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100 PAGES APEA 3P 2023 -2024 TEST BANK/ ACTUAL
EXAM QUESTIONS WITH VERIFIED ANSWERS (100%
CORRECT ANSWERS) GRADED A+
Which immunization protects against a virus that is transmitted through blood and body fluids and can lead to chronic liver disease? - Correct Answer - Hepatitis C
A pediatric patient has areas of scaling on the scalp with round patches of hair loss. What is the likely diagnosis? - Correct Answer - Tinea capitis
What is a frequent side effect of SSRIs? - Correct Answer - sexual dysfunction
You might suspect small bowel obstruction in a patient who complains of: -
Correct Answer - vomiting and pain
What finding would be suggestive of osteosarcoma in a pediatric patient? - Correct Answer - pain in the affected bone
What clinical manifestation suggests primary syphilis? - Correct Answer - a single painless genital lesion
What medication is used first line for a patient with benign positional vertigo? - Correct Answer - Meclizine
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pg. 2 Which symptom is most associated with testicular torsion? - Correct Answer - testicular pain
A clinical breast exam should include palpation at the tail of Spence. Where is this located? - Correct Answer - Laterally across the anterior axillary fold
Which area does not drain to the right lymph duct? - Correct Answer - the right leg
Which presentation is most suspicious for penile cancer? - Correct Answer
- a nontender, indurated penile nodule
What is important to consider before prescribing metronidazole for giardiasis? - Correct Answer - whether the patient drinks alcohol
In which condition would the use of triptans for migraine headaches be contraindicated? - Correct Answer - hypertension
Which is a true statement about varicose veins? - Correct Answer - they are more symptomatic during ovulation
When measuring the fundal height of a pregnant woman at 32 weeks, which measurement would prompt the nurse practitioner to suspect fetal growth restriction? - Correct Answer - 29 cm
What is the term for excess fluid that accumulates in the pleural cavity between the visceral and parietal spaces? - Correct Answer - pleural effusion 2 / 4
pg. 3 What historical finding may predispose a patient to testicular cancer? - Correct Answer - cryptochidism
What would you advise for a patient taking an oral glucocorticoid? - Correct Answer - take it with food
A child with enuresis should be treated with nasal desmopressin (DDAVP) for which symptom? - Correct Answer - nocturnal enuresis
Which medication is not contraindicated in a patient with a sulfa allergy? - Correct Answer - silver sulfadiazine (silvadene)
What is likely to be elevated in a woman with polycystic ovarian syndrome?
- Correct Answer - insulin
Which medication should not be prescribed during an acute gout flare? - Correct Answer - allopurinol
A hispanic woman at 26 weeks pregnant tells you that she has been eating ice. What should the NP do? - Correct Answer - check the patient for anemia
A 40 year old female patient has breasts with soft texture, but uneven contour bilaterally. What is the most likely diagnosis? - Correct Answer - cystic breasts
What test of renal function is the best measure of renal insufficiency? - Correct Answer - 24 hour creatinine clearance
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pg. 4 You are seeing a 62 year old male who has decreased chest expansion, symmetric thorax with moderate kyphosis, and bilateral diaphragm distention of 2 cm. What is the most likely diagnosis? - Correct Answer - COPD
Which cranial nerves are assessed when assessing bilateral eye movement? - Correct Answer - III, IV, and VI
What pathological finding is noted in asthma? - Correct Answer - hypertrophy of smooth muscle
Which type of incontinence is most likely in a patient with Alzheimer's disease who cannot reach the toilet in time? - Correct Answer - Functional
Your 70 year old patient complains of a sore mouth that prevents her from eating. On exam you note a beefy red, glossy, smooth tongue. What do you suspect? - Correct Answer - Pernicious anemia due to insufficient intrinsic factor
A 62 year old male presents with leg pain and occasional numbness that is worse with ambulation and improved with lumbar flexion. What is the likely diagnosis? - Correct Answer - spinal stenosis
What is not a typical symptom of late stage HIV? - Correct Answer - persistent vomiting
A pregnant patient presents for her 16 week prenatal visit. Her blood pressure had reduced from 118/79 to 109/68. What hemodynamic change is responsible for this? - Correct Answer - decrease in systemic vascular resistance
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