
B. Add second medication before reaching maximum dose of first medication or 
C. Start w...
carbamide peroxide - most common Debrox (ear wax removal) 
herpes keratosis - acute onset, photophobia, blurred vision 
refer to ophthalmologist stat 
corneal abrasion and keratitis - Use fluorescein strips to check for? 
Impetigo - Honey-crusted lesions. fragile bullae pruritic 
measles - koplick'...
Preview 2 out of 5 pages
Add to cartcarbamide peroxide - most common Debrox (ear wax removal) 
herpes keratosis - acute onset, photophobia, blurred vision 
refer to ophthalmologist stat 
corneal abrasion and keratitis - Use fluorescein strips to check for? 
Impetigo - Honey-crusted lesions. fragile bullae pruritic 
measles - koplick'...
Pre pregnancy: 0.4 mg (400 mcg) 
• Pregnancy confirmed: 1 mg (1,000 mcg) - cdc folic acid 
• Ginger, saltines, ginger ale 
• Avoid ondansetron (Zofran), a 5-HT3 antagonist 
• Diclegis (FDA indication): first-line option Doxylamine succinate 10 mg (antihistamine) Pyridoxine 
10 mg (B6) Sig: 2...
Preview 2 out of 8 pages
Add to cartPre pregnancy: 0.4 mg (400 mcg) 
• Pregnancy confirmed: 1 mg (1,000 mcg) - cdc folic acid 
• Ginger, saltines, ginger ale 
• Avoid ondansetron (Zofran), a 5-HT3 antagonist 
• Diclegis (FDA indication): first-line option Doxylamine succinate 10 mg (antihistamine) Pyridoxine 
10 mg (B6) Sig: 2...
Hospital credentialing committee - identifies WHO can perform certain procedures 
-ointment, aerosol Skin, MM 
-viscous solution/Oropharynx, Jelly/Urethra Ointment, suppository/ Rectum 
-cream Rectum, skin, MM - Topical: 
Benzocaine Cream? 
Lidocaine Solution? 
Tetracaine Ointment? 
Injected between...
Preview 2 out of 6 pages
Add to cartHospital credentialing committee - identifies WHO can perform certain procedures 
-ointment, aerosol Skin, MM 
-viscous solution/Oropharynx, Jelly/Urethra Ointment, suppository/ Rectum 
-cream Rectum, skin, MM - Topical: 
Benzocaine Cream? 
Lidocaine Solution? 
Tetracaine Ointment? 
Injected between...
• Amoxicillin 1 gram three times daily (strong recommendation, moderate quality of evidence), OR 
• Doxycycline 100 mg twice daily (conditional recommendation, low quality of evidence), OR 
• Macrolide (azithromycin 500 mg on first day, then 250 mg daily or clarithromycin 500 mg twice 
daily o...
Preview 2 out of 11 pages
Add to cart• Amoxicillin 1 gram three times daily (strong recommendation, moderate quality of evidence), OR 
• Doxycycline 100 mg twice daily (conditional recommendation, low quality of evidence), OR 
• Macrolide (azithromycin 500 mg on first day, then 250 mg daily or clarithromycin 500 mg twice 
daily o...
Fever (96%) 
Pharyngitis (70%) 
Nonpruritic macular skin rash (70%) 
Malaise 
Headache 
Lymphadenopathy (74%) - HIV initial infection usual duration less than 14 days? 
If high index of suspicion for HIV: 
NAT* HIV-1 RNA assay (Aptima) (detects viral load and HIV) 
NOTE: CDC does not recommend NAT f...
Preview 2 out of 9 pages
Add to cartFever (96%) 
Pharyngitis (70%) 
Nonpruritic macular skin rash (70%) 
Malaise 
Headache 
Lymphadenopathy (74%) - HIV initial infection usual duration less than 14 days? 
If high index of suspicion for HIV: 
NAT* HIV-1 RNA assay (Aptima) (detects viral load and HIV) 
NOTE: CDC does not recommend NAT f...
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Stuvia is a marketplace, so you are not buying this document from us, but from seller MikeHarris. Stuvia facilitates payment to the seller.
No, you only buy these notes for $30.99. You're not tied to anything after your purchase.
4.6 stars on Google & Trustpilot (+1000 reviews)
78252 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now